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CompletedNCT04474353Updated Dec 26, 2025

Study of Tumor Treating Fields With Hypofractionated Chemoradiotherapy in Newly Diagnosed Glioblastoma

A Phase 1 interventional study of Optune and Gadolinium in Glioblastoma and Newly Diagnosed Glioblastoma, sponsored by Stanford University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-26.

Sponsored by Stanford University · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Nov 2024, 1 year 10 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to determine the safety and efficacy of the combination therapy of TTFields + SRS+ Temozolomide (TMZ) for newly diagnosed glioblastoma (GBM).

Read the detailed description

Primary Objective:

Determine the safety of Tumor Treating Fields (TTFields) started concurrently with 5 fraction stereotactic radiosurgery (SRS) and temozolomide for newly diagnosed glioblastoma. secondary objective: Efficacy for the combination of TTFields started concurrently with 5

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Conditions studied

  • Glioblastoma
  • Newly Diagnosed Glioblastoma

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03

In context

Glioblastoma

1,920 studies on the registry are indexed under Glioblastoma; 450 are open to participants now.

This study's enrollment of 12 is below the median of 36 across 1,618 interventional studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

Stanford University is the lead sponsor of 2,117 studies on the registry; 425 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 197 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histopathologically proven newly diagnosed glioblastoma (GBM, WHO Grade IV) or molecular GBM of lower grade that will be treated as per glioblastoma (defined as IDH wild type, 1p19q not co deleted)
  • Age ≥ 18 years
  • A maximum tumor target diameter of less than 5 cm on the post operative MRI used for SRS planning (a 5 mm margin is added in the radiotherapy planning process, yielding a maximum diameter of the planning target volume (PTV) of less than 6 cm). If the maximum diameter is greater than 5 cm, the subject is still eligible if the PTV is less than 113 cm3 which is the volume of a 6 cm diameter sphere.
  • Adequate organ function (obtained within 14 days prior to Day 0) as evidenced by:

    • Absolute neutrophil count (ANC) ≥ 1.5 × 109/L without myeloid growth factor support for 7 days preceding the lab assessment
    • Hemoglobin (Hgb) ≥ 9 g/dL (90 g/L); \< 9 g/dL (\< 90 g/L) is acceptable if hemoglobin is corrected to ≥ 9 g/dL (90 g/L) as by growth factor or transfusion prior to Day 0
    • Platelet count ≥ 100 × 109/L without blood transfusions for 7 days preceding the lab assessment
    • Bilirubin ≤ 1.5 × upper limit of normal (ULN), except for subjects with documented history of Gilbert's disease
    • Alanine aminotransferase (ALT), and aspartate aminotransferase (AST) ≤ 2.5 × ULN
    • Alkaline phosphatase (AP) ≤ 3 × ULN
    • Women of childbearing potential (WCBP): negative serum pregnancy test (this test is required of all women unless post menopausal, defined as 12 consecutive months since last regular menses or surgically sterile)
  • Ability to tolerate MRI
  • Karnofsky Performance Scale (KPS) ≥ 60
  • Ability to understand and the willingness to sign (personally or by a legal authorized representative) the written IRB approved informed consent document.

Exclusion criteria

Exclusion Criteria:

  • Previous chemotherapy or radiotherapy for glioma
  • Concurrent use of experimental therapies
  • Known allergy to adhesive tapes or other skin adhesives used in medical care
  • Known underlying skin hypersensitivity or other condition of the scalp with potential toxicity per pre treatment dermatology evaluation
  • Subjects with the following co morbid disease or incurrent illness:

    • Subjects with known cirrhosis diagnosed with Child Pugh Class A or higher liver disease.
    • Prior malignancy except for non melanoma skin cancer and carcinoma in situ (of the cervix or bladder), unless diagnosed and definitively treated more than 3 years prior to first dose of investigational drug
    • Severe/uncontrolled inter current illness within the previous 28 days prior to first day of treatment
    • Subjects who have implantable devices that are contra indicated for use with TTFields
    • Any other significant co morbid conditions that in the opinion of the investigator would impair study participation or cooperation.
  • Subjects receiving the following medications at the time of combined TTFields and SRS:

    • Pharmacotherapy for tuberculosis or HIV as these medications are known to interact with temozolomide
    • Other chemotherapy, other investigational agents, or biologic agents for the treatment of cancer including antibodies (eg, bevacizumab, trastuzumab, pertuzumab), small molecules, or any investigational agent(s).
  • Pregnant or nursing females will be excluded from the study
  • History of inability to tolerate MRI
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Novo-TTF

    Day 1: Subjects will wear the Optune (TTFields device) for ≥ 18 hours/day. They will take off the device when receiving stereotactic radiosurgery and brain MRI scans. Days 1 to 8: Subjects will take oral temozolomide 75 mg/m2/day Days 2 to 8: Subjects will receive stereotactic radiosurgery (total of 35 Gy) divided equally over 5 days • After the interventional treatment, subjects will receive standard of care adjuvant chemotherapy and routine surveillance brain MRI scans.

    Device: Optune · Drug: Gadolinium · Drug: Temozolomide · Radiation: Stereotactic radiosurgery (SRS)

Interventions

  • DeviceOptune

    Noninvasive, portable device which generates tumor treating fields (TTFields) manufactured by Novocure

  • DrugGadolinium

    Gadolinium contrast medium

    Also known as: Contrast agent

  • DrugTemozolomide

    Chemotherapy agent

  • RadiationStereotactic radiosurgery (SRS)

    Standard of Care: SRS (35 Gy in 5 fractions of 7 Gy), 5-day treatment from Day 2

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What researchers measure

Primary outcomes

  1. Dose-limiting Toxicity (DLTs)

    Dose limiting toxicities (DLTs) are defined as possibly, probably, or definitely related adverse events that are severe or medically significant, and needing topical \& systemic therapy; needing surgery intervention; needing hospitalization; needing treatment interruption; or life threatening. Late DLTs will be assessed as the number of DLTs that occur in the period from 31 days after the start of treatment through 5 months after the start of treatment. The outcome will be reported as a number without dispersion.

    Time frame: 5 months

Secondary outcomes

  1. Acute dose limiting toxicity

    Dose limiting toxicities (DLTs) are defined as possibly, probably, or definitely related adverse events that are severe or medically significant, and needing topical \& systemic therapy; needing surgery intervention; needing hospitalization; needing treatment interruption; or life threatening. Acute DLTs will be assessed as the number of DLTs that occur in the period from the start of treatment through 30 days after the start of treatment. The outcome will be reported as a number without dispersion.

    Time frame: 1 month

  2. Progression-free Survival (PFS) at 6 Months

    Progression-free survival is defined as the number of evaluable participants who, at 6 months from the date of surgical resection or biopsy (PFS6), are alive without disease progression, death, or other defined event (study withdrawal or loss to follow up). Disease progression is defined as ≥ 25% increase in product of perpendicular diameters of the lesion; any increase in MRI T2/FLAIR lesion area from previous MRI scan; MRI detection of a new lesion; decline in clinical status not attributable to causes other than the tumor. The outcome will be reported as the number without dispersion.

    Time frame: 6 months

  3. Overall Survival (OS)

    Overall survival (OS) will be assessed as the number of evaluable participants who remain alive from the date of surgical resection or biopsy. The outcome will be reported as the number without dispersion.

    Time frame: 30 months

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Study locations

1 site
  • Stanford University
    Stanford, California 94304, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04474353
Lead sponsor
Stanford University
Collaborators
NovoCure Ltd.
Responsible party
Scott Soltys (Professor of Radiation Oncology (Radiation Therapy), Stanford University) — Principal investigator
First posted
Jul 16, 2020
Start date
May 21, 2021
Primary completion
Nov 14, 2024
Completion
Sep 2, 2025
Last update
Dec 26, 2025

Study contacts

Scott G Soltys
principal investigator · Stanford Universiy

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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