Table 4.
Tumor sample |
PFS post alkylator therapy |
MGMT (fmol/106 cells) |
||
---|---|---|---|---|
N | Failures | Median (mo) | Mean ± SD; [median]; (range) | |
All alkylator-treated AG | 84 | 60 (71%) | 16 | 5.9 ± 6.7; [4.1]; (< 0.25–32) |
Exclude outlier MGMT activitiesa | 78 | 54 (69%) | 21 | 4.4 ± 3.6; [3.6]; (< 0.25–14) |
Exclude upper and lower 10% of PFS | 68 | 51 (75%) | 16 | 5.6 ± 6.6; [3.8]; (< 0.25–32) |
Without 1p and/or19q deleted AO/AOA | 71 | 54 (76%) | 16 | 6.3 ± 7.1; [4.1]; (< 0.25–32) |
Diagnosis | ||||
Anaplastic astrocytoma | 35 | 28 (80%) | 15 | 6.2 ± 7.1; [3.2]; (< 0.25–32) |
Anaplastic oligodendroglioma | 24 | 17 (71%) | 13 | 5.6 ± 6.4; [4.2]; (< 0.25–32) |
Anaplastic oligo-astrocytoma | 25 | 15 (60%) | 24 | 5.8 ± 6.7; [3.8]; (< 0.25–29) |
Prior treatment | ||||
None and surgery or biopsy onlyb | 57 | 37 (65%) | 16 | 5.8 ± 6.5; [4.1]; (< 0.25–32) |
Surgery or biopsy followed by RTc | 27 | 23 (85%) | 19 | 6.2 ± 7.1; [4.1]; (< 0.25–32) |
Progression after RT | ||||
No | 45 | 27 (60%) | 26 | 4.7 ± 4.2; [3.8]; (< 0.25–23) |
Yesd | 39 | 33 (85%) | 16 | 7.3 ± 8.6; [4.3]; (< 0.25–32) |
Prior low-grade glioma | ||||
No | 54 | 38 (70%) | 14 | 6.7 ± 7.1; [4.8]; (< 0.25–32) |
Yes | 30 | 22 (73%) | 22 | 4.6 ± 5.8; [3.1]; (< 0.25–29) |
Alkylator therapy | ||||
PCV | 42 | 42 (100%) | 16 | 4.8 ± 5.9; [3.1]; (< 0.25–32) |
All other alkylatorse | 42 | 28 (67%) | 14 | 7.1 ± 7.3; [4.9]; (< 0.25–32) |
None (i.e., RT only) | 49 | 30 (61%) | 18 | 7.3 ± 8.9; [4.0]; (< 0.25–49) |
Limiting activities to those within the 95% confidence interval for the data eliminated the 6 highest MGMT activities.
Includes 11 tumors previously operated or biopsied.
MGMT activity assayed in recurrent tumor re-operated after RT.
Includes the 27 tumors re-operated for recurrence after surgery or biopsy and RT.
Includes 23 tumors treated with chemo-RT, 15 with TMZ and 4 with BCNU.