Clinical trial • Phase II • Dermatology

Sirolimus (rapamycin) for Port-wine stain

Phase II trial of Sirolimus (rapamycin) for Port-wine stain.

Overview

Trial Therapeutic Area
Dermatology
Trial Disease
Port-wine stain
Trial Stage
Phase II
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
26-01-2025
First CTIS Authorization Date
27-01-2025

Trial design

Randomised, placebo topical cream (vehicle) comparator; active treatment arms are rapamycin (sirolimus) topical cream at two strengths (0.5% and 1.0%). dose schedule not specified in provided data.-controlled Phase II trial in Spain.

Randomised
Yes
Comparator
Placebo topical cream (vehicle) comparator; active treatment arms are rapamycin (sirolimus) topical cream at two strengths (0.5% and 1.0%). Dose schedule not specified in provided data.
Target Sample Size
30
Trial Duration For Participant
84

Eligibility

Recruits 30 paediatric patients.

Pregnancy Exclusion
Pregnant or lactating females
Vulnerable Population
Includes children aged ≥3 months to ≤18 years. The inclusion criteria require that patients (or their legal representatives) are capable of understanding the explanation of the clinical trial and give written informed consent. Subject information and informed consent documents for children and adolescents are included in the trial documents (titles include child/adolescent informed consent forms); legal representatives are referenced for consent for minors.

Inclusion criteria

  • {"criterion_text":"- Male and female patients aged ≥ 3 months and ≤ 18 years on the day informed consent is obtained\n- Patients presenting either facial, neck, trunk or upper arm port-wine stains\n- Port wine stain size of at least 36 cm2 in size (ideally at least 6 cm x 6 cm)\n- Patients (or their legal representatives) capable of understanding the explanation of the clinical trial, and who give written informed consent for participation\n- Patients (or their legal representatives) able to maintain patient diaries following the instructions of the investigator or sub-investigator\n- Patients are willing and able to follow instructions to only apply cream to part of their port-wine stain\n- Skin type classified as either I, II, III or IV on the Fitzpatrick scale"}

Exclusion criteria

  • {"criterion_text":"- Skin type classified as either V or VI on the Fitzpatrick scale\n- Pregnant or lactating females\n- Sexually active females of childbearing potential not using adequate contraception and sexually active males not using adequate contraception\n- Patients with immune dysfunction or receiving any form of immunosuppression\n- Patients with PWS in distal extremities and/or acral areas\n- Patients unwilling or unable to carry out the treatment plan or follow-up assessment\n- Patients with serious skin lesions such as erosions or ulcers\n- Patients with known hypersensitivity to any component of the study product\n- Patients who have received systemic rapamycin/sirolimus, everolimus, or temsirolimus within 3 months of enrolment\n- Patients who have received laser therapy or surgical therapy within 3 months prior to trial enrolment\n- Patients who participated in any other clinical trial within 3 months prior to the day of enrolment\n- Patients judged unsuitable for this clinical trial by the investigator or sub-investigator"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary efficacy endpoint is the change in extent and intensity of PWS colour from baseline to week 12 (V3), or at last visit if early withdrawal/discontinuation occurs, measured using a colorimetry system through standardized clinical photographs.","definition_or_measurement_approach":"Change in extent and intensity of PWS colour from baseline to week 12 (V3) measured using a colorimetry system through standardized clinical photographs (or at last visit if early withdrawal/discontinuation occurs)."}

Secondary endpoints

  • {"endpoint_text":"- Change in extent and intensity of PWS colour from baseline at weeks 0, 4, 8 and follow-up/last assessment, measured using a colorimetry system through standardized clinical photographs.","definition_or_measurement_approach":"Measured using a colorimetry system through standardized clinical photographs at weeks 0, 4, 8 and follow-up/last assessment."}
  • {"endpoint_text":"- Subjective improvement rating of PWS from baseline after 0, 4, 8 and 12 weeks of treatment","definition_or_measurement_approach":"Subjective improvement rating assessed at weeks 0, 4, 8 and 12 (method as per trial assessments; timing specified)."}
  • {"endpoint_text":"- Clinic Objective improvement rating in PWS from baseline after 0, 4, 8 and 12 weeks of treatment","definition_or_measurement_approach":"Clinic objective improvement ratings assessed at weeks 0, 4, 8 and 12."}
  • {"endpoint_text":"- Photographic Objective improvement rating in PWS from baseline after 0, 4, 8 and 12 weeks of treatment","definition_or_measurement_approach":"Photographic objective improvement ratings assessed via standardized clinical photographs at weeks 0, 4, 8 and 12."}

Recruitment

Planned Sample Size
30
Recruitment Window Months
6
Consent Approach
Written informed consent required from patients or their legal representatives: 'Patients (or their legal representatives) capable of understanding the explanation of the clinical trial, and who give written informed consent for participation'. Child and adolescent informed consent documents are included in the trial documents (titles indicate child and adolescent ICFs). Documents include Spanish-language versions (document titles include 'Spanish_Final').

Geography

Total Number Of Sites
1
Total Number Of Participants
30

Spain

Earliest CTIS Part Ii Submission Date
24-01-2025
Latest Decision Or Authorization Date
27-01-2025
Processing Time Days
3
Number Of Sites
1
Number Of Participants
30

Sites

Site Name
Hospital Sant Joan de Déu
Department Name
Dermatologia Pediátrica
Contact Person Name
Marta Ivars Lleo
Contact Person Email
marta.ivars@sjd.es

Sponsor

Primary sponsor

Full Name
Aft Pharmaceuticals Limited
Organisation Type
Pharmaceutical company
Country Of Registered Address
New Zealand

Investigational products

Investigational Product Name
Sirolimus 0.5% cream (topical)
Active Substance
Sirolimus (rapamycin)
Modality
Small molecule
Routes Of Administration
Topical (cutaneous use)
Route
Topical (cutaneous)
Starting Dose
0.5% (W/W)
Dose Levels
0.5%
Maximum Dose
1% (W/W)
Investigational Product Name
Sirolimus 1.0% cream (topical)
Active Substance
Sirolimus (rapamycin)
Modality
Small molecule
Routes Of Administration
Topical (cutaneous use)
Route
Topical (cutaneous)
Starting Dose
1.0% (W/W)
Dose Levels
1.0%
Maximum Dose
1% (W/W)
Investigational Product Name
Placebo topical cream (vehicle)
Modality
Other
Routes Of Administration
Topical (cutaneous use)
Route
Topical (cutaneous)
Dose Levels
Placebo
Maximum Dose
1% (W/W)
Combination Treatment
Yes

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