TIGER PRO-Active - Daily Activity, Sleep and Neurocognitive Functioning Study
Use of TTFields in Germany in Routine Clinical Care Study PROgram - Daily Activity, Sleep and Neurocognitive Functioning in Newly Diagnosed Glioblastoma Patients Study
1 other identifier
observational
500
1 country
36
Brief Summary
This non-interventional study aims to investigate change over time in cognitive function, sleep quality, and activity in daily life as important determinants of QoL in a large cohort of GBM patients in Germany treated with TTFields in routine clinical care using low-threshold, electronic PRO and modern automated tracking data analyses. The gained results will allow even better understanding of TTFields therapy in daily life of GBM patients and consequently, better informing patients about what to expect when starting this therapy, increasing therapy compliance in the long-term.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Dec 2021
Typical duration for all trials
36 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 18, 2021
CompletedFirst Posted
Study publicly available on registry
January 22, 2021
CompletedStudy Start
First participant enrolled
December 30, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2025
CompletedJanuary 10, 2023
January 1, 2023
2.9 years
January 18, 2021
January 6, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Time of usage of TTFields treatment in follow-up derived from monitoring data of the devices, standardised to usage days, as measure of compliance with TTFields treatment.
Time of usage (compliance) of TTFields treatment over time is measured using the treatment compliance report at the Follow-up period
through study completion, an average of 18 months (mean follow-up time)
Number of TTFields treatment-related SAEs as assessed by the CEC standardized to one year of FU time
Number of TTFields treatment-related SAEs standardized to one year of follow-up (FU) is measured using the collection of SAEs during the follow-up period
through study completion, an average of 18 months (mean follow-up time)
Changes in daily physical activity as a potential quality of life parameter in TTFields treatment compared to baseline for up to four months after start of TTFields therapy
Changes in daily physical activity will be assessed by smartphone app-based clinical monitoring.
Up to 4 months after start of TTFields treatment compared to baseline
Changes in sleep quality as a potential quality of life parameter in TTFields treatment compared to baseline for up to four months after start of TTFields therapy
Changes in sleep quality will be assessed by smartphone app-based clinical monitoring.
Up to 4 months after start of TTFields treatment compared to baseline
Changes in neurocognitive functioning as a potential quality of life parameter in TTFields treatment compared to baseline for up to four months after start of TTFields therapy.
Changes in neurocognitive functioning will be assessed by means of MoCA interview tests.
Up to 4 months after start of TTFields treatment compared to baseline
Study Arms (1)
GBM with indication for TTFields
newly diagnosed GBM with clinical indication for TTFields
Interventions
Tumor Treating Fields (TTFields) help slow down or stop glioblastoma cancer cells from dividing by disrupting dividing mechanism of cancer cells leading to apoptosis. TTFields are low-intensity, intermediate frequency, alternating electric fields delivered continuously through adhesive patches, called transducer arrays, to the area of the brain where the GBM tumor is located. These transducer arrays are applied to the scalp and are connected to the wearable and portable device. TTFields are approved for the treatment of newly diagnosed and recurrent GBM.
Eligibility Criteria
Patients with newly diagnosed, histologically confirmed GBM and an indication for treatment with NovoTTF-200A System (Optune®) according to IFU and medical guidelines will be enrolled. Patients' written informed consent to use their routine clinical data and app-based monitoring data according to data privacy standards must be obtained prior to documentation of patients' data in the e-CRF.
You may qualify if:
- min.18 years of age
- Newly diagnosed, histologically confirmed GBM
- Patient after completion of radiochemotherapy but within first 3 cycles of first-line tumor-specific maintenance chemotherapy
- Clinical indication of treatment with NovoTTF-200A System (Optune®) according to IFU and medical guidelines
- Signed informed consent
You may not qualify if:
- Any foreseeable deviation from the IFU of NovoTTF-200T Device
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- NovoCure Ltd.lead
Study Sites (36)
Universitätsklinikum Aachen
Aachen, 52074, Germany
Klinikum Aschaffenburg-Alzenau
Aschaffenburg, 63739, Germany
Universitätsklinikum Augsburg (AöR)
Augsburg, 86156, Germany
Universitätsklinikum Bonn
Bonn, 53127, Germany
Klinikum Chemnitz
Chemnitz, 09116, Germany
Uniklinik Köln
Cologne, 50937, Germany
Kliniken der Stadt Köln GmbH
Cologne, 51109, Germany
Carl-Thiem-Klinikum Cottbus
Cottbus, 03048, Germany
Universitätsklinik Carl Gustav Carus Dresden
Dresden, 01307, Germany
Sana Kliniken Duisburg
Duisburg, 47055, Germany
Universitätsklinikum Düsseldorf HHU
Düsseldorf, 40225, Germany
HELIOS Klinikum Erfurt
Erfurt, 99089, Germany
Universitätsklinikum Erlangen
Erlangen, 91054, Germany
Universitätsklinikum Essen
Essen, 45147, Germany
Universitätsklinikum Frankfurt Goethe-Universität
Frankfurt, 60528, Germany
Universitätsmedizin Greifswald
Greifswald, 17475, Germany
BG Klinikum Bergmannstrost Halle
Halle, 06112, Germany
Onkologische Schwerpunktpraxis Dres. I. Zander und E. von der Heyde
Hanover, 30161, Germany
Medizinische Hochschule Hannover
Hanover, 30625, Germany
Universitätsklinikum des Saarlandes
Homburg, 66421, Germany
Universitätsklinikum Jena
Jena, 07747, Germany
Klinikum Kassel
Kassel, 34125, Germany
Universitätsklinikum SH Campus Kiel
Kiel, 24105, Germany
Otto-von-Guericke-Universität Magdeburg
Magdeburg, 39120, Germany
Med. Fakultät Mannheim der Universität Heidelberg
Mannheim, 68167, Germany
Johannes Wesling Klinikum Minden
Minden, 32429, Germany
Kliniken Maria Hilf GmbH
Mönchengladbach, 41063, Germany
Klinikum Nürnberg
Nuremberg, 90471, Germany
Pius-Hospital Oldenburg
Oldenburg, 26121, Germany
Niels-Stensen-Kliniken - Marienhospital Osnabrück
Osnabrück, 49076, Germany
Universitätsmedizin Rostock
Rostock, 18059, Germany
HELIOS Kliniken Schwerin GmbH
Schwerin, 19049, Germany
Johanniter-Krankenhaus Genthin-Stendal GmbH
Stendal, 39576, Germany
Klinikum Stuttgart
Stuttgart, 70174, Germany
Universitätsklinikum Tübingen
Tübingen, 72076, Germany
Paracelsus-Klinik Zwickau
Zwickau, 08008, Germany
Related Publications (22)
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PMID: 25163906BACKGROUNDChinot OL, Wick W, Mason W, Henriksson R, Saran F, Nishikawa R, Carpentier AF, Hoang-Xuan K, Kavan P, Cernea D, Brandes AA, Hilton M, Abrey L, Cloughesy T. Bevacizumab plus radiotherapy-temozolomide for newly diagnosed glioblastoma. N Engl J Med. 2014 Feb 20;370(8):709-22. doi: 10.1056/NEJMoa1308345.
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PMID: 24101040BACKGROUNDStupp R, Taillibert S, Kanner AA, Kesari S, Steinberg DM, Toms SA, Taylor LP, Lieberman F, Silvani A, Fink KL, Barnett GH, Zhu JJ, Henson JW, Engelhard HH, Chen TC, Tran DD, Sroubek J, Tran ND, Hottinger AF, Landolfi J, Desai R, Caroli M, Kew Y, Honnorat J, Idbaih A, Kirson ED, Weinberg U, Palti Y, Hegi ME, Ram Z. Maintenance Therapy With Tumor-Treating Fields Plus Temozolomide vs Temozolomide Alone for Glioblastoma: A Randomized Clinical Trial. JAMA. 2015 Dec 15;314(23):2535-43. doi: 10.1001/jama.2015.16669.
PMID: 26670971BACKGROUNDStupp R, Taillibert S, Kanner A, Read W, Steinberg D, Lhermitte B, Toms S, Idbaih A, Ahluwalia MS, Fink K, Di Meco F, Lieberman F, Zhu JJ, Stragliotto G, Tran D, Brem S, Hottinger A, Kirson ED, Lavy-Shahaf G, Weinberg U, Kim CY, Paek SH, Nicholas G, Bruna J, Hirte H, Weller M, Palti Y, Hegi ME, Ram Z. Effect of Tumor-Treating Fields Plus Maintenance Temozolomide vs Maintenance Temozolomide Alone on Survival in Patients With Glioblastoma: A Randomized Clinical Trial. JAMA. 2017 Dec 19;318(23):2306-2316. doi: 10.1001/jama.2017.18718.
PMID: 29260225BACKGROUNDKirson ED, Gurvich Z, Schneiderman R, Dekel E, Itzhaki A, Wasserman Y, Schatzberger R, Palti Y. Disruption of cancer cell replication by alternating electric fields. Cancer Res. 2004 May 1;64(9):3288-95. doi: 10.1158/0008-5472.can-04-0083.
PMID: 15126372BACKGROUNDKirson ED, Dbaly V, Tovarys F, Vymazal J, Soustiel JF, Itzhaki A, Mordechovich D, Steinberg-Shapira S, Gurvich Z, Schneiderman R, Wasserman Y, Salzberg M, Ryffel B, Goldsher D, Dekel E, Palti Y. Alternating electric fields arrest cell proliferation in animal tumor models and human brain tumors. Proc Natl Acad Sci U S A. 2007 Jun 12;104(24):10152-7. doi: 10.1073/pnas.0702916104. Epub 2007 Jun 5.
PMID: 17551011BACKGROUNDGutin PH, Wong ET. Noninvasive application of alternating electric fields in glioblastoma: a fourth cancer treatment modality. Am Soc Clin Oncol Educ Book. 2012:126-31. doi: 10.14694/EdBook_AM.2012.32.122.
PMID: 24451721BACKGROUNDGera N, Yang A, Holtzman TS, Lee SX, Wong ET, Swanson KD. Tumor treating fields perturb the localization of septins and cause aberrant mitotic exit. PLoS One. 2015 May 26;10(5):e0125269. doi: 10.1371/journal.pone.0125269. eCollection 2015.
PMID: 26010837BACKGROUNDGiladi M, Schneiderman RS, Voloshin T, Porat Y, Munster M, Blat R, Sherbo S, Bomzon Z, Urman N, Itzhaki A, Cahal S, Shteingauz A, Chaudhry A, Kirson ED, Weinberg U, Palti Y. Mitotic Spindle Disruption by Alternating Electric Fields Leads to Improper Chromosome Segregation and Mitotic Catastrophe in Cancer Cells. Sci Rep. 2015 Dec 11;5:18046. doi: 10.1038/srep18046.
PMID: 26658786BACKGROUNDStupp R, Wong ET, Kanner AA, Steinberg D, Engelhard H, Heidecke V, Kirson ED, Taillibert S, Liebermann F, Dbaly V, Ram Z, Villano JL, Rainov N, Weinberg U, Schiff D, Kunschner L, Raizer J, Honnorat J, Sloan A, Malkin M, Landolfi JC, Payer F, Mehdorn M, Weil RJ, Pannullo SC, Westphal M, Smrcka M, Chin L, Kostron H, Hofer S, Bruce J, Cosgrove R, Paleologous N, Palti Y, Gutin PH. NovoTTF-100A versus physician's choice chemotherapy in recurrent glioblastoma: a randomised phase III trial of a novel treatment modality. Eur J Cancer. 2012 Sep;48(14):2192-202. doi: 10.1016/j.ejca.2012.04.011. Epub 2012 May 18.
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PMID: 29392280BACKGROUNDSilginer M, Weller M, Stupp R, Roth P. Biological activity of tumor-treating fields in preclinical glioma models. Cell Death Dis. 2017 Apr 20;8(4):e2753. doi: 10.1038/cddis.2017.171.
PMID: 28425987BACKGROUNDKanner AA, Wong ET, Villano JL, Ram Z; EF-11 Investigators. Post Hoc analyses of intention-to-treat population in phase III comparison of NovoTTF-100A system versus best physician's choice chemotherapy. Semin Oncol. 2014 Oct;41 Suppl 6:S25-34. doi: 10.1053/j.seminoncol.2014.09.008. Epub 2014 Sep 16.
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PMID: 31681134BACKGROUNDHenriksson R, Asklund T, Poulsen HS. Impact of therapy on quality of life, neurocognitive function and their correlates in glioblastoma multiforme: a review. J Neurooncol. 2011 Sep;104(3):639-46. doi: 10.1007/s11060-011-0565-x. Epub 2011 Apr 6.
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PMID: 27286798BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Martin Glas, Prof.
University hospital Essen, Essen, Germany
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 18, 2021
First Posted
January 22, 2021
Study Start
December 30, 2021
Primary Completion
December 1, 2024
Study Completion
February 1, 2025
Last Updated
January 10, 2023
Record last verified: 2023-01
Data Sharing
- IPD Sharing
- Will not share