temozolomide
Trade name: temodar
Approved
Aug 11, 1999
NEO 212 is novel DNA alkylating agent exhibiting superior activity against breast cancer cells in vitro and intracranial triple-negative tumor growth in vivo. NEO212 is a conjugate of temozolomide (TMZ,) with the natural product perillyl alcohol (POH). NEO 212 causes DNA damage and cell death much more efficiently than TMZ because linkage with POH increased it's biological half-life and thus provided greater opportunity for placement of cytotoxic DNA lesions. — NCATS
Clinical trial activity
921 trials · 541 clinical orgs · 25 marketing orgs
Earliest trial started Jul 1, 1997 (NCT00003062)
Timeline
1990s
- Jan 1, 1997
Earliest Phase 2 Sponsor(trial)
- Jan 1, 1998
Earliest Phase 1 Sponsor(trial)
- Oct 5, 1998
Orphan Drug Designation
- Jan 1, 1999
Earliest Phase 3 Sponsor(trial)
- Aug 11, 1999
Schering-Plough — Earliest FDA Approval
- Aug 11, 1999
Merck — NDA Secondary Org
- Aug 11, 1999
Schering-Plough — NDA Organization
2010s
- Mar 1, 2010
Barr Laboratories — Marketing Organization
- Mar 1, 2010
Heritage Pharma — Marketing Organization
- Feb 12, 2014
Sun Pharmaceuticals — Marketing Organization
- May 8, 2015
Amneal Pharmaceuticals — Marketing Organization
- Feb 10, 2016
Lannett Company, Inc. — Marketing Organization
- Feb 10, 2016
Opko — Marketing Organization
- Apr 12, 2016
IDT Australia Ltd. — Marketing Organization
- Apr 12, 2016
Chartwell Pharmaceuticals — Marketing Organization
- Apr 27, 2016
Rising Pharmaceuticals — Marketing Organization
- Apr 27, 2016
ANDA Repository — Marketing Organization
- Jun 29, 2016
Mylan — Marketing Organization
- Jun 29, 2016
EXTROVIS — Marketing Organization
- Jul 13, 2016
Amerigen Pharmaceuticals — Marketing Organization
- Jul 13, 2016
Ani Pharmaceuticals — Marketing Organization
- Nov 23, 2016
Chemi SpA — Marketing Organization
- Nov 23, 2016
Italfarmaco — Marketing Organization
- Feb 27, 2017
Accord Research — Marketing Organization
- Apr 18, 2017
Teva — Marketing Organization
- Apr 26, 2017
Deva Holding A.S. — Marketing Organization
- Jul 31, 2017
Zydus Discovery DMCC — Marketing Organization
- Jul 5, 2018
Apotex — Marketing Organization
2020s
- Nov 23, 2021
Nivagen Pharmaceuticals Inc. — Marketing Organization
- Aug 23, 2024
Hetero Labs Ltd — Marketing Organization
Indications
Studied for
- Adenocarcinoma · Phase 2
- Adolescent · Phase 2
- Adrenal Gland Neoplasms · Phase 2
- Astrocytoma · Phase 4
- Biliary Tract Neoplasms · Phase 2
- Bone Neoplasms · Phase 2
- Brain Diseases · Phase 1
- Brain Neoplasms · Phase 4
- BRCA1 Protein · Phase 2
- Breast Neoplasms · Phase 2
- Cannabis · Phase 2
- Capecitabine · Phase 2
- Carcinoma, Hepatocellular · Phase 2
- Carcinoma, Islet Cell · Phase 2
- Carcinoma, Large Cell · Phase 2
- Carcinoma, Merkel Cell · Phase 1/Phase 2
- Carcinoma, Neuroendocrine · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 3
- Carcinoma, Renal Cell · Phase 2
- Carcinoma, Small Cell · Phase 2
- Carcinoma, Squamous Cell · Phase 2
- Carcinoma, Transitional Cell · Phase 1/Phase 2
- Central Nervous System Diseases · Phase 2
- Central Nervous System Neoplasms · Phase 2
- Child · Phase 2
- Choriocarcinoma · Phase 1
- Choroid Plexus Neoplasms · Phase 3
- Chromosome Aberrations · Phase 2
- Colonic Neoplasms · Phase 3
- Colorectal Neoplasms · Phase 2
- Craniopharyngioma · Phase 1
- Cytokine-Induced Killer Cells · Phase 4
- Cytomegalovirus Infections · Phase 1/Phase 2
- Desmoplastic Small Round Cell Tumor · Phase 2
- Diarrhea · Phase 1
- Diffuse Intrinsic Pontine Glioma · Phase 3
- Disease Progression · Phase 1
- DNA Mismatch Repair · Phase 1
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Drugs, Investigational · Phase 3
- Drug Therapy · Phase 3
- Endometrial Neoplasms · Phase 2
- Ependymoma · Phase 2/Phase 3
- Esophageal Neoplasms · Phase 2
- Esophageal Squamous Cell Carcinoma · Phase 1/Phase 2
- Fallopian Tube Neoplasms · Phase 2
- Frailty · Phase 2
- Gallbladder Neoplasms · Phase 1/Phase 2
- Ganglioneuroblastoma · Phase 3
- Gastrinoma · Phase 2
- Gastrointestinal Stromal Tumors · Phase 2
- General Surgery · Phase 2
- Germinoma · Phase 1
- Glioblastoma · Phase 4
- Glioma · Phase 4
- Gliosarcoma · Phase 3
- Glucagonoma · Phase 2
- Hamartoma · Phase 2
- Head and Neck Neoplasms · Phase 2
- Hedgehog Proteins · Phase 1/Phase 2
- Hematoma, Subdural · Phase 2
- Hepatoblastoma · Phase 1/Phase 2
- Immunologic Factors · Phase 1/Phase 2
- Insulinoma · Phase 2
- Intestinal Neoplasms · Phase 2
- Isocitrate Dehydrogenase · Phase 2
- Kidney Diseases · Phase 1
- Kidney Neoplasms · Phase 1/Phase 2
- Leiomyosarcoma · Phase 2/Phase 3
- Leukemia · Phase 1
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 1/Phase 2
- Leukemia, Myeloid · Phase 2
- Leukemia, Myeloid, Acute · Phase 2
- Leukemia, Myelomonocytic, Chronic · Phase 1
- Liposarcoma · Phase 1/Phase 2
- Liver Neoplasms · Phase 2
- Lung Diseases · Phase 1
- Lung Neoplasms · Phase 2
- Lymphocytes, Tumor-Infiltrating · Phase 2
- Lymphoma · Phase 3
- Lymphoma, B-Cell · Phase 2
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Lymphoma, Non-Hodgkin · Phase 2
- Medulloblastoma · Phase 2/Phase 3
- Melanoma · Phase 3
- Meninges · Phase 1
- Meningioma · Phase 1
- Meningitis · Phase 1
- Mesothelioma · Phase 1
- Microsatellite Instability · Phase 2
- Multiple Endocrine Neoplasia Type 1 · Phase 1
- Multiple Endocrine Neoplasia Type 2a · Phase 1
- Multiple Endocrine Neoplasia Type 2b · Phase 1
- Multiple Myeloma · Phase 1/Phase 2
- Mutation · Phase 2
- Myelodysplastic Syndromes · Phase 2
- Neoplasm Metastasis · Phase 3
- Neoplasms · Phase 3
- Neoplasms, Bone Tissue · Phase 3
- Neoplasms by Histologic Type · Phase 3
- Neoplasms, Connective and Soft Tissue · Phase 3
- Neoplasms, Connective Tissue · Phase 3
- Neoplasms, Germ Cell and Embryonal · Phase 2
- Neoplasms, Nerve Tissue · Phase 1/Phase 2
- Neoplasms, Neuroepithelial · Phase 3
- Neoplasms, Second Primary · Phase 2
- Neuroblastoma · Phase 3
- Neuroectodermal Tumors · Phase 2
- Neuroectodermal Tumors, Primitive · Phase 1
- Neuroendocrine Tumors · Phase 4
- Neurofibromatosis 1 · Phase 2
- Neuroma, Acoustic · Phase 1
- Oligodendroglia · Phase 2
- Oligodendroglioma · Phase 3
- Optic Nerve Glioma · Phase 3
- Osteosarcoma · Phase 2/Phase 3
- Ovarian Neoplasms · Phase 2
- Pancreatic Neoplasms · Phase 3
- Paraganglioma · Phase 2
- Paraganglioma, Extra-Adrenal · Phase 1
- Pharmacological and Toxicological Phenomena · Phase 2
- Pheochromocytoma · Phase 2
- Pinealoma · Phase 2
- Pituitary Neoplasms · Phase 2/Phase 3
- Poly(ADP-ribose) Polymerase Inhibitors · Phase 1/Phase 2
- Precision Medicine · Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 1
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 1
- Prostatic Neoplasms · Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 1/Phase 2
- Radiation Oncology · Phase 2
- Radiotherapy · Phase 3
- Randomized Controlled Trial · Phase 2
- Rare Diseases · Phase 3
- Rectal Neoplasms · Phase 2
- Recurrence · Phase 3
- Retinoblastoma · Phase 2
- Rhabdoid Tumor · Phase 1/Phase 2
- Rhabdomyosarcoma · Phase 2
- Sarcoma · Phase 3
- Sarcoma, Ewing · Phase 3
- Schizophrenia · Phase 2
- Skin Neoplasms · Phase 2
- Small Cell Lung Carcinoma · Phase 2/Phase 3
- Somatostatinoma · Phase 2
- Spinal Cord Neoplasms · Phase 2/Phase 3
- Squamous Cell Carcinoma of Head and Neck · Phase 1/Phase 2
- Stomach Neoplasms · Phase 2
- Supratentorial Neoplasms · Phase 1
- Temozolomide · Phase 3
- Testicular Neoplasms · Phase 2
- Therapeutic Equivalency · Phase 1
- Thymoma · Phase 1
- Thyroid Neoplasms · Phase 1
- Triple Negative Breast Neoplasms · Phase 1/Phase 2
- Uterine Cervical Neoplasms · Phase 1/Phase 2
- Vaccination · Phase 2
- Vaccines · Phase 1/Phase 2
- Wilms Tumor · Phase 2
- Zollinger-Ellison Syndrome · Phase 1
Mechanism of action
- DNAINHIBITOR
DNA inhibitor
Approval history
- approvedPriority reviewAcceleratedAug 11, 1999
Chemistry & pharmacology
SMILES
CN1N=NC2=C(N=CN2C1=O)C(N)=O- Mol. weight
- 194.1508 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- WikipediaTemozolomide ↗
- NCATSYF1K15M17Y ↗
- ChEMBLCHEMBL810 ↗
Also known as
- 3,4-dihydro-3-methyl-4-oxoimidazo(5,1-d)-1,2,3,5-tetrazine-8-carboxamide
- 3,4-dihydro-3-methyl-4-oxoimidazo(5,1-d)-1,2,3,5-tetrazine-8-carboxamide
- 3,4-dihydro-3-methyl-4-oxoimidazo(5,1-d)-as-tetrazine-8-carboxamide
- 3,4-dihydro-3-methyl-4-oxoimidazo(5,1-d)-as-tetrazine-8-carboxamide
- 3-methyl-4-oxo-3,4-dihydroimidazo(5,1-d)(1,2,3,5)tetrazine-8-carboxamide
- 3-methyl-4-oxo-3,4-dihydroimidazo(5,1-d)(1,2,3,5)tetrazine-8-carboxamide
- 8-carbamoyl-3-methylimidazo(5,1-d)-1,2,3,5-tetrazin-4(3h)-one
- 8-carbamoyl-3-methylimidazo(5,1-d)-1,2,3,5-tetrazin-4(3h)-one
- 8-carbamoyl-3-methylimidazo(5,1-d)-1,2,3,5-tetrazin-4(3h)-one
- brn 5547136
- brn 5547136
- ccrg 81045
- ccrg 81045
- ccrg 81045
- ccrg-81045
- ccrg-81045
- ccrg-81045
- ccrg-81045
- ccris 8996
- ccris 8996
- m-39831
- m-39831
- m & b 39831
- m & b 39831
- m & b 39831
- m&b 39831
- m&b-39831
- m&b-39831
- m&b-39831
- mb 39831
- mb 39831
- methazolastone
- methazolastone
- methazolastone
- methazolastone
- methazolastone
- nsc 362856
- nsc 362856
- nsc 362856
- nsc-362856
- sch 52365
- sch 52365
- sch-52365
- sch-52365
- temodal
- temodal
- temodal
- temodal
- temodal
- temodal
- temodar
- temodar
- temodar
- temodar
- temodar
- temomedac
- temomedac
- temomedac
- temomedac
- temomedac
- temomedac
- temozolamide
- temozolamide
- temozolamide
- temozolodida
- temozolodida
- temozololmide
- temozolomid
- temozolomid
- temozolomida
- temozolomida
- temozolomide
- temozolomide
- temozolomide
- temozolomide
- temozolomide
- temozolomide
- temozolomide
- temozolomide
- temozolomide
- temozolomide
- temozolomide
- témozolomide
- témozolomide
- temozolomidum
- temozolomidum
- tmz
- tmz
- tmz-bioshuttle
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07297212 | Phase 2 | Jan 31, 2026 | Biontech, Bristol-Myers Squibb |
| NCT07120984 | Phase 2 | Jan 30, 2026 | Philogen S.p.A. |
| NCT07141771 | Phase 1/Phase 2 (Phase 2) | Dec 31, 2025 | Chinese Academy of Medical Sciences |
| NCT07310784 | Phase 2 | Dec 16, 2025 | Government of China |
| NCT07195591 | Phase 3 | Nov 30, 2025 | GT Medical Technologies, Inc. |
| NCT06991101 | Phase 2 | Nov 30, 2025 | Baptist Health, Incyte |
| NCT07104032 | Phase 3 | Nov 30, 2025 | Deciphera Pharmaceuticals LLC, Ono Pharmaceuticals |
| NCT07085338 | Phase 2 | Nov 10, 2025 | St. Jude Children's Hospital |
| NCT07015242 | Phase 2 | Nov 6, 2025 | Bristol-Myers Squibb |
| NCT07243470 | Phase 1/Phase 2 (Phase 2) | Nov 4, 2025 | Amgen, Centre Leon Berard, National Cancer Institute, France |
| NCT07156019 | Phase 2 | Oct 31, 2025 | Chinese Academy of Medical Sciences |
| NCT07194044 | Phase 1 | Oct 31, 2025 | National Pediatric Cancer Foundation, University of South Florida |
| NCT07223034 | Phase 1 | Oct 27, 2025 | Memorial Sloan-Kettering Cancer Center, Novartis |
| NCT06995872 | Phase 1 | Oct 21, 2025 | National Cancer Institute (NCI) |
| NCT07215910 | Phase 3 | Oct 20, 2025 | National Cancer Institute (NCI) |
| NCT06942039 | Early Phase 1 (Phase 1) | Sep 30, 2025 | C17 Council |
| NCT07191431 | N/A | Sep 22, 2025 | Jiao Tong University |
| NCT07138001 | Phase 2 | Aug 31, 2025 | Capital Medical University, Government of China |
| NCT06931626 | Phase 1 | Aug 15, 2025 | Nerviano Medical Sciences |
| NCT07025226 | Early Phase 1 (Phase 1) | Aug 12, 2025 | Mayo Clinic |
Organizations
Research & Development (541)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Cancer Institute (NCI) | Government | 218 | 92 | 4 | 1997 |
| Duke University | Academic/Hospital | 43 | 33 | 3 | 1997 |
| University of Texas at Houston | Academic/Hospital | 39 | 31 | 3 | 1998 |
| Schering-Plough | For profit | 34 | 0 | 2 | 2000 |
| Harvard University | Academic/Hospital | 31 | 22 | 4 | 2001 |
| Merck | For profit | 31 | 18 | 4 | 2000 |
| Cornell University | Academic/Hospital | 27 | 18 | 3 | 1999 |
| Genentech | For profit | 25 | 1 | 2 | 2004 |
| European Organisation for Research and Treatment of Cancer | Academic/Hospital | 23 | 17 | 3 | 1997 |
| University of California, San Francisco | Academic/Hospital | 22 | 13 | 4 | 1998 |
| Chinese Academy of Medical Sciences | Academic/Hospital | 21 | 18 | 3 | 2011 |
| Johns Hopkins University | Academic/Hospital | 21 | 16 | 3 | 2002 |
| Mayo Clinic | Academic/Hospital | 20 | 11 | 5 | 2000 |
| Radiation Therapy Oncology Group | Academic/Hospital | 16 | 8 | 2 | 2000 |
| Sun Yat-Sen University | Academic/Hospital | 16 | 15 | 3 | 2007 |
| Bristol-Myers Squibb | For profit | 15 | 4 | 3 | 2008 |
| NRG Oncology | Academic/Hospital | 15 | 4 | 3 | 2000 |
| Capital Medical University | Academic/Hospital | 14 | 7 | 5 | 2012 |
| Northwestern University | Academic/Hospital | 14 | 11 | 2 | 1998 |
| Pfizer | For profit | 13 | 4 | 3 | 1999 |
Marketing (31)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| ANDA Repository | For profit | MKTG | Apr 27, 2016 |
| Accord Research | For profit | MKTG | Feb 27, 2017 |
| Amerigen Pharmaceuticals | For profit | MKTG | Jul 13, 2016 |
| Amneal Pharmaceuticals | For profit | MKTG | May 8, 2015 |
| Ani Pharmaceuticals | For profit | SYN | Jul 13, 2016 |
| Ani Pharmaceuticals | For profit | MKTG | Jul 13, 2016 |
| Apotex | For profit | MKTG | Jul 5, 2018 |
| Apotex | For profit | SYN | Jul 5, 2018 |
| Barr Laboratories | For profit | MKTG | Mar 1, 2010 |
| Chartwell Pharmaceuticals | For profit | MKTG | Apr 12, 2016 |
| Chartwell Pharmaceuticals | For profit | SYN | Feb 10, 2016 |
| Chemi SpA | For profit | MKTG | Nov 23, 2016 |
| Deva Holding A.S. | For profit | MKTG | Apr 26, 2017 |
| EXTROVIS | For profit | MKTG | Jun 29, 2016 |
| Heritage Pharma | For profit | MKTG | Mar 1, 2010 |
| Hetero Labs Ltd | For profit | MKTG | Aug 23, 2024 |
| IDT Australia Ltd. | For profit | MKTG | Apr 12, 2016 |
| Italfarmaco | For profit | MKTG | Nov 23, 2016 |
| Lannett Company, Inc. | For profit | MKTG | Feb 10, 2016 |
| Merck | For profit | NDA2 | Aug 11, 1999 |
| Mylan | For profit | MKTG | Jun 29, 2016 |
| Mylan | For profit | SYN | Jun 29, 2016 |
| Nivagen Pharmaceuticals Inc. | For profit | MKTG | Nov 23, 2021 |
| Opko | For profit | MKTG | Feb 10, 2016 |
| Rising Pharmaceuticals | For profit | MKTG | Apr 27, 2016 |
| Rising Pharmaceuticals | For profit | SYN | Apr 27, 2016 |
| Schering-Plough | For profit | NDA | Aug 11, 1999 |
| Sun Pharmaceuticals | For profit | MKTG | Feb 12, 2014 |
| Sun Pharmaceuticals | For profit | SYN | Feb 12, 2014 |
| Teva | For profit | MKTG | Apr 18, 2017 |
| Zydus Discovery DMCC | For profit | MKTG | Jul 31, 2017 |