Trial Outcomes & Findings for Topical Sirolimus Ointment for Cutaneous Angiofibromas in Subjects With Tuberous Sclerosis Complex (NCT NCT03363763)

NCT ID: NCT03363763

Last Updated: 2025-12-01

Results Overview

The Investigator's Global Assessment (IGA) was recorded on a 5-point scale, 0 (minimum) to 5 (maximum) \[0 = Clear skin with no signs of erythema and no disease related lesions, 1 = Slight redness with few disease related lesions, 2 = Greater than Grade 1; definite redness with scattered, some disease related lesions, 3 = Greater than Grade 2; marked redness, concentrated, many disease related lesions, 4 = Greater than Grade 3; very bright redness, confluent, highly concentrated disease related lesions, 5= Greater than Grade 4; fiery redness, very extensive disease related lesions covering very large area of the face\]. A higher score indicates a more severe, worse outcome.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

Double-blind phase and Open-label phase Weeks 4 and 12

Results posted on

2025-12-01

Participant Flow

Study subjects were enrolled at 3-5 investigational sites in the United States.

At the time of study closure, a total of 28 participants were screened and 24 were randomized and received treatment. This study was early terminated due to another company receiving exclusivity.

Participant milestones

Participant milestones
Measure
Sirolimus 0.2%
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
Placebo
Placebo ointment applied topically once daily at bedtime for 12 weeks
Double-Blind Phase
STARTED
7
8
9
Double-Blind Phase
COMPLETED
7
8
9
Double-Blind Phase
NOT COMPLETED
0
0
0
Open-label Phase
STARTED
7
8
9
Open-label Phase
COMPLETED
6
6
7
Open-label Phase
NOT COMPLETED
1
2
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Topical Sirolimus Ointment for Cutaneous Angiofibromas in Subjects With Tuberous Sclerosis Complex

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Arm 2
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
Arm 3
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
12.1 Years
STANDARD_DEVIATION 2.73 • n=121 Participants
13.1 Years
STANDARD_DEVIATION 4.67 • n=122 Participants
10.9 Years
STANDARD_DEVIATION 3.44 • n=243 Participants
12.0 Years
STANDARD_DEVIATION 3.69 • n=24 Participants
Sex: Female, Male
Female
4 Participants
n=121 Participants
6 Participants
n=122 Participants
7 Participants
n=243 Participants
17 Participants
n=24 Participants
Sex: Female, Male
Male
3 Participants
n=121 Participants
2 Participants
n=122 Participants
2 Participants
n=243 Participants
7 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=121 Participants
2 Participants
n=122 Participants
2 Participants
n=243 Participants
5 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=121 Participants
6 Participants
n=122 Participants
7 Participants
n=243 Participants
19 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=121 Participants
0 Participants
n=122 Participants
0 Participants
n=243 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=121 Participants
0 Participants
n=122 Participants
0 Participants
n=243 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Asian
2 Participants
n=121 Participants
3 Participants
n=122 Participants
2 Participants
n=243 Participants
7 Participants
n=24 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=121 Participants
0 Participants
n=122 Participants
0 Participants
n=243 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=121 Participants
0 Participants
n=122 Participants
0 Participants
n=243 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
White
5 Participants
n=121 Participants
5 Participants
n=122 Participants
6 Participants
n=243 Participants
16 Participants
n=24 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=121 Participants
0 Participants
n=122 Participants
0 Participants
n=243 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=121 Participants
0 Participants
n=122 Participants
1 Participants
n=243 Participants
1 Participants
n=24 Participants
Height (cm)
154.8 cm
STANDARD_DEVIATION 11.65 • n=121 Participants
144.9 cm
STANDARD_DEVIATION 23.04 • n=122 Participants
141.2 cm
STANDARD_DEVIATION 16.39 • n=243 Participants
146.6 cm
STANDARD_DEVIATION 18.02 • n=24 Participants
Weight (kg)
50.3 kg
STANDARD_DEVIATION 20.08 • n=121 Participants
41.3 kg
STANDARD_DEVIATION 18.20 • n=122 Participants
37.0 kg
STANDARD_DEVIATION 9.37 • n=243 Participants
42.3 kg
STANDARD_DEVIATION 16.35 • n=24 Participants
BMI (kg/m^2)
20.6 kg/m^2
STANDARD_DEVIATION 6.52 • n=121 Participants
18.7 kg/m^2
STANDARD_DEVIATION 3.92 • n=122 Participants
18.7 kg/m^2
STANDARD_DEVIATION 2.85 • n=243 Participants
19.2 kg/m^2
STANDARD_DEVIATION 4.46 • n=24 Participants

PRIMARY outcome

Timeframe: Double-blind phase and Open-label phase Weeks 4 and 12

Population: In the double-blind phase all randomized participants received study treatment and completed week 12 Investigator Global Assessment (IGA). In open-label phase, total of 19 participants completed week 24 (Open-label week 12) Investigator Global Assessment (IGA).

The Investigator's Global Assessment (IGA) was recorded on a 5-point scale, 0 (minimum) to 5 (maximum) \[0 = Clear skin with no signs of erythema and no disease related lesions, 1 = Slight redness with few disease related lesions, 2 = Greater than Grade 1; definite redness with scattered, some disease related lesions, 3 = Greater than Grade 2; marked redness, concentrated, many disease related lesions, 4 = Greater than Grade 3; very bright redness, confluent, highly concentrated disease related lesions, 5= Greater than Grade 4; fiery redness, very extensive disease related lesions covering very large area of the face\]. A higher score indicates a more severe, worse outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.2%
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
The Percentage of Participants Achieved at Least 2-grade Improvement
Primary Endpoint (>=2 point improvement) Week 12 · No (N)
9 Participants
6 Participants
6 Participants
The Percentage of Participants Achieved at Least 2-grade Improvement
Primary Endpoint (>=2 point improvement) Week 12 · Yes (Y)
0 Participants
1 Participants
2 Participants
The Percentage of Participants Achieved at Least 2-grade Improvement
Primary Endpoint (>=2 point improvement) Week 4 · No (N)
9 Participants
6 Participants
8 Participants
The Percentage of Participants Achieved at Least 2-grade Improvement
Primary Endpoint (>=2 point improvement) Week 4 · Yes (Y)
0 Participants
1 Participants
0 Participants
The Percentage of Participants Achieved at Least 2-grade Improvement
Primary Endpoint (>/=2 point improvement) (Open-label Week 4) · No (N)
7 Participants
6 Participants
5 Participants
The Percentage of Participants Achieved at Least 2-grade Improvement
Primary Endpoint (>/=2 point improvement) (Open-label Week 4) · Yes (Y)
2 Participants
1 Participants
1 Participants
The Percentage of Participants Achieved at Least 2-grade Improvement
Primary Endpoint (>=2 point improvement) (Open-label Week 12) · No (N)
3 Participants
4 Participants
5 Participants
The Percentage of Participants Achieved at Least 2-grade Improvement
Primary Endpoint (>=2 point improvement) (Open-label Week 12) · Yes (Y)
4 Participants
2 Participants
1 Participants

PRIMARY outcome

Timeframe: Double-blind phase and Open-label phase Weeks 4 and 12

Population: In the double-blind phase, all randomized participants received study treatment and completed week 12 Investigator Global Assessment (IGA). In open-label phase, total of 19 participants completed week 24 (Open-label week 12) Investigator Global Assessment (IGA).

The Investigator's Global Assessment (IGA) was recorded on a 5-point scale, 0 (minimum) to 5 (maximum) \[0 = Clear skin with no signs of erythema and no disease related lesions, 1 = Slight redness with few disease related lesions, 2 = Greater than Grade 1; definite redness with scattered, some disease related lesions, 3 = Greater than Grade 2; marked redness, concentrated, many disease related lesions, 4 = Greater than Grade 3; very bright redness, confluent, highly concentrated disease related lesions, 5= Greater than Grade 4; fiery redness, very extensive disease related lesions covering very large area of the face\]. A higher score indicates a more severe, worse outcome. Negative values indicate improvement (0 = no change, -1 = 1-point improvement, -2 = 2-point improvement)

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.2%
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Week 4 · 0 = No change from baseline
8 Participants
2 Participants
4 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Week 4 · -1 = 1- point improvement from baseline
1 Participants
4 Participants
4 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Week 4 · -2 = 2-point improvement from baseline
0 Participants
1 Participants
0 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Week 4 · -3 = 3-point improvement from baseline
0 Participants
0 Participants
0 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Week 12 · 0 = No change from baseline
8 Participants
1 Participants
3 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Week 12 · -1 = 1- point improvement from baseline
1 Participants
5 Participants
3 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Week 12 · -2 = 2-point improvement from baseline
0 Participants
1 Participants
2 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Week 12 · -3 = 3-point improvement from baseline
0 Participants
0 Participants
0 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Open-label week 4 · 0 = No change from baseline
1 Participants
1 Participants
2 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Open-label week 4 · -1 = 1- point improvement from baseline
6 Participants
5 Participants
3 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Open-label week 4 · -2 = 2-point improvement from baseline
2 Participants
1 Participants
1 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by Visit: Open-label week 4 · -3 = 3-point improvement from baseline
0 Participants
0 Participants
0 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by visit: Open-label week 12 · 0 = No change from baseline
0 Participants
0 Participants
2 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by visit: Open-label week 12 · -1 = 1- point improvement from baseline
3 Participants
4 Participants
3 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by visit: Open-label week 12 · -2 = 2-point improvement from baseline
3 Participants
1 Participants
1 Participants
The Change in Baseline in Investigator's Global Assessment (IGA) by Visit
Change from Baseline in IGA by visit: Open-label week 12 · -3 = 3-point improvement from baseline
1 Participants
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Double-blind phase Weeks 4 and 12 and Open-label phase Week 12

Population: \[Not specified\]

The Facial Angiofibromas Severity Index (FASI) is derived from the measurements of erythema, average size, and lesion extension. The FASI score is the sum of scores of Erythema, Size, and Extension. Erythema was recorded on a 4-point grade scale from 0 (minimum) to 4 (maximum) \[0 = clear skin with no signs of erythema, 1 = almost clear; slight redness, 3= moderate erythema; marked redness, 4= severe erythema; very bright redness\]. Size was recorded on a 4-point grade scale from 0 (minimum) to 4 (maximum) \[0 = no lesions, 1= few lesions, average size \</= 2mm, 2 = scattered, some lesions, average lesion size \>2-to \</= 5 mm, 3 = concentrated, many lesions, average lesion size \> 5mmg to \</= 10mm, 4 = confluent, highly concentrated lesions\]. Extension was recorded on a grade scale of 0 (minimum), 2, and 3 (maximum) \[0 = no lesions, 2 = \</= 50% of the cheek surface, 3 = \>50% of the cheek surface\]. A higher score for Erythema, Size, and Extension means a more severe, worse outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.2%
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
The Percentage of Subjects With at Least 30% Improvement in the Facial Angiofibromas Severity Index (FASI) Score.
>=30% Improvement in FASI Score Week 4 · No (N)
9 Participants
5 Participants
6 Participants
The Percentage of Subjects With at Least 30% Improvement in the Facial Angiofibromas Severity Index (FASI) Score.
>=30% Improvement in FASI Score Week 4 · Yes (Y)
0 Participants
2 Participants
2 Participants
The Percentage of Subjects With at Least 30% Improvement in the Facial Angiofibromas Severity Index (FASI) Score.
>=30% Improvement in FASI Score Week 12 · No (N)
9 Participants
5 Participants
5 Participants
The Percentage of Subjects With at Least 30% Improvement in the Facial Angiofibromas Severity Index (FASI) Score.
>=30% Improvement in FASI Score Week 12 · Yes (Y)
0 Participants
2 Participants
3 Participants
The Percentage of Subjects With at Least 30% Improvement in the Facial Angiofibromas Severity Index (FASI) Score.
>= 30% Improvement in FASI Score: Open-label week 12 · No (N)
3 Participants
3 Participants
5 Participants
The Percentage of Subjects With at Least 30% Improvement in the Facial Angiofibromas Severity Index (FASI) Score.
>= 30% Improvement in FASI Score: Open-label week 12 · Yes (Y)
3 Participants
2 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline, Double blind phase weeks 4 and 12 and Open-label week 12

Population: \[Not specified\]

The Facial Angiofibromas Severity Index (FASI) is derived from the measurements of erythema, average size, and lesion extension. The FASI score is the sum of scores of Erythema, Size, and Extension. Erythema was recorded on a 4-point grade scale from 0 (minimum) to 4 (maximum) \[0 = clear skin with no signs of erythema, 1 = almost clear; slight redness, 3= moderate erythema; marked redness, 4= severe erythema; very bright redness\]. Size was recorded on a 4-point grade scale from 0 (minimum) to 4 (maximum) \[0 = no lesions, 1= few lesions, average size \</= 2mm, 2 = scattered, some lesions, average lesion size \>2-to \</= 5 mm, 3 = concentrated, many lesions, average lesion size \> 5mmg to \</= 10mm, 4 = confluent, highly concentrated lesions\]. Extension was recorded on a grade scale of 0 (minimum), 2, and 3 (maximum) \[0 = no lesions, 2 = \</= 50% of the cheek surface, 3 = \>50% of the cheek surface\]. A higher score for Erythema, Size, and Extension means a more severe, worse outcome.

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.2%
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
Facial Angifibromas Severity Index (FASI) Score
Baseline FASI Total Score
7.89 score on a scale
Standard Deviation 1.27
6.86 score on a scale
Standard Deviation 1.35
7.38 score on a scale
Standard Deviation 1.19
Facial Angifibromas Severity Index (FASI) Score
Week 4 FASI Total Score
7.33 score on a scale
Standard Deviation 1.32
5.71 score on a scale
Standard Deviation 1.25
6.5 score on a scale
Standard Deviation 1.69
Facial Angifibromas Severity Index (FASI) Score
Week 12 FASI Total Score
7 score on a scale
Standard Deviation 1.58
5.57 score on a scale
Standard Deviation 0.98
5.75 score on a scale
Standard Deviation 1.39
Facial Angifibromas Severity Index (FASI) Score
Open-label week 12 FASI Total Score
5.33 score on a scale
Standard Deviation 1.51
5 score on a scale
Standard Deviation 1
6 score on a scale
Standard Deviation 0.63

SECONDARY outcome

Timeframe: Double blind phase Weeks 4 and 12 and Open-label phase Week 12

Population: \[Not specified\]

Lesion counts are measured based on categories 0 to 4 \[0 = no lesion, 1 = \<25 lesions, 2 = 25 to 50 lesions, 3 = 51 to 75 lesions, 4 = \> 75 lesions\]

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.2%
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
The Percentage of Subjects Achieved at Least 2-grade Improvement in Categorical Lesion Counts by Visit
>=2 grade improvement in lesion: Week 4 · Yes (N)
0 Participants
1 Participants
1 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in Categorical Lesion Counts by Visit
>=2 grade improvement in lesion: Week 12 · No (N)
9 Participants
6 Participants
7 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in Categorical Lesion Counts by Visit
>=2 grade improvement in lesion: Week 12 · Yes (N)
0 Participants
1 Participants
1 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in Categorical Lesion Counts by Visit
>=2 grade improvement in lesion: Open-label week 12 · No (N)
4 Participants
4 Participants
5 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in Categorical Lesion Counts by Visit
>=2 grade improvement in lesion: Open-label week 12 · Yes (N)
2 Participants
1 Participants
1 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in Categorical Lesion Counts by Visit
>=2 grade improvement in lesion: Week 4 · No (N)
9 Participants
6 Participants
7 Participants

SECONDARY outcome

Timeframe: Double blind phase weeks 4 and 12 and open-label phase week 12

Population: \[Not Specified\]

Lesion counts are measured based on categories 0 to 4 (0 = no lesion, 1 = \<25 lesions, 2 = 25 to 50 lesions, 3 = 51 to 75 lesions, 4 = \> 75 lesions) Negative values indicate improvement (0 = no change, -1 = 1-point improvement, -2 = 2-point improvement)

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.2%
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
Change From Baseline in Lesion Counts
Change from Baseline in lesion counts by visit: Week 4 · -2 = 2-point improvement from baseline
0 Participants
1 Participants
1 Participants
Change From Baseline in Lesion Counts
Change from Baseline in lesion counts by visit: Week 4 · -3 = 3-point improvement from baseline
0 Participants
0 Participants
0 Participants
Change From Baseline in Lesion Counts
Change from Baseline in lesion counts by visit: Week 12 · 0 = No change from baseline
9 Participants
3 Participants
5 Participants
Change From Baseline in Lesion Counts
Change from Baseline in lesion counts by visit: Week 12 · -1 = 1-point improvement from baseline
0 Participants
3 Participants
2 Participants
Change From Baseline in Lesion Counts
Change from Baseline in lesion counts by visit: Week 12 · -2 = 2-point improvement from baseline
0 Participants
1 Participants
0 Participants
Change From Baseline in Lesion Counts
Change from Baseline in lesion counts by visit: Week 12 · -3 = 3-point improvement from baseline
0 Participants
0 Participants
1 Participants
Change From Baseline in Lesion Counts
Change from baseline in lesion counts by visit: Open-label week 12 · 0 = No change from baseline
2 Participants
2 Participants
2 Participants
Change From Baseline in Lesion Counts
Change from baseline in lesion counts by visit: Open-label week 12 · -1 = 1-point improvement from baseline
2 Participants
2 Participants
3 Participants
Change From Baseline in Lesion Counts
Change from baseline in lesion counts by visit: Open-label week 12 · -2 = 2-point improvement from baseline
2 Participants
1 Participants
0 Participants
Change From Baseline in Lesion Counts
Change from baseline in lesion counts by visit: Open-label week 12 · -3 = 3-point improvement from baseline
0 Participants
0 Participants
1 Participants
Change From Baseline in Lesion Counts
Change from Baseline in lesion counts by visit: Week 4 · -1 = 1-point improvement from baseline
1 Participants
0 Participants
2 Participants
Change From Baseline in Lesion Counts
Change from Baseline in lesion counts by visit: Week 4 · 0 = No change from baseline
8 Participants
6 Participants
5 Participants

SECONDARY outcome

Timeframe: Double blind phase weeks 4 and 12 and open-label phase week 12

Population: \[Not specified\]

The degree of lesion elevation is assessed on categories 0 to 4 (0 = no elevation over normal skin, 1 = possible but difficult to ascertain whether there is slight elevation above normal skin, 2 = slight but definite elevation, 3 = moderate elevation, 4 = marked elevation).

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.2%
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
The Percentage of Subjects Achieved at Least 2-grade Improvement in Lesion Elevation.
>=2 grade improvement in lesion elevation: Week 4 · No (N)
9 Participants
6 Participants
8 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in Lesion Elevation.
>=2 grade improvement in lesion elevation: Week 4 · Yes (Y)
0 Participants
1 Participants
0 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in Lesion Elevation.
>=2 grade improvement in lesion elevation: Week 12 · Yes (Y)
0 Participants
1 Participants
0 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in Lesion Elevation.
>=2 grade improvement in lesion elevation: Open-label week 12 · No (N)
6 Participants
4 Participants
5 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in Lesion Elevation.
>=2 grade improvement in lesion elevation: Open-label week 12 · Yes (Y)
0 Participants
1 Participants
1 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in Lesion Elevation.
>=2 grade improvement in lesion elevation: Week 12 · No (N)
9 Participants
6 Participants
8 Participants

SECONDARY outcome

Timeframe: Double blind phase weeks 4 and 12 and open-label phase week 12

Population: \[Not Specified\]

The degree of lesion elevation is assessed on categories 0 to 4 (0 = no elevation over normal skin, 1 = possible but difficult to ascertain whether there is slight elevation above normal skin, 2 = slight but definite elevation, 3 = moderate elevation, 4 = marked elevation) Negative values indicate improvement (0 = no change, -1 = 1-point improvement, -2 = 2-point improvement) One participant with baseline elevation grade of 1 improved to grade 0 at week 4. This participant is counted as improvement in lesion elevation. This participant was back to grade 1 at week 12 and open-label week 12.

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.2%
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
The Change From Baseline in Lesion Elevation
Change from Baseline in lesion elevation: Week 4 · 0 = No change from baseline
8 Participants
4 Participants
4 Participants
The Change From Baseline in Lesion Elevation
Change from Baseline in lesion elevation: Week 4 · -1 = 1-point improvement from baseline
1 Participants
2 Participants
4 Participants
The Change From Baseline in Lesion Elevation
Change from Baseline in lesion elevation: Week 4 · -2 = 2-point improvement from baseline
0 Participants
1 Participants
0 Participants
The Change From Baseline in Lesion Elevation
Change from Baseline in lesion elevation: Week 12 · 0 = No change from baseline
9 Participants
3 Participants
4 Participants
The Change From Baseline in Lesion Elevation
Change from Baseline in lesion elevation: Week 12 · -1 = 1-point improvement from baseline
0 Participants
3 Participants
4 Participants
The Change From Baseline in Lesion Elevation
Change from Baseline in lesion elevation: Week 12 · -2 = 2-point improvement from baseline
0 Participants
1 Participants
0 Participants
The Change From Baseline in Lesion Elevation
Change from baseline in lesion elevation: Open-label week 12 · 0 = No change from baseline
3 Participants
2 Participants
3 Participants
The Change From Baseline in Lesion Elevation
Change from baseline in lesion elevation: Open-label week 12 · -1 = 1-point improvement from baseline
3 Participants
2 Participants
2 Participants
The Change From Baseline in Lesion Elevation
Change from baseline in lesion elevation: Open-label week 12 · -2 = 2-point improvement from baseline
0 Participants
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Double blind phase weeks 4 and 12 and open-label phase weeks 4 and 12

Population: \[Not specified\]

Subject self- assessment survey was based on categories 0 to 4 (0 = no redness and no disease related lesions, 1 = very mild redness with few very small bumps, 2 = mild redness with many small and medium sized bumps, 3 = moderate redness with many small and medium sized bumps, 4 = severe redness with numerous small, medium, and large sized bumps)

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.2%
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
The Percentage of Subjects Achieved at Least 2-grade Improvement in the Subject Self-assessment Survey
>=2 grade improvement in self-assessment: open-label week 12 · Yes (Y)
3 Participants
3 Participants
3 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in the Subject Self-assessment Survey
>=2 grade improvement in self-assessment: Week 4 · No (N)
9 Participants
6 Participants
7 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in the Subject Self-assessment Survey
>=2 grade improvement in self-assessment: Week 4 · Yes (Y)
0 Participants
1 Participants
1 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in the Subject Self-assessment Survey
>=2 grade improvement in self-assessment: Week 12 · No (N)
8 Participants
5 Participants
6 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in the Subject Self-assessment Survey
>=2 grade improvement in self-assessment: Week 12 · Yes (Y)
1 Participants
2 Participants
2 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in the Subject Self-assessment Survey
>=2 grade improvement in self-assessment: open-label week 4 · No (N)
8 Participants
5 Participants
2 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in the Subject Self-assessment Survey
>=2 grade improvement in self-assessment: open-label week 4 · Yes (Y)
1 Participants
2 Participants
4 Participants
The Percentage of Subjects Achieved at Least 2-grade Improvement in the Subject Self-assessment Survey
>=2 grade improvement in self-assessment: open-label week 12 · No (N)
4 Participants
3 Participants
3 Participants

SECONDARY outcome

Timeframe: Double blind phase weeks 4 and 12 and open label phase weeks 4 and 12

Population: \[Not specified\]

Subject self- assessment survey was based on categories 0 to 4 (0 = no redness and no disease related lesions, 1 = very mild redness with few very small bumps, 2 = mild redness with many small and medium sized bumps, 3 = moderate redness with many small and medium sized bumps, 4 = severe redness with numerous small, medium, and large sized bumps) Negative values indicate improvement (0 = no change, -1 = 1-point improvement, -2 = 2-point improvement)

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Placebo ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.2%
n=7 Participants
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Sirolimus 0.4%
n=8 Participants
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
Change From Baseline in Self-Assessment
Change from baseline in self-assessment: Week 4 · 1 = 1-point worsening from baseline
0 Participants
0 Participants
0 Participants
Change From Baseline in Self-Assessment
Change from baseline in self-assessment: Week 4 · 0 = No change from baseline
8 Participants
3 Participants
3 Participants
Change From Baseline in Self-Assessment
Change from baseline in self-assessment: Week 4 · -1 = 1-point improvement from baseline
1 Participants
3 Participants
4 Participants
Change From Baseline in Self-Assessment
Change from baseline in self-assessment: Week 4 · -2 = 2-point improvement from baseline
0 Participants
1 Participants
1 Participants
Change From Baseline in Self-Assessment
Change from baseline in self-assessment: Week 4 · -3 = 3-point improvement from baseline
0 Participants
0 Participants
0 Participants
Change From Baseline in Self-Assessment
Change from Baseline in self-assessment: Week 12 · 1 = 1-point worsening from baseline
0 Participants
0 Participants
0 Participants
Change From Baseline in Self-Assessment
Change from Baseline in self-assessment: Week 12 · 0 = No change from baseline
6 Participants
1 Participants
1 Participants
Change From Baseline in Self-Assessment
Change from Baseline in self-assessment: Week 12 · -1 = 1-point improvement from baseline
2 Participants
4 Participants
5 Participants
Change From Baseline in Self-Assessment
Change from Baseline in self-assessment: Week 12 · -2 = 2-point improvement from baseline
1 Participants
1 Participants
2 Participants
Change From Baseline in Self-Assessment
Change from Baseline in self-assessment: Week 12 · -3 = 3-point improvement from baseline
0 Participants
1 Participants
0 Participants
Change From Baseline in Self-Assessment
Change from baseline in self- assessment: open-label week 14 · 1 = 1-point worsening from baseline
0 Participants
0 Participants
0 Participants
Change From Baseline in Self-Assessment
Change from baseline in self- assessment: open-label week 14 · 0 = No change from baseline
3 Participants
1 Participants
2 Participants
Change From Baseline in Self-Assessment
Change from baseline in self- assessment: open-label week 14 · -1 = 1-point improvement from baseline
5 Participants
4 Participants
0 Participants
Change From Baseline in Self-Assessment
Change from baseline in self- assessment: open-label week 14 · -2 = 2-point improvement from baseline
1 Participants
2 Participants
3 Participants
Change From Baseline in Self-Assessment
Change from baseline in self- assessment: open-label week 14 · -3 = 3-point improvement from baseline
0 Participants
0 Participants
1 Participants
Change From Baseline in Self-Assessment
Change from baseline in self-assessment: open-label week 12 · 1 = 1-point worsening from baseline
1 Participants
0 Participants
0 Participants
Change From Baseline in Self-Assessment
Change from baseline in self-assessment: open-label week 12 · 0 = No change from baseline
1 Participants
0 Participants
1 Participants
Change From Baseline in Self-Assessment
Change from baseline in self-assessment: open-label week 12 · -1 = 1-point improvement from baseline
2 Participants
3 Participants
2 Participants
Change From Baseline in Self-Assessment
Change from baseline in self-assessment: open-label week 12 · -2 = 2-point improvement from baseline
3 Participants
2 Participants
3 Participants
Change From Baseline in Self-Assessment
Change from baseline in self-assessment: open-label week 12 · -3 = 3-point improvement from baseline
0 Participants
1 Participants
0 Participants

Adverse Events

Double-Blind: Sirolimus 0.2%

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Double-Blind: Sirolimus 0.4%

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Double-Blind: Placebo

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Open-label: Sirolimus 0.2%

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Open-label: Sirolimus 0.4%

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Open-label: Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Double-Blind: Sirolimus 0.2%
n=7 participants at risk
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Double-Blind: Sirolimus 0.4%
n=8 participants at risk
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
Double-Blind: Placebo
n=9 participants at risk
Placebo ointment applied topically once daily at bedtime for 12 weeks
Open-label: Sirolimus 0.2%
n=7 participants at risk
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Open-label: Sirolimus 0.4%
n=7 participants at risk
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
Open-label: Placebo
n=9 participants at risk
Placebo ointment applied topically once daily at bedtime for 12 weeks
Psychiatric disorders
Agitation
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Injury, poisoning and procedural complications
Ligament rupture
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/9 • 30 weeks
Psychiatric disorders
Psychotic disorder due to a general medical condition
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks

Other adverse events

Other adverse events
Measure
Double-Blind: Sirolimus 0.2%
n=7 participants at risk
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Double-Blind: Sirolimus 0.4%
n=8 participants at risk
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
Double-Blind: Placebo
n=9 participants at risk
Placebo ointment applied topically once daily at bedtime for 12 weeks
Open-label: Sirolimus 0.2%
n=7 participants at risk
Sirolimus 0.2% ointment applied topically once daily at bedtime for 12 weeks
Open-label: Sirolimus 0.4%
n=7 participants at risk
Sirolimus 0.4% ointment applied topically once daily at bedtime for 12 weeks
Open-label: Placebo
n=9 participants at risk
Placebo ointment applied topically once daily at bedtime for 12 weeks
Psychiatric disorders
Sleep disorder
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Reproductive system and breast disorders
Dsymenorrhoea
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Skin and subcutaneous tissue disorders
Acne
0.00%
0/7 • 30 weeks
25.0%
2/8 • Number of events 2 • 30 weeks
0.00%
0/9 • 30 weeks
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Skin and subcutaneous tissue disorders
Dermatitis acneiform
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Skin and subcutaneous tissue disorders
Rash
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
Skin and subcutaneous tissue disorders
Skin irritation
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Infections and infestations
Influenza
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/9 • 30 weeks
Infections and infestations
Pharyngitis streptococcal
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/9 • 30 weeks
Infections and infestations
Sinusitis
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal neoplasm
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/9 • 30 weeks
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/9 • 30 weeks
Skin and subcutaneous tissue disorders
Dermatitis
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/9 • 30 weeks
Injury, poisoning and procedural complications
Joint injury
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
Infections and infestations
Tooth Infection
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Gastrointestinal disorders
Abdominal pain
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Gastrointestinal disorders
Mouth Ulceration
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Gastrointestinal disorders
Vomiting
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
General disorders
Application site reaction
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
General disorders
Pain
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
General disorders
Pyrexia
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/9 • 30 weeks
Infections and infestations
Ear infection
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Infections and infestations
Respiratory syncytial virus infection
0.00%
0/7 • 30 weeks
12.5%
1/8 • Number of events 1 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Infections and infestations
Upper respiratory tract infection
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
14.3%
1/7 • Number of events 1 • 30 weeks
22.2%
2/9 • Number of events 2 • 30 weeks
Infections and infestations
Urinary tract infection
0.00%
0/7 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Injury, poisoning and procedural complications
Lip injury
0.00%
0/7 • 30 weeks
12.5%
1/8 • Number of events 1 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Nervous system disorders
Epilepsy
0.00%
0/7 • 30 weeks
12.5%
1/8 • Number of events 1 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Psychiatric disorders
Anxiety
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/8 • 30 weeks
11.1%
1/9 • Number of events 1 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks
Psychiatric disorders
Obsessive thoughts
14.3%
1/7 • Number of events 1 • 30 weeks
0.00%
0/8 • 30 weeks
0.00%
0/9 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/7 • 30 weeks
0.00%
0/9 • 30 weeks

Additional Information

Dr. Marie Tan

Aucta Pharmaceuticals, Inc.

Phone: 7329129575

Results disclosure agreements

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