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DRUG:

lomustine

i
Other names: CCNU
Company:
Generic mfg.
Drug class:
Alkylating agent
Related drugs:
4d
Actuate 1801: 9-ING-41 in Patients With Advanced Cancers (clinicaltrials.gov)
P2, N=350, Active, not recruiting, Actuate Therapeutics Inc. | Trial completion date: Jan 2026 --> Jun 2026 | Trial primary completion date: Jan 2025 --> Jun 2026
Trial completion date • Trial primary completion date
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BCL2 (B-cell CLL/lymphoma 2)
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carboplatin • gemcitabine • albumin-bound paclitaxel • irinotecan • pegylated liposomal doxorubicin • lomustine • elraglusib (9-ING-41)
4d
GBM AGILE: A Trial to Evaluate Multiple Regimens in Newly Diagnosed and Recurrent Glioblastoma (clinicaltrials.gov)
P2/3, N=2250, Recruiting, Global Coalition for Adaptive Research | N=1280 --> 2250
Enrollment change
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IDH wild-type
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temozolomide • Stivarga (regorafenib) • lomustine • VT1021 • AZD1390 • Hepacid (pegargiminase) • paxalisib (GDC-0084) • dianhydrogalactitol (VAL-083) • Vyglxia (troriluzole) • tinostamustine (EDO-S101)
5d
Progression of primary mediastinal T-cell lymphoma to a multicentric form in a young dog. (PubMed, Can Vet J)
Based on ex vivo drug sensitivity testing, lomustine was initiated as rescue chemotherapy, achieving a second complete remission...Key clinical message: This case highlights the fact that progression from primary mediastinal to multicentric lymphoma may be associated with a poor prognosis in dogs. Radiation therapy demonstrated potential efficacy and warrants further investigation as a treatment option for canine mediastinal lymphoma.
Journal
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CD4 (CD4 Molecule)
|
lomustine
7d
Mediastinal Lymphoma in 70 Dogs Treated With Lomustine or Anthracycline-Based Multi-Agent Chemotherapy. (PubMed, Vet Comp Oncol)
This is the second study associating hypercalcaemia with improved PFS in dogs with non-indolent T-cell lymphoma. Results also suggest prognostic significance of specific CD4/CD8 expression patterns.
Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
|
lomustine
9d
Enrollment closed
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • MYCN (MYCN Proto-Oncogene BHLH Transcription Factor)
|
carboplatin • cyclophosphamide • etoposide IV • vinorelbine tartrate • lomustine • thiotepa
1m
A network-driven computational framework for identifying FDA-approved drug repurposing across heterogeneous brain cancers. (PubMed, Front Mol Biosci)
As a result, three repurposed drugs were identified as priorities: (i) mefloquine (reference drug: vorasidenib citrate), (ii) clofibric acid (reference drug: carmustine), and armillarisin A (reference drug: lomustine). These results also suggest repurposing candidates for synergistic combinations across different brain tumors. The two applications developed in this work are freely accessible and in the public domain at https://assay.smallmoles.com/escorwin.
FDA event • Journal
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EGFR (Epidermal growth factor receptor) • BRAF (B-raf proto-oncogene) • TP53 (Tumor protein P53) • PDGFRA (Platelet Derived Growth Factor Receptor Alpha) • TERT (Telomerase Reverse Transcriptase) • KDR (Kinase insert domain receptor) • CDK1 (Cyclin-dependent kinase 1)
|
lomustine • carmustine • Voranigo (vorasidenib)
2ms
A Study of Treatment for Medulloblastoma Using Sodium Thiosulfate to Reduce Hearing Loss (clinicaltrials.gov)
P3, N=225, Recruiting, Children's Oncology Group | Trial completion date: Dec 2027 --> Dec 2029 | Trial primary completion date: Dec 2027 --> Dec 2029
Trial completion date • Trial primary completion date
|
MYCN (MYCN Proto-Oncogene BHLH Transcription Factor) • GLI2 (GLI Family Zinc Finger 2)
|
TP53 wild-type
|
cisplatin • cyclophosphamide • vincristine • lomustine
2ms
New P2/3 trial
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IDH wild-type
|
lomustine
2ms
Enrollment closed
|
IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • MGMT (6-O-methylguanine-DNA methyltransferase)
|
MGMT promoter methylation • IDH1 R132
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temozolomide • lomustine
2ms
LEAHRN: Reduced Craniospinal Radiation Therapy and Chemotherapy in Treating Younger Patients With Newly Diagnosed WNT-Driven Medulloblastoma (clinicaltrials.gov)
P2, N=45, Active, not recruiting, Children's Oncology Group | Trial completion date: Jun 2027 --> Mar 2028 | Trial primary completion date: Jun 2027 --> Mar 2028
Trial completion date • Trial primary completion date
|
MYCN (MYCN Proto-Oncogene BHLH Transcription Factor) • CTNNB1 (Catenin (cadherin-associated protein), beta 1)
|
cisplatin • cyclophosphamide • vincristine • lomustine
2ms
Ivosidenib treatment in IDH-mutant WHO grade 4 astrocytomas: illustrative case. (PubMed, J Neurosurg Case Lessons)
Here the authors report the effects of the off-label use of ivosidenib. The INDIGO trial published evidence of efficacy in using an IDH inhibitor for low-grade gliomas. The role of these drugs in high-grade IDH-mutant gliomas is currently unknown. Further studies are needed to assess their impact on overall and progression-free survival. https://thejns.org/doi/10.3171/CASE25572.
Journal
|
IDH1 (Isocitrate dehydrogenase (NADP(+)) 1)
|
IDH wild-type
|
temozolomide • Tibsovo (ivosidenib) • lomustine
2ms
Defying the Odds in Recurrent Glioblastoma: Complete Response following Salvage Therapy with Bevacizumab and Irinotecan - A Case Report. (PubMed, Case Rep Oncol)
In this discourse, we delineate the case of a 42-year-old male patient diagnosed with IDH-wild-type, MGMT-unmethylated, TERT promoter-mutated, and EGFR-amplified GBM, who manifested an early recurrence during adjuvant temozolomide therapy. Our findings, contextualized within contemporary evidence on re-irradiation (stereotactic radiosurgery/fractionated stereotactic radiation therapy) and combinatorial strategies (BEV with lomustine or irinotecan), underscore the need for further empirical investigation to optimize treatment sequencing in r-GBM. This case emphasizes the necessity for individualized multimodal approaches to improve outcomes in this refractory patient population.
Journal
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EGFR (Epidermal growth factor receptor) • MGMT (6-O-methylguanine-DNA methyltransferase) • TERT (Telomerase Reverse Transcriptase)
|
EGFR mutation • EGFR amplification • IDH wild-type
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Avastin (bevacizumab) • temozolomide • irinotecan • lomustine