Glucarpidase is a recombinant carboxypeptidase G2 produced by genetically modified Escherichia coli bacteria. It is a 390-amino acid homodimer protein. High-dose methotrexate, an antifolate agent, has been widely and safely used for many decades in treating various cancers; however, even with aggressive hydration, urine alkalinization, and leucovorin rescue,...
Glucarpidase is indicated to reduce toxic plasma methotrexate concentration (greater than 1 micromole per litre) in adult and pediatric patients with delayed methotrexate clearance (plasma methotrexate concentrations greater than 2 standard deviations of the mean methotrexate excretion curve specific for the dose of methotrexate administered) due to impaired...
Fundació Hospital Universitari Vall d'Hebron - Institut de Recerca (VHIR), Barcelona, Spain
Assistance Publique Hôpitaux de Marseille (APHM), La Timone Hospital, Marseille, France
Fundación Privada Instituto de Investigación Oncológica de Vall d'Hebron (VHIO), Barcelona, Spain
Hôpital Pitié-Salpêtrière, Paris, France
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
Mayo Clinic in Florida, Jacksonville, Florida, United States
University of Pennsylvania/Abramson Cancer Center, Philadelphia, Pennsylvania, United States
OHSU Knight Cancer Institute, Portland, Oregon, United States
Dana Farber Cancer Institute (Data Collection and Specimen Analysis), Boston, Massachusetts, United States
Memorial Sloan Kettering Bergen, Montvale, New Jersey, United States
Memorial Sloan Kettering Commack, Commack, New York, United States
University College Hospital, London, United Kingdom
Helsinki University Hospital, Helsinki, Finland
Department of Pediatrics, Rigshospitalet, Copenhagen, Denmark
University Hospital of Trondheim, Trondheim, Norway
Leeds General Infirmary, Leeds, England, United Kingdom
Torbay Hospital, Torquay, England, United Kingdom
Winship Cancer Institute of Emory University, Atlanta, Georgia, United States
Stanford Comprehensive Cancer Center - Stanford, Stanford, California, United States
Children's National Medical Center, Washington, District of Columbia, United States
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