Temodar

Mycosis Fungoides, Advance Directives, Radiotherapy + 11 more

Treatment

20 Active Studies for Temodar

What is Temodar

Temozolomide

The Generic name of this drug

Treatment Summary

Temozolomide is a medication used to treat malignant brain tumors such as grade III anaplastic astrocytoma and grade IV glioblastoma. It works by breaking down into a highly reactive methyl diazonium cation, which then causes damage to the DNA in the cancer cells, leading to their death. Temozolomide was approved by the FDA in 1999 and is available as an oral capsule or an intravenous injection. It is also known under the brand name TEMODAR.

Temodar

is the brand name

image of different drug pills on a surface

Temodar Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Temodar

Temozolomide

1999

164

Effectiveness

How Temodar Affects Patients

Temozolomide is a drug that works by damaging the DNA of cells, leading to cell death. This treatment is linked to reduced blood cell counts, especially in older and female patients. Before starting the therapy, patients must have a certain level of blood cells, and this must be checked weekly during treatment. Additionally, there have been cases of Myelodysplastic Syndrome and other forms of cancer reported after taking temozolomide. Pneumonia may also occur during treatment, so patients should take preventative measures. Lastly, temozolomide has been linked to severe liver damage, so liver tests should be

How Temodar works in the body

Temozolomide is a drug used to treat glioblastoma, the most common form of brain cancer. It works by creating methyl groups that attach to DNA and cause it to malfunction. Glioblastoma cells with low levels of a certain enzyme, called MGMT, are sensitive to temozolomide. The drug also affects the immune system by reducing the number of immune-suppressing cells found in the tumor, making it easier for the body's natural defenses to fight the cancer.

When to interrupt dosage

The recommended dosage of Temodar is contingent upon the identified condition, for example Refractory Ewing Sarcoma, melanoma and Glioblastoma. The volume of dosage fluctuates according to the technique of delivery (e.g. Capsule or Intravenous) detailed in the table beneath.

Condition

Dosage

Administration

Disease Progression

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Advance Directives

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Glioblastoma

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Nitrosourea treatment

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Procarbazine treatment

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Sarcoma, Ewing

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Anaplastic astrocytoma

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Radiotherapy

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Mycosis Fungoides

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Advance Directives

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

melanoma

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Primary Central Nervous System Lymphoma (PCNSL)

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Soft Tissue Sarcoma

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Neuroblastoma

5.0 mg, , 20.0 mg, 100.0 mg, 250.0 mg, 140.0 mg, 180.0 mg, 2.5 mg/mL, 10.0 mg/mL

Oral, Capsule, , Capsule - Oral, Intravenous, Powder, for solution - Intravenous, Powder, for solution, Injection, powder, for solution - Intravenous, Injection, powder, for solution, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous

Warnings

Temodar Contraindications

Condition

Risk Level

Notes

Severe Hypersensitivity Reactions

Do Not Combine

Temozolomide may interact with Pulse Frequency

There are 20 known major drug interactions with Temodar.

Common Temodar Drug Interactions

Drug Name

Risk Level

Description

2-Methoxyethanol

Major

The risk or severity of adverse effects can be increased when Temozolomide is combined with 2-Methoxyethanol.

9-(N-methyl-L-isoleucine)-cyclosporin A

Major

The risk or severity of adverse effects can be increased when Temozolomide is combined with 9-(N-methyl-L-isoleucine)-cyclosporin A.

Abatacept

Major

The risk or severity of adverse effects can be increased when Temozolomide is combined with Abatacept.

Abetimus

Major

The risk or severity of adverse effects can be increased when Temozolomide is combined with Abetimus.

Acteoside

Major

The risk or severity of adverse effects can be increased when Temozolomide is combined with Acteoside.

Temodar Toxicity & Overdose Risk

Taking too much temozolomide can lead to a decrease in white and red blood cells, fever, infection, and in some cases death. One person who took 2000mg/day for five days experienced a decrease in all blood cells, fever, and organ failure, which eventually lead to death. Those who overdose should be closely monitored and given supportive care as needed.

image of a doctor in a lab doing drug, clinical research

Temodar Novel Uses: Which Conditions Have a Clinical Trial Featuring Temodar?

217 active clinical trials are investigating the potential of Temodar in providing therapeutic benefit for melanoma, Primary Central Nervous System Lymphoma (PCNSL) and Glioblastoma Patients.

Condition

Clinical Trials

Trial Phases

Anaplastic astrocytoma

0 Actively Recruiting

Mycosis Fungoides

5 Actively Recruiting

Phase 2, Phase 1

Procarbazine treatment

0 Actively Recruiting

melanoma

0 Actively Recruiting

Soft Tissue Sarcoma

51 Actively Recruiting

Phase 2, Not Applicable, Phase 1, Phase 4, Early Phase 1, Phase 3

Advance Directives

0 Actively Recruiting

Glioblastoma

61 Actively Recruiting

Phase 1, Phase 2, Early Phase 1, Not Applicable, Phase 3

Disease Progression

0 Actively Recruiting

Neuroblastoma

0 Actively Recruiting

Sarcoma, Ewing

0 Actively Recruiting

Nitrosourea treatment

0 Actively Recruiting

Primary Central Nervous System Lymphoma (PCNSL)

18 Actively Recruiting

Phase 1, Phase 2

Advance Directives

0 Actively Recruiting

Radiotherapy

7 Actively Recruiting

Phase 1, Not Applicable, Phase 3, Phase 2

Temodar Reviews: What are patients saying about Temodar?

5

Patient Review

1/13/2012

Temodar for Malignant Brain Tumor Glioblastoma

After my brother's tumor was discovered in 2007, he had surgery to remove 80% of it. He then did six months of radiation and temodar therapy, which put him into remission for four years. However, last month the tumor started growing again. We're hopeful that the combination treatment will work again and buy us some more time.

5

Patient Review

1/18/2015

Temodar for Cancer of Pancreas Islet Cells

I was diagnosed in 2001 with an unresectable neuroendocrine tumor. I've been on Sandostatin for 7 years and Afinitor for 5 years. So far, I've done 9 months of Temodar treatment, which has been the easiest to take of all the treatments I've had. The biggest side effects are severe constipation and fatigue. My first two series of MRIs showed shrinkage and no spread. I'll be doing my third MRI next week.

5

Patient Review

7/25/2021

Temodar for Malignant Brain Tumor Glioblastoma

I was diagnosed with GBM4 on 05/02/2021 and had a craniotomy on 05/05/2021. I started my 6 weeks of radiation and 42 days of Temodar immediately afterwards, and never experienced any negative symptoms or side effects. They did say that my experience was rare, but I hope that many others will have a similar one.

5

Patient Review

1/15/2013

Temodar for Malignant Brain Tumor Glioblastoma

I was diagnosed in April 2012 and had surgery to remove a brain tumor on June 15, 2012. I started Temodar 28 days after the surgery and have been on it for seven cycles now. I go in for bloodwork every 21 days and an MRI every cycle. So far, the MRIs have shown no new growth.

4.7

Patient Review

1/31/2012

Temodar for Malignant Brain Tumor Glioblastoma

My doctor removed as much of the tumor as possible, but unfortunately it started growing back a few months later. They opted for Temodar and, so far, it seems to be working; my aggressive tumor hasn't grown at all in the year I've been on the treatment. The only downside is that I get tired after the five day cycles each month, but it's a small price to pay for peace of mind.

4

Patient Review

7/24/2021

Temodar for Malignant Brain Tumor Glioblastoma

My doctor prescribed a very aggressive chemotherapy regime for me when I was diagnosed with grade 4 glioblastoma at age 46. Although it was a horrible two years involving many hospital stays and rounds of radiation, I can honestly say that I would not have had it any other way. I am an 11 year survivor, with only a few side effects from the cancer.

4

Patient Review

3/30/2015

Temodar for A Type of Brain Cancer - Anaplastic Astrocytoma

I was also receiving radiotherapy while taking this drug, so it's hard to say how much the fatigue was a result of the medication. But I can say that the gut disruptions were very unpleasant.

3.7

Patient Review

6/25/2013

Temodar for Malignant Brain Tumor Glioblastoma

I was diagnosed with stage 4 glioblastoma in September 2011 and immediately started radiation and chemotherapy treatment. My doctor said that my survival rate was between 4 and 12 months, but the tumor has reappeared so I am back on treatments again. Hopefully this will give me a few more years.

3.7

Patient Review

6/29/2012

Temodar for Malignant Brain Tumor Glioblastoma

I've only just started this treatment, 5 days once a month. I completed a series of radiation treatments beforehand. Now, I'm dealing with extreme fatigue and a bunch of other non-listed symptoms. On top of that, my hair is falling out more than it did from the radiation. If anyone has experienced hair loss from Temodar, please let me know.

2.3

Patient Review

6/15/2021

Temodar for Malignant Brain Tumor Glioblastoma

Nausea and gut disturbance fatigue. I had to increase my dosage from 40mg to 180mg when I started radiation therapy, and even then I didn't have any side effects during treatment.

1

Patient Review

11/2/2011

Temodar for Malignant Brain Tumor Glioblastoma

image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about temodar

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What type of chemo is Temodar?

"This medication is used to treat brain cancer by slowing the growth of cancer cells."

Answered by AI

Is Temodar chemotherapy?

"Temodar is a chemotherapy drug that is used in combination with radiation therapy to treat certain types of brain tumors in adults. Temodar is sometimes given after other cancer medications have been tried without successful treatment of the tumor."

Answered by AI

What is Temodar used to treat?

"The chemotherapy medication Temodar is primarily prescribed for gliomas, but can also be used for a variety of brain tumor types. The dosage given varies depending on the treatment plan--it can be prescribed at a lower dose to be taken daily during radiation therapy, or at a higher dose to be taken only five days per month."

Answered by AI

Do you lose hair with Temodar?

"If you experience hair loss while taking this medication, it is most likely to occur within 3-4 weeks of starting the treatment. However, it is possible to experience hair loss earlier. This side effect is temporary and your hair will grow back once you finish taking the medication."

Answered by AI

Clinical Trials for Temodar

Image of Ohio State University Hospital in Columbus, United States.

Gene Therapy for Brain Cancer

18 - 70
All Sexes
Columbus, OH

The goal of this clinical trial is to first define the Safety and Optimal Biological Dose (OBD) of study drug TGX-007 and to then further investigate the safety and efficacy in patients with newly diagnosed or recurrent Glioblastoma. TGX-007 is a gene therapy drug delivered by a harmless adeno-associated virus (AAV) vector which delivers two combined therapeutic payloads to enable killing of proliferative cells and activation of an anti-tumour immune response. One is herpes simplex virus thymidine kinase (HSV-tk), which converts the pro-drug valaciclovir into an active drug that can kill tumour cells and the other is interleukin 12 (IL-12), which activates the body's immune system to recognise and fight the tumour. Patients newly diagnosed with glioblastoma suitable for standard of care surgery and chemoradiotherapy or patients with recurrent glioblastoma suitable for further surgery may be eligible for the study. Patients will receive TGX-007 by a direct intratumoural injection and will then take the pro-drug valacyclovir orally for up to 21 days before proceeding to standard of care surgery. The study is split into two phases. Phase I will treat patients at different dose levels of TGX-007 to identify the Optimal Biological Dose that will be used to further expand the study into Phase II. Phase II will expand the number of patients treated at the selected OBD to investigate how effective TGX-007 is at treating newly diagnosed and recurrent GBM. Approximately 68 people aged 18-70 will take part in the study.

Phase 1 & 2
Waitlist Available

Ohio State University Hospital

Trogenix ltd

Image of University of Virginia in Charlottesville, United States.

Ultrasound + Immunotherapy for Glioblastoma

18 - 70
All Sexes
Charlottesville, VA

This is a phase 1 study for patients with newly diagnosed MGMT unmethylated IDH wild-type glioblastoma utilizing autologous activated T-cells armed with bispecific antibody (EGFR-BATs) that recognize the tumor. The investigators hypothesized that the combination of infusions of EGFR BATs and low-intensity focused ultrasound would induce blood-brain barrier opening and increase the permeability of the adoptive immunotherapy. The investigators will radiolabel the EGFR BATs with 89Zr-oxine for subsequent PET imaging to determine the trafficking and uptake of this approach. There is a concern that several infusions of EGFR BATs before BBB opening could change the immune tumor microenvironment that would not allow a permissive BBB after LIFU. Therefore, Arm A will have two LIFU with BBB opening after the 4th and the 8th infusion, and Arm B will have three LIFU with BBB opening after the 1st, 4th, and 8th infusions. This study will determine the safety and feasibility of the combination of low-intensity focused ultrasound (LIFU) with microbubbles BBB opening and EGFR BATs and the access of the adoptive cell immunotherapy to the tumor microenvironment to inform future studies.

Phase 1
Recruiting

University of Virginia

Camilo Fadul, M.D.

NaviFUS Corporation

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Virtual vs Telephone Education for Breast Cancer

18+
All Sexes
Toronto, Canada

The goal of this clinical trial is to compare whether the use of videoconferencing in breast cancer patients undergoing radiotherapy is better for pre-treatment education than telephone calls. The main question it aims to answer is in breast cancer patient receiving radiotherapy, does videoconferencing, compared to telephone calls for pre-treatment education result in decreased procedural fears and concerns? The investigators hypothesize that the use of videoconferencing for pre-treatment radiotherapy education will decrease breast cancer patients' procedural fears and concerns. Researchers will compare the current standard of care in a 30 minute radiation therapist led pre-treatment education call to the intervention of a 45 minute radiation therapist led videoconferencing call to see if the intervention reduces patient procedural fears and concerns, anxiety levels, and has higher patient satisfaction. Participants will be asked to complete questionnaires at three time points: 1. Baseline - at time of study consent. 2. CT-Simulation - after their radiotherapy CT-Simulation appointment. 3. Day 1 Treatment - after their first day of radiotherapy treatment.

Waitlist Available
Has No Placebo

Princess Margaret Cancer Center

Image of Mayo Clinic in Phoenix, United States.

MT-125 for Glioblastoma

18+
All Sexes
Phoenix, AZ

The purpose of the study is to determine the recommended dose and further understand the safety of MT-125 in participants who have been diagnosed with glioblastoma, a primary brain tumor, when administered in combination with your standard of care treatment. Initially, participants with newly diagnosed glioblastoma will be given different doses of MT-125 in combination with radiotherapy (RT) with the goal of identifying the highest tolerated dose. Up to 36 people with glioblastoma who are at least18 years old are being invited to join this study. MT-125 is a type of study treatment which acts on cancer cells in the brain to destroy them. It will be administered on the same day as your standard of care radiotherapy because it is also designed to help radiotherapy work better. However, this is the first time MT-125 will be studied in humans. Therefore, the use is considered investigational. If you would like more details about MT-125 in glioblastoma participants, please ask the Study Doctor. You will be among the first participants with glioblastoma to receive this study treatment. Its safety and effectiveness have not yet been established in humans. Thus, we do not know whether it will work for you. Your condition may improve, may get worse, or there may be no change. The selected participant population-individuals newly diagnosed with histologically and/or molecularly confirmed IDH wild-type, MGMT-unmethylated glioblastoma-represents those least likely to experience safety concerns or adverse events related to the study treatment, and most likely to derive therapeutic benefit. There are certain tests/questions you must complete to find out if you meet the requirements to be in the study. If you do not meet these requirements, you cannot take part in the study. If this happens, you can talk to your Study Doctor about other options.

Phase 1
Waitlist Available

Mayo Clinic (+2 Sites)

Myosin Therapeutics Inc.

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BOLD-100 + Doxorubicin for Cancer

18+
All Sexes
Toronto, Canada

A Phase 1b, non-randomized, single-institution trial designed to assess the safety, tolerability and the highest dose with acceptable toxicity (RP2D) of BOLD-100 in combination with doxorubicin in patients diagnosed with advanced soft tissue sarcomas. The trial is divided into two phases: an initial dose-escalation phase for BOLD-100, followed by a dose-expansion phase based on the recommended dose for Phase 2. In the dose-escalation phase, we plan to enroll 12-15 patients, with an additional 17 patients in the dose-expansion phase. Participants will receive BOLD-100 intravenously on Days 1 and 8 of a 21-day cycle, in combination with doxorubicin (75 mg/m², intravenous) administered on Day 1 of each 21-day cycle for up to six cycles. Participants will continue to receive BOLD-100 for as long as the cancer is not getting worse, The maximum cycles of doxorubicin are 6 cycles. Participants will undergo a screening assessment prior to the start treatment to determine eligibility for enrollment. Treatment will commence on Day 1 and will continue until the protocol-defined criteria for treatment withdrawal are met. Disease response will be assessed using CT or MRI scans, starting at 12 weeks after the initiation of treatment and continuing every 12 weeks until withdrawal. Upon treatment discontinuation or study withdrawal, a post-treatment assessment will be conducted at end of treatment and at 30 days of the last BOLD-100 dose, with follow-up visits scheduled every 3 months thereafter.

Phase 1
Waitlist Available

UHN- Princess Margaret Cancer Center

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