Clinical trial • Phase II • Other
Sirolimus for Superficial arteriovenous malformation
Phase II trial of Sirolimus for Superficial arteriovenous malformation. open-label. 50 participants.
Overview
- Trial Therapeutic Area
- Other
- Trial Disease
- Superficial arteriovenous malformation
- Trial Stage
- Phase II
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 04-12-2024
- First CTIS Authorization Date
- 17-01-2025
Trial design
open-label Phase II trial across 4 sites in France.
- Open Label
- Yes
- Target Sample Size
- 50
- Trial Duration For Participant
- 365
Eligibility
Recruits 50 paediatric patients.
- Pregnancy Exclusion
- Pregnant or breast-feeding women.
- Vulnerable Population
- Includes adolescents and children over 2 years of age; parents or legal representatives must sign consent forms for minors after clear information. Specific consent and subject information documents are provided for adults and for parents (L1_ICF Adults, L1_SIS Adults, L1_ICF Parents, L1_SIS Parents). Adults under guardianship or trusteeship and persons deprived of their liberty are explicitly excluded.
Inclusion criteria
- {"criterion_text":"-Patients (adults, adolescents and children over 2 years of age), of stage II+, III or IV of the Schöbinger classification (1994) whether their whether the lesion is progressive or quiescent, with or without haemorrhagic phenomena.\n-Patients (parents in the case of minors) must have signed a consent form consent form drawn up after clear information about the the expected risks and benefits of the study.\n-Patients should use effective contraception for the duration of the study for the duration of the study and for up to 12 weeks after the end of treatment.\n-Negative pregnancy test (blood β-HCG) for women of childbearing age."}
Exclusion criteria
- {"criterion_text":"-Acquired or chronic immunodepression\n-Anemia with Hb<9g/dl\n-Elevation of transaminases >2.5 N\n-History of cancer less than two years prior to inclusion\n-Surgery less than 2 months prior to inclusion\n-Active infection (viral and bacterial) at inclusion date\n-Hypercholesterolaemia > 7 mmol/l despite well-conducted medical treatment\n-Hyperlipidaemia > 2 mmol/l despite well-managed medical treatment\n-Uncontrolled diabetes\n-Patients unable to follow a clinical study\n-Adults under guardianship or trusteeship, persons deprived of their liberty\n-Patients with chronic active hepatitis B, hepatitis C or HIV infection\n-Pregnant or breast-feeding women.\n-Allergy to macrolides\n-Allergy to peanuts or soya\n-Hypersensitivity to 'Sirolimus' or to one of the excipients of the investigational product experimental product\n-Contraindication to the performance of an MRI scan\n-Leukopenia less than 1000 GB/mm3\n-Thrombocytopenia less than 80,000 PS/mm3"}
Endpoints
Primary endpoints
- {"endpoint_text":"-the proportion of patients with a reduction in tumour volume of the 30% reduction in AVM tumour volume by angioscannographic criteria during the first year of the study","definition_or_measurement_approach":"Proportion of patients achieving at least a 30% reduction in AVM tumour volume on angioscannographic evaluation comparing volume at one year versus baseline (angio-CT/angioscannographic criteria)."}
Secondary endpoints
- {"endpoint_text":"-Assessment of treatment efficacy at three months, six months, nine months","definition_or_measurement_approach":"Assessment of treatment efficacy at 3, 6 and 9 months (timed efficacy evaluations as stated)."}
Recruitment
- Planned Sample Size
- 50
- Recruitment Window Months
- 144
- Consent Approach
- Patients (or parents/representatives for minors) must sign a consent form after clear information about expected risks and benefits. There are specific informed consent forms and subject information sheets for adults and for parents (documents: L1_ICF Adults, L1_SIS Adults, L1_ICF Parents, L1_SIS Parents). Consent documentation is provided in French (document titles include 'FR').
Geography
- Total Number Of Sites
- 4
- Total Number Of Participants
- 50
France
- Earliest CTIS Part Ii Submission Date
- 10-01-2025
- Latest Decision Or Authorization Date
- 17-01-2025
- Processing Time Days
- 7
- Number Of Sites
- 4
- Number Of Participants
- 50
Sites
- Site Name
- Centre Hospitalier Universitaire De Dijon
- Department Name
- Dermatology
- Principal Investigator Name
- Pierre VABRES
- Principal Investigator Email
- pierre.vabres@chu-dijon.fr
- Contact Person Name
- Pierre VABRES
- Contact Person Email
- pierre.vabres@chu-dijon.fr
- Site Name
- Hospices Civils De Lyon
- Department Name
- Immunology
- Principal Investigator Name
- Emmanuel MORELON
- Principal Investigator Email
- emmanuel.morelon@chu-lyon.fr
- Contact Person Name
- Emmanuel MORELON
- Contact Person Email
- emmanuel.morelon@chu-lyon.fr
- Site Name
- Centre Hospitalier Universitaire Amiens Picardie
- Department Name
- maxillofacial chirurgy
- Principal Investigator Name
- Sylvie TESTELIN
- Principal Investigator Email
- testelin.sylvie@chu-amiens.fr
- Contact Person Name
- Sylvie TESTELIN
- Contact Person Email
- testelin.sylvie@chu-amiens.fr
- Site Name
- Centre Hospitalier Regional De Marseille
- Department Name
- Dermatology
- Principal Investigator Name
- Stéphanie MALLET
- Principal Investigator Email
- stephanie.mallet@ap-hm.fr
- Contact Person Name
- Stéphanie MALLET
- Contact Person Email
- stephanie.mallet@ap-hm.fr
Sponsor
Primary sponsor
- Full Name
- Centre Hospitalier Universitaire Amiens Picardie
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- France
Investigational products
- Investigational Product Name
- Rapamune 1 mg coated tablets
- Active Substance
- Sirolimus
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- oral
- Authorisation Status
- Authorised (marketing authorisation EU/1/01/171/007)
- Maximum Dose
- 2 mg per day
- Investigational Product Name
- SOLUPRED 20 mg, comprimé orodispersible
- Active Substance
- Prednisolone metasulfobenzoate sodium
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- oral
- Authorisation Status
- Authorised (marketing authorisation 34009 349 368 7 6, FR)
- Starting Dose
- 0.5 mg/kg
- Maximum Dose
- 0.5 mg/kg per day
- Investigational Product Name
- SOLUPRED 5 mg, comprimé orodispersible
- Active Substance
- Prednisolone metasulfobenzoate sodium
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- oral
- Authorisation Status
- Authorised (marketing authorisation 34009 574 901 0 2, FR)
- Starting Dose
- 0.5 mg/kg
- Maximum Dose
- 0.5 mg/kg per day
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