Trial Outcomes & Findings for Everolimus for Treatment of Disfiguring Cutaneous Lesions in Neurofibromatosis1 CRAD001CUS232T (NCT NCT02332902)

NCT ID: NCT02332902

Last Updated: 2023-12-20

Results Overview

Photographs of selected lesions to measure surface volume.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

6 months

Results posted on

2023-12-20

Participant Flow

2 of the 24 enrolled participants withdrew consent immediately and did not receive study drug.

Participant milestones

Participant milestones
Measure
Intervention
This is a single arm intervention using Everolimus. Everyone in the study will receive Everolimus at a starting dose of 10 mg daily and will be adjusted up or down by 2.5 mg at 2-week intervals to attain a trough concentration of 5-15 ng/mL.
Overall Study
STARTED
24
Overall Study
Received Study Drug
22
Overall Study
COMPLETED
17
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Everolimus for Treatment of Disfiguring Cutaneous Lesions in Neurofibromatosis1 CRAD001CUS232T

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=24 Participants
This is a single arm intervention using Everolimus. Everyone in the study will receive Everolimus at a starting dose of 10 mg daily and will be adjusted up or down by 2.5 mg at 2-week intervals to attain a trough concentration of 5-15 ng/mL.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
Region of Enrollment
United States
24 participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Photographs of selected lesions to measure surface volume.

Outcome measures

Outcome measures
Measure
Intervention
n=17 Participants
This is a single arm intervention using Everolimus. Everyone in the study will receive Everolimus at a starting dose of 10 mg daily and will be adjusted up or down by 2.5 mg at 2-week intervals to attain a trough concentration of 5-15 ng/mL.
3D Photographic Measurement of Surface Volume of Cutaneous Neurofibroma Lesion
Baseline
32.54 mm^3
Interval 14.3 to 50.77
3D Photographic Measurement of Surface Volume of Cutaneous Neurofibroma Lesion
6 months
33.93 mm^3
Interval 13.28 to 54.58

SECONDARY outcome

Timeframe: 6 months

Population: The 2 participants who withdrew consent and did not receive study drug were not analyzed for adverse events.

Determination if orally administered Afinitor is safe in patients a indicated by lack of Grade 3-4 adverse events during the trial period.

Outcome measures

Outcome measures
Measure
Intervention
n=22 Participants
This is a single arm intervention using Everolimus. Everyone in the study will receive Everolimus at a starting dose of 10 mg daily and will be adjusted up or down by 2.5 mg at 2-week intervals to attain a trough concentration of 5-15 ng/mL.
Number of Participants With Grade 3-4 Adverse Events
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 months

Quantification via immunohistochemical staining of PTEN, pS6, p4EBP-1, TSC2, mTOR, NF-1, pAKT, VEGF-A and IGF-IR expression in biopsied neurofibroma tissue samples.

Outcome measures

Outcome data not reported

Adverse Events

Intervention

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Intervention
n=22 participants at risk
This is a single arm intervention using Everolimus. Everyone in the study will receive Everolimus at a starting dose of 10 mg daily and will be adjusted up or down by 2.5 mg at 2-week intervals to attain a trough concentration of 5-15 ng/mL.
Skin and subcutaneous tissue disorders
Stomatitis
90.9%
20/22 • Number of events 20 • 6 months
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Infection/Cough/Sinus Infection/Pneumonia/Pharyngitis
54.5%
12/22 • Number of events 12 • 6 months
Gastrointestinal disorders
Gastrointestinal (GI) Upset
40.9%
9/22 • Number of events 9 • 6 months
Skin and subcutaneous tissue disorders
Folliculitis/Impetigo/Rash/Itching
40.9%
9/22 • Number of events 9 • 6 months
Gastrointestinal disorders
Decreased Per Oral Intake/Weight loss
22.7%
5/22 • Number of events 5 • 6 months
Nervous system disorders
Headache
13.6%
3/22 • Number of events 3 • 6 months
Infections and infestations
Tooth Infection
13.6%
3/22 • Number of events 3 • 6 months
Infections and infestations
Urinary Tract Infection
13.6%
3/22 • Number of events 3 • 6 months
Nervous system disorders
Fatigue
13.6%
3/22 • Number of events 3 • 6 months
Skin and subcutaneous tissue disorders
Erythema Nodosum
9.1%
2/22 • Number of events 2 • 6 months
Infections and infestations
Vaginitis
9.1%
2/22 • Number of events 2 • 6 months
Skin and subcutaneous tissue disorders
Thrush
4.5%
1/22 • Number of events 1 • 6 months
Respiratory, thoracic and mediastinal disorders
Pneumonitis
4.5%
1/22 • Number of events 1 • 6 months
Renal and urinary disorders
Bladder Leakage
4.5%
1/22 • Number of events 1 • 6 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pheochromocytoma
4.5%
1/22 • Number of events 1 • 6 months
Skin and subcutaneous tissue disorders
Ingrown Toenail
4.5%
1/22 • Number of events 1 • 6 months
Vascular disorders
Nose Bleed
4.5%
1/22 • Number of events 1 • 6 months
Metabolism and nutrition disorders
Hypercholesterolemia
4.5%
1/22 • Number of events 1 • 6 months
Nervous system disorders
Left Side Numbness
4.5%
1/22 • Number of events 1 • 6 months
Skin and subcutaneous tissue disorders
Biopsy Infection
4.5%
1/22 • Number of events 1 • 6 months
Ear and labyrinth disorders
Foggy Hearing
4.5%
1/22 • Number of events 1 • 6 months
Reproductive system and breast disorders
Ammenorrhea
4.5%
1/22 • Number of events 1 • 6 months
Reproductive system and breast disorders
Ovarian Cyst
4.5%
1/22 • Number of events 1 • 6 months

Additional Information

Dr. Mary Kay Koenig

The University of Texas Health Science Center at Houston

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place