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Temozolomide

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Cells are normally MGMT proficient (MGMTp) as they have an unmethylated MGMT promoter allowing the gene to be expressed normally. In this state, temozolomide induced DNA damage is able to be efficiently repaired in tumor cells (and normal cells) by the active MGMT enzyme. Cells may grow and pass through the cell cycle normally without arrest or death. However, some tumors cells are MGMT deficient (MGMTd). This is most commonly due to abnormal methylation of the MGMT gene promoter and suppression of gene expression. MGMTd has also been described to occur by promoter rearrangement. In cells with MGMTd, DNA damage by temozolomide activates the next stage of repair in cells with a proficient Mismatch Repair enzyme complex (MMRp). In MMRp the MMR protein complex identifies the damage and causes cells to arrest and undergo death which inhibits tumor growth. However, if cells have combined MGMTd and MMR deficiency (MGMTd + MMRd) then cells retain the induced mutations and continue to cycle and are resistant to effects of temozolomide.
1039: 621: 598: 51: 42: 1055: 1024: 1165:, a natural compound with demonstrated therapeutic activity in brain cancer patients, to the temozolomide molecule. The resultant novel compound, called NEO212 or TMZ-POH, revealed anticancer activity that was significantly greater than that of either of its two parent molecules, temozolomide and perillyl alcohol. Although as of 2016, NEO212 has not been tested in humans, it has shown superior cancer therapeutic activity in animal models of 4977: 884:
In the European Union, temozolomide is indicated for adults with newly diagnosed glioblastoma multiforme concomitantly with radiotherapy and subsequently as monotherapy treatment; or children from the age of three years, adolescents and adults with malignant glioma, such as glioblastoma multiforme or
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Two mechanisms of resistance to temozolomide effects have now been described: 1) intrinsic resistance conferred by MGMT deficiency (MGMTd) and 2) intrinsic or acquired resistance through MMR deficiency (MMRd). The MGMT enzyme is the first line of repair of mismatched bases created by temozolomide.
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gene prevents the synthesis of this enzyme, and as a consequence such tumors are more sensitive to killing by temozolomide. Conversely, the presence of AGT protein in brain tumors predicts poor response to temozolomide and these patients receive little benefit from chemotherapy with temozolomide.
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While the above-mentioned approaches have investigated whether the combination of temozolomide with other agents might improve therapeutic outcome, efforts have also started to study whether altering the temozolomide molecule itself can increase its activity. One such approach permanently fused
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The most common side effects include nausea (feeling sick), vomiting, constipation, loss of appetite, alopecia (hair loss), headache, fatigue (tiredness), convulsions (fits), rash, neutropenia or lymphopenia (low white-blood-cell counts), and thrombocytopenia (low blood platelet counts). People
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In gliomas and other cancers MMRd has now been reported to occur as primary MMRd (intrinsic or germline Lynch bMMRd) or as secondary MMRd (acquired - not present in the original untreated tumor). The latter occurs after effective treatment and cytoreduction of tumors with temozolomide and then
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Ueno T, Ko SH, Grubbs E, Yoshimoto Y, Augustine C, Abdel-Wahab Z, et al. (March 2006). "Modulation of chemotherapy resistance in regional therapy: a novel therapeutic approach to advanced extremity melanoma using intra-arterial temozolomide in combination with systemic O6-benzylguanine".
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Stupp R, Hegi ME, Mason WP, van den Bent MJ, Taphoorn MJ, Janzer RC, et al. (May 2009). "Effects of radiotherapy with concomitant and adjuvant temozolomide versus radiotherapy alone on survival in glioblastoma in a randomised phase III study: 5-year analysis of the EORTC-NCIC trial".
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Laboratory studies and clinical trials have started investigating the possibility of increasing the anticancer potency of temozolomide by combining it with other pharmacologic agents. For example, clinical trials have indicated that the addition of
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residues. This methylation damages the DNA and triggers the death of tumor cells. However, some tumor cells are able to repair this type of DNA damage, and therefore diminish the therapeutic efficacy of temozolomide, by expressing a protein
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selection or induction of mutant MSH6, MSH2, MLH1, or PMS2 proteins and cells which are MMRd and temozolomide resistant. The latter is described as an acquired resistance pathway with hotspot mutations in glioma patients (MSH6 p.T1219I).
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Temozolomide is an imidazotetrazine derivative. It is slightly soluble in water and aqueous acids, and decomposes at 212 °C (414 °F). It was recently discovered that temozolomide is an explosive, tentatively assigned as
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Da Fonseca CO, Teixeira RM, Silva JC, Fischer JD, Meirelles OC, Landeiro JA, et al. (December 2013). "Long-term outcome in patients with recurrent malignant glioma treated with Perillyl alcohol inhalation".
1199:-BG), an AGT inhibitor, could overcome this resistance and improve the drug's therapeutic effectiveness. In the laboratory, this combination indeed showed increased temozolomide activity in tumor-cell culture 2460:
Chen TC, Cho HY, Wang W, Nguyen J, Jhaveri N, Rosenstein-Sisson R, et al. (March 2015). "A novel temozolomide analog, NEO212, with enhanced activity against MGMT-positive melanoma in vitro and in vivo".
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for the treatment of adults with newly diagnosed glioblastoma concomitantly with radiotherapy and subsequently as monotherapy treatment; or adults with newly diagnosed or refractory anaplastic astrocytoma.
845:(low blood platelet counts). People receiving the solution for infusion may also have injection-site reactions, such as pain, irritation, itching, warmth, swelling and redness, as well as bruising. 1450: 2656:
Dall'oglio S, D'Amico A, Pioli F, Gabbani M, Pasini F, Passarin MG, et al. (December 2008). "Dose-intensity temozolomide after concurrent chemoradiotherapy in operated high-grade gliomas".
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It was approved for medical use in the European Union in January 1999, and in the United States in August 1999. The intravenous formulation was approved in the United States in February 2009.
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Pyrko P, Schönthal AH, Hofman FM, Chen TC, Lee AS (October 2007). "The unfolded protein response regulator GRP78/BiP as a novel target for increasing chemosensitivity in malignant gliomas".
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Newlands ES, Stevens MF, Wedge SR, Wheelhouse RT, Brock C (January 1997). "Temozolomide: a review of its discovery, chemical properties, pre-clinical development and clinical trials".
1949: 2117: 1574: 1370: 2498:"A novel temozolomide-perillyl alcohol conjugate exhibits superior activity against breast cancer cells in vitro and intracranial triple-negative tumor growth in vivo" 4843: 2634: 1207:. However, a recently completed phase-II clinical trial with brain-tumor patients yielded mixed outcomes; while there was some improved therapeutic activity when 909:
receiving the solution for infusion may also have injection-site reactions, such as pain, irritation, itching, warmth, swelling and redness, as well as bruising.
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gene prior to transplanting them into brain-tumor patients. This would allow for the patients to receive stronger doses of temozolomide, since the patient's
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Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
1007:, likely the active methylating agent, and 5-aminoimidazole-4-carboxamide (AIC). Other metabolites include temozolomide acid and unidentified 81: 1999:
Sperry JB, Stone S, Azuma M, Barrett C (2021). "Importance of Thermal Stability Data to Avoid Dangerous Reagents: Temozolomide Case Study".
4903: 3955: 714: 5037: 3784: 3764: 3749: 2125: 5027: 1422: 1938: 690: 5052: 1830: 1606:"European Society of Endocrinology Clinical Practice Guidelines for the management of aggressive pituitary tumours and carcinomas" 1185: 988: 948: 1362: 1329: 4171: 4931: 3248: 3204: 3184: 2861: 2322:"Trans-sodium crocetinate enhancing survival and glioma response on magnetic resonance imaging to radiation and temozolomide" 1983: 1237:
High doses of temozolomide in high-grade gliomas have low toxicity, but the results are comparable to the standard doses.
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glioma, there seemed to be no significant restoration of temozolomide sensitivity in patients with temozolomide-resistant
5007: 4538: 1270: 1151: 2583:"Phase II trial of temozolomide plus o6-benzylguanine in adults with recurrent, temozolomide-resistant malignant glioma" 765: 149: 3690: 3646: 3524: 2884: 2630: 1157:(TSC) when combined with temozolomide and radiation therapy and a clinical trial was underway as of August  2015. 3233: 3449: 734: 2242:
Gilbert MR (March 2006). "New treatments for malignant gliomas: careful evaluation and cautious optimism required".
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Kaloshi G, Benouaich-Amiel A, Diakite F, Taillibert S, Lejeune J, Laigle-Donadey F, et al. (May 2007).
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Jacinto FV, Esteller M (August 2007). "MGMT hypermethylation: a prognostic foe, a predictive friend".
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patients. Laboratory studies found that temozolomide killed brain tumor cells more efficiently when
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Quinn JA, Jiang SX, Reardon DA, Desjardins A, Vredenburgh JJ, Rich JN, et al. (March 2009).
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Raverot G, Burman P, McCormack A, Heaney A, Petersenn S, Popovic V, et al. (January 2018).
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by 9%. Only 15% (10–20%) of the substance are bound to blood plasma proteins. Temozolomide is a
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Temozolomide is quickly and almost completely absorbed from the gut, and readily penetrates the
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Combining temozolomide with other myelosuppressants may increase the risk of myelosuppression.
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Hegi ME, Diserens AC, Gorlia T, Hamou MF, de Tribolet N, Weller M, et al. (March 2005).
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Temozolomide is contraindicated in people with hypersensitivity to it or to the similar drug
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Farago AF, Yeap BY, Stanzione M, Hung YP, Heist RS, Marcoux JP, et al. (October 2019).
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Touat M, Li YY, Boynton AN, Spurr LF, Iorgulescu JB, Bohrson CL, et al. (April 2020).
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patients. Preclinical studies reported in 2010 on investigations into the use of the novel
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in combination with temozolomide demonstrated substantial clinical activity in relapsed
620: 597: 3754: 3263: 3132: 3056: 2779: 2762: 2733: 2700: 2681: 2607: 2582: 2563: 2365: 2267: 2094: 2069: 2016: 1878: 1741: 1716: 1692: 1667: 1548: 1521: 865: 160: 2152: 1866: 1655:(in German). Vienna: Österreichischer Apothekerverlag. 2018. Temodal 5 mg-Hartkapseln. 5032: 4878: 4452: 3286: 3191: 2899: 2784: 2738: 2673: 2612: 2555: 2519: 2478: 2442: 2401: 2343: 2302: 2259: 2156: 2099: 2020: 1979: 1870: 1822: 1781: 1746: 1697: 1627: 1553: 1502: 1321: 1030: 888:
Temozolomide is also used to treat aggressive pituitary tumors and pituitary cancer.
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to 3-methyl-(triazen-1-yl)imidazole-4-carboxamide (MTIC), which further splits into
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is 1.8 hours. The substance and its metabolites are mainly excreted via the urine.
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Cho HY, Wang W, Jhaveri N, Lee DJ, Sharma N, Dubeau L, et al. (August 2014).
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anaplastic astrocytoma, showing recurrence or progression after standard therapy.
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used to treat serious brain cancers; most commonly as second-line treatments for
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Chen TC, Cho HY, Wang W, Barath M, Sharma N, Hofman FM, et al. (May 2014).
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Sheehan J, Cifarelli CP, Dassoulas K, Olson C, Rainey J, Han S (August 2010).
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InChI=1S/C6H6N6O2/c1-11-6(14)12-2-8-3(4(7)13)5(12)9-10-11/h2H,1H3,(H2,7,13)
212: 2160: 1668:"Balancing repair and tolerance of DNA damage caused by alkylating agents" 1522:"Combination Olaparib and Temozolomide in Relapsed Small-Cell Lung Cancer" 1082:
Temozolomide has also been reported to be a comparatively safe and stable
987:. Intake with food decreases maximal plasma concentrations by 33% and the 4908: 4888: 4873: 4868: 4853: 4811: 4781: 4721: 4691: 4635: 4608: 4481: 4422: 4394: 4384: 4337: 4301: 4217: 4179: 4161: 4156: 4136: 4113: 4084: 4062: 4042: 4032: 3883: 3868: 3848: 3734: 3665: 3651: 3606: 3539: 3534: 3511: 3486: 3454: 3397: 3360: 3337: 3322: 3317: 3302: 3197: 3112: 3066: 3061: 3046: 3041: 3031: 3006: 1817: 1147: 1127: 1091: 1061: 1008: 897: 853: 838: 834: 197: 99: 41: 1622: 1605: 1575:"FDA approves new and updated indications for temozolomide under Projec" 1211:-BG and temozolomide were given to patients with temozolomide-resistant 466: 4898: 4801: 4796: 4771: 4766: 4756: 4751: 4746: 4716: 4706: 4671: 4666: 4646: 4601: 4589: 4564: 4559: 4549: 4531: 4526: 4516: 4511: 4469: 4457: 4445: 4417: 4404: 4399: 4369: 4332: 4327: 4265: 4260: 4206: 4151: 4103: 4089: 4037: 4024: 3993: 3926: 3915: 3888: 3878: 3873: 3819: 3774: 3769: 3670: 3634: 3566: 3556: 3545: 3529: 3481: 3464: 3440: 3392: 3380: 3332: 3127: 3122: 3117: 3076: 3071: 3026: 2986: 2965: 2760: 1497: 1480: 1212: 1111: 959: 931: 826: 666: 477: 327: 320: 383:
4-methyl-5-oxo-2,3,4,6,8-pentazabicyclonona-2,7,9-triene-9-carboxamide
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The therapeutic benefit of temozolomide depends on its ability to
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DNA, which most often occurs at the N-7 or O-6 positions of
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3-methyl-(triazen-1-yl)imidazole-4-carboxamide (MTIC, the
1300: 2284: 1564: 2633:. Fred Hutchinson Cancer Research Center. 23 May 2011. 1998: 1798: 1519: 1000: 1973: 4965: 2536: 794:. It is taken by mouth or via intravenous infusion. 2698: 2631:"Investigative Engineered Bone Marrow Cell Therapy" 1357: 1355: 1353: 1351: 1349: 1347: 1285: 797:The most common side effects with temozolomide are 445: 856:and as the first-line treatment for glioblastoma. 2495: 2459: 2418: 2122:Cancer Research UK impact & achievements page 1717:"DNA mismatch repair and the DNA damage response" 1114:. Its preclinical activity was reported in 1987. 4989: 2067: 1344: 425: 1763: 1714: 1478: 400: 3085: 1479:Sasmita AO, Wong YP, Ling AP (February 2018). 1406: 1404: 1402: 1400: 1398: 1396: 1394: 1392: 1390: 1388: 1090:in organic synthesis. In particular, use as a 3249: 2869: 2855: 1665: 2209:"Drug Approval Package: Temodar NDA #022277" 1715:Li Z, Pearlman AH, Hsieh P (February 2016). 148: 2132: 1385: 279:In general: ℞ (Prescription only) 3256: 3242: 2862: 2848: 2001:Organic Process Research & Development 1666:Fu D, Calvo JA, Samson LD (January 2012). 619: 596: 485: 2778: 2732: 2606: 2513: 2436: 2337: 2093: 2068:Svec RL, Hergenrother PJ (January 2020). 1896: 1894: 1892: 1816: 1740: 1691: 1621: 1547: 1537: 1496: 1485:Asia-Pacific Journal of Clinical Oncology 1130:might be beneficial for the treatment of 505: 2256:10.7326/0003-4819-144-5-200603070-00015 2241: 1974:Dinnendahl, V, Fricke, U, eds. (2016). 1939:"Temodal: EPAR – Scientific Discussion" 1903:"Temozolomide – birth of a blockbuster" 1186:O-6-methylguanine-DNA methyltransferase 592: 465: 104: 14: 4990: 1900: 1889: 1585:from the original on 15 September 2023 1445: 1443: 1441: 1332:from the original on 20 September 2020 1234:cells would be resistant to the drug. 1069: 952:-6-methylguanine-DNA methyltransferase 925: 876:In the United States, temozolomide is 610: 271: 243: 122: 3237: 3185:Merck Manual of Diagnosis and Therapy 2843: 2637:from the original on 29 November 2020 1647: 1645: 1643: 1641: 1184:Because tumor cells that express the 1044:AIC (part of the naturally occurring 565: 545: 256: 139: 90: 2372:from the original on 21 October 2014 2033: 1919:from the original on 22 October 2020 1425:from the original on 22 October 2020 891: 216: 3525:ribonucleotide reductase inhibitors 1955:from the original on 29 August 2021 1805:The New England Journal of Medicine 1438: 1273:from the original on 29 August 2021 1152:oxygen diffusion-enhancing compound 983:is 30% of the concentration in the 970: 841:(low white-blood-cell counts), and 786:used to treat brain tumors such as 706:212 °C (414 °F) (decomp.) 525: 416: 24: 5038:Drugs developed by Schering-Plough 5028:Drugs developed by Merck & Co. 3691:Ribonucleotide reductase inhibitor 3647:Ribonucleotide reductase inhibitor 2780:10.1212/01.wnl.0000262034.26310.a2 2753: 2223:from the original on 28 March 2021 2189:from the original on 31 March 2021 1833:from the original on 26 April 2019 1638: 1222:Some efforts focus on engineering 903: 25: 5069: 3450:Dihydrofolate reductase inhibitor 2797: 1610:European Journal of Endocrinology 1579:U.S. Food and Drug Administration 1460:from the original on 11 July 2021 1373:from the original on 8 April 2021 171: 5053:Alkylating antineoplastic agents 4975: 2124:. 22 August 2013. Archived from 2049:from the original on 4 June 2022 1053: 1037: 1022: 650: 644: 68:Temodar, Temodal, Temcad, others 49: 40: 2692: 2649: 2623: 2574: 2530: 2489: 2453: 2412: 2384: 2354: 2313: 2278: 2235: 2201: 2167: 2110: 2061: 2027: 1992: 1967: 1931: 1845: 1792: 1757: 1708: 1659: 1597: 1098:reagent has been demonstrated. 920: 912: 871: 747:Key:BPEGJWRSRHCHSN-UHFFFAOYSA-N 3587:Thymidylate synthase inhibitor 3477:Thymidylate synthase inhibitor 2821:NCI Dictionary of Cancer Terms 1513: 1472: 1314: 1255: 656: 638: 13: 1: 3507:Adenosine deaminase inhibitor 3348:Block microtubule disassembly 2552:10.1158/1535-7163.MCT-05-0098 2540:Molecular Cancer Therapeutics 2515:10.1158/1535-7163.mct-13-0882 2502:Molecular Cancer Therapeutics 2438:10.1158/1535-7163.mct-13-0964 2425:Molecular Cancer Therapeutics 2299:10.1158/0008-5472.CAN-07-0625 2153:10.1016/S0305-7372(97)90019-0 1867:10.1016/S1470-2045(09)70025-7 1248: 1179:triple-negative breast cancer 722:O=C(c1ncn2C(=O)N(\N=N/c12)C)N 2823:. National Cancer Institute. 2587:Journal of Clinical Oncology 2475:10.1016/j.canlet.2014.12.021 2215:Food and Drug Administration 2181:Food and Drug Administration 2118:"Malcolm Steven – interview" 1778:10.1016/j.dnarep.2007.03.013 1733:10.1016/j.dnarep.2015.11.019 1539:10.1158/2159-8290.CD-19-0582 1106:The agent was discovered at 778:, sold under the brand name 7: 3168:Merck Headquarters Building 2244:Annals of Internal Medicine 2039:"Temozolomide Is Explosive" 1120: 979:; the concentration in the 10: 5074: 5008:DNA replication inhibitors 1101: 628:Chemical and physical data 4926: 4807:Omacetaxine mepesuccinate 4687:Ciltacabtagene autoleucel 4677:Brexucabtagene autoleucel 4623: 4574: 4354: 4347: 4283: 4237: 4170: 4127: 3964: 3949: 3829: 3799: 3724: 3709: 3680: 3576: 3496: 3439: 3422: 3411: 3347: 3300: 3281: 3176: 3160: 2974: 2938: 2877: 2833:National Cancer Institute 2725:10.1038/s41586-020-2209-9 2670:10.1007/s11060-008-9663-9 2658:Journal of Neuro-Oncology 2339:10.3171/2009.11.JNS091314 1946:European Medicines Agency 1417:European Medicines Agency 755: 730: 710: 700: 678: 665: 632: 627: 608: 576: 556: 536: 516: 496: 476: 456: 436: 411: 391: 371: 366: 353: 340: 326: 314: 304: 294: 286: 233: 228: 203: 185: 159: 112: 98: 80: 72: 62: 57: 48: 39: 4859:Talimogene laherparepvec 4792:Nadofaragene firadenovec 4762:Lisocabtagene maraleucel 3711:Topoisomerase inhibitors 3630:DNA polymerase inhibitor 2805:"Temozolomide (Temodal)" 2599:10.1200/JCO.2008.18.8417 2141:Cancer Treatment Reviews 2013:10.1021/acs.oprd.1c00206 1224:hematopoietic stem cells 1155:trans sodium crocetinate 1136:epigallocatechin gallate 958:) gene. In some tumors, 4662:Axicabtagene ciloleucel 3266:chemotherapeutic agents 2326:Journal of Neurosurgery 1217:glioblastoma multiforme 864:. It is available as a 4844:Sitimagene ceradenovec 4742:Idecabtagene vicleucel 4307:Methyl aminolevulinate 2951:Cubist Pharmaceuticals 2086:10.1002/anie.201911896 1901:Sansom C (July 2009). 1672:Nature Reviews. Cancer 995:; it is spontaneously 862:small cell lung cancer 792:anaplastic astrocytoma 4318:Porphyrin derivatives 4014:Melphalan flufenamide 3661:Hypomethylating agent 3270:antineoplastic agents 3108:Ezetimibe/simvastatin 3002:Ezetimibe/simvastatin 2956:H. K. Mulford Company 2871:Merck & Co., Inc. 1581:. 14 September 2023. 1421:. 17 September 2018. 1203:and in animal models 784:anticancer medication 4647:Asparagine depleters 4576:Receptor antagonists 4490:+abiraterone acetate 2219:. 24 November 2009. 1948:. 13 December 2005. 1855:The Lancet. Oncology 1818:10.1056/NEJMoa043331 989:area under the curve 782:among others, is an 336:); temozolomide acid 5048:Explosive chemicals 4697:Denileukin diftitox 4597:Retinoid X receptor 4297:Aminolevulinic acid 4119:Triethylenemelamine 3951:Crosslinking of DNA 3682:Deoxyribonucleotide 3621:+gimeracil/oteracil 2878:Corporate directors 2717:2020Natur.580..517T 2394:Anticancer Research 1976:Arzneistoff-Profile 1623:10.1530/EJE-17-0796 1369:. 31 January 2020. 1328:. 24 October 2019. 1112:Birmingham, England 1070:Chemical properties 1046:AICA ribonucleotide 1005:monomethylhydrazine 981:cerebrospinal fluid 977:blood–brain barrier 926:Mechanism of action 848:Temozolomide is an 252:(Prescription only) 36: 5058:Methylating agents 4953:Never to phase III 3755:Etirinotecan pegol 3133:Rocuronium bromide 3057:rVSV-ZEBOV vaccine 2809:Cancer Research UK 2366:ClinicalTrials.gov 1498:10.1111/ajco.12756 1142:), a component of 866:generic medication 32: 5018:Imidazotetrazines 4998:Cancer treatments 4963: 4962: 4922: 4921: 4879:Tigilanol tiglate 4356:Enzyme inhibitors 4279: 4278: 4275: 4274: 3975:Nitrogen mustards 3945: 3944: 3705: 3704: 3407: 3406: 3231: 3230: 3192:The Merck Manuals 3156: 3155: 2835:. 5 October 2006. 2773:(21): 1831–1836. 2711:(7804): 517–523. 2400:(12): 5625–5631. 2368:. November 2011. 2293:(20): 9809–9816. 2185:. 30 March 2001. 2128:on 14 March 2012. 2074:Angewandte Chemie 1985:978-3-7741-9846-3 1532:(10): 1372–1387. 1060:The related drug 1031:active metabolite 999:at physiological 962:silencing of the 892:Contraindications 773: 772: 691:Interactive image 578:CompTox Dashboard 275: 260: 247: 175: 142: 125: 27:Cancer medication 16:(Redirected from 5065: 4980: 4979: 4978: 4971: 4884:Tisagenlecleucel 4641:Arsenic trioxide 4352: 4351: 4285:Photosensitizers 4076:Alkyl sulfonates 3990:Cyclophosphamide 3962: 3961: 3901:Anthracenediones 3722: 3721: 3696:Hydroxycarbamide 3437: 3436: 3420: 3419: 3298: 3297: 3258: 3251: 3244: 3235: 3234: 3083: 3082: 2946:Acceleron Pharma 2905:Rochelle Lazarus 2895:William Harrison 2864: 2857: 2850: 2841: 2840: 2836: 2824: 2812: 2792: 2782: 2747: 2746: 2736: 2696: 2690: 2689: 2653: 2647: 2646: 2644: 2642: 2627: 2621: 2620: 2610: 2593:(8): 1262–1267. 2578: 2572: 2571: 2534: 2528: 2527: 2517: 2508:(5): 1181–1193. 2493: 2487: 2486: 2457: 2451: 2450: 2440: 2431:(8): 2004–2017. 2416: 2410: 2409: 2388: 2382: 2381: 2379: 2377: 2358: 2352: 2351: 2341: 2317: 2311: 2310: 2282: 2276: 2275: 2239: 2233: 2232: 2230: 2228: 2205: 2199: 2198: 2196: 2194: 2171: 2165: 2164: 2136: 2130: 2129: 2114: 2108: 2107: 2097: 2080:(5): 1857–1862. 2065: 2059: 2058: 2056: 2054: 2037:(12 July 2021). 2031: 2025: 2024: 2007:(7): 1690–1700. 1996: 1990: 1989: 1971: 1965: 1964: 1962: 1960: 1954: 1943: 1935: 1929: 1928: 1926: 1924: 1918: 1907: 1898: 1887: 1886: 1849: 1843: 1842: 1840: 1838: 1820: 1811:(10): 997–1003. 1796: 1790: 1789: 1772:(8): 1155–1160. 1761: 1755: 1754: 1744: 1712: 1706: 1705: 1695: 1663: 1657: 1656: 1649: 1636: 1635: 1625: 1601: 1595: 1594: 1592: 1590: 1571: 1562: 1561: 1551: 1541: 1526:Cancer Discovery 1517: 1511: 1510: 1500: 1476: 1470: 1469: 1467: 1465: 1456:. 3 March 2016. 1455: 1447: 1436: 1434: 1432: 1430: 1408: 1383: 1382: 1380: 1378: 1359: 1342: 1341: 1339: 1337: 1318: 1312: 1311: 1309: 1307: 1297:nctr-crs.fda.gov 1289: 1283: 1282: 1280: 1278: 1259: 1175:brain metastasis 1163:perillyl alcohol 1108:Aston University 1096:cyclopropanating 1057: 1041: 1026: 1015:Plasma half-life 971:Pharmacokinetics 850:alkylating agent 843:thrombocytopenia 811:loss of appetite 769: 768: 761: 693: 673: 658: 652: 646: 640: 623: 612: 601: 600: 586: 584: 569: 549: 529: 509: 489: 469: 449: 429: 419: 418: 404: 345: 273: 270: 265: 258: 255: 245: 242: 220: 173: 170: 152: 141: 138: 135: 124: 121: 108: 94: 53: 44: 37: 35: 31: 21: 5073: 5072: 5068: 5067: 5066: 5064: 5063: 5062: 4988: 4987: 4986: 4976: 4974: 4966: 4964: 4959: 4958: 4943:Clinical trials 4918: 4624:Other/ungrouped 4619: 4570: 4343: 4323:Porfimer sodium 4271: 4233: 4166: 4123: 3953: 3941: 3825: 3795: 3713: 3701: 3676: 3572: 3492: 3428: 3426:antimetabolites 3424: 3423:DNA precursors/ 3415: 3413:DNA replication 3403: 3343: 3313:Vinca alkaloids 3289: 3277: 3262: 3232: 3227: 3172: 3152: 3093:Coppertone sign 3086:Schering-Plough 3081: 2970: 2961:Schering-Plough 2934: 2873: 2868: 2827: 2815: 2803: 2800: 2795: 2756: 2754:Further reading 2751: 2750: 2697: 2693: 2654: 2650: 2640: 2638: 2629: 2628: 2624: 2579: 2575: 2535: 2531: 2494: 2490: 2458: 2454: 2417: 2413: 2389: 2385: 2375: 2373: 2360: 2359: 2355: 2318: 2314: 2287:Cancer Research 2283: 2279: 2240: 2236: 2226: 2224: 2207: 2206: 2202: 2192: 2190: 2173: 2172: 2168: 2137: 2133: 2116: 2115: 2111: 2066: 2062: 2052: 2050: 2032: 2028: 1997: 1993: 1986: 1972: 1968: 1958: 1956: 1952: 1941: 1937: 1936: 1932: 1922: 1920: 1916: 1910:Chemistry World 1905: 1899: 1890: 1850: 1846: 1836: 1834: 1797: 1793: 1762: 1758: 1713: 1709: 1684:10.1038/nrc3185 1664: 1660: 1651: 1650: 1639: 1602: 1598: 1588: 1586: 1573: 1572: 1565: 1518: 1514: 1477: 1473: 1463: 1461: 1453: 1449: 1448: 1439: 1428: 1426: 1410: 1409: 1386: 1376: 1374: 1361: 1360: 1345: 1335: 1333: 1320: 1319: 1315: 1305: 1303: 1291: 1290: 1286: 1276: 1274: 1261: 1260: 1256: 1251: 1226:expressing the 1123: 1104: 1072: 1065: 1058: 1049: 1042: 1033: 1027: 973: 928: 923: 915: 906: 904:Adverse effects 894: 874: 764: 762: 759:(what is this?) 756: 751: 748: 743: 738: 737: 726: 723: 718: 717: 696: 671: 661: 655: 649: 643: 604: 580: 572: 552: 532: 512: 492: 472: 452: 432: 415: 407: 387: 384: 379: 378: 343: 306:Protein binding 296:Bioavailability 288:Pharmacokinetic 282: 263: 224: 188: 181: 162: 155: 28: 23: 22: 15: 12: 11: 5: 5071: 5061: 5060: 5055: 5050: 5045: 5040: 5035: 5030: 5025: 5020: 5015: 5010: 5005: 5000: 4985: 4984: 4961: 4960: 4957: 4956: 4955: 4954: 4951: 4940: 4934: 4928: 4927: 4924: 4923: 4920: 4919: 4917: 4916: 4911: 4906: 4901: 4896: 4891: 4886: 4881: 4876: 4871: 4866: 4861: 4856: 4851: 4846: 4841: 4836: 4830: 4819: 4814: 4809: 4804: 4799: 4794: 4789: 4784: 4779: 4774: 4769: 4764: 4759: 4754: 4749: 4744: 4739: 4734: 4729: 4724: 4719: 4714: 4709: 4704: 4699: 4694: 4689: 4684: 4679: 4674: 4669: 4664: 4659: 4643: 4638: 4633: 4627: 4625: 4621: 4620: 4618: 4617: 4605: 4593: 4580: 4578: 4572: 4571: 4569: 4568: 4562: 4557: 4552: 4547: 4535: 4529: 4524: 4519: 4514: 4503: 4497: 4492: 4484: 4477:PARP inhibitor 4473: 4461: 4449: 4437: 4436: 4435: 4430: 4425: 4420: 4408: 4402: 4397: 4392: 4387: 4373: 4360: 4358: 4349: 4345: 4344: 4342: 4341: 4335: 4330: 4325: 4314: 4309: 4304: 4299: 4293: 4291: 4281: 4280: 4277: 4276: 4273: 4272: 4270: 4269: 4263: 4258: 4253: 4243: 4241: 4235: 4234: 4232: 4231: 4225: 4220: 4209: 4204: 4199: 4194: 4182: 4176: 4174: 4168: 4167: 4165: 4164: 4159: 4154: 4149: 4144: 4139: 4133: 4131: 4129:Platinum-based 4125: 4124: 4122: 4121: 4116: 4111: 4106: 4094: 4093: 4087: 4071: 4070: 4065: 4060: 4055: 4045: 4040: 4028: 4027: 4022: 4017: 4007: 4002: 3996: 3987: 3982: 3970: 3968: 3959: 3947: 3946: 3943: 3942: 3940: 3939: 3934: 3929: 3924: 3919: 3913: 3908: 3897: 3891: 3886: 3881: 3876: 3871: 3866: 3856: 3851: 3844:Anthracyclines 3839: 3837: 3827: 3826: 3824: 3823: 3817: 3805: 3803: 3797: 3796: 3794: 3793: 3787: 3782: 3777: 3772: 3767: 3762: 3757: 3752: 3747: 3742: 3730: 3728: 3719: 3707: 3706: 3703: 3702: 3700: 3699: 3686: 3684: 3678: 3677: 3675: 3674: 3668: 3656: 3655: 3642: 3641: 3625: 3624: 3614: 3609: 3604: 3599: 3594: 3582: 3580: 3574: 3573: 3571: 3570: 3564: 3562:Mercaptopurine 3553: 3548: 3543: 3537: 3532: 3516: 3515: 3502: 3500: 3494: 3493: 3491: 3490: 3484: 3473: 3467: 3462: 3457: 3445: 3443: 3434: 3417: 3409: 3408: 3405: 3404: 3402: 3401: 3389: 3383: 3378: 3373: 3368: 3363: 3351: 3349: 3345: 3344: 3342: 3341: 3335: 3330: 3325: 3320: 3308: 3306: 3295: 3279: 3278: 3264:Intracellular 3261: 3260: 3253: 3246: 3238: 3229: 3228: 3226: 3225: 3224: 3223: 3216: 3209: 3202: 3188: 3180: 3178: 3174: 3173: 3171: 3170: 3164: 3162: 3158: 3157: 3154: 3153: 3151: 3150: 3148:Urofollitropin 3145: 3140: 3135: 3130: 3125: 3120: 3115: 3110: 3105: 3100: 3095: 3089: 3087: 3080: 3079: 3074: 3069: 3064: 3059: 3054: 3049: 3044: 3039: 3034: 3029: 3024: 3019: 3014: 3009: 3004: 2999: 2994: 2989: 2984: 2978: 2976: 2972: 2971: 2969: 2968: 2963: 2958: 2953: 2948: 2942: 2940: 2936: 2935: 2933: 2932: 2927: 2922: 2917: 2912: 2907: 2902: 2900:William Kelley 2897: 2892: 2890:Johnnetta Cole 2887: 2881: 2879: 2875: 2874: 2867: 2866: 2859: 2852: 2844: 2838: 2837: 2829:"Temozolomide" 2825: 2817:"Temozolomide" 2813: 2799: 2798:External links 2796: 2794: 2793: 2757: 2755: 2752: 2749: 2748: 2691: 2664:(3): 315–319. 2648: 2622: 2573: 2546:(3): 732–738. 2529: 2488: 2469:(2): 144–151. 2463:Cancer Letters 2452: 2411: 2383: 2353: 2332:(2): 234–239. 2312: 2277: 2250:(5): 371–373. 2234: 2200: 2166: 2131: 2109: 2060: 2026: 1991: 1984: 1966: 1930: 1888: 1861:(5): 459–466. 1844: 1791: 1756: 1707: 1678:(2): 104–120. 1658: 1637: 1596: 1563: 1512: 1471: 1437: 1412:"Temodal EPAR" 1384: 1343: 1313: 1284: 1269:. 4 May 2020. 1263:"Temozolomide" 1253: 1252: 1250: 1247: 1193:-benzylguanine 1122: 1119: 1103: 1100: 1071: 1068: 1067: 1066: 1064:for comparison 1059: 1052: 1050: 1043: 1036: 1034: 1028: 1021: 972: 969: 927: 924: 922: 919: 914: 911: 905: 902: 893: 890: 873: 870: 771: 770: 753: 752: 750: 749: 746: 744: 741: 733: 732: 731: 728: 727: 725: 724: 721: 713: 712: 711: 708: 707: 704: 698: 697: 695: 694: 686: 684: 676: 675: 669: 663: 662: 659: 653: 647: 641: 636: 630: 629: 625: 624: 614: 606: 605: 603: 602: 589: 587: 574: 573: 571: 570: 562: 560: 554: 553: 551: 550: 542: 540: 534: 533: 531: 530: 522: 520: 514: 513: 511: 510: 502: 500: 494: 493: 491: 490: 482: 480: 474: 473: 471: 470: 462: 460: 454: 453: 451: 450: 442: 440: 434: 433: 431: 430: 422: 420: 409: 408: 406: 405: 397: 395: 389: 388: 386: 385: 382: 374: 373: 372: 369: 368: 364: 363: 357: 351: 350: 347: 338: 337: 334:active species 330: 324: 323: 318: 312: 311: 308: 302: 301: 298: 292: 291: 284: 283: 281: 280: 277: 268: 253: 239: 237: 231: 230: 226: 225: 223: 222: 209: 207: 201: 200: 191: 189:administration 183: 182: 180: 179: 177: 167: 165: 157: 156: 154: 153: 136: 118: 116: 110: 109: 102: 96: 95: 88: 78: 77: 74: 70: 69: 66: 60: 59: 55: 54: 46: 45: 26: 9: 6: 4: 3: 2: 5070: 5059: 5056: 5054: 5051: 5049: 5046: 5044: 5041: 5039: 5036: 5034: 5031: 5029: 5026: 5024: 5021: 5019: 5016: 5014: 5013:Fetotoxicants 5011: 5009: 5006: 5004: 5001: 4999: 4996: 4995: 4993: 4983: 4973: 4972: 4969: 4952: 4950: 4947: 4946: 4944: 4941: 4938: 4935: 4933: 4930: 4929: 4925: 4915: 4912: 4910: 4907: 4905: 4902: 4900: 4897: 4895: 4892: 4890: 4887: 4885: 4882: 4880: 4877: 4875: 4872: 4870: 4867: 4865: 4862: 4860: 4857: 4855: 4852: 4850: 4847: 4845: 4842: 4840: 4837: 4834: 4831: 4829: 4825: 4824: 4820: 4818: 4817:Tabelecleucel 4815: 4813: 4810: 4808: 4805: 4803: 4800: 4798: 4795: 4793: 4790: 4788: 4785: 4783: 4780: 4778: 4777:Lurbinectedin 4775: 4773: 4770: 4768: 4765: 4763: 4760: 4758: 4755: 4753: 4750: 4748: 4745: 4743: 4740: 4738: 4735: 4733: 4730: 4728: 4725: 4723: 4720: 4718: 4715: 4713: 4710: 4708: 4705: 4703: 4700: 4698: 4695: 4693: 4690: 4688: 4685: 4683: 4680: 4678: 4675: 4673: 4670: 4668: 4665: 4663: 4660: 4657: 4653: 4649: 4648: 4644: 4642: 4639: 4637: 4634: 4632: 4629: 4628: 4626: 4622: 4615: 4611: 4610: 4606: 4603: 4599: 4598: 4594: 4591: 4587: 4586: 4582: 4581: 4579: 4577: 4573: 4566: 4563: 4561: 4558: 4556: 4553: 4551: 4548: 4546: 4542: 4540: 4536: 4533: 4530: 4528: 4525: 4523: 4520: 4518: 4515: 4513: 4509: 4508: 4504: 4501: 4498: 4496: 4493: 4491: 4488: 4485: 4483: 4479: 4478: 4474: 4471: 4467: 4466: 4462: 4459: 4455: 4454: 4450: 4447: 4443: 4442: 4438: 4434: 4431: 4429: 4426: 4424: 4421: 4419: 4416: 4415: 4414: 4413: 4409: 4406: 4403: 4401: 4398: 4396: 4393: 4391: 4388: 4386: 4382: 4381: 4378: 4374: 4371: 4367: 4366: 4362: 4361: 4359: 4357: 4353: 4350: 4346: 4339: 4336: 4334: 4331: 4329: 4326: 4324: 4320: 4319: 4315: 4313: 4310: 4308: 4305: 4303: 4300: 4298: 4295: 4294: 4292: 4290: 4286: 4282: 4267: 4264: 4262: 4259: 4257: 4254: 4252: 4248: 4245: 4244: 4242: 4240: 4239:Intercalation 4236: 4229: 4226: 4224: 4221: 4219: 4215: 4214: 4210: 4208: 4205: 4203: 4200: 4198: 4195: 4192: 4188: 4187: 4183: 4181: 4178: 4177: 4175: 4173: 4169: 4163: 4160: 4158: 4155: 4153: 4150: 4148: 4147:Dicycloplatin 4145: 4143: 4140: 4138: 4135: 4134: 4132: 4130: 4126: 4120: 4117: 4115: 4112: 4110: 4107: 4105: 4102: 4100: 4096: 4095: 4091: 4088: 4086: 4082: 4079: 4077: 4073: 4072: 4069: 4066: 4064: 4061: 4059: 4056: 4053: 4049: 4046: 4044: 4041: 4039: 4036: 4034: 4030: 4029: 4026: 4023: 4021: 4020:Prednimustine 4018: 4015: 4011: 4008: 4006: 4003: 4000: 3997: 3995: 3991: 3988: 3986: 3983: 3981: 3978: 3976: 3972: 3971: 3969: 3967: 3963: 3960: 3957: 3952: 3948: 3938: 3935: 3933: 3930: 3928: 3925: 3923: 3920: 3917: 3914: 3912: 3909: 3907: 3903: 3902: 3898: 3895: 3892: 3890: 3887: 3885: 3882: 3880: 3877: 3875: 3872: 3870: 3867: 3864: 3860: 3857: 3855: 3852: 3850: 3846: 3845: 3841: 3840: 3838: 3836: 3835:Intercalation 3832: 3828: 3821: 3818: 3816: 3812: 3811: 3807: 3806: 3804: 3802: 3798: 3791: 3788: 3786: 3783: 3781: 3778: 3776: 3773: 3771: 3768: 3766: 3763: 3761: 3758: 3756: 3753: 3751: 3748: 3746: 3743: 3741: 3737: 3736: 3732: 3731: 3729: 3727: 3723: 3720: 3717: 3712: 3708: 3697: 3693: 3692: 3688: 3687: 3685: 3683: 3679: 3672: 3669: 3667: 3663: 3662: 3658: 3657: 3653: 3649: 3648: 3644: 3643: 3639: 3638:+daunorubicin 3636: 3632: 3631: 3627: 3626: 3622: 3618: 3615: 3613: 3610: 3608: 3605: 3603: 3602:Doxifluridine 3600: 3598: 3595: 3593: 3589: 3588: 3584: 3583: 3581: 3579: 3575: 3568: 3565: 3563: 3559: 3558: 3554: 3552: 3551:Rabacfosadine 3549: 3547: 3544: 3541: 3538: 3536: 3533: 3531: 3527: 3526: 3522: 3518: 3517: 3513: 3509: 3508: 3504: 3503: 3501: 3499: 3495: 3488: 3485: 3483: 3479: 3478: 3474: 3471: 3468: 3466: 3463: 3461: 3458: 3456: 3452: 3451: 3447: 3446: 3444: 3442: 3438: 3435: 3432: 3427: 3421: 3418: 3414: 3410: 3399: 3395: 3394: 3390: 3387: 3384: 3382: 3379: 3377: 3374: 3372: 3369: 3367: 3364: 3362: 3358: 3357: 3353: 3352: 3350: 3346: 3339: 3336: 3334: 3331: 3329: 3326: 3324: 3321: 3319: 3315: 3314: 3310: 3309: 3307: 3304: 3299: 3296: 3293: 3288: 3284: 3280: 3275: 3271: 3267: 3259: 3254: 3252: 3247: 3245: 3240: 3239: 3236: 3222: 3221: 3217: 3215: 3214: 3210: 3208: 3207: 3203: 3201: 3200: 3196: 3195: 3194: 3193: 3189: 3187: 3186: 3182: 3181: 3179: 3175: 3169: 3166: 3165: 3163: 3159: 3149: 3146: 3144: 3141: 3139: 3136: 3134: 3131: 3129: 3126: 3124: 3121: 3119: 3116: 3114: 3111: 3109: 3106: 3104: 3101: 3099: 3098:Desloratadine 3096: 3094: 3091: 3090: 3088: 3084: 3078: 3075: 3073: 3070: 3068: 3065: 3063: 3060: 3058: 3055: 3053: 3050: 3048: 3045: 3043: 3040: 3038: 3035: 3033: 3030: 3028: 3025: 3023: 3020: 3018: 3015: 3013: 3012:Fosaprepitant 3010: 3008: 3005: 3003: 3000: 2998: 2995: 2993: 2990: 2988: 2985: 2983: 2980: 2979: 2977: 2973: 2967: 2964: 2962: 2959: 2957: 2954: 2952: 2949: 2947: 2944: 2943: 2941: 2937: 2931: 2930:Peter Wendell 2928: 2926: 2925:Wendell Weeks 2923: 2921: 2918: 2916: 2913: 2911: 2908: 2906: 2903: 2901: 2898: 2896: 2893: 2891: 2888: 2886: 2885:Richard Clark 2883: 2882: 2880: 2876: 2872: 2865: 2860: 2858: 2853: 2851: 2846: 2845: 2842: 2834: 2830: 2826: 2822: 2818: 2814: 2810: 2806: 2802: 2801: 2790: 2786: 2781: 2776: 2772: 2768: 2764: 2759: 2758: 2744: 2740: 2735: 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1814: 1810: 1806: 1802: 1795: 1787: 1783: 1779: 1775: 1771: 1767: 1760: 1752: 1748: 1743: 1738: 1734: 1730: 1726: 1722: 1718: 1711: 1703: 1699: 1694: 1689: 1685: 1681: 1677: 1673: 1669: 1662: 1654: 1653:Austria-Codex 1648: 1646: 1644: 1642: 1633: 1629: 1624: 1619: 1616:(1): G1–G24. 1615: 1611: 1607: 1600: 1584: 1580: 1576: 1570: 1568: 1559: 1555: 1550: 1545: 1540: 1535: 1531: 1527: 1523: 1516: 1508: 1504: 1499: 1494: 1490: 1486: 1482: 1475: 1459: 1452: 1446: 1444: 1442: 1424: 1420: 1418: 1413: 1407: 1405: 1403: 1401: 1399: 1397: 1395: 1393: 1391: 1389: 1372: 1368: 1364: 1358: 1356: 1354: 1352: 1350: 1348: 1331: 1327: 1323: 1317: 1302: 1298: 1294: 1288: 1272: 1268: 1264: 1258: 1254: 1246: 1242: 1238: 1235: 1233: 1232:hematopoietic 1229: 1225: 1220: 1218: 1214: 1210: 1206: 1202: 1198: 1194: 1192: 1187: 1182: 1180: 1176: 1172: 1168: 1164: 1158: 1156: 1153: 1149: 1145: 1141: 1137: 1133: 1129: 1118: 1115: 1113: 1109: 1099: 1097: 1093: 1089: 1085: 1080: 1078: 1063: 1056: 1051: 1047: 1040: 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276: Rx-only 269: 266: 254: 251: 241: 240: 238: 236: 232: 227: 219: 214: 211: 210: 208: 206: 202: 199: 195: 192: 190: 184: 178: 169: 168: 166: 164: 158: 151: 146: 137: 134: 129: 120: 119: 117: 115: 111: 107: 103: 101: 97: 93: 89: 87: 83: 79: 75: 71: 67: 65: 61: 58:Clinical data 56: 52: 47: 43: 38: 30: 19: 5003:Carboxamides 4864:Tazemetostat 4828:Alitretinoin 4821: 4732:Estramustine 4712:Elsamitrucin 4702:Eflornithine 4656:Pegaspargase 4652:Asparaginase 4645: 4614:Testolactone 4607: 4595: 4583: 4537: 4522:Panobinostat 4505: 4475: 4463: 4451: 4439: 4410: 4375: 4363: 4316: 4312:Padeliporfin 4251:Dactinomycin 4247:Streptomyces 4228:Temozolomide 4227: 4223:Mitozolomide 4211: 4202:Mitobronitol 4191:Procarbazine 4184: 4172:Nonclassical 4097: 4074: 4068:Streptozocin 4033:Nitrosoureas 4031: 4005:Chlorambucil 3999:Trofosfamide 3985:Chlormethine 3980:Bendamustine 3973: 3911:Mitoxantrone 3906:Losoxantrone 3899: 3859:Daunorubicin 3842: 3808: 3745:Camptothecin 3733: 3689: 3659: 3645: 3628: 3612:Fluorouracil 3592:Capecitabine 3585: 3555: 3519: 3505: 3475: 3470:Pralatrexate 3460:Methotrexate 3448: 3391: 3354: 3311: 3219: 3212: 3205: 3198: 3190: 3183: 3177:Publications 3138:Temozolomide 3137: 3037:Omarigliptin 2939:Subsidiaries 2920:Samuel Thier 2915:Anne Tatlock 2910:Thomas Shenk 2832: 2820: 2808: 2770: 2766: 2708: 2704: 2694: 2661: 2657: 2651: 2639:. 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Retrieved 1266: 1257: 1243: 1239: 1236: 1227: 1221: 1208: 1196: 1190: 1183: 1159: 1124: 1116: 1105: 1088:diazomethane 1083: 1081: 1073: 1013: 1011:substances. 985:blood plasma 974: 963: 955: 949: 944: 929: 921:Pharmacology 916: 913:Interactions 907: 895: 887: 883: 875: 872:Medical uses 847: 829:(seizures), 807:constipation 796: 788:glioblastoma 779: 776:Temozolomide 775: 774: 763:   757:   342:Elimination 310:15% (10–20%) 235:Legal status 229:Legal status 150:Temozolomide 114:License data 34:Temozolomide 29: 4939:from market 4909:Vorasidenib 4889:Trabectedin 4874:Tiazofurine 4869:Tebentafusp 4854:Tagraxofusp 4812:Plitidepsin 4782:Mitoguazone 4722:Epacadostat 4692:Demecolcine 4636:Aflibercept 4609:Sex steroid 4482:Fuzuloparib 4423:Carfilzomib 4395:Palbociclib 4385:Abemaciclib 4338:Verteporfin 4302:Efaproxiral 4218:Dacarbazine 4180:Altretamine 4162:Satraplatin 4157:Oxaliplatin 4137:Carboplatin 4114:Triaziquone 4085:Mannosulfan 4063:Ranimustine 4043:Fotemustine 3884:Pirarubicin 3869:Doxorubicin 3863:+cytarabine 3849:Aclarubicin 3810:Podophyllum 3735:Camptotheca 3666:Azacitidine 3652:Gemcitabine 3607:Floxuridine 3540:Fludarabine 3535:Clofarabine 3521:Halogenated 3512:Pentostatin 3487:Raltitrexed 3455:Aminopterin 3398:Ixabepilone 3393:Epothilones 3361:Cabazitaxel 3338:Vinorelbine 3323:Vincristine 3318:Vinblastine 3303:microtubule 3113:Famciclovir 3067:Sitagliptin 3062:Simvastatin 3047:Rizatriptan 3042:Raltegravir 3032:Montelukast 3007:Finasteride 2982:Alendronate 1148:brain-tumor 1128:chloroquine 1092:methylating 1062:dacarbazine 1009:hydrophilic 898:dacarbazine 854:astrocytoma 839:lymphopenia 835:neutropenia 827:convulsions 674: g·mol 617:100.158.652 547:CHEBI:72564 367:Identifiers 328:Metabolites 300:almost 100% 198:intravenous 100:MedlinePlus 73:Other names 64:Trade names 5043:Teratogens 4992:Categories 4904:Verdinexor 4899:Venetoclax 4802:Oblimersen 4797:Navitoclax 4772:Lucanthone 4767:Lonidamine 4757:Lifileucel 4752:Ivosidenib 4747:Imetelstat 4717:Enasidenib 4707:Elesclomol 4672:Bexarotene 4667:Belzutifan 4602:Bexarotene 4590:Atrasentan 4565:Umbralisib 4560:Idelalisib 4550:Copanlisib 4532:Vorinostat 4527:Romidepsin 4517:Entinostat 4512:Belinostat 4470:Masoprocol 4458:Tiazofurin 4446:Anagrelide 4418:Bortezomib 4405:Seliciclib 4400:Ribociclib 4380:inhibitors 4370:Tipifarnib 4333:Temoporfin 4328:Talaporfin 4266:Plicamycin 4261:Mitomycins 4207:Pipobroman 4186:Hydrazines 4152:Nedaplatin 4104:Carboquone 4099:Aziridines 4090:Treosulfan 4038:Carmustine 4025:Uramustine 3994:Ifosfamide 3966:Alkylating 3927:Bisantrene 3916:Pixantrone 3889:Valrubicin 3879:Idarubicin 3874:Epirubicin 3820:Teniposide 3775:Lurtotecan 3770:Irinotecan 3671:Decitabine 3635:Cytarabine 3578:Pyrimidine 3567:Tioguanine 3557:Thiopurine 3546:Nelarabine 3530:Cladribine 3482:Pemetrexed 3465:Pemetrexed 3441:Folic acid 3381:Paclitaxel 3333:Vinflunine 3220:Geriatrics 3213:Veterinary 3161:Facilities 3128:Mometasone 3123:Loratadine 3118:Infliximab 3077:Vorinostat 3072:Vericiguat 3027:Lovastatin 2987:Aprepitant 2966:Viralytics 2376:1 February 1766:DNA Repair 1727:: 94–101. 1721:DNA Repair 1306:22 October 1249:References 1213:anaplastic 1086:source of 1077:UN Class 1 1029:MTIC, the 997:hydrolyzed 960:epigenetic 679:3D model ( 667:Molar mass 507:YF1K15M17Y 478:ChemSpider 438:IUPHAR/BPS 402:85622-93-1 393:CAS Number 376:IUPAC name 321:hydrolysis 316:Metabolism 4949:Phase III 4937:Withdrawn 4914:Vosaroxin 4894:Veliparib 4849:Sotorasib 4839:Selinexor 4833:Tretinoin 4823:Retinoids 4737:Glasdegib 4682:Celecoxib 4631:Adagrasib 4555:Duvelisib 4545:Alpelisib 4500:Rucaparib 4487:Niraparib 4428:Oprozomib 4390:Alvocidib 4256:Bleomycin 4213:Triazenes 4197:Etoglucid 4142:Cisplatin 4058:Nimustine 4052:Semustine 4048:Lomustine 4010:Melphalan 3937:Menogaril 3932:Crisnatol 3922:Amsacrine 3894:Zorubicin 3854:Amrubicin 3815:Etoposide 3790:Topotecan 3785:Silatecan 3780:Rubitecan 3765:Gimatecan 3750:Cositecan 3740:Belotecan 3416:inhibitor 3386:Tesetaxel 3376:Ortataxel 3371:Larotaxel 3366:Docetaxel 3328:Vindesine 3103:Ezetimibe 3052:Rofecoxib 3017:Indinavir 2997:Ezetimibe 2992:Ertapenem 2767:Neurology 2021:237644612 1912:: 48–51. 1267:Drugs.com 1144:green tea 936:methylate 878:indicated 567:ChEMBL810 355:Excretion 349:1.8 hours 344:half-life 187:Routes of 161:Pregnancy 92:Monograph 86:Drugs.com 5033:Prodrugs 4982:Medicine 4787:Mitotane 4727:Eribulin 4495:Olaparib 4433:Ixazomib 4109:Thiotepa 4081:Busulfan 3760:Exatecan 3597:Carmofur 3305:assembly 3268: / 3143:Tibolone 3022:Losartan 2975:Products 2789:17515545 2743:32322066 2686:21517366 2678:18688571 2635:Archived 2617:19204199 2568:14455128 2560:16546988 2524:24623736 2483:25524552 2447:24994771 2406:24324108 2370:Archived 2348:20001586 2307:17942911 2272:21181702 2264:16520480 2221:Archived 2187:Archived 2104:31793158 2047:Archived 2045:(Blog). 1959:25 April 1950:Archived 1914:Archived 1883:25150249 1875:19269895 1831:Archived 1827:15758010 1786:17482895 1751:26704428 1702:22237395 1632:29046323 1583:Archived 1558:31416802 1507:28840962 1458:Archived 1423:Archived 1371:Archived 1367:DailyMed 1330:Archived 1271:Archived 1201:in vitro 1171:melanoma 1121:Research 932:alkylate 858:Olaparib 819:headache 815:alopecia 803:vomiting 766:(verify) 458:DrugBank 205:ATC code 194:By mouth 163:category 145:DailyMed 5023:Lactams 3716:S phase 3617:Tegafur 3431:S phase 3356:Taxanes 3292:M phase 2734:8235024 2713:Bibcode 2641:27 June 2608:2667825 2161:9189180 2095:6982548 2053:30 June 2043:Science 1923:28 June 1837:9 April 1742:4740233 1693:3586545 1549:7319046 1205:in vivo 1102:History 1084:in situ 993:prodrug 940:guanine 823:fatigue 780:Temodar 672:194.154 634:Formula 467:DB00853 413:PubChem 359:mainly 267:Rx-only 264:WARNING 221:) 215: ( 213:L01AX03 176: D 147::  130::  106:a601250 18:Temodar 4968:Portal 4932:WHO-EM 4541:(Pi3K) 3498:Purine 3301:Block 3206:Manual 2787:  2741:  2731:  2705:Nature 2684:  2676:  2615:  2605:  2566:  2558:  2522:  2481:  2445:  2404:  2346:  2305:  2270:  2262:  2159:  2102:  2092:  2035:Lowe D 2019:  1982:  1881:  1873:  1825:  1784:  1749:  1739:  1700:  1690:  1630:  1556:  1546:  1505:  1173:, and 1167:glioma 1132:glioma 799:nausea 715:SMILES 558:ChEMBL 527:D06067 361:kidney 261: 248: 143:  133:by INN 126:  4453:IMPDI 4348:Other 3199:Index 2682:S2CID 2564:S2CID 2268:S2CID 2227:7 May 2217:(FDA) 2213:U.S. 2193:7 May 2183:(FDA) 2179:U.S. 2017:S2CID 1953:(PDF) 1942:(PDF) 1917:(PDF) 1906:(PDF) 1879:S2CID 1464:7 May 1454:(PDF) 1429:7 May 1419:(EMA) 1377:7 May 1336:7 May 1326:(emc) 1277:7 May 735:InChI 681:JSmol 538:ChEBI 4539:PIKI 4507:HDAC 3956:CCNS 2785:PMID 2739:PMID 2674:PMID 2643:2018 2613:PMID 2556:PMID 2520:PMID 2479:PMID 2443:PMID 2402:PMID 2378:2016 2344:PMID 2303:PMID 2260:PMID 2229:2020 2195:2020 2157:PMID 2100:PMID 2055:2022 1980:ISBN 1961:2019 1925:2015 1871:PMID 1839:2022 1823:PMID 1782:PMID 1747:PMID 1698:PMID 1628:PMID 1591:2023 1554:PMID 1503:PMID 1466:2020 1431:2020 1379:2020 1338:2020 1308:2023 1279:2020 1228:MGMT 1140:EGCG 1094:and 964:MGMT 956:MGMT 831:rash 790:and 518:KEGG 498:UNII 487:5201 447:7301 427:5394 290:data 82:AHFS 4585:ERA 4441:PhI 4412:PrI 4377:CDK 4289:PDT 3287:MIs 3283:SPs 3274:L01 2775:doi 2729:PMC 2721:doi 2709:580 2666:doi 2603:PMC 2595:doi 2548:doi 2510:doi 2471:doi 2467:358 2433:doi 2334:doi 2330:113 2295:doi 2252:doi 2248:144 2149:doi 2090:PMC 2082:doi 2009:doi 1863:doi 1813:doi 1809:352 1774:doi 1737:PMC 1729:doi 1688:PMC 1680:doi 1618:doi 1614:178 1544:PMC 1534:doi 1493:doi 1301:FDA 1177:of 1110:in 837:or 583:EPA 417:CID 250:POM 218:WHO 128:EMA 76:TMZ 4994:: 4945:: 4465:LI 4365:FI 3831:II 3801:II 3623:)) 2831:. 2819:. 2807:. 2783:. 2771:68 2769:. 2765:. 2737:. 2727:. 2719:. 2707:. 2703:. 2680:. 2672:. 2662:90 2660:. 2611:. 2601:. 2591:27 2589:. 2585:. 2562:. 2554:. 2542:. 2518:. 2506:13 2504:. 2500:. 2477:. 2465:. 2441:. 2429:13 2427:. 2423:. 2398:33 2396:. 2364:. 2342:. 2328:. 2324:. 2301:. 2291:67 2289:. 2266:. 2258:. 2246:. 2211:. 2177:. 2155:. 2145:23 2143:. 2120:. 2098:. 2088:. 2078:59 2076:. 2072:. 2041:. 2015:. 2005:25 2003:. 1944:. 1908:. 1891:^ 1877:. 1869:. 1859:10 1857:. 1829:. 1821:. 1807:. 1803:. 1780:. 1768:. 1745:. 1735:. 1725:38 1723:. 1719:. 1696:. 1686:. 1676:12 1674:. 1670:. 1640:^ 1626:. 1612:. 1608:. 1577:. 1566:^ 1552:. 1542:. 1528:. 1524:. 1501:. 1489:14 1487:. 1483:. 1440:^ 1414:. 1387:^ 1365:. 1346:^ 1324:. 1299:. 1295:. 1265:. 1219:. 1181:. 1169:, 1079:. 1001:pH 900:. 868:. 833:, 825:, 821:, 813:, 809:, 805:, 801:, 272:EU 257:US 244:UK 196:, 172:AU 140:US 123:EU 4970:: 4835:) 4826:( 4658:) 4654:/ 4650:( 4616:) 4612:( 4604:) 4600:( 4592:) 4588:( 4567:) 4543:( 4534:) 4510:( 4502:) 4480:( 4472:) 4468:( 4460:) 4456:( 4448:) 4444:( 4407:) 4383:( 4372:) 4368:( 4340:) 4321:( 4287:/ 4268:) 4249:( 4230:) 4216:( 4193:) 4189:( 4101:: 4092:) 4083:( 4078:: 4054:) 4050:( 4035:: 4016:) 4012:( 4001:) 3992:( 3977:: 3958:) 3954:( 3918:) 3904:( 3896:) 3865:) 3861:( 3847:( 3833:+ 3822:) 3813:( 3792:) 3738:( 3726:I 3718:) 3714:( 3698:) 3694:( 3673:) 3664:( 3654:) 3650:( 3640:) 3633:( 3619:( 3590:( 3569:) 3560:( 3542:) 3528:( 3523:/ 3514:) 3510:( 3489:) 3480:( 3472:) 3453:( 3433:) 3429:( 3400:) 3396:( 3388:) 3359:( 3340:) 3316:( 3294:) 3290:( 3285:/ 3276:) 3272:( 3257:e 3250:t 3243:v 2863:e 2856:t 2849:v 2811:. 2791:. 2777:: 2745:. 2723:: 2715:: 2688:. 2668:: 2645:. 2619:. 2597:: 2570:. 2550:: 2544:5 2526:. 2512:: 2485:. 2473:: 2449:. 2435:: 2408:. 2380:. 2350:. 2336:: 2309:. 2297:: 2274:. 2254:: 2231:. 2197:. 2163:. 2151:: 2106:. 2084:: 2057:. 2023:. 2011:: 1988:. 1963:. 1927:. 1885:. 1865:: 1841:. 1815:: 1788:. 1776:: 1770:6 1753:. 1731:: 1704:. 1682:: 1634:. 1620:: 1593:. 1560:. 1536:: 1530:9 1509:. 1495:: 1468:. 1433:. 1381:. 1340:. 1310:. 1281:. 1209:O 1197:O 1195:( 1191:O 1138:( 1048:) 954:( 950:O 945:O 934:/ 683:) 660:2 657:O 654:6 651:N 648:6 645:H 642:6 639:C 585:) 581:( 274:: 259:: 246:: 174:: 84:/ 20:)

Index

Temodar


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Drugs.com
Monograph
MedlinePlus
a601250
License data
EMA
by INN
DailyMed
Temozolomide
Pregnancy
category

Routes of
administration

By mouth
intravenous
ATC code
L01AX03
WHO
Legal status
POM
WARNING
Pharmacokinetic
Bioavailability
Protein binding
Metabolism
hydrolysis
Metabolites

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