ClinicalTrials.gg
CompletedNCT03426891Updated Oct 6, 2025Results posted

Pembrolizumab and Vorinostat Combined With Temozolomide for Newly Diagnosed Glioblastoma

A Phase 1 interventional study of Pembrolizumab and Vorinostat in Glioblastoma, Brain Tumor and GBM, sponsored by H. Lee Moffitt Cancer Center and Research Institute. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-06.

Sponsored by H. Lee Moffitt Cancer Center and Research Institute · Phase 1, Interventional, and Treatment

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Phase
Phase 1
Study type
Interventional
Enrollment
21
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 11 studies testing vorinostat in Glioblastoma — none open to participants now, 1 under way, none of them phase 3. Vorinostat · Glioblastoma.

Enrollment
8th of 11
21 · median 44
Started
2018
the only one that year
Phase 1
4 of 11
none open now
Registered
11th of 11
by date
Lead sponsor
2 of 11
H. Lee Moffitt Cancer Center and Research Institute

Among the 11 studies testing vorinostat in Glioblastoma, this one is the 8th largest by enrollment, is the only one that started in 2018, is one of 4 in phase 1, and was the 11th registered.

Glioblastoma

2,135 studies on the registry are indexed under Glioblastoma; 467 are open to participants now.

Browse Glioblastoma studies →

Open to participants now

None of the 11 studies testing vorinostat in Glioblastoma is open now. The open studies under Glioblastoma, anywhere →

Where they have run

About vorinostat

Vorinostat: first FDA approval 2006 (ZOLINZA). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 339 Glioblastoma studies recruiting now, 234 (69%) set no upper age limit and 65 (19%) stop at 75 or younger; 27 take children under 18; 13 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Download CSVNarrow it in search →With an account: the 11 studies testing vorinostat in Glioblastoma as a file.
02

Study summary

The purpose of this research study is to test the safety and tolerability of the combination treatment of the investigational drugs vorinostat and pembrolizumab, in combination with chemotherapy (temozolomide), and radiotherapy. The U.S. Food and Drug Administration (FDA) has approved pembrolizumab for use to treat a deadly skin cancer called melanoma and lung cancer and vorinostat to treat some forms of blood and lymph node cancers. However, both vorinostat and pembrolizumab are considered investigational drugs in this study because they are not approved for treatment of glioblastoma.

03

Conditions studied

  • Glioblastoma
  • Brain Tumor
  • GBM

Keywords

  • Immunotherapy
  • Radiotherapy
  • Glioblastoma
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Newly diagnosed glioblastoma or gliosarcoma
  • confirmed diagnosis of World Health Organization Grade IV malignant glioma
  • An interval of ≥ 21 days since surgical resection prior to treatment on the trial
  • performance status of 70 or higher
  • Adequate organ function laboratory values
  • Resting baseline O2 saturation by pulse oximetry of ≥ 92% at rest
  • Willing and able to provide written /assent for the trial.
  • ≥ 12 weeks
  • Willingness to discontinue medications known to be associated with risk of Torsades de Pointes such as quinidine, procainamide, disopyramide, amiodarone, erythromycin, clarithromycin, chlorpromazine and haloperidol
  • Single lesion \< 4 cm in longest diameter (diameter of enhancing lesion)
  • Patient shouldn't have received any anti-cancer therapy for glioblastoma in past
  • Females of (FOCBP) should have a negative urine or serum pregnancy prior to receiving the first dose of study medication. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.
  • Females and males of childbearing potential must be willing to use an adequate method of per protocol for the course of the study through 120 days after the last dose of study medication. Note: Abstinence is acceptable if this is the usual lifestyle and preferred contraception for participant.
  • Use of Optune device is allowed.

Exclusion criteria

Exclusion Criteria:

  • Had prior treatment of glioblastoma (GBM) with radiation and temozolomide
  • Has evidence of
  • Had prior treatment with Gliadel
  • Unable (due to existent medical condition) or unwilling to have a contrast enhanced MRI of brain
  • Currently participating and receiving study therapy or has participated in a study of an agent and received study therapy or used an investigational device within 4 weeks of the first dose of treatment
  • Has a diagnosis of immunodeficiency or is receiving systemic therapy or any other form of therapy within 7 days prior to the first dose of trial treatment. Physiologic doses of steroid therapy (≤ 2 mg/day dexamethasone equivalents) by the time of first dose of treatment are allowed.
  • Has a known history of active Bacillus Tuberculosis (TB)
  • to pembrolizumab or any of its
  • Has had a prior anti-cancer monoclonal antibody (mAb) within 4 weeks prior to study Day 1 or who has not recovered (i.e., ≤ Grade 1 or at baseline) from adverse events due to agents administered more than 4 weeks earlier
  • Has had prior chemotherapy, targeted small molecule therapy, or radiation therapy within 2 weeks prior to study Day 1 or who has not recovered (i.e., ≤ Grade 1 or at baseline) from adverse events due to a previously administered agent. Note: Potential participants with ≤ Grade 2 neuropathy are an exception to this criterion and may qualify for the study. Note: If patient received major surgery, they must have recovered adequately from the toxicity and/or complications from the intervention prior to starting therapy.
  • Has a known additional that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin or squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer.
  • Has active disease that has required systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment. Patients with vitiligo or resolved childhood asthma/atopy would be an exception to this rule. Patients that require intermittent use of bronchodilators or local steroid injections would not be excluded from the study. Patients with hypothyroidism stable on hormone replacement or Sjorgen's syndrome will not be excluded from the study.
  • Has known history of, or any evidence of active, interstitial lung disease or non-infectious pneumonitis requiring corticosteroid therapy
  • Has an active serious infection requiring systemic therapy
  • Had major surgical procedure, open , or significant traumatic injury within 21 days prior to day 1 of treatment on study
  • Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the patient's participation for the full duration of the trial, or is not in the best interest of the patient to participate
  • Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial
  • Is pregnant or breastfeeding, or expecting to conceive or father children within the projected duration of the trial, starting with the pre-screening or screening visit through 120 days after the last dose of trial treatment.
  • Has received prior therapy with an , anti-PD-L1, or anti-PD-L2 agent.
  • Has a known history of (HIV) (HIV 1/2 antibodies).
  • Has known active (e.g., HBsAg reactive) or (e.g., HCV RNA [qualitative] is detected).
  • Has received a within 30 days of planned start of study therapy. Note: Seasonal influenza vaccines for injection are generally inactivated flu vaccines and are allowed; however intranasal influenza vaccines (e.g., Flu-Mist®) are live attenuated vaccines, and are not allowed.
Terms in these criteria, in plain language(20)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
21 participants (actual)

Study arms

  • Experimental
    Dose Escalation Phase

    Level -1: Vorinostat 100 mg/day PO during RTX; 300 mg/day PO after RTX Level 1: Vorinostat 200 mg/day PO during RTX; 300 mg/day PO after RTX

    Drug: Pembrolizumab · Drug: Vorinostat · Drug: Temozolomide · Radiation: Radiotherapy

  • Experimental
    Radiotherapy and Maintenance Phase

    100 mg/day Vorinostat (+200 mg Pembro) with radiotherapy and 400 mg/day Vorinostat (+200 mg Pembro) maintenance.

    Drug: Pembrolizumab · Drug: Vorinostat · Drug: Temozolomide · Radiation: Radiotherapy

Interventions

  • 200 mg intravenously (IV) every 3 weeks. The dose of pembrolizumab will remain the same throughout study treatment. During the maintenance phase, participants will receive pembrolizumab (for 12 months).

    Also known as: Keytruda, immunotherapy

  • Dose Escalation Level -1 vorinostat 100 mg/day by mouth on days 1-5 every week during radiotherapy starting on first day of radiotherapy and 300 mg/day 1 week on 1 week off after radiotherapy. Level 1:vorinostat 200 mg/day by mouth on day 1-5 every week during radiotherapy, starting on first day of radiotherapy; and 300 mg/day 1 week on 1 week off after radiotherapy. Dose Escalation Level 2: vorinostat 300 mg/day by mouth on days 1-5 every week during radiotherapy, starting on first day of radiotherapy; and 400 mg/day 1 week on 1 week off after radiotherapy.

    Also known as: Zolinza™, chemotherapy, histone deacetylase inhibitor

  • All participants will receive standard Temozolomide: Temozolomide (chemotherapy) 75 mg/m\^2/day by mouth administered during the course of radiotherapy. Temozolomide will be administered continuously from Day 1 of radiotherapy to the last day of radiation. Maintenance Phase: temozolomide will start 4 weeks (+/- 3 days) after last dose of radiotherapy and will continue for 6 cycles post radiotherapy (150-200 mg/m\^2/day, days 1-5 every 4 weeks) as per standard of care. During the maintenance phase, participants will receive Temozolomide (for the first 6 months).

    Also known as: chemotherapy, Temodar, TMZ

  • RadiationRadiotherapy

    All participants will receive standard radiotherapy: a total dose of 60 Gy administered in daily doses of 2 Gy, typically on a 5 days on / 2 days off schedule over 6 - 7 weeks.

    Also known as: radiation therapy

06

What researchers measure

Primary outcomes

  1. Maximum Tolerated Dose (MTD)

    The maximum tolerated dose (MTD)/recommended dose expansion dose of vorinostat given in combination with pembrolizumab, temozolomide, and radiotherapy in patients with newly diagnosed glioblastoma. Toxicities will be graded in severity according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 for toxicity categories as outlined in the study protocol.

    Time frame: 12 weeks

Secondary outcomes

  1. Overall Survival (OS)

    Median overall survival rate, 95% confidence survival. OS: Time from randomization until death from any cause.

    Time frame: Up to 24 months

07

Results

Posted Oct 6, 2025

Participant flow

Participant flow — Overall Study
MilestoneLevel -1Level 1Radiotherapy and Maintenance Phase
Started687
Completed686
Not completed001

Outcome measures

PrimaryMaximum Tolerated Dose (MTD)

The maximum tolerated dose (MTD)/recommended dose expansion dose of vorinostat given in combination with pembrolizumab, temozolomide, and radiotherapy in patients with newly diagnosed glioblastoma. Toxicities will be graded in severity according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 for toxicity categories as outlined in the study protocol.

Time frame:
12 weeks
Reported as:
Number · mg/day Vorinostat
Maximum Tolerated Dose (MTD)
mg/day VorinostatDose Escalation Phase
MTD during RTX100
MTD after RTX300
SecondaryOverall Survival (OS)

Median overall survival rate, 95% confidence survival. OS: Time from randomization until death from any cause.

Time frame:
Up to 24 months
Reported as:
Median · Months
Overall Survival (OS)
MonthsLevel -1Level 1Radiotherapy and Maintenance Phase
Overall Survival (OS)NA (17.9 to NA)12.2 (10.7 to NA)NA (16.2 to NA)

Adverse events

Collected over 2 years. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Level -13/6 (50%)2/6 (33.3%)6/6 (100%)
Level 15/8 (62.5%)6/8 (75%)8/8 (100%)
Radiotherapy and Maintenance Phase1/7 (14.3%)3/7 (42.9%)7/7 (100%)
Most frequent serious events
Showing 10 of 29
Most frequent serious events
EventLevel -1Level 1Radiotherapy and Maintenance Phase
SeizureNervous system disorders0/62/80/7
Rash maculo-papularSkin and subcutaneous tissue disorders1/62/80/7
Flu like symptomsGeneral disorders1/60/80/7
Urinary tract infectionInfections and infestations0/60/81/7
Alanine aminotransferase increasedInvestigations0/60/81/7
HypotensionVascular disorders0/60/81/7
Thromboembolic eventVascular disorders0/61/81/7
NauseaGastrointestinal disorders0/60/81/7
VomitingGastrointestinal disorders0/60/81/7
Non-cardiac chest painGeneral disorders0/60/81/7
Most frequent other events
Showing 10 of 142
Most frequent other events
EventLevel -1Level 1Radiotherapy and Maintenance Phase
Lymphocyte count decreasedInvestigations6/66/86/7
Platelet count decreasedInvestigations6/66/86/7
Investigations - Other, specifyInvestigations5/60/87/7
AnemiaBlood and lymphatic system disorders5/64/86/7
FatigueGeneral disorders5/65/84/7
NauseaGastrointestinal disorders5/62/84/7
VomitingGastrointestinal disorders5/62/83/7
DiarrheaGastrointestinal disorders4/61/80/7
White blood cell decreasedInvestigations3/63/84/7
Creatinine increasedInvestigations2/61/84/7

Baseline characteristics

Multiple dose levels are specified in the protocol but only the administered doses are included in the baseline characteristics.

Age, Continuous
Age, Continuous(years)Level -1Level 1Radiotherapy and Maintenance PhaseTotal
Mean56.33 (36 to 67)60.38 (44 to 74)55.57 (32 to 77)57.62 (32 to 77)
Sex: Female, Male
Sex: Female, Male(Participants)Level -1Level 1Radiotherapy and Maintenance PhaseTotal
Female2518
Male43613
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Level -1Level 1Radiotherapy and Maintenance PhaseTotal
Hispanic or Latino0022
Not Hispanic or Latino57517
Unknown or Not Reported1102
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Level -1Level 1Radiotherapy and Maintenance PhaseTotal
American Indian or Alaska Native0000
Asian1012
Native Hawaiian or Other Pacific Islander0000
Black or African American0000
White57517
More than one race0000
Unknown or Not Reported0112
Region of Enrollment
Region of Enrollment(participants)Level -1Level 1Radiotherapy and Maintenance PhaseTotal
United States68721
08

Study locations

1 site
  • H. Lee Moffitt Cancer Center and Research Institute
    Tampa, Florida 33612, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Oct 2021, 43 months.

Results were first posted in Oct 2025, 3 years 11 months after primary completion.

Of 240 non-industry phase 1 interventional studies under Glioblastoma, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 76. This study's 43 months is close to that.

Counting every sponsor, half of 322 studies reached it within 44 months; a quarter within 29 and three quarters within 73.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 2, 2018
First posted
Feb 8, 2018
StartActual
Mar 16, 2018
Primary completionActual
Oct 18, 2021
CompletionActual
Jun 28, 2023
Results first posted
Oct 6, 2025
Last update
Oct 6, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03426891
Responsible party
Sponsor
First posted
Feb 8, 2018
Start date
Mar 16, 2018
Primary completion
Oct 18, 2021
Completion
Jun 28, 2023
Results posted
Oct 6, 2025
Last update
Oct 6, 2025

Study contacts

Peter Forsyth, M.D.
principal investigator · H. Lee Moffitt Cancer Center and Research Institute

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Vorinostat

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