First Report of Tumor Treating Fields (TTFields) Therapy for Glioblastoma in Comorbidity with Multiple Sclerosis

Tumor Treating Fields (TTFields) therapy is FDA approved and has the CE mark for treatment of newly diagnosed and recurrent glioblastoma. To our knowledge, to date TTFields therapy remains unstudied in glioblastoma patients with multiple sclerosis (MS) as a comorbidity. Here, we present a patient wh...

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Main Authors: Rebecca Kassubek, René Mathieu
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/4/499
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author Rebecca Kassubek
René Mathieu
author_facet Rebecca Kassubek
René Mathieu
author_sort Rebecca Kassubek
collection DOAJ
description Tumor Treating Fields (TTFields) therapy is FDA approved and has the CE mark for treatment of newly diagnosed and recurrent glioblastoma. To our knowledge, to date TTFields therapy remains unstudied in glioblastoma patients with multiple sclerosis (MS) as a comorbidity. Here, we present a patient who was diagnosed with MS at the age of 34. Treatment included several corticoid pulse treatments and therapies with interferon beta-1a and sphingosine-1-phosphate receptor modulator fingolimod. At the age of 52 the patient was diagnosed with glioblastoma, after experiencing worsening headaches which could not be attributed to the MS condition. After subtotal resection and concomitant radiochemotherapy, the patient received temozolomide in combination with TTFields therapy. For two years, the tumor condition remained stable while the patient showed high adherence to TTFields therapy with low-grade skin reactions being the only therapy-related adverse events. After two years, the tumor recurred. The patient underwent re-resection and radiotherapy and restarted TTFields therapy together with chemotherapy and is currently still on this therapy regime. Although having not been studied systematically, the case presented here demonstrates that TTFields therapy may be considered for newly diagnosed and recurrent glioblastoma patients with previously diagnosed multiple sclerosis.
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spelling doaj.art-e9f37b86635d45158e21f50c7bc2dfc12023-12-01T01:00:17ZengMDPI AGBrain Sciences2076-34252022-04-0112449910.3390/brainsci12040499First Report of Tumor Treating Fields (TTFields) Therapy for Glioblastoma in Comorbidity with Multiple SclerosisRebecca Kassubek0René Mathieu1Department of Neurology, University of Ulm, 89081 Ulm, GermanyDepartment of Neurosurgery, German Federal Armed Forces Hospital Ulm, 89081 Ulm, GermanyTumor Treating Fields (TTFields) therapy is FDA approved and has the CE mark for treatment of newly diagnosed and recurrent glioblastoma. To our knowledge, to date TTFields therapy remains unstudied in glioblastoma patients with multiple sclerosis (MS) as a comorbidity. Here, we present a patient who was diagnosed with MS at the age of 34. Treatment included several corticoid pulse treatments and therapies with interferon beta-1a and sphingosine-1-phosphate receptor modulator fingolimod. At the age of 52 the patient was diagnosed with glioblastoma, after experiencing worsening headaches which could not be attributed to the MS condition. After subtotal resection and concomitant radiochemotherapy, the patient received temozolomide in combination with TTFields therapy. For two years, the tumor condition remained stable while the patient showed high adherence to TTFields therapy with low-grade skin reactions being the only therapy-related adverse events. After two years, the tumor recurred. The patient underwent re-resection and radiotherapy and restarted TTFields therapy together with chemotherapy and is currently still on this therapy regime. Although having not been studied systematically, the case presented here demonstrates that TTFields therapy may be considered for newly diagnosed and recurrent glioblastoma patients with previously diagnosed multiple sclerosis.https://www.mdpi.com/2076-3425/12/4/499case reportglioblastomamultiple sclerosisTumor Treating Fields (TTFields)Optune<sup>®</sup>
spellingShingle Rebecca Kassubek
René Mathieu
First Report of Tumor Treating Fields (TTFields) Therapy for Glioblastoma in Comorbidity with Multiple Sclerosis
Brain Sciences
case report
glioblastoma
multiple sclerosis
Tumor Treating Fields (TTFields)
Optune<sup>®</sup>
title First Report of Tumor Treating Fields (TTFields) Therapy for Glioblastoma in Comorbidity with Multiple Sclerosis
title_full First Report of Tumor Treating Fields (TTFields) Therapy for Glioblastoma in Comorbidity with Multiple Sclerosis
title_fullStr First Report of Tumor Treating Fields (TTFields) Therapy for Glioblastoma in Comorbidity with Multiple Sclerosis
title_full_unstemmed First Report of Tumor Treating Fields (TTFields) Therapy for Glioblastoma in Comorbidity with Multiple Sclerosis
title_short First Report of Tumor Treating Fields (TTFields) Therapy for Glioblastoma in Comorbidity with Multiple Sclerosis
title_sort first report of tumor treating fields ttfields therapy for glioblastoma in comorbidity with multiple sclerosis
topic case report
glioblastoma
multiple sclerosis
Tumor Treating Fields (TTFields)
Optune<sup>®</sup>
url https://www.mdpi.com/2076-3425/12/4/499
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