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This is a combination therapy consisting of the **NovoTTF-100L System** (also called Optune Lua), a non-invasive medical device delivering Tumor Treating Fields (TTFields), used alongside the **antifolate chemotherapy drug pemetrexed** (plus a platinum-based agent such as cisplatin or carboplatin) for the first-line treatment of **unresectable, locally advanced or metastatic malignant pleural mesothelioma**. The NovoTTF-100L System works by producing low-intensity, intermediate-frequency alternating electric fields that disrupt mitosis and inhibit cancer cell proliferation, while pemetrexed inhibits folate-dependent enzymes essential for DNA and RNA synthesis, further blocking tumor cell replication. This combination has shown improved survival outcomes in clinical trials such as STELLAR, leading to regulatory approvals in both the US and Europe for this specific indication[1][2][3][5].
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