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Page Background

IDHmut/1

p

19

q

intact

Median PFS:

RT 55.4 months

TMZ 36 months

RT vs TMZ in HR LGG: EORTC 22033

(molecular analysis)

p = 0.0043

IDHmut/1

p

19

q

codel

Median PFS:

RT 61.6 months

TMZ 55 months

p = n.s.

IDHwt

Median PFS:

RT 19.1 months

TMZ 23.7 months

p = n.s.

CONCLUSION

Our results

might support

the option

of

initial TMZ alone

in good-

prognosis tumors (IDHmut/1

p

19

q

codel), in order

to minimize

the

potential risk of

late toxicity

by

postponing RT (if TMZ could be used

instead) in a patient population who

might live for more than 10–20 years.