Article Sidebar
Keywords:
Article Details
Submission of a manuscript to this journal is a representation that the manuscript has not been published previously and is not under consideration for publication elsewhere.
All authors named in each manuscript would be required to sign a form (to be supplied by the Editor) so that they may retain their copyright in the article but to assign to us (the Publishers) and its licensees in perpetuity, in all forms, formats and media (whether known or created in the future) to (i) publish, reproduce, distribute, display and store the contribution, (ii) translate the contribution into other languages, create adaptations, reprints, include within collections and create summaries, extracts and/or abstracts of the contribution, (iii) create any other derivative works(s) based on the contribution, (iv) to exploit all subsidiary rights in the contribution, (v) the inclusion of electronic links from the contribution to third party material where-ever it may be located, and (vi) license any thrid party to do any or all of the above.
Main Article Content
Concomitant treatment of brain metastases with whole brain radiotherapy and temozolomide protects neurocognitive function and improve quality of life
Abstract
Purpose: To study the protective effects of a combination of temozolomide (TMZ) and whole brain radiotherapy (WBT) on neurocognition, and its effect on the quality of life (QoL) in patients with brain metastasis (BM) from solid tumors, relative to WBT alone.
Methods: A total of 256 BM patients were enrolled and divided into two groups treated with either WBT plus TMZ, or WBRT alone. All patients received 30 Gy WBT, with or without concomitant TMZ (75 mg/m2/day) during the irradiation period, and subsequently up to six cycles of TMZ (150 mg/m2/day).
Results: The mean intracranial objective response (IOR) for all patients was 44.80 % while the IOR for WBT arm and WBT+TMZ group arm were 32.48 and 56.56 %, respectively (p = 0.03). The median intracranial overall survival (OS) for all the patients was 7.70 months. The median OS for WBT alone group (6.53 months) was significantly shorter than that of the WBT + TMZ arm (9.57 months). Statistically significant difference in quality of life (QoL) was observed between both arms at six months. Moreover, WBT+TMZ group had higher incidence of toxicity, when compared to WBT-only group.
Conclusion: These results suggest that co-application of WBT and TMZ improves intracranial ORR and median OS in BM patients, relative to the use of WBT alone. Although the side effects may be increased as a result of addition of TMZ, toxicity is tolerable and manageable.
Keywords: Brain metastasis, Temozolomide, Whole brain radiotherapy, Neurocognition
