Trial Outcomes & Findings for Dose-Ranging Efficacy and Safety Study of Topical Rapamycin Cream for Facial Angiofibroma Associated With Tuberous Sclerosis Complex (NCT NCT03826628)
NCT ID: NCT03826628
Last Updated: 2023-09-08
Results Overview
Success on the Investigator Global Assessment (IGA) scale is defined as clear or almost clear with an improvement of at least two grades from baseline. IGA scores range from 0-4: 0=Clear 1. Almost Clear 2. Mild 3. Moderate 4. Severe
COMPLETED
PHASE2/PHASE3
107 participants
After 26 weeks treatment
2023-09-08
Participant Flow
Participant milestones
| Measure |
0.5% Rapamycin Cream, Topical
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
|---|---|---|---|
|
Overall Study
STARTED
|
36
|
33
|
38
|
|
Overall Study
COMPLETED
|
32
|
31
|
35
|
|
Overall Study
NOT COMPLETED
|
4
|
2
|
3
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Dose-Ranging Efficacy and Safety Study of Topical Rapamycin Cream for Facial Angiofibroma Associated With Tuberous Sclerosis Complex
Baseline characteristics by cohort
| Measure |
0.5% Rapamycin Cream, Topical
n=36 Participants
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
n=33 Participants
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
n=38 Participants
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Total
n=107 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Continuous
|
27.8 years
STANDARD_DEVIATION 15 • n=5 Participants
|
25.5 years
STANDARD_DEVIATION 15 • n=7 Participants
|
26.3 years
STANDARD_DEVIATION 13.8 • n=5 Participants
|
26.6 years
STANDARD_DEVIATION 14.5 • n=4 Participants
|
|
Age, Customized
Age group · 6-11 years
|
6 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
16 Participants
n=4 Participants
|
|
Age, Customized
Age group · 12-17 years
|
5 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
20 Participants
n=4 Participants
|
|
Age, Customized
Age group · 18-65 years
|
25 Participants
n=5 Participants
|
21 Participants
n=7 Participants
|
25 Participants
n=5 Participants
|
71 Participants
n=4 Participants
|
|
Sex: Female, Male
Female
|
21 Participants
n=5 Participants
|
14 Participants
n=7 Participants
|
23 Participants
n=5 Participants
|
58 Participants
n=4 Participants
|
|
Sex: Female, Male
Male
|
15 Participants
n=5 Participants
|
19 Participants
n=7 Participants
|
15 Participants
n=5 Participants
|
49 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
5 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
13 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
31 Participants
n=5 Participants
|
29 Participants
n=7 Participants
|
34 Participants
n=5 Participants
|
94 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Asian
|
7 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
18 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
|
Race (NIH/OMB)
White
|
28 Participants
n=5 Participants
|
26 Participants
n=7 Participants
|
30 Participants
n=5 Participants
|
84 Participants
n=4 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Study Site
Site #00 - ACRI Johns Hopkins
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Study Site
Site #01 - University Hospital Brno
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
|
Study Site
Site #02 - Children's Health Queensland
|
1 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Study Site
Site #03 - Christchurch Hospital
|
2 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
7 Participants
n=4 Participants
|
|
Study Site
Site #04 - University of Navarra
|
4 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
11 Participants
n=4 Participants
|
|
Study Site
Site #05 - Mayo Clinic
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Study Site
Site #06 - Phoenix Children's Hospital
|
2 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
5 Participants
n=4 Participants
|
|
Study Site
Site #07 - Spectrum Health, Michigan
|
3 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
9 Participants
n=4 Participants
|
|
Study Site
Site #08 - University of California, San Diego
|
3 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
9 Participants
n=4 Participants
|
|
Study Site
Site #09 - University of Virginia
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Study Site
Site #10 - University of Pecs
|
1 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
4 Participants
n=4 Participants
|
|
Study Site
Site #11 - Slovakia National Institute of Children's Diseases
|
3 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
7 Participants
n=4 Participants
|
|
Study Site
Site #12 - Bethesda Children's Hospital
|
5 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
16 Participants
n=4 Participants
|
|
Study Site
Site #13 - University of Szeged
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Study Site
Site #14 - Clinic of Neurology and Psychiatry for Children and Youth, Belgrade
|
2 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
8 Participants
n=4 Participants
|
|
Study Site
Site #15 - Clinical Center of Serbia
|
2 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
7 Participants
n=4 Participants
|
|
Study Site
Site #16 - National Taiwan University
|
5 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
15 Participants
n=4 Participants
|
|
Height
|
164 centimeters
STANDARD_DEVIATION 17 • n=5 Participants
|
165 centimeters
STANDARD_DEVIATION 16 • n=7 Participants
|
161 centimeters
STANDARD_DEVIATION 17 • n=5 Participants
|
163 centimeters
STANDARD_DEVIATION 17 • n=4 Participants
|
|
Weight
|
68.1 kilograms
STANDARD_DEVIATION 22.8 • n=5 Participants
|
68.9 kilograms
STANDARD_DEVIATION 24.3 • n=7 Participants
|
68.4 kilograms
STANDARD_DEVIATION 25.8 • n=5 Participants
|
68.5 kilograms
STANDARD_DEVIATION 24.2 • n=4 Participants
|
|
BMI
|
24.7 kg/m^2
STANDARD_DEVIATION 5.6 • n=5 Participants
|
24.8 kg/m^2
STANDARD_DEVIATION 6.6 • n=7 Participants
|
25.4 kg/m^2
STANDARD_DEVIATION 6.4 • n=5 Participants
|
25 kg/m^2
STANDARD_DEVIATION 6.2 • n=4 Participants
|
|
Rapamycin concentration
Below limit of detection
|
36 Participants
n=5 Participants
|
33 Participants
n=7 Participants
|
38 Participants
n=5 Participants
|
107 Participants
n=4 Participants
|
|
Rapamycin concentration
Above limit of detection
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Investigator's Global Assessment (IGA)
2 - Mild
|
13 Participants
n=5 Participants
|
16 Participants
n=7 Participants
|
19 Participants
n=5 Participants
|
48 Participants
n=4 Participants
|
|
Investigator's Global Assessment (IGA)
3 - Moderate
|
23 Participants
n=5 Participants
|
17 Participants
n=7 Participants
|
19 Participants
n=5 Participants
|
59 Participants
n=4 Participants
|
|
Facial Angiofibroma Severity Index (FASI)
4
|
7 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
18 Participants
n=4 Participants
|
|
Facial Angiofibroma Severity Index (FASI)
5
|
12 Participants
n=5 Participants
|
13 Participants
n=7 Participants
|
16 Participants
n=5 Participants
|
41 Participants
n=4 Participants
|
|
Facial Angiofibroma Severity Index (FASI)
6
|
8 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
22 Participants
n=4 Participants
|
|
Facial Angiofibroma Severity Index (FASI)
7
|
6 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
16 Participants
n=4 Participants
|
|
Facial Angiofibroma Severity Index (FASI)
8
|
2 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
8 Participants
n=4 Participants
|
|
Facial Angiofibroma Severity Index (FASI)
9
|
1 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
PRIMARY outcome
Timeframe: After 26 weeks treatmentSuccess on the Investigator Global Assessment (IGA) scale is defined as clear or almost clear with an improvement of at least two grades from baseline. IGA scores range from 0-4: 0=Clear 1. Almost Clear 2. Mild 3. Moderate 4. Severe
Outcome measures
| Measure |
0.5% Rapamycin Cream, Topical
n=36 Participants
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
n=33 Participants
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
n=38 Participants
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
|---|---|---|---|
|
Percentage of Participants Obtaining Successful Treatment
|
4 Participants
|
3 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: From first dose to 26 weeks (± 2 weeks)The time elapsed from the first dose to the time of treatment success, according to the Investigator's Global Assessment (IGA) scale. The total time of treatment was 26 weeks, although Covid-19 visit delays led to an extension of up to 2 weeks (28 weeks total) for some patients. Success on the Investigator Global Assessment (IGA) scale is defined as clear or almost clear with an improvement of at least two grades from baseline. IGA scores range from 0-4: 0=Clear 1. Almost Clear 2. Mild 3. Moderate 4. Severe
Outcome measures
| Measure |
0.5% Rapamycin Cream, Topical
n=36 Participants
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
n=33 Participants
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
n=38 Participants
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
|---|---|---|---|
|
Time to Treatment Success
|
25.89 weeks
Standard Error 0.7
|
26.71 weeks
Standard Error 0.28
|
19.7 weeks
Standard Error 0.22
|
SECONDARY outcome
Timeframe: At baseline and after 26 weeks treatmentThe change in grading on the Investigator's Global Assessment (IGA) scale from baseline. IGA scores range from 0-4: 0=Clear 1. Almost Clear 2. Mild 3. Moderate 4. Severe
Outcome measures
| Measure |
0.5% Rapamycin Cream, Topical
n=36 Participants
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
n=33 Participants
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
n=38 Participants
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
|---|---|---|---|
|
Change From Baseline in Investigator's Global Assessment
-2
|
4 Participants
|
3 Participants
|
2 Participants
|
|
Change From Baseline in Investigator's Global Assessment
-1
|
16 Participants
|
17 Participants
|
7 Participants
|
|
Change From Baseline in Investigator's Global Assessment
+1
|
0 Participants
|
0 Participants
|
1 Participants
|
|
Change From Baseline in Investigator's Global Assessment
Missing
|
1 Participants
|
0 Participants
|
0 Participants
|
|
Change From Baseline in Investigator's Global Assessment
0
|
15 Participants
|
13 Participants
|
28 Participants
|
SECONDARY outcome
Timeframe: At baseline and after 26 weeks treatmentThe change in grading on the Facial Angiofibroma Severity Index (FASI) from baseline. FASI grades lesions according to their erythema, size and extent by summing the scores of each category. The final FASI scores range from (mild) 2-9 (severe). Erythema Skin color 0 Light Red 1 Red 2 Dark Red/purple 3 Size None 0 Small (\< 5mm) 1 Large (\> 5mm) 2 Confluent 3 Extension \<50 % cheek surface 2 \>50% cheek surface 3
Outcome measures
| Measure |
0.5% Rapamycin Cream, Topical
n=36 Participants
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
n=33 Participants
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
n=38 Participants
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
|---|---|---|---|
|
Change From Baseline in Facial Angiofibroma Severity Index (FASI)
-4
|
1 Participants
|
3 Participants
|
1 Participants
|
|
Change From Baseline in Facial Angiofibroma Severity Index (FASI)
-3
|
6 Participants
|
3 Participants
|
1 Participants
|
|
Change From Baseline in Facial Angiofibroma Severity Index (FASI)
-1
|
10 Participants
|
13 Participants
|
17 Participants
|
|
Change From Baseline in Facial Angiofibroma Severity Index (FASI)
0
|
7 Participants
|
4 Participants
|
14 Participants
|
|
Change From Baseline in Facial Angiofibroma Severity Index (FASI)
+2
|
0 Participants
|
0 Participants
|
1 Participants
|
|
Change From Baseline in Facial Angiofibroma Severity Index (FASI)
Missing
|
1 Participants
|
0 Participants
|
0 Participants
|
|
Change From Baseline in Facial Angiofibroma Severity Index (FASI)
-5
|
1 Participants
|
1 Participants
|
0 Participants
|
|
Change From Baseline in Facial Angiofibroma Severity Index (FASI)
-2
|
10 Participants
|
9 Participants
|
3 Participants
|
|
Change From Baseline in Facial Angiofibroma Severity Index (FASI)
+1
|
0 Participants
|
0 Participants
|
1 Participants
|
SECONDARY outcome
Timeframe: After 26 weeks treatmentPercentage change in facial angiofibroma since beginning treatment, as assessed by the participant or parent/caregiver. A large value indicates most improvement to facial angiofibroma (minimum=0, maximum=100). This was a single assessment time-point, where the participant or parent/caregiver estimated the percentage change in the facial angiofibroma lesion appearance from their perspective since baseline.
Outcome measures
| Measure |
0.5% Rapamycin Cream, Topical
n=36 Participants
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
n=33 Participants
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
n=38 Participants
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
|---|---|---|---|
|
Subjective (Participant or Parent/Caregiver) Percentage Change Rating Scale
|
57.06 Percentage Change
Standard Error 4.36
|
54.06 Percentage Change
Standard Error 5.21
|
30.84 Percentage Change
Standard Error 3.89
|
SECONDARY outcome
Timeframe: After 26 weeks treatmentPercentage improvement in facial angiofibroma since beginning treatment, as assessed by the clinician. A large value indicates most improvement to facial angiofibroma (minimum=0, maximum=100). This was a single assessment time-point, where clinicians estimated the percentage change in the facial angiofibroma lesion appearance from their perspective since baseline.
Outcome measures
| Measure |
0.5% Rapamycin Cream, Topical
n=36 Participants
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
n=33 Participants
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
n=38 Participants
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
|---|---|---|---|
|
Objective (Clinician) Percentage Change Rating Scale
|
47.83 Percentage Change
Standard Error 3.88
|
49.39 Percentage Change
Standard Error 5.22
|
20.76 Percentage Change
Standard Error 4.05
|
SECONDARY outcome
Timeframe: After 26 weeks treatmentChange in facial angiofibroma since beginning treatment on a 5-point scale, as assessed by the participant or parent/caregiver. This was a single assessment time-point, where the participant or parent/caregiver evaluated the change in the facial angiofibroma lesion appearance from their perspective since baseline.
Outcome measures
| Measure |
0.5% Rapamycin Cream, Topical
n=36 Participants
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
n=33 Participants
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
n=38 Participants
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
|---|---|---|---|
|
Categorical Change in Facial Angiofibroma
-1 - Worse
|
1 Participants
|
0 Participants
|
0 Participants
|
|
Categorical Change in Facial Angiofibroma
0 - No Difference
|
0 Participants
|
1 Participants
|
12 Participants
|
|
Categorical Change in Facial Angiofibroma
+1 - Slightly Better
|
2 Participants
|
7 Participants
|
11 Participants
|
|
Categorical Change in Facial Angiofibroma
Missing
|
4 Participants
|
5 Participants
|
2 Participants
|
|
Categorical Change in Facial Angiofibroma
+2 - Moderately Better
|
13 Participants
|
7 Participants
|
9 Participants
|
|
Categorical Change in Facial Angiofibroma
+3 - Significantly Better
|
16 Participants
|
13 Participants
|
4 Participants
|
Adverse Events
0.5% Rapamycin Cream, Topical
1.0% Rapamycin Cream, Topical
Placebo
Serious adverse events
| Measure |
0.5% Rapamycin Cream, Topical
n=36 participants at risk
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
n=33 participants at risk
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
n=38 participants at risk
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
|---|---|---|---|
|
Nervous system disorders
Seizure
|
2.8%
1/36 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
2.6%
1/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Gastrointestinal disorders
Constipation, nausea, malnutrition, diarrhea
|
0.00%
0/36 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Cardiac disorders
Chest pain
|
2.8%
1/36 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/38 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Renal and urinary disorders
Kidney bleeding
|
0.00%
0/36 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
3.0%
1/33 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/38 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Cardiac disorders
Supraventricular tachycardia
|
0.00%
0/36 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
2.6%
1/38 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Injury, poisoning and procedural complications
Collapsed lung
|
0.00%
0/36 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
3.0%
1/33 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/38 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
Other adverse events
| Measure |
0.5% Rapamycin Cream, Topical
n=36 participants at risk
Rapamycin cream topical, 0.5% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
1.0% Rapamycin Cream, Topical
n=33 participants at risk
Rapamycin cream topical, 1.0% w/w, applied once daily before bed on affected area for 26 weeks
rapamycin: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
Placebo
n=38 participants at risk
Placebo cream topical, applied once daily before bed on affected area for 26 weeks
placebo: Apply to the affected area once a day, approximately half an hour before retiring for bed in the evening, for 26 weeks
|
|---|---|---|---|
|
Skin and subcutaneous tissue disorders
Skin burning sensation
|
36.1%
13/36 • Number of events 15 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
18.2%
6/33 • Number of events 7 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
13.2%
5/38 • Number of events 5 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Skin and subcutaneous tissue disorders
Pruritus
|
25.0%
9/36 • Number of events 9 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
36.4%
12/33 • Number of events 13 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Skin and subcutaneous tissue disorders
Erythema
|
19.4%
7/36 • Number of events 7 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
18.2%
6/33 • Number of events 7 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
10.5%
4/38 • Number of events 5 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Skin and subcutaneous tissue disorders
Dry Skin
|
19.4%
7/36 • Number of events 7 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
15.2%
5/33 • Number of events 5 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/38 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Skin and subcutaneous tissue disorders
Pain of skin
|
8.3%
3/36 • Number of events 3 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
12.1%
4/33 • Number of events 4 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Skin and subcutaneous tissue disorders
Acne
|
5.6%
2/36 • Number of events 4 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
9.1%
3/33 • Number of events 3 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Skin and subcutaneous tissue disorders
Rash
|
5.6%
2/36 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
3.0%
1/33 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/38 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Skin and subcutaneous tissue disorders
Skin haemorrhage
|
5.6%
2/36 • Number of events 4 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
2.6%
1/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Skin and subcutaneous tissue disorders
Skin tightness
|
5.6%
2/36 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/38 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Infections and infestations
Folliculitis
|
2.8%
1/36 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Infections and infestations
Nasopharyngitis
|
0.00%
0/36 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
3.0%
1/33 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Infections and infestations
Rhinitis
|
2.8%
1/36 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
6.1%
2/33 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/38 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Infections and infestations
Upper respiratory tract infection
|
0.00%
0/36 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
7.9%
3/38 • Number of events 3 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Infections and infestations
Influenza
|
0.00%
0/36 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Infections and infestations
Urinary tract infection
|
5.6%
2/36 • Number of events 4 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/38 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Nervous system disorders
Seizure
|
5.6%
2/36 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
12.1%
4/33 • Number of events 5 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/38 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Nervous system disorders
Paraesthesia
|
5.6%
2/36 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
3.0%
1/33 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
2.6%
1/38 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Nervous system disorders
Headache
|
0.00%
0/36 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
3.0%
1/33 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 3 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
General disorders
Fatigue
|
0.00%
0/36 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
3.0%
1/33 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 3 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
General disorders
Pyrexia
|
2.8%
1/36 • Number of events 1 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 3 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Vascular disorders
Haemorrhage
|
5.6%
2/36 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
9.1%
3/33 • Number of events 5 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Gastrointestinal disorders
Nausea
|
2.8%
1/36 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Gastrointestinal disorders
Diarrhoea
|
0.00%
0/36 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour haemorrhage
|
2.8%
1/36 • Number of events 2 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
0.00%
0/33 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
5.3%
2/38 • Number of events 4 • 30 weeks
Adverse events were collected during each clinical visit and follow-up visit. Patients or their parents/guardians were questioned by the investigator regarding any adverse events experienced since the previous clinical visit.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: GT60