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Trial Title: Placebo Controlled Study to Assess the Efficacy and Safety of Rapamycin in Drug Resistant Epilepsy Associated With Tuberous Sclerosis Complex

NCT ID: NCT05534672

Condition: Tuberous Sclerosis Complex

Conditions: Official terms:
Tuberous Sclerosis
Epilepsy
Drug Resistant Epilepsy
Sclerosis
Sirolimus

Conditions: Keywords:
tuberous sclerosis complex, epilepsy, rapamycin, drug resistant epilepsy

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Double (Participant, Investigator)

Intervention:

Intervention type: Other
Intervention name: Rapamycin
Description: Rapamycin in liquid administered orally
Arm group label: Rapamycin arm

Intervention type: Other
Intervention name: Placebo
Description: Placebo in liquid administered orally
Arm group label: Placebo arm

Summary: The purpose of the RaRE-TS study is to determine safety, tolerability and efficacy of rapamycin versus placebo in a drug resistant epilepsy associated with tuberous sclerosis complex (TSC).

Detailed description: This is a two-arm, randomized, double-blind, placebo controlled study to evaluate the efficacy, tolerability, and safety of rapamycin versus placebo in a drug resistant epilepsy associated with TSC. The study consists of 3 phases for each patient: screening, dose adjustment blinded phase, core blinded phase, followed by open-label observation. Patients who meet the eligibility criteria will be randomized to receive rapamycin or placebo. The randomization ratio is 1:1. Randomization will be stratified by age, sex and and the number of antiepileptic drugs ever used in the patient's history (up to 3 drugs / more than 3 drugs).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - male or female aged from 3 months up to 50 years at the day of randomization - patients/parents/caregivers are willing to and able to give informed consent form for the participation in the study - patients/parents/caregivers are willing to and able to comply with all study requirements - definite diagnosis of TSC according to the Consensus criteria (Northrup, 2013) - drug-resistant epilepsy associated with TSC with at least 8 seizures during 4 weeks Exclusion Criteria: - history of treatment with mTOR inhibitor in the three months prior to screening, - history of pseudo-epileptic seizures, - history of progressive CNS disease other than TSC - recent surgery within 2 weeks prior to the screening - severe infection within 2 weeks prior to the screening - use of the cannabis derivatives - contraindications for MRI or general anesthesia - occurrence of the serious comorbidities which, in the opinion of the investigator, may either put a patient at significant risk associated with the participation in the study or may influence the results of the study the investigator - pregnancy

Gender: All

Minimum age: 3 Months

Maximum age: 50 Years

Healthy volunteers: No

Locations:

Facility:
Name: Medical University of Lodz

Address:
City: Lodz
Zip: 90-419
Country: Poland

Status: Not yet recruiting

Contact:
Last name: Wojciech Mlynarski

Phone: +48 42 617-77-91
Email: wojciech.mlynarski@umed.lodz.pl

Facility:
Name: Children's Memorial Health Institute, Neurology and Epileptology

Address:
City: Warsaw
Zip: 04-730
Country: Poland

Status: Recruiting

Contact:
Last name: Katarzyna Kotulska-Jozwiak

Phone: +48 22 8157404
Email: k.kotulska@ipczd.pl

Contact backup:
Last name: Monika Szkop

Phone: +48 22 815 74 04
Email: m.szkop@ipczd.pl

Start date: January 23, 2023

Completion date: June 2027

Lead sponsor:
Agency: Katarzyna Kotulska
Agency class: Other

Source: Children's Memorial Health Institute, Poland

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05534672

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