Actively Recruiting

Phase 3
Age: 3Months - 50Years
All Genders
ID05534672

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

Age: 3Months - 50Years
All Genders

Eligibility Criteria

Eligible

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
Not Eligible

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

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Dose Adjustment Blinded Phase

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

Core Blinded Phase

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

Open-label Observation

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

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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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