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Pediatr Blood Cancer. 2007 Nov;49(6):808-11.

Temozolomide in pediatric low-grade glioma.

Author information

1
Children's Cancer Centre, Royal Children's Hospital, Melbourne, Australia. khaw@wehi.edu.au

Abstract

BACKGROUND:

We describe a retrospective series of children with low-grade glioma who received temozolomide.

PROCEDURE:

Eligible patients had had a diagnosis of low-grade glioma with or without histological confirmation. Temozolomide was administered at a dose of 200 mg/m(2) daily for 5 days, in a 4-week cycle. Therapy was stopped on completion of the targeted 12 cycles of chemotherapy or on evidence of tumor progression.

RESULTS:

Thirteen eligible patients were identified, eight male and five female. Median age at diagnosis was 5.5 years (range 2.6-15.0 years) and at commencement of temozolomide treatment was 9.0 years (range 3.8-15.2 years). Nine patients had a histological diagnosis of pilocytic astrocytoma. Twelve patients had received carboplatin prior to temozolomide, including three in combination with vincristine. A total of 111 cycles of therapy have been administered. Hematological toxicity and nausea were the most common adverse effects. Median time to progression was 6.7 months (range 1.5-41.8 months). Event-free survival rate at 3 years was 57%. Twelve of 13 patients remain alive at the time of report. Eleven have stable disease (SD).

CONCLUSION:

Temozolomide appears to be active in pediatric low-grade glioma, with the advantage of oral administration and excellent tolerability.

PMID:
17588234
DOI:
10.1002/pbc.21270
[Indexed for MEDLINE]

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