What is Tumor Lysis Syndrome (TLS) and what is the first-line treatment (tx) to prevent it?

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From the Guidelines

Tumor lysis syndrome (TLS) is a potentially life-threatening metabolic emergency that requires immediate attention, and the first-line treatment to prevent it is aggressive hydration with intravenous fluids and rasburicase prophylaxis in high-risk patients, as recommended by the most recent guidelines 1.

Definition and Pathophysiology of TLS

Tumor lysis syndrome occurs when large numbers of cancer cells die rapidly, releasing their contents into the bloodstream, typically after initiating chemotherapy for cancers with high cell turnover rates, such as high-grade lymphomas and leukemias. This leads to hyperuricemia, electrolyte disturbances, renal failure, and overt organ damage.

Prevention and Treatment of TLS

The first-line treatment to prevent TLS is aggressive hydration with intravenous fluids (typically isotonic saline at 3 L/m2 per day), which should be started 24-48 hours before chemotherapy, unless there is evidence of renal insufficiency and oliguria 1.

  • Rasburicase prophylaxis is recommended for patients with a high risk of developing TLS (WBC >100 × 109/L, high tumor burden) 1.
  • Urinary alkalinization is no longer recommended 1.
  • Allopurinol (300-600 mg daily) may be used as an alternative to rasburicase, but it is not preferred for high-risk patients due to its slower onset of action and potential for xanthine accumulation 1.
  • Electrolyte abnormalities should be corrected before starting therapy, and frequent monitoring of electrolytes (potassium, phosphorus, calcium) and renal function is essential during treatment.
  • Diuretics should be avoided initially as they may concentrate urine and promote crystal formation.
  • Intractable fluid overload, hyperkalemia, hyperuricemia, hyperphosphatemia, or hypocalcemia are indications for renal dialysis 1.

From the FDA Drug Label

Tumor Lysis Syndrome (TLS) Clinical TLS was defined by changes in at least two or more laboratory parameters for hyperuricemia, hyperkalemia, hyperphosphatemia and hypocalcemia and at least one of the following events occurring within 7 days of treatment: renal failure/injury, need for renal dialysis, and/or serum creatinine increase >1.5 ULN, arrhythmia or seizure.

The major endpoint of this study was the uric acid response rate defined as the proportion of patients with plasma uric acid levels ≤7.5 mg/dL from day 3 to day 7, after initiation of antihyperuricemic treatment.

Table 2 presents the response rates in the three treatment arms. The response rate in arm A was significantly greater than in arm C (p=0.0009).

Tumor Lysis Syndrome (TLS) is a condition characterized by changes in laboratory parameters such as hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia, along with events like renal failure, need for renal dialysis, or serum creatinine increase.

The first-line treatment to prevent TLS is rasburicase (Elitek), which is administered at a dose of 0.2 mg/kg/day as a 30-minute infusion once daily, as it has been shown to have a higher response rate in controlling uric acid levels compared to allopurinol alone 2.

From the Research

Definition of Tumor Lysis Syndrome

  • Tumor lysis syndrome (TLS) is an oncologic emergency that typically occurs after the treatment of a malignancy with chemotherapy and/or radiotherapy, resulting from extreme tumor cell lysis with the release of intracellular potassium, nucleic acids, and phosphorus into the systemic circulation 3, 4, 5, 6.
  • It can also occur spontaneously in tumor types that have a high proliferative rate and/or a large tumor burden 3.

Metabolic Disturbances of TLS

  • The metabolic disturbances of TLS include hyperkalemia, hyperphosphatemia, secondary hypocalcemia, hyperuricemia, and acute renal failure 3, 4, 5, 6.
  • These disturbances can lead to life-threatening complications such as acute renal failure, cardiac dysrhythmia, and seizures 3, 6.

Prevention and Treatment of TLS

  • The most important treatment for TLS is prevention, which includes aggressive hydration, control of hyperuricemia with allopurinol and rasburicase treatment, and close monitoring of electrolyte abnormalities 3, 5, 7.
  • Established TLS requires early, aggressive intervention with intravenous hydration, electrolyte management, and the use of hypouricemic agents 6.
  • Rasburicase is a highly effective agent for reducing serum uric acid levels and can be used in patients with renal dysfunction, significant elevations in serum uric acid values, or large tumor burdens 7.

First-Line Treatment to Prevent TLS

  • Aggressive hydration and control of hyperuricemia with allopurinol and rasburicase treatment are the mainstays of TLS prevention 3, 5, 7.
  • Close monitoring of electrolyte abnormalities is also crucial in preventing and managing TLS 3, 5, 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Prevention and management of tumor lysis syndrome in adults with malignancy.

Journal of the advanced practitioner in oncology, 2013

Research

Tumor lysis syndrome: A clinical review.

World journal of critical care medicine, 2015

Research

Tumor Lysis Syndrome.

Archives of pathology & laboratory medicine, 2019

Research

Role of i.v. allopurinol and rasburicase in tumor lysis syndrome.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2003

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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