Title |
Advances in the management of glioblastoma: the role of temozolomide and MGMT testing
|
---|---|
Published in |
Clinical Pharmacology : Advances and Applications, December 2012
|
DOI | 10.2147/cpaa.s26586 |
Pubmed ID | |
Authors |
Reena P Thomas, Lawrence Recht, Seema Nagpal |
Abstract |
Glioblastoma (GB) is one of the most lethal forms of cancer, with an invasive growth pattern that requires the use of adjuvant therapies, including chemotherapy and radiation, to prolong survival. Temozolomide (TMZ) is an oral chemotherapy with a limited side effect profile that has become the standard of care in GB treatment. While TMZ has made an impact on survival, tumor recurrence and TMZ resistance remain major challenges. Molecular markers, such as O6-methylguanine-DNA methyltransferase methylation status, can be helpful in predicting tumor response to TMZ, and therefore guides clinical decision making. This review will discuss the epidemiology and possible genetic underpinnings of GB, how TMZ became the standard of care for GB patients, the pharmacology of TMZ, the practical aspects of using TMZ in clinic, and how molecular diagnostics - particularly the use of O6-methylguanine-DNA methyltransferase status - affect clinical management. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 2% |
Brazil | 1 | 1% |
Unknown | 85 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 19 | 22% |
Student > Master | 15 | 17% |
Student > Bachelor | 11 | 13% |
Researcher | 10 | 11% |
Student > Doctoral Student | 7 | 8% |
Other | 9 | 10% |
Unknown | 17 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 17 | 19% |
Biochemistry, Genetics and Molecular Biology | 13 | 15% |
Agricultural and Biological Sciences | 13 | 15% |
Pharmacology, Toxicology and Pharmaceutical Science | 7 | 8% |
Chemistry | 6 | 7% |
Other | 14 | 16% |
Unknown | 18 | 20% |