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. 2023 Jun 1;13(2):1–13. doi: 10.37796/2211-8039.1403

Table 1.

FDA-approved drugs for treatment of glioblastoma - a high grade glioma (HGG).

Sl No. Drug/Therapy employed FDA approval and year Mechanism Approved for Application Route OS PFS @6months duration
1. TMZ (Temozolomide) FDA approval in 2005 Nonspecific alkylating agent that causes mismatch repair in DNA by methylation at the O6 position of guanine All high grades of glioma Oral 14.616.1 months 53.90% [1]
2. Lomustine (CCNU) FDA approval in 1976 Nonspecific alkylating agent that causes crosslinking of DNA and RNA in dividing cells triggering cell death Recurrent HGG (High Grade Glioma) Oral 11.5 months No supporting data yet [42]
3. Carmustine (BCNU) FDA approval in 1977 Nonspecific alkylating agent that causes crosslinking of DNA and RNA in dividing cells; also binds to and modifies glutathione reductase Recurrent HGG IV 11.75 months No supporting data yet [42]
4. Carmustine wafer implants (BCNU wafers) FDA approval in 2003 Nonspecific alkylating agent that causes crosslinking of DNA and RNA in dividing cells; also binds to and modifies glutathione reductase Recurrent HGG Implanted 13.9 months No supporting data yet [42]
5. Bevacizumab (BVZ) FDA approval in 2009 Targeted therapeutic antibody that binds and inhibits VEGF protein in tumor cells Recurrent HGG IV 9.3 months 36% [1]
6. TTF (Tumor treating Fields) FDA approval in 2015 Low-intensity (1–3 V/cm), intermediate frequency (200 kHz) alternating electric fields that disrupt mitosis in tumor cells Recurrent and new HGG On scalp 20.520.9 months 56% [43]