Effect of Sirolimus on Molecular Alterations in Cerebral Aneurysms

NCT ID: NCT04141020

Last Updated: 2025-03-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-27

Study Completion Date

2026-11-01

Brief Summary

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The objective of this study is to explore the effects of Sirolimus on the underlying molecular alterations of cerebral aneurysms.

Detailed Description

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Conditions

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Cerebral Aneurysm

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Microsurgical Clipping Treated with Sirolimus

Participants undergoing standard of care microsurgical clipping of unruptured cerebral aneurysm will be treated with 2 mg Sirolimus daily for 14-18 consecutive days prior to surgery.

Group Type EXPERIMENTAL

Microsurgical clipping

Intervention Type PROCEDURE

Standard of care microsurgical clipping of an unruptured cerebral artery aneurysm.

Sirolimus

Intervention Type DRUG

Daily oral Sirolimus 2 mg tablets, adjusted as necessary per treating physician.

Endovascular Treatment Treated with Sirolimus

Participants undergoing standard of care endovascular treatment of unruptured cerebral aneurysm procedure will be treated with 2 mg Sirolimus daily for 14-18 consecutive days prior to procedure.

Group Type EXPERIMENTAL

Endovascular treatment

Intervention Type PROCEDURE

Standard of care endovascular treatment of an unruptured cerebral artery aneurysm.

Sirolimus

Intervention Type DRUG

Daily oral Sirolimus 2 mg tablets, adjusted as necessary per treating physician.

Interventions

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Microsurgical clipping

Standard of care microsurgical clipping of an unruptured cerebral artery aneurysm.

Intervention Type PROCEDURE

Endovascular treatment

Standard of care endovascular treatment of an unruptured cerebral artery aneurysm.

Intervention Type PROCEDURE

Sirolimus

Daily oral Sirolimus 2 mg tablets, adjusted as necessary per treating physician.

Intervention Type DRUG

Other Intervention Names

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Rapamune

Eligibility Criteria

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Inclusion Criteria

1. Undergoing one of the following procedures at Jackson Memorial Hospital:

* Clipping of an unruptured cerebral artery aneurysm
* Endovascular treatment of unruptured cerebral aneurysms (including those receiving coiling)
2. ≥ 18 years of age
3. Willing and able to give informed consent

Exclusion Criteria

1\) Subjects meeting any of the following criteria will be excluded:

* Dissecting, traumatic, or mycotic brain aneurysm.
* Women who are pregnant, or have a positive urine or blood (β-hCG) pregnancy test.
* Women who are breastfeeding.
* Any clinically significant psychiatric or psychological disease, which would preclude the patient from completing the protocol.
* Patients with known Human Immunodeficiency Virus (HIV) infection or other known immunodeficiency.
* Patient with renal or liver failure
* Interstitial pneumonitis
* History of lymphoma
* History of skin cancer
* Hypersensitivity to sirolimus
* Severe or unstable concomitant condition disease or chronic condition, which in the opinion of the investigator could affect assessment of the safety or efficacy of study intervention.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

University of Miami

OTHER

Sponsor Role lead

Responsible Party

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Robert Starke

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Robert M Starke, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Locations

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University of Miami

Miami, Florida, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jayro Toledo, MD

Role: CONTACT

305-243-8044

Facility Contacts

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Jayro Toledo, MD

Role: primary

305-243-8044

Other Identifiers

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1R01NS111119-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

20190857

Identifier Type: -

Identifier Source: org_study_id

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