Actively Recruiting
Multicenter, Randomized, Double-blind, Placebo Controlled Study to Assess the Efficacy and Safety of Rapamycin in Drug Resistant Epilepsy Associated With TSC
Led by Katarzyna Kotulska · Updated on 2023-08-08
200
Participants Needed
2
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the safety, tolerability, and effectiveness of rapamycin compared to a placebo in people with drug-resistant epilepsy linked to tuberous sclerosis complex (TSC). This is a phase 3, randomized, double-blind, placebo-controlled study aimed at understanding how rapamycin performs in this specific condition. The study is sponsored by Katarzyna Kotulska and focuses on patients aged from 3 months up to 50 years old who have a confirmed diagnosis of TSC and frequent seizures despite treatment. Participants will be randomly assigned to receive either rapamycin or a placebo in liquid form, with dosing tailored to each person's body surface area. The study includes three main phases: screening, a dose adjustment blinded phase, and a core blinded phase. After these phases, there is an open-label observation period where all participants may be monitored further. Randomization considers age, sex, and history of antiepileptic drug use to balance the groups evenly. Throughout the study, participants will be closely monitored for seizure frequency and safety outcomes. Researchers will compare the number of patients who experience at least a 50% reduction in seizures and track adverse events during the blinded core phase. Data collection includes seizure counts, days without seizures, and severity of side effects. The study aims to complete analysis within one month after the last participant's final visit, with ongoing follow-up to ensure participant safety and gather comprehensive results over the study duration.
CONDITIONS
Brief Title
Placebo Controlled Study to Assess the Efficacy and Safety of Rapamycin in Drug Resistant Epilepsy Associated With Tuberous Sclerosis Complex
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Male or female aged from 3 months up to 50 years at the day of randomization
- Patients, parents, or caregivers willing and able to give informed consent for participation
- Patients, parents, or caregivers willing and able to comply with all study requirements
- Definite diagnosis of tuberous sclerosis complex according to Consensus criteria (Northrup, 2013)
- Drug-resistant epilepsy associated with TSC with at least 8 seizures during 4 weeks
You will not qualify if you...
- History of treatment with mTOR inhibitor in the three months prior to screening
- History of pseudo-epileptic seizures
- History of progressive central nervous system disease other than TSC
- Recent surgery within 2 weeks prior to screening
- Severe infection within 2 weeks prior to screening
- Use of cannabis derivatives
- Contraindications for MRI or general anesthesia
- Serious comorbidities that may increase risk or affect study results
- Pregnancy
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Not specified
Participants receive rapamycin or placebo with doses adjusted individually based on body surface area in a blinded manner.
Visit schedule not specified
Duration - 12 weeks
Participants continue treatment with rapamycin or placebo in a double-blind manner to assess efficacy and safety.
Weekly visits for up to 12 weeks
Duration - Not specified
Participants are observed while receiving open-label treatment following the blinded phases.
Visit schedule not specified
Trial Site Locations
Total: 2 locations
1
Medical University of Lodz
Lodz, Poland, 90-419
Not Yet Recruiting
2
Children's Memorial Health Institute, Neurology and Epileptology
Warsaw, Poland, 04-730
Actively Recruiting
Research Team
K
Katarzyna Kotulska-Jozwiak
M
Monika Szkop
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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