Topical Rapamycin to Erase Angiofibromas in TSC

NCT ID: NCT01526356

Last Updated: 2020-10-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

179 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2014-08-31

Brief Summary

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The study is a multi-center prospective, randomized, double-blind, placebo-controlled evaluation of the safety and efficacy of a topically applied formulation of rapamycin to cutaneous angiofibromas in subjects with Tuberous Sclerosis Complex (TSC). Subjects will apply either the topical vehicle containing rapamycin or the topical vehicle alone nightly to their angiofibromas for six months.

The primary goal of this study is to evaluate the efficacy of the topical medication for reduction of cutaneous angiofibromas in patients with TSC. The secondary goal of this study is to confirm the safety of the topical medication.

Detailed Description

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Conditions

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Angiofibromas Tuberous Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Cream only

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Study cream is applied nightly to the affected areas on the face.

0.1 % Rapamycin

0.1% Rapamycin cream

Group Type ACTIVE_COMPARATOR

Rapamycin

Intervention Type DRUG

Study cream is applied nightly to the affected areas on the face. Low Dose

1% Rapamycin

1% Rapamycin cream

Group Type ACTIVE_COMPARATOR

Rapamycin

Intervention Type DRUG

Study cream is applied nightly to the affected areas on the face. High Dose

Interventions

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Placebo

Study cream is applied nightly to the affected areas on the face.

Intervention Type DRUG

Rapamycin

Study cream is applied nightly to the affected areas on the face. Low Dose

Intervention Type DRUG

Rapamycin

Study cream is applied nightly to the affected areas on the face. High Dose

Intervention Type DRUG

Other Intervention Names

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Rapamycin

Eligibility Criteria

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Inclusion Criteria

* Subjects must be willing and able to comply with all trial requirements.
* Subject has a diagnosis of TSC and has visible facial angiofibromas.
* Female subjects of child bearing potential must not be pregnant and must agree to use appropriate contraceptive methods .

Exclusion Criteria

* Subject is currently receiving therapy with Rapamycin.
* Subject is receiving any form of immunosuppression or has previously experienced immune dysfunction.
* Subject is currently participating in or has participated within the last 30 days in a clinical trial involving an investigational drug.
* Subject has a known hypersensitivity to either the vehicle or Rapamycin.
* Subject is a pregnant or nursing female.
* Subject has other dermatologic conditions that would preclude or prevent adequate assessment of changes to their facial angiofibromas.
* Subject has had laser surgery, cryotherapy, or other dermatologic treatment to their facial angiofibromas within the previous 6 months.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Mary Kay Koenig

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mary Kay Koenig, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Medical School at Houston

Hope Northrup, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Medical School at Houston

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

UCLA Mattel Children's Hospital

Los Angeles, California, United States

Site Status

Jack & Julia Center for TSC at Oakland Children's Hospital & Research Center

Oakland, California, United States

Site Status

Kennedy Krieger Institute

Baltimore, Maryland, United States

Site Status

Herscot Center for Adults and Children with TSC Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Clinic Without Walls

Saint Paul, Minnesota, United States

Site Status

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Texas Scottish Rite Hospital

Dallas, Texas, United States

Site Status

The University of Texas Medical School at Houston

Houston, Texas, United States

Site Status

Sydney Children's Hospital

Sydney, New South Wales, Australia

Site Status

Countries

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United States Australia

References

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Koenig MK, Bell CS, Hebert AA, Roberson J, Samuels JA, Slopis JM, Tate P, Northrup H; TREATMENT Trial Collaborators. Efficacy and Safety of Topical Rapamycin in Patients With Facial Angiofibromas Secondary to Tuberous Sclerosis Complex: The TREATMENT Randomized Clinical Trial. JAMA Dermatol. 2018 Jul 1;154(7):773-780. doi: 10.1001/jamadermatol.2018.0464.

Reference Type DERIVED
PMID: 29800048 (View on PubMed)

Other Identifiers

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Department of Defense USAMRMC

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

HSC-MS-11-0501

Identifier Type: -

Identifier Source: org_study_id