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

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

107 participants

Primary outcome timeframe

After 26 weeks treatment

Results posted on

2023-09-08

Participant Flow

Participant milestones

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

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 treatment

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

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

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 treatment

The 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

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 treatment

The 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

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 treatment

Percentage 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

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 treatment

Percentage 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

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 treatment

Change 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

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

Serious events: 2 serious events
Other events: 29 other events
Deaths: 0 deaths

1.0% Rapamycin Cream, Topical

Serious events: 2 serious events
Other events: 27 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 27 other events
Deaths: 0 deaths

Serious adverse events

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

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

Ioana Stanescu

AFT Pharmaceuticals Ltd.

Phone: +64 9 488 0232

Results disclosure agreements

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

Restriction type: GT60