Topical Rapamycin for Fibrofolliculomas

NCT ID: NCT00928798

Last Updated: 2012-03-08

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2011-08-31

Brief Summary

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The purpose of the study is to determine whether topical application of rapamycin can lead to reduction in size and/or number of fibrofolliculomas in BHD patients and may prevent the growth of new ones. Secondary we evaluate rapamycin safety, formula acceptance and patient satisfaction.

Detailed Description

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Conditions

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Birt-Hogg-Dubé Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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rapamycin

one facial side rapamycin and one facial side placebo

Group Type EXPERIMENTAL

Rapamycin

Intervention Type DRUG

Application of rapamycin 1 mg/ml oral solution to one predefined skin area on one facial half, twice daily 0,25 ml, during 6 months. The other facial half will be similarly treated with a placebo.

placebo

Intervention Type DRUG

Application of placebo to one predefined skin area on one facial half, during 6 months. The other facial half will be similarly treated with rapamycin 1 mg/ml oral solution

Interventions

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Rapamycin

Application of rapamycin 1 mg/ml oral solution to one predefined skin area on one facial half, twice daily 0,25 ml, during 6 months. The other facial half will be similarly treated with a placebo.

Intervention Type DRUG

placebo

Application of placebo to one predefined skin area on one facial half, during 6 months. The other facial half will be similarly treated with rapamycin 1 mg/ml oral solution

Intervention Type DRUG

Other Intervention Names

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Rapamune Sirolimus

Eligibility Criteria

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Inclusion Criteria

* Minimum age of 18 years.
* At least 10 facial fibrofolliculomas, histologically confirmed.
* Entered in a screening program and free of malignancy as determined during screening (already had a baseline MRI or CT-scan).
* Being able to understand instructions.
* Mutation status must be known.
* For females: not pregnant and willing to use both oral and barrier contraceptives during the treatment period.

Exclusion Criteria

* Not capable of informed consent.
* Age under 18 years.
* Pregnancy or failure to comply with contraceptive measures.
* Proven or suspected malignancy of skin or other organs.
* No histological confirmation.
* Skin lesions other than fibrofolliculoma that might worsen under sirolimus such as active infections.
* Not able to comprehend instructions.
* No proven mutation.
* Less than 10 fibrofolliculomas.
* Planned facial surgery in the treatment period.
* Concomitant disease requiring systemic immunosuppressive treatment
* Concomitant disease requiring facial topical immunosuppressive treatment or facial topical drugs that interfere with rapamycin during trail period or in the 30 days before start trial.
* Tendency to form keloids or hypertrophic scars.
* Drug or alcohol abuse.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Myrovlytis Trust

UNKNOWN

Sponsor Role collaborator

Maastricht University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Maurice van Steensel, Dr.

Role: PRINCIPAL_INVESTIGATOR

Department of Dermatology

Locations

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VU Medical Centre Amsterdam

Amsterdam, , Netherlands

Site Status

Maastricht University Medical Centre

Maastricht, , Netherlands

Site Status

Countries

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Netherlands

References

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Gijezen LM, Vernooij M, Martens H, Oduber CE, Henquet CJ, Starink TM, Prins MH, Menko FH, Nelemans PJ, van Steensel MA. Topical rapamycin as a treatment for fibrofolliculomas in Birt-Hogg-Dube syndrome: a double-blind placebo-controlled randomized split-face trial. PLoS One. 2014 Jun 9;9(6):e99071. doi: 10.1371/journal.pone.0099071. eCollection 2014.

Reference Type DERIVED
PMID: 24910976 (View on PubMed)

Other Identifiers

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09-2-058

Identifier Type: -

Identifier Source: org_study_id

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