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Cisplatin + iodine-125 is a combination therapy investigated for the treatment of malignant gliomas, including glioblastoma multiforme and anaplastic astrocytoma. This treatment approach utilizes **cisplatin**, a platinum-based chemotherapeutic agent, as a radiosensitizer to enhance the cytotoxic effects of radiation. **Iodine-125** is a radioactive isotope administered via interstitial brachytherapy, where radioactive seeds or sources are implanted directly into the tumor site to deliver localized, high-dose ionizing radiation. The combination aims to maximize local tumor control by inducing lethal DNA damage through both chemical alkylation and radiation-induced double-strand breaks, while minimizing systemic toxicity. Clinical studies have evaluated this regimen in conjunction with hyperfractionated external beam irradiation (HEBI) to improve outcomes in patients with aggressive brain tumors.
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