Efficacy and safety of tumor treating fields (TTF) combined with chemotherapy versus chemotherapy only in the treatment of glioblastoma: a systematic review and meta-analysis - Scorecard - MDSpire

Efficacy and safety of tumor treating fields (TTF) combined with chemotherapy versus chemotherapy only in the treatment of glioblastoma: a systematic review and meta-analysis

  • By

  • Naibijiang Abuliezi

  • Yihan Sun

  • Jiale Zhao

  • Xinge Qu

  • Yanyan Wu

  • Tiantian Liao

  • Gulinuer Kuerban

  • Xiaoyi Dun

  • Qinfen Wu

  • May 8, 2026

  • 0 min

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Clinical Scorecard: Assessment of the Safety and Effectiveness of Tumor Treating Fields (TTF) in Combination with Chemotherapy Versus Chemotherapy Alone for Glioblastoma: A Systematic Review and Meta-Analysis

At a Glance

CategoryDetail
ConditionGlioblastoma (GBM)
Key MechanismsTumor treating fields (TTF) interfere with tumor cell division and proliferation, potentially enhancing chemosensitivity.
Target PopulationIndividuals with newly diagnosed and recurrent glioblastoma.
Care SettingOncology clinics and hospitals providing chemotherapy.

Key Highlights

  • TTF combined with chemotherapy significantly improves progression-free survival (PFS) and overall survival (OS) in GBM patients.
  • No significant difference in systemic adverse events between TTF and chemotherapy alone.
  • Increased incidence of skin irritation observed in the TTF cohort.
  • Meta-analysis included 14 studies with 2,376 participants.
  • TTF represents a promising alternative treatment modality for GBM.

Guideline-Based Recommendations

Diagnosis

  • Diagnosis of GBM should follow established imaging and histopathological criteria.

Management

  • Consider TTF in conjunction with standard chemotherapy for newly diagnosed and recurrent GBM patients.

Monitoring & Follow-up

  • Monitor for skin irritation and other adverse effects in patients receiving TTF.

Risks

  • Be aware of the potential for increased skin irritation with TTF therapy.

Patient & Prescribing Data

Patients with newly diagnosed and recurrent glioblastoma.

TTF combined with chemotherapy may enhance survival outcomes without increasing systemic toxicity.

Clinical Best Practices

  • Utilize TTF as an adjunct to standard chemotherapy in GBM treatment protocols.
  • Regularly assess patient tolerance to TTF, particularly regarding skin reactions.

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