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Tumor Treating Fields for Glioblastoma Treatment: Patient Satisfaction and Compliance With the Second-Generation Optune® System.


ABSTRACT:

Background

Tumor treating fields (TTFields) are a non-invasive antimitotic therapy that delivers alternating electric fields via the Optune® system. The Phase III EF-14 trial in newly diagnosed glioblastoma multiforme (GBM) showed significantly improved progression-free, overall and long-term survival when Optune was used together with maintenance temozolomide (TMZ) compared with TMZ alone. Compliance (average monthly use) was associated with better clinical outcome. The first-generation Optune system weighed approximately 6?pounds (~2.7?kg). The second-generation redesigned Optune system weighs 2.7?pounds (~1.2?kg). We tested and compared GBM patient experience with the second-generation system versus the first-generation system.

Methods

Ten newly diagnosed and recurrent GBM patients in Germany (median age: 52.9?years [31-79]) were prospectively monitored over the first month of transitioning from the first-generation to the second-generation Optune system. Questionnaires using a numerical analog scale assessed feedback at baseline (first generation) and after 1?month of second-generation use.

Results

After transitioning to the second-generation system, compliance improved by more than 10% in four patients, was maintained in five patients and decreased by more than 10% in one patient. Following transition, eight out of nine patients reported a reduction in the triggering of malfunction alarms. Self-reported patient feedback showed improved handling and portability (weight, mobility) of the second- versus the first-generation Optune system.

Conclusions

This patient user survey suggests that patient satisfaction with the second-generation Optune system is improved versus the first-generation system. Improved features of the new system help patients achieve and maintain a higher rate of treatment compliance.

SUBMITTER: Kinzel A 

PROVIDER: S-EPMC6351720 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Publications

Tumor Treating Fields for Glioblastoma Treatment: Patient Satisfaction and Compliance With the Second-Generation Optune<sup>®</sup> System.

Kinzel Adrian A   Ambrogi Michael M   Varshaver Michael M   Kirson Eilon D ED  

Clinical Medicine Insights. Oncology 20190129


<h4>Background</h4>Tumor treating fields (TTFields) are a non-invasive antimitotic therapy that delivers alternating electric fields via the Optune<sup>®</sup> system. The Phase III EF-14 trial in newly diagnosed glioblastoma multiforme (GBM) showed significantly improved progression-free, overall and long-term survival when Optune was used together with maintenance temozolomide (TMZ) compared with TMZ alone. Compliance (average monthly use) was associated with better clinical outcome. The first  ...[more]

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