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| ID | Type | Description | Link |
|---|---|---|---|
| 2014-000838-39 | EudraCT Number |
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The purpose of this study is to show if prolonging treatment with temozolomide to 12 cycles improve progression-free survival in patients with glioblastoma included in this study, randomized according to o6-methylguanine-DNA-methyltransferase (MGMT) methylation status and residual disease or not, to receive an additional 6 cycles of temozolomide.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Temozolomide | Experimental | Those patients will take 6 additional Temozolomide cycles |
|
| Without treatment | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Temozolomide | Drug |
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| Measure | Description | Time Frame |
|---|---|---|
| Progression Free Survival at 6 Month | Percentage of patients without progression of disease and time between start of treatment and progression of disease. The progression disease is defined as the time from the date of randomization to the date of progression defined according to the RANO criteria. | 6 month |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Effects | Total number of patients presenting adverse events, stratified by type of event and grade. Adverse Events of special interest: Only relevant differences in toxicity by arm. | Through the whole study. 4 years |
| Progresion Free Survival Median Values |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Carmen Balañá, M.D. | Hospital Germans Trias i Pujol - ICO Badalona | Study Chair |
| Mª Ángeles Vaz, M.D. | Hospital Universitario Ramon y Cajal | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitari Germans Trias i Pujol/ICO Badalona | Badalona | Barcelona | 08916 | Spain | ||
| Institut Català d'Oncologia L'Hospitalet |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32328662 | Derived | Balana C, Vaz MA, Manuel Sepulveda J, Mesia C, Del Barco S, Pineda E, Munoz-Langa J, Estival A, de Las Penas R, Fuster J, Girones R, Navarro LM, Gil-Gil M, Alonso M, Herrero A, Peralta S, Olier C, Perez-Segura P, Covela M, Martinez-Garcia M, Berrocal A, Gallego O, Luque R, Perez-Martin FJ, Esteve A, Munne N, Domenech M, Villa S, Sanz C, Carrato C. A phase II randomized, multicenter, open-label trial of continuing adjuvant temozolomide beyond 6 cycles in patients with glioblastoma (GEINO 14-01). Neuro Oncol. 2020 Dec 18;22(12):1851-1861. doi: 10.1093/neuonc/noaa107. |
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7 patients do not meet inclusion criteria. Only 159 patients were randomized
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| ID | Title | Description |
|---|---|---|
| FG000 | Temozolomide | Temozolomide dose 150/200 mg/m2/d for 5 days every 28 days for 6 cycles (total 12 cycles of adjuvant temozolomide). |
| FG001 | Without Treatment | No treatment (total 6 cycles of adjuvant Temozolomide). |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| SAP | No | Yes | No | Statistical Analysis Plan | May 1, 2018 | Oct 20, 2020 |
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It will be measured following Response assessment in neuro-oncology (RANO) guidelines: progression-free survival |
| Through the whole study. 4 years. The median follow up for each patient was 33.4 months |
| Overall Survival | Time between start of treatment and death | Through the whole study. 4 years. The median follow up for each patient was 33.4 months |
| Median Progression-free Survival (PFS) by Arm and MGMT Methylation Status | Median Progression Free Survival depending on treatment arm in patients with MGMT methylation | Through the whole study. 4 years. The median follow up for each patient was 33.4 months |
| Median Overall Survival (OS) by Arm and MGMT Methylation Status | Median OS depending on treatment arm in patients with methylated MGMT | Through the whole study. 4 years. The median follow up for each patient was 33.4 months |
| Translational Sub-study - Biomarkers: mutS Homolog 6 (MSH6) Immunoreactivity | partial immunoreactivity of MSH6 in patients by treatment arm. Tumor samples were stained by immuno-histochemical techniques. | baseline |
| L'Hospitalet de Llobregat |
| Barcelona |
| 08908 |
| Spain |
| Hospital Universitario Fundación Alcorcón | Alcorcón | Madrid | 28922 | Spain |
| Hospital Son Espases | Palma de Mallorca | Mallorca | 07010 | Spain |
| Hospital Universitario Sant Joan de Reus | Reus | Tarragona | 43204 | Spain |
| Consorcio Hospitalario Provincial de Castellón | Castellon | Valencia | 12002 | Spain |
| Hospital del Mar | Barcelona | 08003 | Spain |
| Hospital de la Santa Creu i Sant Pau | Barcelona | 08025 | Spain |
| Hospital Clínic de Barcelona | Barcelona | 08036 | Spain |
| Hospital General de Ciudad Real | Ciudad Real | 13005 | Spain |
| Hospital Dr. Josep Trueta de Girona | Girona | 17007 | Spain |
| Hospital Arnau de Vilanova | Lleida | 25198 | Spain |
| Hospital Universitario Lucus Augusti | Lugo | 27003 | Spain |
| Hospital Universitario Ramón y Cajal | Madrid | 28034 | Spain |
| Hospital Universitario Clínico San Carlos | Madrid | 28040 | Spain |
| Hospital Universitario 12 de Octubre | Madrid | 28041 | Spain |
| Hospital Clínico Universitario de Salamanca | Salamanca | 37007 | Spain |
| Hospital Universitario Virgen del Rocío | Seville | 41013 | Spain |
| Consorcio Hospital General Universitario de Valencia | Valencia | 46014 | Spain |
| Hospital Universitario Miguel Servet | Zaragoza | 50009 | Spain |
| Recieved Alocated Intervention |
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| Lost to Follow up |
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| Discontinued Due to Progression |
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| COMPLETED | Used for analysis |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Temozolomide | Temozolomide dose 150/200 mg/m2/d for 5 days every 28 days for 6 cycles (total 12 cycles of adjuvant temozolomide). |
| BG001 | Without Treatment | No treatment (total 6 cycles of adjuvant Temozolomide). |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Inter-Quartile Range | Years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Residual disease (>10mm) | The presence of residual disease (visible on MRI and with at least one lesion bigger than 10mm) at the time of inclusion. | Count of Participants | Participants |
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| Karnofski Performance Status (KPS) index | KPS measures the ability of cancer patients to perform routine tasks. Scores on the KPS range from 0% to 100%. A higher score means that the patient is better able to perform daily activities. | Count of Participants | Participants |
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| Residual Neurological symptom | Count of Participants | Participants |
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| Dexamethasone (DXM) dose at inclusion | Count of Participants | Participants |
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| Barthel index | Barthel index measures functional independence and residual disability in activities of daily living. Values range from 0 to 5, with lower values indicating more disability. | Count of Participants | Participants |
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| Mini-mental status examinaion (MMSE) | The test evaluates attention, language, memory, orientation, visuospatial proficiency. The Mini-mental state examination is scored on a scale of 0-30 with scores > 27 interpreted as normal cognitive status. The lower values are associated to worse cognitive status. | Count of Participants | Participants |
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| Anticonvulsant therapy | Count of Participants | Participants |
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| Initial surgery- Treatment at diagnosis. | Count of Participants | Participants |
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| O6-methylguanine DNA methyltransferase (MGMT) Methylation status | Count of Participants | Participants |
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| Isocitrate dehydrogenase 1 (IDH1) Mutation status | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Progression Free Survival at 6 Month | Percentage of patients without progression of disease and time between start of treatment and progression of disease. The progression disease is defined as the time from the date of randomization to the date of progression defined according to the RANO criteria. | Posted | Number | 95% Confidence Interval | percentage of patients | 6 month |
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| Secondary | Number of Participants With Adverse Effects | Total number of patients presenting adverse events, stratified by type of event and grade. Adverse Events of special interest: Only relevant differences in toxicity by arm. | Posted | Count of Participants | Participants | Through the whole study. 4 years |
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| |||||||||||||||||||||||||||||||
| Secondary | Progresion Free Survival Median Values | It will be measured following Response assessment in neuro-oncology (RANO) guidelines: progression-free survival | Posted | Median | 95% Confidence Interval | months | Through the whole study. 4 years. The median follow up for each patient was 33.4 months |
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| ||||||||||||||||||||||||||||||
| Secondary | Overall Survival | Time between start of treatment and death | Posted | Median | 95% Confidence Interval | months | Through the whole study. 4 years. The median follow up for each patient was 33.4 months |
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| Secondary | Median Progression-free Survival (PFS) by Arm and MGMT Methylation Status | Median Progression Free Survival depending on treatment arm in patients with MGMT methylation | Patients with MGMT methylation | Posted | Median | 95% Confidence Interval | months | Through the whole study. 4 years. The median follow up for each patient was 33.4 months |
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| Secondary | Median Overall Survival (OS) by Arm and MGMT Methylation Status | Median OS depending on treatment arm in patients with methylated MGMT | Patients with MGMT methylation | Posted | Median | 95% Confidence Interval | months | Through the whole study. 4 years. The median follow up for each patient was 33.4 months |
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| Secondary | Translational Sub-study - Biomarkers: mutS Homolog 6 (MSH6) Immunoreactivity | partial immunoreactivity of MSH6 in patients by treatment arm. Tumor samples were stained by immuno-histochemical techniques. | Posted | Count of Participants | Participants | baseline |
|
|
Through the clinical study. About 4 years
In addition, clinically relevant changes on physical examination and abnormal parameters found on complementary examinations (eg radiography, ECG) should also be reported like Adverse Event (AE).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Temozolomide | Temozolomide dose 150/200 mg/m2/d for 5 days every 28 days for 6 cycles (total 12 cycles of adjuvant temozolomide). | 63 | 80 | 9 | 80 | 80 | 80 |
| EG001 | Without Treatment | No treatment (total 6 cycles of adjuvant Temozolomide). | 52 | 79 | 5 | 79 | 79 | 79 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dysarthria | Nervous system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Neurological impairment | Nervous system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Syncope | General disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Intracraneal hypertension | Vascular disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Epileptic crisis | Nervous system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Respiratory infection | Infections and infestations | NCI CTCAE version 4 | Systematic Assessment |
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| Claudication | Cardiac disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Femur fracture | Musculoskeletal and connective tissue disorders | NCI CTCAE version 4 | Systematic Assessment |
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| General deterioration | General disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Seizure | Nervous system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Pulmonary embolism | Vascular disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Leukopenia | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Neutropenia | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Anemia | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Lymphopenia | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Thrombocytopenia | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Creatinine high | Renal and urinary disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Alkaline Phosphatase High | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Potasium High | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Sodium High | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| GGT High | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| GOT High | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| GPT High | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Bilirubin High | Blood and lymphatic system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Hyperglicemia | Metabolism and nutrition disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Neurologic | Nervous system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Nausea and Vomiting | Gastrointestinal disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Asthenia | General disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Anorexia | Metabolism and nutrition disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Hearing loss | Ear and labyrinth disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Skin disorders | Skin and subcutaneous tissue disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Anxiety | Nervous system disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Pain | General disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Constipation | Infections and infestations | NCI CTCAE version 4 | Systematic Assessment |
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| Respiratory disorders | Respiratory, thoracic and mediastinal disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Infection | Infections and infestations | NCI CTCAE version 4 | Systematic Assessment |
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| Thromboembolism | Vascular disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Bone Events | Musculoskeletal and connective tissue disorders | NCI CTCAE version 4 | Systematic Assessment |
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| Cardiac Events | Cardiac disorders | NCI CTCAE version 4 | Systematic Assessment |
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Our trial was not powered to detect significant differences in PFS or OS. To do so, we would have had to know the survival distribution for patients who complete the standard six cycles without progression, but this information was not available
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pau Doñate | MFAR Clinical Research | 0034934344412 | investigacion@mfar.net |
| SAP_000.pdf |
| Prot | Yes | No | No | Study Protocol | Sep 8, 2014 | Dec 17, 2020 | Prot_001.pdf |
| ID | Term |
|---|---|
| D005909 | Glioblastoma |
| ID | Term |
|---|---|
| D001254 | Astrocytoma |
| D005910 | Glioma |
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |
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| ID | Term |
|---|---|
| D000077204 | Temozolomide |
| ID | Term |
|---|---|
| D003606 | Dacarbazine |
| D014226 | Triazenes |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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