On (b)(6), 2014 novocure was informed by the spouse that the patient had been hospitalized due to a stroke.Per hospital summary provided by prescribing site, on (b)(6), 2014 the patient noted left hand limited grip strength and left side limited strength.Patient also complained of slurred speech and difficulty getting dressed.On (b)(6), 2014, patient presented to hospital with worsened left hand grip strength, left sided weakness and difficulty swallowing.Novottf therapy was discontinued upon admission.Stroke work-up showed unremarkable computed tomographic angiography (cta), normal alc, normal transthoracic echocardiogram (tte) and slightly elevated ldl.Final diagnosis was acute right putamen/corona radiata ischemic infarct secondary to atherosclerosis exacerbated in the setting of prior radiation treatment.Aspirin was started on admission and will be continued.Statin therapy was held given ongoing glioma treatment.On (b)(6), 2014, patient was discharged to a rehabilitation facility.Patient planned to restart novotff therapy upon discharge home.
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Additional serial # (b)(4).Novocure concurs with the treating physician that the event was related to atherosclerosis exacerbated in the setting of prior radiation treatment.Event was not related to novottf therapy.Cerebral artery infarct was not reported in the pivotal phase iii recurrent gbm trail.In the commerical program, there has been 1 prior report of cerebral artery infarct, which was not related to novottf therapy, risk factors for stroke in this patient include: prior radiotherapy and multiple tumor resection surgeries, high cholesterol, obstructive sleep apnea and age.
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