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Temozolomide + lomustine is a combination chemotherapy regimen consisting of two oral alkylating agents, temozolomide and lomustine. Both drugs work by damaging the DNA of cancer cells, thereby inhibiting their ability to divide and proliferate. This combination has been studied primarily in patients with newly diagnosed glioblastoma with methylated MGMT promoter status, where it is administered alongside radiotherapy. The rationale for combining these agents is based on their complementary mechanisms as DNA-alkylating agents, potentially enhancing antitumor efficacy compared to temozolomide alone. Clinical trials (notably CeTeG/NOA-09 and NRG-BN011) have investigated this regimen for its potential to improve overall survival in this patient population[1][2][3][5].
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