Clinical Edge

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Chemo Regimens for High-Grade Gliomas

Cochrane; 2017 Jul 26; Parasramka, Talari, et al

Chemotherapy-naive patients with high-grade glioma at first recurrence had similar survival and time-to-progression outcomes, according to a Cochrane review of a randomized trial involving nearly 450 individuals. The study compared procarbazine/lomustine/vincristine and temozolomide (TMZ) chemotherapies. In addition to comparable survival outcomes, adverse events were also similar (based on moderate quality evidence). Quality of life scores statistically favored TMZ, but the difference was not clinically relevant (based on low quality evidence).

The investigators advised interpreting the results cautiously since they are based on analysis of a single trial.

Citation:

Parasramka S, Talari G, Rosenfeld M, Guo J, Villano J. Procarbazine, lomustine and vincristine for recurrent high-grade glioma. Cochrane Database of Systematic Reviews. 2017, Issue 7. Art. No.: CD011773. doi:10.1002/14651858.CD011773.