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Temozolomide therapy for aggressive pituitary tumours – current understanding and future perspectives

Burman, Pia LU ; Lamb, Lydia and McCormack, Ann (2020) In Reviews in Endocrine and Metabolic Disorders 21(2). p.263-276
Abstract

The use of temozolomide (TMZ) for the management of aggressive pituitary tumours (APT) has revolutionised clinical practice in this field with significantly improved clinical outcomes and long-term survival. Its use is now well established however a large number of patients do not respond to treatment and recurrence after cessation of TMZ is common. A number of challenges remain for clinicians such as appropriate patient selection, treatment duration and the role of combination therapy. This review will examine the use of TMZ to treat APT including mechanism of action, treatment regimen and duration; biomarkers predicting response to treatment and patient selection; and current evidence for administration of TMZ in combination with... (More)

The use of temozolomide (TMZ) for the management of aggressive pituitary tumours (APT) has revolutionised clinical practice in this field with significantly improved clinical outcomes and long-term survival. Its use is now well established however a large number of patients do not respond to treatment and recurrence after cessation of TMZ is common. A number of challenges remain for clinicians such as appropriate patient selection, treatment duration and the role of combination therapy. This review will examine the use of TMZ to treat APT including mechanism of action, treatment regimen and duration; biomarkers predicting response to treatment and patient selection; and current evidence for administration of TMZ in combination with other agents.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Aggressive pituitary tumour, Biomarker, Combination therapy, Pituitary carcinoma, Temozolomide
in
Reviews in Endocrine and Metabolic Disorders
volume
21
issue
2
pages
14 pages
publisher
Springer
external identifiers
  • scopus:85081671933
  • pmid:32147777
ISSN
1389-9155
DOI
10.1007/s11154-020-09551-y
language
English
LU publication?
yes
id
da7ea206-96fc-4cf1-ab9e-3c3b4d2b59c1
date added to LUP
2020-04-07 17:17:37
date last changed
2024-06-12 11:46:14
@article{da7ea206-96fc-4cf1-ab9e-3c3b4d2b59c1,
  abstract     = {{<p>The use of temozolomide (TMZ) for the management of aggressive pituitary tumours (APT) has revolutionised clinical practice in this field with significantly improved clinical outcomes and long-term survival. Its use is now well established however a large number of patients do not respond to treatment and recurrence after cessation of TMZ is common. A number of challenges remain for clinicians such as appropriate patient selection, treatment duration and the role of combination therapy. This review will examine the use of TMZ to treat APT including mechanism of action, treatment regimen and duration; biomarkers predicting response to treatment and patient selection; and current evidence for administration of TMZ in combination with other agents.</p>}},
  author       = {{Burman, Pia and Lamb, Lydia and McCormack, Ann}},
  issn         = {{1389-9155}},
  keywords     = {{Aggressive pituitary tumour; Biomarker; Combination therapy; Pituitary carcinoma; Temozolomide}},
  language     = {{eng}},
  month        = {{03}},
  number       = {{2}},
  pages        = {{263--276}},
  publisher    = {{Springer}},
  series       = {{Reviews in Endocrine and Metabolic Disorders}},
  title        = {{Temozolomide therapy for aggressive pituitary tumours – current understanding and future perspectives}},
  url          = {{http://dx.doi.org/10.1007/s11154-020-09551-y}},
  doi          = {{10.1007/s11154-020-09551-y}},
  volume       = {{21}},
  year         = {{2020}},
}