EF-41/KEYNOTE D58: Phase 3 Study of Optune Concomitant With Temozolomide Plus Pembrolizumab in Newly Diagnosed Glioblastoma
This study is investigating a new treatment approach for people recently diagnosed with glioblastoma, a type of brain cancer. It compares two groups: one group receives a device called Optune, along with the chemotherapy drug temozolomide and a new drug called pembrolizumab. The other group receives Optune, temozolomide, and a placebo (a dummy drug). The main aim is to see if this new combination improves how long people live. Participants will be in one of these two treatment groups, and neither they nor their doctors will know which treatment they are receiving until the end of the study. This helps ensure the results are accurate.
At a glance
What is this study about?
This study, called EF-41/KEYNOTE D58, is a major research project looking into better ways to treat a serious type of brain cancer known as glioblastoma. When people are first diagnosed with glioblastoma, they usually have surgery, followed by a combination of radiotherapy and chemotherapy. This study aims to build on these standard treatments by adding a new drug called pembrolizumab.
The study involves two groups of patients. Both groups will use a device called Optune (which delivers gentle electrical fields to the scalp) and continue with a chemotherapy drug called temozolomide. The difference is that one group will also receive pembrolizumab, while the other group will receive a placebo, which looks just like pembrolizumab but contains no active drug. Neither the patients nor their doctors will know which treatment they are getting. This is done to make sure the study results are fair and unbiased.
The main goal of this research is to see if adding pembrolizumab to the existing treatments (Optune and temozolomide) helps people with newly diagnosed glioblastoma live longer. By comparing the two groups, researchers hope to understand if this new combination could become a better treatment option in the future. Studies like this are very important for finding new medicines and improving care for serious conditions.
Key takeaways
- This study is for newly diagnosed glioblastoma.
- It combines standard treatments with a new drug (pembrolizumab).
- It's a 'blinded' study, so you won't know if you get the new drug or a dummy drug.
- The main goal is to see if the new combination helps people live longer.
- You'll need to use the Optune device and take temozolomide.
- You can stop participating at any time.
Who may be eligible?
To be considered for this study, you need to be at least 18 years old and have been recently diagnosed with glioblastoma. You must have had surgery for your glioblastoma and completed your standard radiotherapy and chemotherapy (with temozolomide).
It's important that you are generally well enough to take part, meaning you can look after yourself and do most daily activities. You also need to be able to use the Optune device and continue with temozolomide chemotherapy. If you are taking steroids, their dose should be stable or reducing.
There are also some reasons why you might not be able to join. For example, if you've already had certain types of immunotherapy drugs, or if you require high doses of steroids because of swelling in your brain. You also can't have had other experimental treatments recently, or received certain vaccines within the last month.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years old or older?
- Have you recently been diagnosed with glioblastoma?
- Have you had surgery for your glioblastoma and finished standard radiotherapy and temozolomide chemotherapy?
- Are you generally well enough to go about your daily life?
- Can you use the Optune device and continue taking temozolomide?
- Have you avoided certain other immunotherapy drugs in the past?
What does participation involve?
Taking part in this study means you would be randomly assigned to one of two treatment groups, like flipping a coin. You'd receive either the study drug (pembrolizumab) or a dummy drug (placebo), along with the Optune device and temozolomide chemotherapy. You and your doctors won't know which one you are receiving. Participation involves regular visits for health checks, blood tests, and scans to monitor your condition and the effects of the treatment. The total duration of your participation, including follow-up, would be discussed in detail by the study team, but typically these types of studies involve ongoing treatment and monitoring for a significant period. You are free to withdraw from the study at any time, for any reason, without it affecting your usual medical care.
Potential risks and benefits
Locations (93)
- Mayo Clinic HospitalVerified postcodePhoenix, United States· Recruiting
- University of Southern CaliforniaVerified postcodeLos Angeles, United States· Recruiting
- Hoag Memorial Hospital PresbyterianVerified postcodeNewport Beach, United States· Recruiting
- Stanford Cancer InstituteVerified postcodePalo Alto, United States· Recruiting
- University of CaliforniaVerified postcodeSan Francisco, United States· Recruiting
- UF Health NeuromedicineVerified postcodeGainesville, United States· Recruiting
- Mayo Clinic - FloridaVerified postcodeJacksonville, United States· Recruiting
- Miami Cancer InstituteVerified postcodeMiami, United States· Recruiting
- Moffitt Cancer CenterVerified postcodeTampa, United States· Recruiting
- Northwestern Memorial HospitalVerified postcodeChicago, United States· Recruiting
- University of Kentucky Medical CenterVerified postcodeLexington, United States· Recruiting
- University of MarylandVerified postcodeBaltimore, United States· Recruiting
Common questions
What is glioblastoma?
Glioblastoma is a serious and fast-growing type of brain cancer.
What is Optune?
Optune is a device that uses gentle electrical fields to target cancer cells in the brain while aiming to leave healthy cells unharmed.
What is pembrolizumab?
Pembrolizumab is an immunotherapy drug that helps your own immune system find and fight cancer cells.
Will I know which treatment I'm getting?
No, this is a 'blinded' study, meaning neither you nor your doctor will know if you are getting the study drug or the dummy drug.
Can I leave the study if I change my mind?
Yes, you can leave the study at any time, for any reason, and it won't affect your ongoing medical care.
How to find out more
Uz Stammberger
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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