Table 3.
Patients at high risk of TLS who could benefit by rasburicase
Tumor factors | Patients factors | Biochemical factors |
---|---|---|
High tumor burden | Hyperleukocytosis | High uric acid levels |
High tumor growth rate | Pre-existing renal impairment | High LDH levels |
High sensitivity to chemotherapy, especially during early treatment phase | Dehydration | High phosphoremia levels |
Advanced stage of tumor | Poly-pharmacology | Low pH of urine |
Kind of tumor (haematological malignancies more than solid tumors) | High creatinine levels | |
Lymphoma infiltration of kidney | ||
Use of monoclonal antibodies and targeted therapies |