Temozolomide may improve the outlook for patients with recurrent malignant gliomas

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Thalidomide; Temozolomide; Malignant Glioma; Glioblastoma Multiforme; Anaplastic Astrocytoma;
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10.2165/00042310-200015010-00001
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Temozolomide is an orally active imidazotetrazine analogue of dacarbazine. As this drug is relatively new, data evaluating its efficacy are limited. Based on the available information, temozolomide is effective in patients with recurrent malignant gliomas. Specifically, temozolomide has shown efficacy in patients with recurrent anaplastic astrocytoma or mixed grade 3 oligoastrocytoma and appears to improve survival to a greater extent than procarbazine in patients with recurrent glioblastoma multiforme. Quality-of-life assessments are now being included in clinical trials because of the small and short-lived benefit in overall survival associated with treatment regimens for this disease. Temozolomide appears to improve quality of life in patients with recurrent gliomas. Temozolomide has also shown efficacy in newly diagnosed malignant glioma, primarily glioblastoma multiforme, when used prior to radiotherapy. This drug has shown benefit in various types of malignant gliomas, however, whether its potential is confirmed in future clinical trials will be awaited with interest.
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