Health-related quality of life, cognitive screening, and functional status in a randomized phase III trial (EF-14) of tumor treating fields with temozolomide compared to temozolomide alone in newly diagnosed glioblastoma

Zvi Ram on behalf of the EF-14 Trial Investigators

Research output: Contribution to journalArticlepeer-review

51 Scopus citations

Abstract

We characterized health-related quality of life (HRQoL), cognitive, and functional status in newly diagnosed glioblastoma (GBM) patients receiving Tumor treating fields (TTFields) with temozolomide (TMZ) versus TMZ alone in a planned interim analysis of a randomized phase III trial [NCT00916409], which showed significant improvement in progression-free and overall survival with TTFields/TMZ. After radiotherapy with concomitant TMZ, newly diagnosed GBM patients were randomized (2:1) to TTFields/TMZ (n = 210) or TMZ (n = 105). Interim analysis was performed in 315 patients with ≥18 months of follow-up. HRQoL, a secondary endpoint, was evaluated in per-protocol patient population and expressed as change from baseline (CFB) at 3, 6, and 9 months for each subscale in the EORTC QLQ-C30/BN20. Karnofsky performance scores (KPS) and Mini-Mental State Examination scores (MMSE) were assessed. CFB in HRQoL was balanced in treatment groups at the 12-month time point. Initially, HRQoL improved in patients treated with TTFields/TMZ (CFB3: 24% and CFB6: 13%) versus TMZ (CFB3: −7% and CFB6: −17%), though this difference was no longer evident at the 9-month point. General scales, including physical and social functioning, showed no difference at 9 and 12 months. TTFields/TMZ group reported higher concerns of “itchy skin”. KPS over 12 months was just below 90 in both groups. Cognitive status (MMSE) was stable over time. HRQoL, KPS, and MMSE were balanced in both groups over time. There was no preliminary evidence that HRQoL, cognitive, and functional status is adversely affected by the continuous use of TTFields.

Original languageEnglish
Pages (from-to)545-552
Number of pages8
JournalJournal of Neuro-Oncology
Volume135
Issue number3
DOIs
StatePublished - 1 Dec 2017

Funding

FundersFunder number
Arrow Development Corp
DEKK-TEC, Inc.
Diffusion Pharmaceuticals LLC
Electra Pharmaceuticals
ICF International
MAPI
Novocure Inc.
Roche
School of Public Health, University of California Berkeley

    Keywords

    • Cognition
    • EF-14
    • Glioblastoma
    • Health-related quality of life (HRQoL)
    • Temozolomide
    • Tumor treating fields

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