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EF-41 / KEYNOTE D58 - En randomisert, dobbeltblind, placebokontrollert studie av Optune® (TTFields, 200 kHz) samtidig med vedlikehold TMZ og Pembrolizumab versus Optune® samtidig med vedlikehold TMZ og placebolastom for behandling av ny diagnostisert Glioblastoma (EF-41)

4. november 2026 oppdatert av: NovoCure GmbH

En randomisert, dobbeltblind, placebokontrollert studie av Optune® (TTFields, 200 kHz) samtidig med vedlikehold TMZ og Pembrolizumab versus Optune® samtidig med vedlikehold TMZ og placebo for behandling av nydiagnostisert glioblastom (EF-41/41/KEYNOTE D58KEYNOTE

This is a multicenter, two-arm, randomized, double-blind, placebo-controlled study of Optune® (Tumor Treating Fields at 200 kHz) together with maintenance Temozolomide (TMZ) chemotherapy agent and pembrolizumab compared to Optune® together with maintenance TMZ and placebo in newly diagnosed Glioblastoma (GBM) patients. The primary objective of the study is to evaluate the Overall Survival (OS).

Studieoversikt

Status

Aktiv, ikke rekrutterende

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Antatt)

741

Fase

  • Fase 3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Alberta
      • Edmonton, Alberta, Canada, T6G 1Z2
        • Cross Cancer Institute
    • Ontario
      • Hamilton, Ontario, Canada, L8V 5C2
        • Hamilton Health Sciences-Juravinski Cancer Centre
      • Ottawa, Ontario, Canada, K1H 8L6
        • The Ottawa Hospital Cancer Centre
      • Toronto, Ontario, Canada, M5G 2C1
        • University Health Network - Princess Margaret Cancer Centre
    • Quebec
      • Montreal, Quebec, Canada, H2X 3E4
        • CHUM
      • Montreal, Quebec, Canada, H3A 2B4
        • Montreal Neurological Institute-Hospital, Clinical Research Unit
      • Sherbrooke, Quebec, Canada, J1H 5N4
        • Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (CIUSSS de l'Estrie-CHUS)
    • Arizona
      • Phoenix, Arizona, Forente stater, 85054
        • Mayo Clinic Hospital
    • California
      • Los Angeles, California, Forente stater, 90033
        • University of Southern California
      • Newport Beach, California, Forente stater, 92663
        • Hoag Memorial Hospital Presbyterian
      • Palo Alto, California, Forente stater, 94305
        • Stanford Cancer Institute
      • San Francisco, California, Forente stater, 94143
        • University of California
    • District of Columbia
      • Washington D.C., District of Columbia, Forente stater, 20007
        • MedStar Georgetown University Hospital
    • Florida
      • Gainesville, Florida, Forente stater, 32608
        • UF Health Neuromedicine
      • Jacksonville, Florida, Forente stater, 32224
        • Mayo Clinic - Florida
      • Miami, Florida, Forente stater, 33176
        • Miami Cancer Institute
      • Tampa, Florida, Forente stater, 33612
        • Moffitt Cancer Center
    • Illinois
      • Chicago, Illinois, Forente stater, 60611
        • Northwestern Memorial Hospital
    • Kentucky
      • Lexington, Kentucky, Forente stater, 40536
        • University of Kentucky Medical Center
      • Louisville, Kentucky, Forente stater, 40241
        • Norton Cancer Institute
    • Maryland
      • Baltimore, Maryland, Forente stater, 21201
        • University of Maryland
    • Massachusetts
      • Boston, Massachusetts, Forente stater, 02111
        • Tufts Medical Center
    • Minnesota
      • Minneapolis, Minnesota, Forente stater, 55455
        • Masonic Cancer Center, University of Minnesota
      • Rochester, Minnesota, Forente stater, 55905
        • Mayo Clinic - Rochester
    • Missouri
      • St Louis, Missouri, Forente stater, 63110
        • Washington University
    • Nevada
      • Reno, Nevada, Forente stater, 89502
        • Renown Regional Medical Center
    • New Jersey
      • Hackensack, New Jersey, Forente stater, 07601
        • John Theurer Cancer Center/ Hackensack Meridian Health
      • New Brunswick, New Jersey, Forente stater, 08901
        • Rutgers Cancer Institute of New Jersey University Hospital
    • New York
      • Lake Success, New York, Forente stater, 11042
        • Northwell Health
      • New York, New York, Forente stater, 10032
        • Columbia University Irving Medical Center
      • The Bronx, New York, Forente stater, 10461
        • Montefiore Medical Center- Montefiore Medical Park
    • North Carolina
      • Durham, North Carolina, Forente stater, 27710
        • Duke University Medical Center
    • Ohio
      • Cincinnati, Ohio, Forente stater, 45219
        • University of Cincinnati Cancer Institute
      • Cleveland, Ohio, Forente stater, 44195
        • The Cleveland Clinic
      • Cleveland, Ohio, Forente stater, 44106
        • University Hospitals Cleveland Medical Center
    • Pennsylvania
      • Philadelphia, Pennsylvania, Forente stater, 19107
        • Thomas Jefferson University, Sidney Kimmel Comprehensive Cancer Center, Clinical Trials Organization
      • Pittsburgh, Pennsylvania, Forente stater, 15232
        • UPMC Hillman Cancer Center
    • Rhode Island
      • Providence, Rhode Island, Forente stater, 02903
        • Rhode Island Hospital
    • Texas
      • Houston, Texas, Forente stater, 77030
        • The University of Texas
      • Houston, Texas, Forente stater, 77030
        • University of Texas, MD Anderson Cancer Center
    • Utah
      • Salt Lake City, Utah, Forente stater, 84112
        • Huntsman Cancer Institute, University of Utah
    • Virginia
      • Fairfax, Virginia, Forente stater, 22031
        • Inova Schar Cancer Institute
    • Washington
      • Seattle, Washington, Forente stater, 98122
        • Swedish Medical Center
      • Bron, Frankrike, 69500
        • Centre Hospitalier Universitaire de Lyon
      • Marseille, Frankrike, 13385
        • Hopital de la Timone
      • Paris, Frankrike, 75010
        • Hopital Saint-Louis
      • Paris, Frankrike, 75013
        • Groupe Hospitalier Pitie - Salpetriere
      • Toulouse, Frankrike, 31059
        • Institut Claudius Regaud
      • Haifa, Israel, 3109601
        • Rambam Medical Center
      • Petah Tikva, Israel, 4941492
        • Rabin Medical Center- Beilinson Hospital
      • Ramat Gan, Israel, 5265601
        • Chaim Sheba Medical Center
      • Tel Aviv, Israel, 64239
        • Tel-Aviv Sourasky Medical Center
      • Bologna, Italia, 40139
        • Ospedale Bellaria
      • Milan, Italia, 20133
        • Fondazione IRCCS Istituto Neurologico Carlo Besta
      • Naples, Italia, 80147
        • Ospedale del Mare
      • Padova, Italia, 35128
        • UOC Oncologia Medica 1 Istituto Oncologico Veneto IOV-IRCCS
      • Rozzano, Italia, 20089
        • IRCCS Istituto Clinico Humanitas
      • Siena, Italia, 53100
        • U.O.C. Immunoterapia Oncologica A.O.U. Senese, Policlinico Santa Maria alle Scotte
    • Torino
      • Torino, Torino, Italia, 10126
        • Neuro-Oncologia Clinica Ospedale Molinette - AOU Città della Salute e della Scienza di Torino
      • Fukuoka, Japan, 812-8582
        • Kyushu University Hospital
      • Hokkaido, Japan, 060-8648
        • Hokkaido University Hospital
      • Ishikawa, Japan, 920-8641
        • Kanazawa University Hospital
      • Kumamoto, Japan, 860-8556
        • Kumamoto University Hospital
      • Kyoto, Japan, 606-8507
        • Kyoto University Hospital
      • Mitaka, Japan, 181-8611
        • Kyorin University Hospital
      • Nagoya, Japan, 466-8560
        • Nagoya University Hospital
      • Saitama, Japan, 350-1298
        • Saitama Medical University International Medical Center
      • Sendai, Japan, 980-8574
        • Tohoku University Hospital
      • Tokyo, Japan, 104-0045
        • National Cancer Center Hospital
    • Aichi-ken
      • Toyoake-shi, Aichi-ken, Japan, 470-1192
        • Fujita Health University Hospital
    • Kanagawa
      • Isehara, Kanagawa, Japan, 259-1193
        • Tokai University Hospital
      • Bydgoszcz, Polen, 85-796
        • Centrum Onkologii
      • Gliwice, Polen, 44-102
        • Narodowy Instytut Onkologii
      • Lodz, Polen, 93-513
        • Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika-Zakład Teleradioterapii
      • Barcelona, Spania, 08035
        • Hospital Universitari Vall d'Hebron
      • Barcelona, Spania, 08908
        • Institut Català d'Oncologia de L'Hospitalet (ICO L'Hospitalet)
      • Córdoba, Spania, 14004
        • Hospital Universitario Reina Sofia
      • Granada, Spania, 18014
        • Hospital Universitario Virgen de las Nieves
      • Madrid, Spania, 28041
        • Hospital Universitario 12 de Octubre
      • Madrid, Spania, 28046
        • Hospital Universitario La Paz
      • Madrid, Spania, 28034
        • Hospital Universitario Ramón y Cajal
      • Seville, Spania, 41013
        • Hospital Universitario Virgen del Rocio
      • Valencia, Spania, 46026
        • Hospital Universitari i Politécnic La Fe
    • Madrid
      • Madrid, Madrid, Spania, 28040
        • Hospital Universitario Clínico San Carlos
      • Birmingham, Storbritannia, B15 2TH
        • Queen Elizabeth
      • Cambridge, Storbritannia, CB2 0QQ
        • Addenbrooke's Hospital (Cambridge University Hospitals NHS Foundation Trust)
      • Cardiff, Storbritannia, CF14 2TL
        • Velindre Cancer Centre
      • Edinburgh, Storbritannia, EH4 2XU
        • Western General Hospital
      • Liverpool, Storbritannia, L7 8YA
        • The Clatterbridge Cancer Centre (Clatterbridge Cancer Centre NHS Foundation Trust)
      • Manchester, Storbritannia, M20 4BX
        • The Christie Hospital
      • Sheffield, Storbritannia, S10 2SJ
        • Weston Park Hospital
      • Southampton, Storbritannia, SO16 6YD
        • Southampton General Hospital
      • Sutton, Storbritannia, SM2 5PT
        • Royal Marsden
    • Greater London
      • London, Greater London, Storbritannia, W6 8RF
        • Charing Cross Hospital
    • Middlesex
      • Northwood, Middlesex, Storbritannia, HA6 2RN
        • Mount Vernon Cancer Centre
      • Basel, Sveits, 4031
        • University Hospital Basel Medical Oncology
      • Lausanne, Sveits, 1005
        • Centre Hospitalier Universitaire Vaudois (CHUV)
      • Zurich, Sveits, 8091
        • University Hospital Zurich
      • Prague, Tsjekkia, 150 30
        • Nemocnice Na Homolce
      • Berlin, Tyskland, 10117
        • Charité Campus Virchow-Klinikum
      • Essen, Tyskland, 45147
        • Universitätsklinikum Essen
      • Frankfurt, Tyskland, 60528
        • University Hospital Frankfurt

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  1. The participant (or legally acceptable representative) has provided documented informed consent for the study.
  2. Be ≥ 18 years of age on day of providing informed consent.
  3. Participant with new diagnosis of GBM according to World Health Organization (WHO) 2021 Classification.
  4. Recovered from maximal debulking surgery (gross total resection, partial resection and biopsy-only patients are all acceptable), Gliadel wafers placement at the time of surgical resection is not allowed.
  5. Have completed standard adjuvant chemoradiotherapy of radiotherapy (RT) according to local practice (56-64 Gy), and concomitant TMZ chemotherapy.
  6. Amenable to treatment with Optune concomitant with maintenance TMZ (150-200 mg/m^2 daily x 5, Q28 days).
  7. Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1 assessed within 7 days before randomization.
  8. Stable or decreasing dose of corticosteroids (dexamethasone ≤ 2mg or equivalent) for the last 7 days prior to randomization, if applicable.

Exclusion Criteria:

  1. Has received prior therapy with an anti-Programmed Cell Death 1 (PD-1), anti- Programmed Cell Death-Ligand 1(PD-L1), or anti Programmed Cell Death-Ligand 2 (PD-L2) agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g.Cytotoxic T-Lymphocyte-Associated protein 4 (CTLA-4), OX 40, CD137).
  2. Ongoing requirement for >2 mg dexamethasone (or equivalent), due to intracranial mass effect.
  3. Has received prior systemic anti-cancer therapy including investigational agents within 4 weeks prior to randomization.
  4. Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines are allowed.
  5. Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first study treatment.
  6. Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior the first dose of study medication. Has a known additional malignancy that is progressing or has required active treatment within the past 3 years.
  7. Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
  8. Early progressive disease after the end of TMZ/RT. If pseudo progression is suspected, additional imaging studies should be performed to rule out true progression.
  9. Infratentorial or leptomeningeal disease.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Firemannsrom

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Placebo komparator: Kontrollgruppe

Optune® device delivering TTFields therapy at 200 kHz.

Andre navn:
  • TTFields

Temozolomide per approved labeling.

Placebo (saline solution) dose throughout this study is 200 mg IV Q3W for a maximum of 35 cycles.

Eksperimentell: Behandlingsgruppe

Optune® device delivering TTFields therapy at 200 kHz.

Andre navn:
  • TTFields

Temozolomide per approved labeling.

Pembrolizumab dose throughout this study is 200 mg IV Q3W for a maximum of 35 cycles.

Andre navn:
  • KEYTRUDA®

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Overall survival
Tidsramme: 24 months

Overall survival (OS) is defined as the time from randomization to death due to any cause

24 months

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Progression-Free Survival (PFS) per RANO 2.0 assessed by investigator
Tidsramme: 24 months

PFS is defined as the time interval, in months, between randomization and the first documented disease progression per RANO 2.0 assessed by investigator or death due to any cause, whichever occurs first.

Note: RANO 2.0 = Modified Radiographic Response Assessment in Neuro-Oncology

24 months
Progression-Free Survival (PFS) per RANO 2.0 assessed by investigator
Tidsramme: 24 months

PFS is defined as the time interval, in months, between randomization and the first documented disease progression per RANO 2.0 assessed by investigator or death due to any cause, whichever occurs first.

Note: RANO 2.0 = Response Assessment in Neuro-Oncology

24 months

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Samarbeidspartnere

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

3. februar 2025

Primær fullføring (Antatt)

1. april 2029

Studiet fullført (Antatt)

1. april 2029

Datoer for studieregistrering

Først innsendt

13. august 2024

Først innsendt som oppfylte QC-kriteriene

13. august 2024

Først lagt ut (Faktiske)

16. august 2024

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

6. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

4. november 2026

Sist bekreftet

1. februar 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • EF-41
  • 2024-513550-30-00 (Ctis)
  • MK3475-D58 (Annen identifikator: Merck Sharp & Dohme LLC)
  • KEYNOTE D58 (Annen identifikator: Merck Sharp & Dohme LLC)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

UBESLUTTE

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Ja

Studerer et amerikansk FDA-regulert enhetsprodukt

Ja

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .