Unique ID issued by UMIN | UMIN000030522 |
---|---|
Receipt number | R000034316 |
Scientific Title | A multicenter, single-arm, prospective study assessing efficacy and safety of the Sirolimus in the Treatment of intractable vascular anomalies |
Date of disclosure of the study information | 2017/12/22 |
Last modified on | 2018/01/02 11:35:58 |
A multicenter, single-arm, prospective study assessing efficacy and safety of the Sirolimus in the Treatment of intractable vascular anomalies
Sirolimus for intractable vascular anomalies
A multicenter, single-arm, prospective study assessing efficacy and safety of the Sirolimus in the Treatment of intractable vascular anomalies
Sirolimus for intractable vascular anomalies
Japan |
Intractable vascular anomalies: Cystic lymphatic malformation, Lymphangiomatosis (Generalized lymphatic anomaly, Kaposiform lymphangiomatosis), Gorham-Stout disease, Kaposiform hemangioendothelioma and Tuffted angioma with Kasabach-Merritt phenomenon, Nenous malformation, Arteriovenous malformation, Klippel-Trenaunay-Weber syndrome,Bluerubber bleb nevus syndrome, Complex-combined vascular malformations
Medicine in general | Pneumology | Endocrinology and Metabolism |
Hematology and clinical oncology | Surgery in general | Vascular surgery |
Chest surgery | Pediatrics | Dermatology |
Oto-rhino-laryngology | Orthopedics | Oral surgery |
Neurosurgery | Plastic surgery | Aesthetic surgery |
Others
NO
To assess efficacy and safety of mTOR inhibitor sirolimus in patients with intractable vascular anomalies.
Efficacy
Adverse effects and side effects
Target lesion response rate determined by Independent Review Facility after 24 and 52 weeks of treatments
Respiratory function after 24 and 52 weeks of treatments
Evaluation of pleural effusion after 24 and 52 weeks of treatments
Evaluation of ascites after 24 and 52 weeks of treatments
Blood coagulation parameters after 5, 12, 24 and 52 weeks of treatments
Bleeding after 24 and 52 weeks of treatments
Pain after 24 and 52 weeks of treatments
QOL improvement rates after 24 and 52 weeks of treatments
ADL improvement rates after 24 and 52 weeks of treatments
Laboratory values
Vital signs
Pharmacokinetics
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Body surface area (BSA) >= 1.0m2: an initial dose of sirolimus (2mg/day) is single orally administered under fed or fasting condition. Subsequently, the sirolimus dosage is adjusted to achieve trough levels between 5-15 ng/mL. Maximum dose of sirolimus is 4 mg per day.
BSA < 1.0m2: an initial dose of sirolimus (1mg/day) is single orally administered under fed or fasting condition. Subsequently, the sirolimus dosage is adjusted to achieve trough levels between 5-15 ng/mL. Maximum dose of sirolimus is 4 mg per day.
Not applicable |
Not applicable |
Male and Female
1) Patients with intractable vascular anomaly diagnosed by the investigator/subinvestigator
2) Patients must have vascular anomalies that have potential to cause significant morbidity.
3) Normal liver, renal, and cardiac function at entry
Total bilirubin < 3 x ULN for age
CRE < 3 x ULN for age
4) Written consent to participate in this clinical trial has been given by the subject in person or by a legal guardian (when the subject is younger than 20 years at consent).
1)Patients who currently have an uncontrolled infection
2) Uncontrolled diabetes, uncontrolled hypertension, uncontrolled hyperlipidemia, chronic liver disease, or chronic renal disease
3) History of allergy to sirolimus, or additive substance
4) Known history of HIV seropositivity or known immunodeficiency
5) Patients who have undergone surgical resection or interventional radiology procedures for target lesions within 2 weeks
6) Pregnant, probably pregnant, or breast-feeding woman.
Patients who do not agree birth control during clinical trial.
7) Patient who is judged inappropriate to participate in this study by the investigators
50
1st name | |
Middle name | |
Last name | Michio Ozeki |
Gifu University Hospital
Pediatrics
1-1 Yanagido, Gifu City 501-1194, Japan
058-230-6000
michioo@gifu-u.ac.jp
1st name | |
Middle name | |
Last name | Ryuta Asada |
Gifu University Hospital
Innovative and Clinical Research Promotion Center
1-1 Yanagido, Gifu City 501-1194, Japan
058-230-6000
rasada@gifu-u.ac.jp
Gifu University
AMED
Japanese Governmental office
NO
慶應義塾大学病院(東京都)
国立成育医療研究センター(東京都)
岐阜大学医学部附属病院(岐阜県)
京都府立医科大学附属病院(京都府)
九州大学病院(福岡県)
2017 | Year | 12 | Month | 22 | Day |
Unpublished
Open public recruiting
2017 | Year | 11 | Month | 02 | Day |
2017 | Year | 11 | Month | 14 | Day |
2017 | Year | 12 | Month | 22 | Day |
2018 | Year | 01 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034316