Actively Recruiting
Efficacy of Rapamycin in the Treatment of Cervico-facial Lymphatic Malformations
Led by University Hospital, Lille · Updated on 2025-12-16
28
Participants Needed
2
Research Sites
396 weeks
Total Duration
On this page
Sponsors
U
University Hospital, Lille
Lead Sponsor
M
Ministry of Health, France
Collaborating Sponsor
AI-Summary
What this Trial Is About
To evaluate the efficacy of Rapamycin in extended cervicofacial lymphatic malformations in pediatric patients. Rapamycin is administered oral for a 6 month period. The success rate is determined by volume reduction superior to 1/5e of the initial volume measured by MRI, impact on QOL and reduction of bleeding in case of mucosal involvement.
CONDITIONS
Official Title
Efficacy of Rapamycin in the Treatment of Cervico-facial Lymphatic Malformations
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patient from 0 to 18 years of age with poly-cystic suprahyoid or mediastinal lymphatic malformation
- Presence of chronic pain or respiratory or swallowing impairment with a CDS score less than 8
- Curative treatment is not possible or has high risk of morbidity, mortality, functional or cosmetic impairment
- Karnofsky score over 50% (for patients older than 10 years) or Lansky score over 50% (for patients 10 years or younger)
- Blood tests showing neutrophils count ≥ 1.0 x 10^9/L, platelets count ≥ 100 x 10^9/L, hemoglobin ≥ 8 g/dL, bilirubin ≤ 1.5 times upper limit of normal, transaminases less than 2.5 times upper limit of normal, serum albumin ≥ 2 g/dL, LDL cholesterol less than 160 mg/dL, triglycerides less than 150 mg/dL
- Negative pregnancy test if applicable
- Social security affiliation
- At least 2 months since any previous procedure on the malformation
You will not qualify if you...
- Not meeting the inclusion criteria
- Use of other immunosuppressive therapy or long-term corticosteroid therapy without a 28-day washout period
- Renal failure
- Liver failure
- Digestive diseases causing poor absorption of Rapamycin
- Uncontrolled or severe infections
- Need for medications that interfere with CYP3A4 enzyme activity including rifampicin, rifabutin, carbamazepine, phenobarbital, phenytoin, ketoconazole, voriconazole, itraconazole, telithromycin, clarithromycin, diltiazem, verapamil, nicardipine, clotrimazole, fluconazole, troleandomycin, bromocriptine, cimetidine, danazol, protease inhibitors, cisapride, metoclopramide
- Concurrent treatment with mTOR inhibitors
- Allergy to peanuts or soy
- Inability to provide informed consent
- No social security affiliation
- Refusal to sign consent or participate
- Current pregnancy or breastfeeding
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 2 locations
1
Hôpital Jeanne de Flandres, CHU
Lille, France
Actively Recruiting
2
Hu Robert Debre Aphp - Paris
Paris, France
Actively Recruiting
Research Team
P
Pierre Fayoux, MD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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