Table 1 Treatment schema for E. coli-asparaginase and PEG-asparaginase groups.

From: Use of PEG-asparaginase in newly diagnosed adults with standard-risk acute lymphoblastic leukemia compared with E. coli-asparaginase: a retrospective single-center study

E. coli-asparaginase group

PEG-asparaginase group

Therapy

Dosage and days

Therapy

Dosage and days

Induction

 Phase 1

 Daunorubicin IV

60 mg/m2 days 1, 8, 15, 22

Daunorubicin IV

60 mg/m2 days 1, 8, 15, 22

 Vincristine IV

1.4 mg/m2 days 1, 8, 15, 22

Vincristine IV

1.4 mg/m2 days 1, 8, 15, 22

E. coli-asparaginase IV

10000 IU qod days 2–24 (12 doses)

PEG-asparaginase IM

2000 IU/m2 days 2, 16

 Prednisone PO

60 mg/m2 days 1–28

Prednisone PO

60 mg/m2 days 1–28

 Methotrexate IT

12.5 mg day 15

Methotrexate IT

12.5 mg day 15

Phase 2

 Cyclophosphamide IV

650 mg/m2 days 1, 15, 29

Cyclophosphamide IV

650 mg/m2 days 1, 15, 29

 Cytarabine IV

75 mg/m2 days 1–4, 8–11, 15–18, 22–25

Cytarabine IV

75 mg/m2 days 1–4, 8–11, 15–18, 22–25

 6-mercaptopurine PO

6 mg/m2 days 1–28

6-mercaptopurine PO

6 mg/m2 days 1–28

 Methotrexate IT

12.5 mg day 1, 8, 15, 22

Methotrexate IT

12.5 mg day 1, 8, 15, 22

Intensification

 Methotrexate IV

3 g/m2 days 1, 8, 22

Methotrexate IV

3 g/m2 days 1, 8, 22

E. coli-asparaginase IV

10000 IU qod days 2–12 (6 doses)

PEG-asparaginase IM

2000 IU/m2 day 2

Consolidation

Cycle 1

 Cytarabine IV

75 mg/m2 days 1–5

Cytarabine IV

75 mg/m2 days 1–5

 Etoposide IV

100 mg/m2 days 1–5

Etoposide IV

100 mg/m2 days 1–5

 Vincristine IV

1.4 mg/m2 days 1, 8, 15, 22

Vincristine IV

1.4 mg/m2 days 1, 8, 15, 22

 Dexamethasone PO

10 mg/m2 days 1–28

Dexamethasone PO

10 mg/m2 days 1–28

Cycle 2

 Cytarabine IV

75 mg/m2 days 1–5

Cytarabine IV

75 mg/m2 days 1–5

 Etoposide IV

100 mg/m2 days 1–5

Etoposide IV

100 mg/m2 days 1–5

Cycle 3

 Daunorubicin IV

25 mg/m2 days 1, 8, 15, 22

Daunorubicin IV

25 mg/m2 days 1, 8, 15, 22

 Cyclophosphamide IV

650 mg/m2 day 29

Cyclophosphamide IV

650 mg/m2 day 29

 Cytarabine IV

75 mg/m2 days 31–34, 38–41

Cytarabine IV

75 mg/m2 days 31–34, 38–41

 Thioguanine PO

60 mg/m2 days 29–42

Thioguanine PO

60 mg/m2 days 29–42

Cycle 4

 Cytarabine IV

75 mg/m2 days 1–5

Cytarabine IV

75 mg/m2 days 1–5

 Etoposide IV

100 mg/m2 days 1–5

Etoposide IV

100 mg/m2 days 1–5

CNS prophylaxis in consolidation: Cytarabine IT, 50 mg, was given weekly for 4 weeks, together with 2400 cGy cranial irradiation

Maintenance (2.5 years from the start of intensification therapy)

 Vincristine IV

1.4 mg/m2 day 1*every 3 months

Vincristine IV

1.4 mg/m2 day 1* every 3 months

 Prednisone PO

60 mg/m2 days 1–5* every 3 months

Prednisone PO

60 mg/m2 days 1–5* every 3 months

 6-mercaptopurine PO

75 mg/m2*qd

6-mercaptopurine PO

75 mg/m2*qd

 Methotrexate PO

20 mg/m2*qw

Methotrexate PO

20 mg/m2*qw

CNS prophylaxis in maintenance: Cytarabine IT, 50 mg, was given 3 months apart during maintenance therapy.

  1. Abbreviations: E. coli-asparaginase, Escherichia coli asparaginase; PEG-asparaginase, polyethylene glycol-conjugated asparaginase; IV, intravenously; PO, oral; IM, intramuscular; IT, intrathecal.