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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