PHASE I (STRATUM ): Patients with progressive DIPG, as defined by progressive neurologic abnormalities or worsening neurologic status not explained by causes unrelated to tumor progression (e.g., anticonvulsant or corticosteroid toxicity wean, electrolyte disturbances, sepsis, hyperglycemia, etc.), OR an increase in the bi-dimensional measurement, taking as a reference the smallest disease measurement recorded since last treatment, OR the appearance of a new tumor lesion since diagnosis \r\n* Please note:\r\n** Patients with a radiographically typical DIPG, defined as a tumor with a pontine epicenter and diffuse involvement of more than / of the pons, are eligible without histologic confirmation\r\n** Patients with pontine lesions that do not meet these radiographic criteria will be eligible if there is histologic confirmation of malignant glioma WHO II-IV. These patients must have radiographic evidence of progression
Stratum A, currently closed to enrollment: Patients must have a recurrent, progressive or refractory DIPG following radiation therapy with or without chemotherapy\r\n* Histologic diagnosis is not required for patients with typical imaging findings of DIPG (defined as patients with a diffuse expansile mass centered in and involving at least / of the pons); patients with brainstem tumors who have undergone biopsy with a diagnosis of high-grade glioma or diffuse infiltrating glioma are also eligible
STRATUM A: Histological confirmation of a newly diagnosed high-grade glioma or DIPG
STRATUM B: Histological confirmation (at diagnosis or relapse) of a recurrent or progressive grade II-IV glioma (including DIPG)
Patients with newly diagnosed DIPG who have received vorinostat previously will not be eligible for stratum I; patients with progressive DIPG will be eligible if they have received either one of the two drugs vorinostat or temsirolimus but will not be eligible for stratum II if have received both the drugs before
Pediatric patients with progressive DIPG
Diagnosis of recurrent or progressive HGG or DIPG
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients with progressive DIPG, as defined by progressive neurologic abnormalities or worsening neurologic status not explained by causes unrelated to tumor progression (e.g., anticonvulsant or corticosteroid toxicity wean, electrolyte disturbances, sepsis, hyperglycemia, etc.), OR an increase in the bi-dimensional measurement, taking as a reference the smallest disease measurement recorded since diagnosis, OR the appearance of a new tumor lesion since diagnosis\r\n* Please note: patients with a radiographically typical DIPG, defined as a tumor with a pontine epicenter and diffuse involvement of more than / of the pons, are eligible without histologic confirmation\r\n* Patients with pontine lesions that do not meet these radiographic criteria will be eligible if there is histologic confirmation of malignant glioma World Health Organization (WHO) II-IV
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patient must be able to swallow capsules whole
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients must have received a minimum of Gy focal irradiation administered over approximately days prior to enrollment; patients must have recovered from the acute treatment-related toxicities (defined as =< grade ) of all prior chemotherapy, immunotherapy, or radiotherapy prior to entering this study
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients must have received their last dose of known myelosuppressive anticancer therapy or immunotherapy at least days prior to enrollment ( days if prior nitrosourea)
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Absolute neutrophil count >= ,/mm^
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Hemoglobin >= g/dl (may receive transfusions)
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Total bilirubin =< . times institutional upper limit of normal (ULN)
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Albumin >= g/dl
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Potassium >= lower limit of normal (LLN)
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Female patients of childbearing potential must have a negative serum or urine pregnancy test
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients who have had > Gy total radiation to the pons (e.g. patients who have received re-irradiation)
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients have had valproic acid within days prior to enrollment
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients have had prior bone marrow transplant
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients have significant acute deterioration in neurologic status in hours prior to enrollment, in the opinion of the treating physician
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients have any other significant concurrent illness
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients have a history of any other malignancy
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients are known to be refractory to red blood cell or platelet transfusions
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients who are receiving any other anticancer or investigational drug therapy
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Patients who are required to receive any medication which can prolong the QTc interval
RECURRENT/ PROGRESSIVE DIPG (STRATUM ): Female patient is breastfeeding
NON-PROGRESSED DIPG (STRATUM ): Patients with DIPG who have not yet progressed by clinical or radiographic criteria\r\n* Please note: patients with a radiographically typical DIPG, defined as a tumor with a pontine epicenter and diffuse involvement of more than / of the pons, are eligible without histologic confirmation\r\n* Patients with pontine lesions that do not meet these radiographic criteria will be eligible if there is histologic confirmation of malignant glioma World Health Organization (WHO) II-IV
NON-PROGRESSED DIPG (STRATUM ): Patient must be able to swallow capsules whole
NON-PROGRESSED DIPG (STRATUM ): Patients must have recovered from the acute treatment-related toxicities (defined as =< grade ) of radiotherapy prior to entering this study
NON-PROGRESSED DIPG (STRATUM ): Absolute neutrophil count >= ,/mm^
NON-PROGRESSED DIPG (STRATUM ): Hemoglobin >= g/dl (may receive transfusions)
NON-PROGRESSED DIPG (STRATUM ): Total bilirubin =< . times institutional upper limit of normal (ULN)
NON-PROGRESSED DIPG (STRATUM ): ALT(SGPT) =< x institutional upper limit of normal
NON-PROGRESSED DIPG (STRATUM ): Albumin >= g/dl
NON-PROGRESSED DIPG (STRATUM ): Potassium >= LLN
NON-PROGRESSED DIPG (STRATUM ): Patient has no ventricular arrhythmias except for benign premature ventricular contractions
NON-PROGRESSED DIPG (STRATUM ): Patient has a QTc interval < ms
NON-PROGRESSED DIPG (STRATUM ): Female patients of childbearing potential must have a negative serum or urine pregnancy test
NON-PROGRESSED DIPG (STRATUM ): Patients who have had > Gy total radiation to the pons (e.g. patients who have received re-irradiation
NON-PROGRESSED DIPG (STRATUM ): Patients have significant acute deterioration in neurologic status in hours prior to enrollment, in the opinion of the treating physician
NON-PROGRESSED DIPG (STRATUM ): Patients have diarrhea > CTCAE grade
NON-PROGRESSED DIPG (STRATUM ): Patients have a history of any other malignancy
NON-PROGRESSED DIPG (STRATUM ): Patients are known to be refractory to red blood cell or platelet transfusions
NON-PROGRESSED DIPG (STRATUM ): Patients who are receiving any other anticancer or investigational drug therapy
NON-PROGRESSED DIPG (STRATUM ): Patients who are required to receive any medication which can prolong the QTc interval
NON-PROGRESSED DIPG (STRATUM ): Female patient is breastfeeding