NCT04717739

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

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
500

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Dec 2021

Typical duration for all trials

Geographic Reach
1 country

36 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 18, 2021

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 22, 2021

Completed
11 months until next milestone

Study Start

First participant enrolled

December 30, 2021

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2024

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2025

Completed
Last Updated

January 10, 2023

Status Verified

January 1, 2023

Enrollment Period

2.9 years

First QC Date

January 18, 2021

Last Update Submit

January 6, 2023

Conditions

Keywords

GlioblastomaGBMTumor Treating FieldsTTFieldsePRO

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

Device: TTFields

Interventions

TTFieldsDEVICE

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.

GBM with indication for TTFields

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

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

Study Sites (36)

Universitätsklinikum Aachen

Aachen, 52074, Germany

ACTIVE NOT RECRUITING

Klinikum Aschaffenburg-Alzenau

Aschaffenburg, 63739, Germany

RECRUITING

Universitätsklinikum Augsburg (AöR)

Augsburg, 86156, Germany

RECRUITING

Universitätsklinikum Bonn

Bonn, 53127, Germany

ACTIVE NOT RECRUITING

Klinikum Chemnitz

Chemnitz, 09116, Germany

ACTIVE NOT RECRUITING

Uniklinik Köln

Cologne, 50937, Germany

ACTIVE NOT RECRUITING

Kliniken der Stadt Köln GmbH

Cologne, 51109, Germany

ACTIVE NOT RECRUITING

Carl-Thiem-Klinikum Cottbus

Cottbus, 03048, Germany

RECRUITING

Universitätsklinik Carl Gustav Carus Dresden

Dresden, 01307, Germany

RECRUITING

Sana Kliniken Duisburg

Duisburg, 47055, Germany

ACTIVE NOT RECRUITING

Universitätsklinikum Düsseldorf HHU

Düsseldorf, 40225, Germany

ACTIVE NOT RECRUITING

HELIOS Klinikum Erfurt

Erfurt, 99089, Germany

RECRUITING

Universitätsklinikum Erlangen

Erlangen, 91054, Germany

RECRUITING

Universitätsklinikum Essen

Essen, 45147, Germany

RECRUITING

Universitätsklinikum Frankfurt Goethe-Universität

Frankfurt, 60528, Germany

ACTIVE NOT RECRUITING

Universitätsmedizin Greifswald

Greifswald, 17475, Germany

ACTIVE NOT RECRUITING

BG Klinikum Bergmannstrost Halle

Halle, 06112, Germany

RECRUITING

Onkologische Schwerpunktpraxis Dres. I. Zander und E. von der Heyde

Hanover, 30161, Germany

RECRUITING

Medizinische Hochschule Hannover

Hanover, 30625, Germany

ACTIVE NOT RECRUITING

Universitätsklinikum des Saarlandes

Homburg, 66421, Germany

ACTIVE NOT RECRUITING

Universitätsklinikum Jena

Jena, 07747, Germany

ACTIVE NOT RECRUITING

Klinikum Kassel

Kassel, 34125, Germany

ACTIVE NOT RECRUITING

Universitätsklinikum SH Campus Kiel

Kiel, 24105, Germany

RECRUITING

Otto-von-Guericke-Universität Magdeburg

Magdeburg, 39120, Germany

ACTIVE NOT RECRUITING

Med. Fakultät Mannheim der Universität Heidelberg

Mannheim, 68167, Germany

ACTIVE NOT RECRUITING

Johannes Wesling Klinikum Minden

Minden, 32429, Germany

ACTIVE NOT RECRUITING

Kliniken Maria Hilf GmbH

Mönchengladbach, 41063, Germany

RECRUITING

Klinikum Nürnberg

Nuremberg, 90471, Germany

ACTIVE NOT RECRUITING

Pius-Hospital Oldenburg

Oldenburg, 26121, Germany

ACTIVE NOT RECRUITING

Niels-Stensen-Kliniken - Marienhospital Osnabrück

Osnabrück, 49076, Germany

SUSPENDED

Universitätsmedizin Rostock

Rostock, 18059, Germany

ACTIVE NOT RECRUITING

HELIOS Kliniken Schwerin GmbH

Schwerin, 19049, Germany

ACTIVE NOT RECRUITING

Johanniter-Krankenhaus Genthin-Stendal GmbH

Stendal, 39576, Germany

RECRUITING

Klinikum Stuttgart

Stuttgart, 70174, Germany

RECRUITING

Universitätsklinikum Tübingen

Tübingen, 72076, Germany

ACTIVE NOT RECRUITING

Paracelsus-Klinik Zwickau

Zwickau, 08008, Germany

ACTIVE NOT RECRUITING

Related Publications (22)

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    PMID: 15758009BACKGROUND
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    PMID: 25163906BACKGROUND
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    PMID: 24552318BACKGROUND
  • Gilbert MR, Wang M, Aldape KD, Stupp R, Hegi ME, Jaeckle KA, Armstrong TS, Wefel JS, Won M, Blumenthal DT, Mahajan A, Schultz CJ, Erridge S, Baumert B, Hopkins KI, Tzuk-Shina T, Brown PD, Chakravarti A, Curran WJ Jr, Mehta MP. Dose-dense temozolomide for newly diagnosed glioblastoma: a randomized phase III clinical trial. J Clin Oncol. 2013 Nov 10;31(32):4085-91. doi: 10.1200/JCO.2013.49.6968. Epub 2013 Oct 7.

    PMID: 24101040BACKGROUND
  • Stupp 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: 26670971BACKGROUND
  • Stupp 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: 29260225BACKGROUND
  • Kirson 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: 15126372BACKGROUND
  • Kirson 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: 17551011BACKGROUND
  • Gutin 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: 24451721BACKGROUND
  • Gera 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: 26010837BACKGROUND
  • Giladi 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: 26658786BACKGROUND
  • Stupp 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.

    PMID: 22608262BACKGROUND
  • Taphoorn MJB, Dirven L, Kanner AA, Lavy-Shahaf G, Weinberg U, Taillibert S, Toms SA, Honnorat J, Chen TC, Sroubek J, David C, Idbaih A, Easaw JC, Kim CY, Bruna J, Hottinger AF, Kew Y, Roth P, Desai R, Villano JL, Kirson ED, Ram Z, Stupp R. Influence of Treatment With Tumor-Treating Fields on Health-Related Quality of Life of Patients With Newly Diagnosed Glioblastoma: A Secondary Analysis of a Randomized Clinical Trial. JAMA Oncol. 2018 Apr 1;4(4):495-504. doi: 10.1001/jamaoncol.2017.5082.

    PMID: 29392280BACKGROUND
  • Silginer 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: 28425987BACKGROUND
  • Kanner 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.

    PMID: 25213871BACKGROUND
  • Toms SA, Kim CY, Nicholas G, Ram Z. Increased compliance with tumor treating fields therapy is prognostic for improved survival in the treatment of glioblastoma: a subgroup analysis of the EF-14 phase III trial. J Neurooncol. 2019 Jan;141(2):467-473. doi: 10.1007/s11060-018-03057-z. Epub 2018 Dec 1.

    PMID: 30506499BACKGROUND
  • Onken J, Goerling U, Heinrich M, Pleissner S, Krex D, Vajkoczy P, Misch M. Patient Reported Outcome (PRO) Among High-Grade Glioma Patients Receiving TTFields Treatment: A Two Center Observational Study. Front Neurol. 2019 Oct 1;10:1026. doi: 10.3389/fneur.2019.01026. eCollection 2019.

    PMID: 31681134BACKGROUND
  • Henriksson 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.

    PMID: 21468776BACKGROUND
  • Bergo E, Lombardi G, Guglieri I, Capovilla E, Pambuku A, Zagone V. Neurocognitive functions and health-related quality of life in glioblastoma patients: a concise review of the literature. Eur J Cancer Care (Engl). 2019 Jan;28(1):e12410. doi: 10.1111/ecc.12410. Epub 2015 Nov 4.

    PMID: 26531122BACKGROUND
  • Coomans MB, Dirven L, Aaronson NK, Baumert BG, Van Den Bent M, Bottomley A, Brandes AA, Chinot O, Coens C, Gorlia T, Herrlinger U, Keime-Guibert F, Malmstrom A, Martinelli F, Stupp R, Talacchi A, Weller M, Wick W, Reijneveld JC, Taphoorn MJB. Symptom clusters in newly diagnosed glioma patients: which symptom clusters are independently associated with functioning and global health status? Neuro Oncol. 2019 Nov 4;21(11):1447-1457. doi: 10.1093/neuonc/noz118.

    PMID: 31682733BACKGROUND
  • Armstrong TS, Shade MY, Breton G, Gilbert MR, Mahajan A, Scheurer ME, Vera E, Berger AM. Sleep-wake disturbance in patients with brain tumors. Neuro Oncol. 2017 Mar 1;19(3):323-335. doi: 10.1093/neuonc/now119.

    PMID: 27286798BACKGROUND

MeSH Terms

Conditions

Glioblastoma

Condition Hierarchy (Ancestors)

AstrocytomaGliomaNeoplasms, NeuroepithelialNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasmsNeoplasms, Glandular and EpithelialNeoplasms, Nerve Tissue

Study Officials

  • Martin Glas, Prof.

    University hospital Essen, Essen, Germany

    PRINCIPAL INVESTIGATOR

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

Locations