Status:

COMPLETED

Sirolimus for Cowden Syndrome With Colon Polyposis

Lead Sponsor:

Ohio State University

Collaborating Sponsors:

PTEN Research

Pfizer

Conditions:

PTEN Gene Mutation

PTEN Hamartoma Tumor Syndrome

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

Brief Summary

Colon polyposis (the presence of multiple colon polyps) is very common with Cowden syndrome, as over 60% of patients have 50 or more polyps. In a previous clinical trial, some participants had reducti...

Detailed Description

PTEN is a tumor suppressor gene that regulates the cell cycle through the phosphoinositide 3-kinase (PI3K)/Akt/mTOR pathway. When germline mutations in PTEN occur, the result is Cowden syndrome (or le...

Eligibility Criteria

Inclusion

  • Cowden syndrome or other PTEN hamartoma tumor syndrome spectrum disorder
  • Confirmed pathogenic or likely pathogenic PTEN germline mutation on genetic testing
  • Previous colonoscopy with colon polyposis. This is defined for the study as either too many polyps to remove endoscopically as judged by the performing physician at the last colonoscopy or findings indicating at least an InSIGHT stage 1 score (over 20 polyps).
  • Age 18 or greater
  • Capacity to consent to study

Exclusion

  • Pregnancy or plans for pregnancy while on treatment or within 3 months of stopping treatment (for both women and men)
  • Chronic kidney disease
  • Chronic renal disease
  • History of colon cancer or colon adenoma with high grade dysplasia
  • History of colectomy

Key Trial Info

Start Date :

September 16 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 5 2025

Estimated Enrollment :

5 Patients enrolled

Trial Details

Trial ID

NCT04094675

Start Date

September 16 2019

End Date

June 5 2025

Last Update

June 10 2025

Active Locations (1)

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1

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States, 43210