Caroline, a young adult patient, undergoes treatment

“I had my first allergic reaction [to E. coli-derived asparaginase therapy] 4 months into treatment. It started with an itchy feeling, and it progressed to my throat closing. I knew we needed to find an alternative asparaginase.”
- Caroline (Actual Patient)

Asparaginase as treatment

Asparaginase therapy is a key component of treatment plans for acute lymphoblastic leukemia (ALL) and lymphoblastic lymphoma (LBL)

Asparaginase does the critical job of breaking down asparagine.

Inside living cells

Inside a cell

Cells are the building blocks of all living things.

Protein structure

Within each cell are proteins, which help the body function properly.

Amino acid inside a protein

Proteins are made up of hundreds or thousands of smaller components called amino acids.

Asparagine inside a cell

One of the amino acids within cells is called asparagine, which helps make proteins and create new cells.

What is asparagine
(uh-speh-ruh-jeen)?

Asparagine is an amino acid used to create important proteins and cells in the body.

Both healthy cells and cancer cells need asparagine to survive. Unlike healthy cells, cancer cells cannot make asparagine themselves so they must absorb it from the circulating blood to continue growing and spreading.

What is asparaginase
(uh-speh-ruh-jen-ace)?

Asparaginase is a naturally occurring enzyme used to help break down asparagine in the blood. Enzymes are proteins that speed up chemical reactions in the body. 

Doctors use asparaginase therapy as a key component in ALL and LBL treatment plans because it helps prevent cancer cells from accessing the asparagine they need to survive, causing cancer cells to die.

How asparaginase targets cancer cells

1
Asparagine in blood

Unlike healthy cells, cancer cells depend on asparagine circulating throughout the blood to survive.

2
Asparaginase breaking down asparagine

Asparaginase helps break down asparagine in the blood, causing cancer cells to die.

Healthy cell

Healthy cell

Cancer cell

Cancer cell

Asparagine

Asparagine

Asparaginase

Asparaginase

Cell death

Cell death

Patients with ALL and LBL receive asparaginase therapy that is derived by extracting the asparaginase enzyme from a bacteria called Escherichia coli, or E. coli (ee KOH-lie).

If an allergic reaction (also known as a hypersensitivity reaction) to asparaginase derived from E. coli occurs, the doctor may switch to an asparaginase derived from Erwinia chrysanthemi (er-win-ee-uh krih-san-thuh-my). RYLAZE is an asparaginase therapy derived from Erwinia chrysanthemi.

Talk with the healthcare team about asparaginase therapy.

What is RYLAZE?

RYLAZE is a prescription medicine, given by intramuscular injection, that is part of a chemotherapy regimen used to treat adults and children 1 month or older who have acute lymphoblastic leukemia (ALL), a type of blood cancer that affects the white blood cells that help fight infection, and lymphoblastic lymphoma (LBL), a type of non-Hodgkin lymphoma that also affects white blood cells. RYLAZE is used in patients who have had an allergic reaction to E. coli asparaginase.

IMPORTANT SAFETY INFORMATION

RYLAZE should not be given to people who have had:

  • Serious allergic reactions to RYLAZE
  • Serious swelling of the pancreas (stomach pain), serious blood clots, or serious bleeding during previous asparaginase treatment

RYLAZE may cause serious side effects, including:

  • Allergic reactions (a feeling of tightness in your throat, unusual swelling/redness in your throat and/or tongue, rash, or trouble breathing), some of which may be life-threatening
  • Swelling of the pancreas (stomach pain), which, if left untreated, may be fatal
  • Blood clots (may be experienced as headache, arm or leg swelling, shortness of breath, or chest pain), which may be life-threatening
  • Bleeding, which may be life-threatening
  • Liver problems

Contact your doctor immediately if any of these side effects occur.

Some of the most common side effects with RYLAZE include:

  • Liver problems
  • Nausea and vomiting
  • Bone and muscle pain
  • Infection
  • Tiredness
  • Headache
  • Fever with low white blood cell count
  • Fever
  • Bleeding
  • Mouth swelling (sometimes with sores)
  • Pain in the abdomen
  • Decreased appetite
  • Allergic reactions
  • High blood sugar levels
  • Diarrhea
  • Swelling of the pancreas
  • Low levels of potassium in your blood

RYLAZE can harm your unborn baby. Inform your doctor if you are pregnant, planning to become pregnant, or nursing. Females of reproductive potential should use effective contraception (other than hormonal contraceptives) during treatment and for 3 months following the final dose. Do not breastfeed while receiving RYLAZE and for 1 week after the final dose.

Tell your healthcare provider if there are any side effects that are bothersome or that do not go away.

These are not all the possible side effects of RYLAZE. For more information, ask your healthcare provider.

Call your doctor for medical advice about any side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088 (1-800-332-1088).

Please see full Prescribing Information and discuss with your doctor.

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What is RYLAZE?

RYLAZE is a prescription medicine, given by intramuscular injection, that is part of a chemotherapy regimen used to treat adults and children 1 month or older who have acute lymphoblastic leukemia (ALL), a type of blood cancer that affects the white blood cells that help fight infection, and lymphoblastic lymphoma (LBL), a type of non-Hodgkin lymphoma that also affects white blood cells. RYLAZE is used in patients who have had an allergic reaction to E. coli asparaginase.

IMPORTANT SAFETY INFORMATION & APPROVED USE

RYLAZE should not be given to people who have had:

  • Serious allergic reactions to RYLAZE
  • Serious swelling of the pancreas (stomach pain), serious blood clots, or serious bleeding during previous asparaginase treatment

RYLAZE may cause serious side effects, including:

  • Allergic reactions (a feeling of tightness in your throat, unusual swelling/redness in your throat and/or tongue, rash, or trouble breathing), some of which may be life-threatening
  • Swelling of the pancreas (stomach pain), which, if left untreated, may be fatal
  • Blood clots (may be experienced as headache, arm or leg swelling, shortness of breath, or chest pain), which may be life-threatening
  • Bleeding, which may be life-threatening
  • Liver problems