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Diffuse Astrocytic and Oligodendroglial Tumors in Adults

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Table 1. Reasonable Doses and Schedules by Recommendation Note: only recommendations with recommended therapy are listed (cont'd) IDH-mutant Astrocytic and Oligodendroglial Tumors (cont'd) Recommendation Therapy Dose and Schedule Source Recommendation 2.4 (newly diagnosed supratentorial glioblastoma multiforme (GBM) who have completed chemoradiation therapy) Alternating electric field therapy Daily use, >18 hours per day, until 2nd progression See EF-14 trial protocol for details on therapy Recommendation 2.6 (patients where the expected survival benefits of a six-week radiation course combined with temozolomide may not outweigh the harms) Hypofractionated radiation 40.05 Gy in 15 fractions over 3 weeks As used in Perry, et al 2017 Concurrent temozolomide 75 mg/m 2 daily for 21 days As used in Perry, et al 2017 Adjuvant temozolomide 150–200 mg/m 2 for 5 out of 28 consecutive days for a maximum of 12 months As used in Perry, et al 2017 Recommendation 2.7 (patients with older age, poor performance status, or with concerns about toxicity or prognosis) Hypofractionated radiation alone 40 Gy in 15 fractions over 3 weeks As used in Roa, et al 2004 Temozolomide alone 100 mg/m 2 on days 1–7 of every 2 weeks until progression OR 200 mg/m 2 on days 1–5 of every 28 days for up to six cycles) As used in NOA-08 trial As used in Nordic Trial

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