Basic Profile / Key Facts
Drug Category
Dosage Forms
Indications
For the treatment of adult patients diagnosed with anaplastic astrocytoma who have relapsed following chemotherapy
Pharmacology
Temozolomide is an antineoplastic agent. It causes death of of rapidly replicating cells, especially malignant cells, leading to regression or slowed tumor growth.
Mechanism of Action
Temozolomide is not active until it is converted at physiologic pH to the active form, 5-(3-methyltriazen-1-yl)imidazole-4-carboxamide (MTIC). The cytotoxicity of MTIC is due to alkylation of DNA at the O6 and N7 positions of guanine.
Absorption
Rapid and complete absorption in the gastrointestinal tract
Toxicity
Not Available
Biotrnasformation / Drug Metabolism
Not Available
Contraindications
TEMODAR (temozolomide) Capsules are contraindicated in patients who have a history of hypersensitivity reaction to
any of its components. TEMODAR is also contraindicated in patients who have a history of hypersensitivity to DTIC,
since both drugs are metabolized to MTIC.
Drug Interactions
Administration of valproic acid decreases oral clearance of temozolomide by about 5%. The clinical implication of
this effect is not known.
Patients with Severe Hepatic or Renal Impairment
Caution should be exercised when TEMODAR Capsules are administered to patients with severe hepatic or renal
impairment.
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