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Alternative regimens: Alternating TMZ

Dose and schedule

Average decrease in MGMT activity

DAY 7

DAY 14-15

DAY 21

50 to 175 mg/m

2

/day x 7 days

every other week

72%

55%*

50 to 150 mg/m

2

/day x 21 days

with 1 week rest

63%

73%

A

MGMT activity in PBMC after treatment with

temozolomide 7 days on/7days off schedule

B

MGMT activity in PBMC after treatment with

temozolomide 21/28 day schedule

Tolcher AW. et al. Br J Cancer 2003;88

*After 7-day treatment free period