Optune Device for Brain Cancer

No longer recruiting at 1 trial location
DH
JH
SM
Overseen BySherri Mayans, APN
Age: < 65
Sex: Any
Trial Phase: Phase 1
Sponsor: Hackensack Meridian Health
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether the Optune NovoTTF-200A device can safely work with chemotherapy to treat certain types of brain cancer in children. It focuses on high-grade gliomas and ependymomas, which are aggressive brain tumors. The trial seeks children with a brain tumor that has returned or hasn't responded to other treatments and who have already undergone surgery and radiation. Participants must have a tumor in the supratentorial area of the brain, which the device can target. As a Phase 1 trial, the research aims to understand how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, you cannot have taken any anti-cancer therapy within 4 weeks before starting the trial, and you must not be using any other investigational drugs close to the start of the trial.

What prior data suggests that the Optune NovoTTF-200A device is safe for pediatric patients with brain cancer?

Research has shown that the Optune NovoTTF-200A, a device using electric fields to slow cancer cell growth, is generally safe for children with brain tumors. Studies have found no new safety issues when used in children. Those who have received this treatment have tolerated it well, with no major side effects reported. As this trial is in its early stages, the primary focus is on ensuring safety, so extensive safety data may not yet be available. However, the results so far are promising for potential participants.12345

Why do researchers think this study treatment might be promising?

The Optune NovoTTF-200A System is unique because it uses a novel method called tumor treating fields (TTF) to combat brain cancer. Unlike standard treatments such as chemotherapy or radiation, which target cancer cells through chemicals or radiation, Optune delivers low-intensity alternating electric fields directly to the tumor site. This disrupts cancer cell division and growth while sparing healthy cells. Researchers are excited because this non-invasive approach offers a new way to target recurrent high-grade gliomas and ependymomas, potentially enhancing treatment effectiveness and reducing side effects.

What evidence suggests that the Optune NovoTTF-200A device is effective for brain cancer?

Studies have shown that the Optune NovoTTF-200A device can help treat brain tumors by using electric fields to stop cancer cells from dividing. Research indicates that this device is already effective for adults with glioblastoma multiforme, a type of aggressive brain cancer. In adults, using Optune along with chemotherapy has improved survival rates and slowed tumor growth. In this trial, participants with recurrent high-grade gliomas and ependymomas will receive treatment with the Optune NovoTTF-200A system as monotherapy. Early studies in children are examining its safety and potential synergy with chemotherapy. Although data on children remains limited, the device’s success in adults offers hope for treating similar brain tumors in younger patients.14567

Who Is on the Research Team?

Dr. Derek R Hanson, MD - Hackensack, NJ ...

Derek Hanson, MD

Principal Investigator

Joseph M. Sanzari Children's Hospital at Hackensack University Medical Center

Are You a Good Fit for This Trial?

This trial is for pediatric patients with recurrent high-grade glioma or ependymoma brain tumors. Participants must have had prior tumor resection and radiation, be able to undergo MRI scans, and have adequate organ function. They should not have serious side effects from previous treatments, implanted electronic devices in the brain, significant bleeding disorders, or be pregnant or breastfeeding.

Inclusion Criteria

I have a brain tumor that can be treated with TTFields despite having cancer spread to my lower brain or spinal cord.
All clinical and laboratory studies to determine eligibility must be performed within 7 days prior to enrollment unless otherwise indicated in the eligibility section
Patients must be enrolled before treatment begins. Treatment must start within 14 days of study enrollment
See 18 more

Exclusion Criteria

I have no allergies to Chinese hamster ovary cell products or human antibodies.
I don't have severe side effects from past cancer treatments.
I agree to use effective birth control during and for 6 months after therapy.
See 19 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive treatment with the Optune NovoTTF-200A System along with Temozolomide and Bevacizumab in 28-day cycles. Initial safety evaluation occurs over the first two cycles.

56 days

Extended Treatment

Participants continue treatment in 28-day cycles for up to 12 cycles or until clinical criteria for discontinuation are met. Treatment may continue beyond 12 cycles if approved.

Up to 12 cycles

Follow-up

Participants are monitored for safety and effectiveness after treatment, with overall survival and progression-free survival assessed.

Up to 2 years

What Are the Treatments Tested in This Trial?

Interventions

  • Optune NovoTTF-200A System
Trial Overview The study tests the safety of using the Optune NovoTTF-200A device alongside chemotherapy in children with specific types of brain tumors. The device delivers electric fields intended to disrupt cancer cell growth while patients also receive standard drug treatment.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Recurrent high grade gliomas and ependymomasExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Hackensack Meridian Health

Lead Sponsor

Trials
141
Recruited
42,900+

NovoCure Ltd.

Industry Sponsor

Trials
64
Recruited
6,100+

Ashley Cordova

NovoCure Ltd.

Chief Executive Officer

Bachelor of Science in Material Engineering from Ben-Gurion University of the Negev, Israel

Uri Weinberg

NovoCure Ltd.

Chief Medical Officer since 2020

MD from an unspecified institution

Published Research Related to This Trial

Optune® uses tumor-treating fields (TTFields) therapy, which is a novel approach to treating newly diagnosed glioblastoma (GBM) that differs from traditional methods, emphasizing the importance of continuous daily use for optimal patient outcomes.
Oncology nurses play a crucial role in educating patients about TTFields therapy, ensuring adherence to treatment, and helping patients integrate the use of Optune into their daily lives, which can enhance the effectiveness of the therapy.
Optune®: Practical Nursing Applications.Murphy, J., Bowers, ME., Barron, L.[2018]
Despite aggressive treatment options for glioblastoma, including surgery and chemotherapy, the median survival remains low at 14-16 months, highlighting the need for new therapeutic strategies.
Recent data suggest that the Optune™ device, which delivers alternating electrical field therapy, may improve survival in newly diagnosed glioblastoma patients, indicating a promising new approach alongside traditional treatments.
What next for newly diagnosed glioblastoma?Domingo-Musibay, E., Galanis, E.[2022]

Citations

Optune (NovoTTF-200A) - NCBI BookshelfOptune (NovoTTF-200A) is a portable and noninvasive device that treats GBM by providing continuous, locoregional treatment with tumour-treating fields (TTFields) ...
Feasibility Trial of Optune for Children with Recurrent or ...This is a multicenter trial of the Optune device to examine the feasibility and to describe the device- related toxicity in children with supratentorial HGG or ...
Clinical Trial: NCT03128047The purpose of this study is to determine if the Optune NovoTTF-200A device can be safely used in combination with chemotherapy in pediatric ...
NovoTTF-200A (Optune)Efficacy outcomes: ... The effectiveness and cost-effectiveness of carmustine implants and temozolomide for the treatment of newly diagnosed high-grade glioma: a ...
Optune for Children With High-Grade Glioma or Ependymoma ...This is a multicenter trial of the Optune device to examine the feasibility and to describe the device-related toxicity in children with ...
NCT03128047 | HUMC 1612: Optune NovoTTF-200A SystemThe purpose of this study is to determine if the Optune NovoTTF-200A device can be safely used in combination with chemotherapy in pediatric patients with ...
Safety of Tumor Treating Fields (TTFields) therapy in pediatric ...TTFields therapy has a favorable safety profile for pediatric patients with brain tumors, with no new safety signals observed.
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