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Methoxyamine + temozolomide is a combination therapy that works by enhancing the effectiveness of temozolomide through inhibition of base excision repair mechanisms. Temozolomide is an alkylating agent that generates DNA adducts, while methoxyamine (TRC102) binds to apurinic and apyrimidinic sites after removal of N3-methyladenine and N7-methylguanine, inhibiting site recognition of AP endonuclease. This combination has shown activity in various solid tumors including non-small cell lung cancer, granulosa cell ovarian cancer, and colon cancer.
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