Trial of Anti-PD-1 Immunotherapy and Stereotactic Radiation in Patients With Recurrent Glioblastoma

NCT ID: NCT04977375

Last Updated: 2025-09-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-09

Study Completion Date

2026-12-31

Brief Summary

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The purpose of this study is to assess the safety/tolerability/feasibility of pembrolizumab and radiation therapy before surgical resection in patients with recurrent glioblastoma as defined by treatment-related AEs and the number of patients who do not necessitate a delay in surgical resection, and to assess overall survival. The secondary objectives are to assess progression free survival, and to assess the T cell clonality, CD8 T cell activation and Tumor Infiltrating Lymphocyte (TIL) score after treatment

Detailed Description

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Conditions

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Glioblastoma Multiforme

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pembrolizumab with stereotactic radiation therapy and surgical resection

Group Type EXPERIMENTAL

Pembrolizumab

Intervention Type DRUG

Pembrolizumab 400mg administered intravenously on Day 1, and then beginning 6 weeks post-surgery, subjects will receive 400 mg pembrolizumab every 6 weeks

Stereotactic Radiation Therapy

Intervention Type RADIATION

Standard of care stereotactic radiation of 24 grays over 3 days, administered beginning on Day 7

Surgical Resection

Intervention Type PROCEDURE

Standard of care surgical resection of tumor on Day 10-28

Interventions

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Pembrolizumab

Pembrolizumab 400mg administered intravenously on Day 1, and then beginning 6 weeks post-surgery, subjects will receive 400 mg pembrolizumab every 6 weeks

Intervention Type DRUG

Stereotactic Radiation Therapy

Standard of care stereotactic radiation of 24 grays over 3 days, administered beginning on Day 7

Intervention Type RADIATION

Surgical Resection

Standard of care surgical resection of tumor on Day 10-28

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or older
* Confirmed histologic diagnosis of WHO Grade IV, Glioblastoma Multiforme
* GBM recurrence or progression with planned standard of care surgical resection and repeat radiation
* Tumor size less than 6 cm
* ECOG performance status of 0-1
* Adequate laboratory values

Exclusion Criteria

* Contraindication to additional radiation
* Prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor
* Immunodeficiency diagnosis or receiving chronic systemic steroid therapy (exceeding 10 mg daily of prednisone) or any other form of immunosuppressive therapy
* Severe hypersensitivity to pembrolizumab
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Chirag G. Patil

OTHER

Sponsor Role lead

Responsible Party

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Chirag G. Patil

Associate Professor of Neurosurgery Program Director, Neurosurgery Residency Training

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Chirag G Patil, MD, MS

Role: PRINCIPAL_INVESTIGATOR

Cedars-Sinai Medical Center

Locations

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Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Clinical Trial Recruitment Navigator

Role: CONTACT

3104232133

Facility Contacts

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Clinical Trial Recruitment Navigator

Role: primary

310-423-2133

Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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R21CA256421

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IIT2019-13-Patil-NeoPD1SRS

Identifier Type: -

Identifier Source: org_study_id

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