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GlioblastomaPhase 3EF-41NCT06556563

EF-41/KEYNOTE D58: Phase 3 Study of Optune Concomitant With Temozolomide Plus Pembrolizumab in Newly Diagnosed Glioblastoma

A Phase 3 study testing Optune® device, Temozolomide and Pembrolizumab in people with Glioblastoma, run by NovoCure GmbH at 102 sites in 12 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a multicenter, two-arm, randomized, double-blind, placebo-controlled study of Optune® (Tumor Treating Fields at 200 kHz) together with maintenance Temozolomide (TMZ) chemotherapy agent and pembrolizumab compared to Optune® together with maintenance TMZ and placebo in newly diagnosed Glioblastoma (GBM)… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Glioblastoma
What is being tested?
Optune® device, Temozolomide and Pembrolizumab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
741 participants
Where
102 sitesin 12 countries
Study dates
3 Feb 2025to Apr 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The participant (or legally acceptable representative) has provided documented informed consent for the study.
  • Be ≥ 18 years of age on day of providing informed consent.
  • Participant with new diagnosis of GBM according to World Health Organization (WHO) 2021 Classification.
  • Recovered from maximal debulking surgery (gross total resection, partial resection and biopsy-only patients are all acceptable), Gliadel wafers placement at the time of surgical resection is not allowed.
  • Have completed standard adjuvant chemoradiotherapy of radiotherapy (RT) according to local practice (56-64 Gy), and concomitant TMZ chemotherapy.
  • Amenable to treatment with Optune concomitant with maintenance TMZ (150-200 mg/m^2 daily x 5, Q28 days).
  • Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1 assessed within 7 days before randomization.
  • Stable or decreasing dose of corticosteroids (dexamethasone ≤ 2mg or equivalent) for the last 7 days prior to randomization, if applicable.

Who cannot join

  • Has received prior therapy with an anti-Programmed Cell Death 1 (PD-1), anti- Programmed Cell Death-Ligand 1(PD-L1), or anti Programmed Cell Death-Ligand 2 (PD-L2) agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g.Cytotoxic T-Lymphocyte-Associated protein 4 (CTLA-4), OX 40, CD137).
  • Ongoing requirement for >2 mg dexamethasone (or equivalent), due to intracranial mass effect.
  • Has received prior systemic anti-cancer therapy including investigational agents within 4 weeks prior to randomization.
  • Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines are allowed.
  • Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first study treatment.
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior the first dose of study medication. Has a known additional malignancy that is progressing or has required active treatment within the past 3 years.
Show all 9Show fewer
  • Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
  • Early progressive disease after the end of TMZ/RT. If pseudo progression is suspected, additional imaging studies should be performed to rule out true progression.
  • Infratentorial or leptomeningeal disease.

Trial locations and contacts

102 sites in 12 countries. Contact the study team or a site near you to ask about taking part.

102 sites in 12 countries

United States36 sites
  • University of Maryland

    Baltimore, Maryland, 21201

    Active, not recruiting
  • Tufts Medical Center

    Boston, Massachusetts, 02111

    Active, not recruiting
  • Northwestern Memorial Hospital

    Chicago, Illinois, 60611

    Active, not recruiting
  • University of Cincinnati Cancer Institute

    Cincinnati, Ohio, 45219

    Active, not recruiting
  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

    Active, not recruiting
  • The Cleveland Clinic

    Cleveland, Ohio, 44195

    Active, not recruiting
  • Duke University Medical Center

    Durham, North Carolina, 27710

    Active, not recruiting
  • Inova Schar Cancer Institute

    Fairfax, Virginia, 22031

    Active, not recruiting
  • UF Health Neuromedicine

    Gainesville, Florida, 32608

    Active, not recruiting
  • John Theurer Cancer Center/ Hackensack Meridian Health

    Hackensack, New Jersey, 07601

    Active, not recruiting
  • The University of Texas

    Houston, Texas, 77030

    Active, not recruiting
  • University of Texas, MD Anderson Cancer Center

    Houston, Texas, 77030

    Active, not recruiting
  • Mayo Clinic - Florida

    Jacksonville, Florida, 32224

    Active, not recruiting
  • Northwell Health

    Lake Success, New York, 11042

    Active, not recruiting
  • University of Kentucky Medical Center

    Lexington, Kentucky, 40536

    Active, not recruiting
  • University of Southern California

    Los Angeles, California, 90033

    Active, not recruiting
  • Norton Cancer Institute

    Louisville, Kentucky, 40241

    Active, not recruiting
  • Miami Cancer Institute

    Miami, Florida, 33176

    Active, not recruiting
  • Masonic Cancer Center, University of Minnesota

    Minneapolis, Minnesota, 55455

    Active, not recruiting
  • Rutgers Cancer Institute of New Jersey University Hospital

    New Brunswick, New Jersey, 08901

    Active, not recruiting
  • Columbia University Irving Medical Center

    New York, New York, 10032

    Active, not recruiting
  • Hoag Memorial Hospital Presbyterian

    Newport Beach, California, 92663

    Active, not recruiting
  • Stanford Cancer Institute

    Palo Alto, California, 94305

    Active, not recruiting
  • Thomas Jefferson University, Sidney Kimmel Comprehensive Cancer Center, Clinical Trials Organization

    Philadelphia, Pennsylvania, 19107

    Active, not recruiting
  • Mayo Clinic Hospital

    Phoenix, Arizona, 85054

    Active, not recruiting
  • UPMC Hillman Cancer Center

    Pittsburgh, Pennsylvania, 15232

    Active, not recruiting
  • Rhode Island Hospital

    Providence, Rhode Island, 02903

    Active, not recruiting
  • Renown Regional Medical Center

    Reno, Nevada, 89502

    Active, not recruiting
  • Mayo Clinic - Rochester

    Rochester, Minnesota, 55905

    Active, not recruiting
  • Huntsman Cancer Institute, University of Utah

    Salt Lake City, Utah, 84112

    Active, not recruiting
  • University of California

    San Francisco, California, 94143

    Active, not recruiting
  • Swedish Medical Center

    Seattle, Washington, 98122

    Active, not recruiting
  • Washington University

    St Louis, Missouri, 63110

    Active, not recruiting
  • Moffitt Cancer Center

    Tampa, Florida, 33612

    Active, not recruiting
  • Montefiore Medical Center- Montefiore Medical Park

    The Bronx, New York, 10461

    Active, not recruiting
  • MedStar Georgetown University Hospital

    Washington D.C., District of Columbia, 20007

    Active, not recruiting

Other trials in United States

Japan12 sites, 12 recruiting
  • Kyushu University Hospital

    Fukuoka, 812-8582

    Uz Stammberger, 1-877-678-8611, clinicaltrials@novocure.com

    Recruiting
  • Hokkaido University Hospital

    Hokkaido, 060-8648

    Uz Stammberger, 1-877-678-8611, clinicaltrials@novocure.com

    Recruiting
  • Tokai University Hospital

    Isehara, Kanagawa, 259-1193

    Masamichi Takahashi, +81-463-93-1121, masataka@tokai.ac.jp

    Recruiting
  • Kanazawa University Hospital

    Ishikawa, 920-8641

    Uz Stammberger, 1-877-678-8611, clinicaltrials@novocure.com

    Recruiting
  • Kumamoto University Hospital

    Kumamoto, 860-8556

    Uz Stammberger, 1-877-678-8611, clinicaltrials@novocure.com

    Recruiting
  • Kyoto University Hospital

    Kyoto, 606-8507

    Uz Stammberger, 1-877-678-8611, clinicaltrials@novocure.com

    Recruiting
  • Kyorin University Hospital

    Mitaka, 181-8611

    Uz Stammberger, 1-877-678-8611, clinicaltrials@novocure.com

    Recruiting
  • Nagoya University Hospital

    Nagoya, 466-8560

    Uz Stammberger, 1-877-678-8611, clinicaltrials@novocure.com

    Recruiting
  • Saitama Medical University International Medical Center

    Saitama, 350-1298

    Uz Stammberger, 1-877-678-8611, clinicaltrials@novocure.com

    Recruiting
  • Tohoku University Hospital

    Sendai, 980-8574

    Uz Stammberger, 1-877-678-8611, clinicaltrials@novocure.com

    Recruiting
  • National Cancer Center Hospital

    Tokyo, 104-0045

    Uz Stammberger, 1-877-678-8611, clinicaltrials@novocure.com

    Recruiting
  • Fujita Health University Hospital

    Toyoake-shi, Aichi-ken, 470-1192

    Yuichi Hirose, 81562932111, yhirose@fujita-hu.ac.jp

    Recruiting

Other trials in Japan

United Kingdom11 sites
  • Queen Elizabeth

    Birmingham, B15 2TH

    Active, not recruiting
  • Addenbrooke's Hospital (Cambridge University Hospitals NHS Foundation Trust)

    Cambridge, CB2 0QQ

    Active, not recruiting
  • Velindre Cancer Centre

    Cardiff, CF14 2TL

    Active, not recruiting
  • Western General Hospital

    Edinburgh, EH4 2XU

    Active, not recruiting
  • The Clatterbridge Cancer Centre (Clatterbridge Cancer Centre NHS Foundation Trust)

    Liverpool, L7 8YA

    Active, not recruiting
  • Charing Cross Hospital

    London, Greater London, W6 8RF

    Active, not recruiting
  • The Christie Hospital

    Manchester, M20 4BX

    Active, not recruiting
  • Mount Vernon Cancer Centre

    Northwood, Middlesex, HA6 2RN

    Active, not recruiting
  • Weston Park Hospital

    Sheffield, S10 2SJ

    Active, not recruiting
  • Southampton General Hospital

    Southampton, SO16 6YD

    Active, not recruiting
  • Royal Marsden

    Sutton, SM2 5PT

    Active, not recruiting

Other trials in United Kingdom

Spain10 sites
  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035

    Active, not recruiting
  • Institut Català d'Oncologia de L'Hospitalet (ICO L'Hospitalet)

    Barcelona, 08908

    Active, not recruiting
  • Hospital Universitario Reina Sofia

    Córdoba, 14004

    Active, not recruiting
  • Hospital Universitario Virgen de las Nieves

    Granada, 18014

    Active, not recruiting
  • Hospital Universitario Clínico San Carlos

    Madrid, Madrid, 28040

    Active, not recruiting
  • Hospital Universitario Ramón y Cajal

    Madrid, 28034

    Active, not recruiting
  • Hospital Universitario 12 de Octubre

    Madrid, 28041

    Active, not recruiting
  • Hospital Universitario La Paz

    Madrid, 28046

    Active, not recruiting
  • Hospital Universitario Virgen del Rocio

    Seville, 41013

    Active, not recruiting
  • Hospital Universitari i Politécnic La Fe

    Valencia, 46026

    Active, not recruiting

Other trials in Spain

Canada7 sites, 7 recruiting
  • Cross Cancer Institute

    Edmonton, Alberta, T6G 1Z2

    Jay Easaw, (403) 521-3031, jay.easaw@albertahealthservices.ca

    Recruiting
  • Hamilton Health Sciences-Juravinski Cancer Centre

    Hamilton, Ontario, L8V 5C2

    Ronald Ramos, (905) 521-2100 ext. 44657, ramosr@hhsc.ca

    Recruiting
  • CHUM

    Montreal, Quebec, H2X 3E4

    Sarah Lapointe, 514-890-8000 ext. 26531, sarah.lapointe.chum@ssss.gouv.qc.ca

    Recruiting
  • Montreal Neurological Institute-Hospital, Clinical Research Unit

    Montreal, Quebec, H3A 2B4

    Bassam Abdulkarim, 514-934 1934 ext. 45461, bassam.abdulkarim@mcgill.ca

    Recruiting
  • The Ottawa Hospital Cancer Centre

    Ottawa, Ontario, K1H 8L6

    Nicholas Garth, (613) 737-7700, gnicholas@toh.ca

    Recruiting
  • Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (CIUSSS de l'Estrie-CHUS)

    Sherbrooke, Quebec, J1H 5N4

    David Mathieu, (819) 346-1110 ext. 71113, david.mathieu@usherbrooke.ca

    Recruiting
  • University Health Network - Princess Margaret Cancer Centre

    Toronto, Ontario, M5G 2C1

    Warren Mason, (416) 946-2249, warren.mason@uhn.on.ca

    Recruiting

Other trials in Canada

Italy7 sites
  • Ospedale Bellaria

    Bologna, 40139

    Active, not recruiting
  • Fondazione IRCCS Istituto Neurologico Carlo Besta

    Milan, 20133

    Active, not recruiting
  • Ospedale del Mare

    Naples, 80147

    Active, not recruiting
  • UOC Oncologia Medica 1 Istituto Oncologico Veneto IOV-IRCCS

    Padova, 35128

    Active, not recruiting
  • IRCCS Istituto Clinico Humanitas

    Rozzano, 20089

    Active, not recruiting
  • U.O.C. Immunoterapia Oncologica A.O.U. Senese, Policlinico Santa Maria alle Scotte

    Siena, 53100

    Active, not recruiting
  • Neuro-Oncologia Clinica Ospedale Molinette - AOU Città della Salute e della Scienza di Torino

    Torino, Torino, 10126

    Active, not recruiting

Other trials in Italy

France5 sites
  • Centre Hospitalier Universitaire de Lyon

    Bron, 69500

    Active, not recruiting
  • Hopital de la Timone

    Marseille, 13385

    Active, not recruiting
  • Hopital Saint-Louis

    Paris, 75010

    Active, not recruiting
  • Groupe Hospitalier Pitie - Salpetriere

    Paris, 75013

    Active, not recruiting
  • Institut Claudius Regaud

    Toulouse, 31059

    Active, not recruiting

Other trials in France

Israel4 sites
  • Rambam Medical Center

    Haifa, 3109601

    Active, not recruiting
  • Rabin Medical Center- Beilinson Hospital

    Petah Tikva, 4941492

    Active, not recruiting
  • Chaim Sheba Medical Center

    Ramat Gan, 5265601

    Active, not recruiting
  • Tel-Aviv Sourasky Medical Center

    Tel Aviv, 64239

    Active, not recruiting

Other trials in Israel

Germany3 sites
  • Charité Campus Virchow-Klinikum

    Berlin, 10117

    Active, not recruiting
  • Universitätsklinikum Essen

    Essen, 45147

    Active, not recruiting
  • University Hospital Frankfurt

    Frankfurt, 60528

    Active, not recruiting

Other trials in Germany

Poland3 sites
  • Centrum Onkologii

    Bydgoszcz, 85-796

    Active, not recruiting
  • Narodowy Instytut Onkologii

    Gliwice, 44-102

    Active, not recruiting
  • Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika-Zakład Teleradioterapii

    Lodz, 93-513

    Active, not recruiting

Other trials in Poland

Switzerland3 sites
  • University Hospital Basel Medical Oncology

    Basel, 4031

    Active, not recruiting
  • Centre Hospitalier Universitaire Vaudois (CHUV)

    Lausanne, 1005

    Active, not recruiting
  • University Hospital Zurich

    Zurich, 8091

    Active, not recruiting

Other trials in Switzerland

Czechia1 site
  • Nemocnice Na Homolce

    Prague, 150 30

    Active, not recruiting

Other trials in Czechia

About this study

Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Optune® (TTFields, 200 kHz) Concomitant With Maintenance Temozolomide and Pembrolizumab Versus Optune® Concomitant With Maintenance Temozolomide and Placebo for the Treatment of Newly Diagnosed Glioblastoma (EF-41/KEYNOTE D58).

This is a multicenter, two-arm, randomized, double-blind, placebo-controlled study of Optune® (Tumor Treating Fields at 200 kHz) together with maintenance Temozolomide (TMZ) chemotherapy agent and pembrolizumab compared to Optune® together with maintenance TMZ and placebo in newly diagnosed Glioblastoma (GBM) patients. The primary objective of the study is to evaluate the Overall Survival (OS).

Conditions
Glioblastoma
Being tested
Optune® device, Temozolomide, Pembrolizumab, Placebo
Keywords
TTFields, Pembrolizumab, Glioblastoma, Tumor Treating Fields, Immunotherapy, Merck Sharp & Dohme LLC, GBM, KEYNOTE D58, MK3475-D58
Medical subject headings
Glioblastoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Optune® deviceDevice

    Also called TTFields

    Optune® device delivering TTFields therapy at 200 kHz.

  • TemozolomideDrug

    Temozolomide per approved labeling.

  • PembrolizumabDrug

    Also called KEYTRUDA®

    Pembrolizumab dose throughout this study is 200 mg IV Q3W for a maximum of 35 cycles.

  • PlaceboDrug

    Placebo (saline solution) dose throughout this study is 200 mg IV Q3W for a maximum of 35 cycles.

Study groups in NCT06556563
Study groupRoleWhat they receive
Treatment GroupExperimentalNot described
Receives: Device: Optune® device; Drug: Temozolomide; Drug: Pembrolizumab
Control GroupPlacebo comparatorNot described
Receives: Device: Optune® device; Drug: Temozolomide; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall survival

    Overall survival (OS) is defined as the time from randomization to death due to any cause

    Measured: 24 months

Secondary outcomes (2)
  1. Progression-Free Survival (PFS) per RANO 2.0 assessed by investigator

    PFS is defined as the time interval, in months, between randomization and the first documented disease progression per RANO 2.0 assessed by investigator or death due to any cause, whichever occurs first.

    Note: RANO 2.0 = Modified Radiographic Response Assessment in Neuro-Oncology

    Measured: 24 months

  2. Progression-Free Survival (PFS) per RANO 2.0 assessed by investigator

    PFS is defined as the time interval, in months, between randomization and the first documented disease progression per RANO 2.0 assessed by investigator or death due to any cause, whichever occurs first.

    Note: RANO 2.0 = Response Assessment in Neuro-Oncology

    Measured: 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Aug 2024
  2. Study start3 Feb 2025
  3. Primary completionApr 2029 (estimated)
  4. Study completionApr 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The participants in the study will be randomized in a ratio of 2:1 in favor of the treatment group to one of the following groups: Treatment Group - Optune concomitant with maintenance TMZ and pembrolizumab (KEYTRUDA®). Control Group - Optune concomitant with maintenance TMZ and placebo.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
741 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06556563
Sponsor's protocol ID
EF-41
Other IDs
2024-513550-30-00, MK3475-D58, KEYNOTE D58
Acronym
EF-41
Status last verified
Feb 2026
First submitted
13 Aug 2024
Last updated
19 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Optune® device, Temozolomide and Pembrolizumab in people with Glioblastoma, run by NovoCure GmbH at 102 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 19 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 102 sites in United States, Japan, United Kingdom, Spain, Canada and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Uz Stammberger (1-877-678-8611, clinicaltrials@novocure.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall survival (time frame: 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Aug 2026.

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