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Chemotherapy and the BBB

Drug

CSF penetration

Nitrosoureas

(ACNU,BCNU; CCNU, Fotemustine)

++

Procarbazine

++

Thiotepa

+

Dacarbazine

Temozolomide

(+)

++

Cyclophosphamide, Ifosfamide

+/-

AraC

++

Methotrexate

-/+

5-FU

(++)

Anthracyclins

Liposomal doxorubicine

-

++

VM26

-/+

Etoposide

-/+

Vincaalkaloids, Taxanes

-

Topotecan

++

Cisplatin, Carboplatin

-

Müller et al., Malignant brain tumors 1995