Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Rasburicase

Generic name
Rasburicase
Brand name
ATC Code
V03AF07

Pharmacokinetics in children

  Children Adults
Vd (ml/kg) 110-127 75,8-138
Cl (ml/hr/kg) In children and adolescents approx. 35% higher compared to adults, resulting in lower systemic exposure  3,5 
  Renal elimination is less important route for clearance of  rasburicase.
T1/2 (hr) 15,7-22,5 15,7-22,5

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

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Available formulations

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Dosages

Prophylaxis and treatment of acute uricaemia
  • Intravenous
    • 1 month up to 18 years
      [2]
      • 0.2 mg/kg/day in 1 dose Infusion in 30 minutes..
      • Duration of treatment:

        Maximum 7 days

      • Apply only immediately before and during initiation of chemotherapy (due to insufficient data on repeated use).

    • Term neonate
      [2]
      • 0.2 mg/kg/day in 1 dose Infusion in 30 minutes..
      • Duration of treatment:

        Maximum 7 days

      • Apply only immediately before and during initiation of chemotherapy (due to insufficient data on repeated use).

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Renal impaiment in children > 3 months

GFR ≥10 ml/min/1.73m2: Dose adjustment not required.

GFR <10 ml/min/1.73m2: A general recommendation on dose adjustment cannot be provided.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects

No information is present at this moment.

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

The risk of hypersensitivity and/or reduced effectiveness is greater in a second course of rasburicase.

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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Antidotes
V03AB15
V03AB14
Iron chelating agents
V03AC03
V03AC02
V03AC01
Detoxifying agents for antineoplastic treatment
V03AF03
V03AF01
Drugs for treatment of hypoglycemia
V03AH01
DETOXIFYING AGENTS FOR ANTINEOPLASTIC TREATMENT
V03AF03
V03AF01

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References

  1. Rademaker C.M.A. et al, Geneesmiddelen-Formularium voor Kinderen, 2007
  2. Sanofi Winthrop Industrie, SmPC Fasturtec (EU/1/00/170/001-002) Rev 31;12-08-2024, www.ema.europa.eu

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Changes

Changes