Phase 3
N=118
Efficacy and Safety of RAD001 in Patients Aged 18 and Over With Angiomyolipoma Associated With Either Tuberous Sclerosis Complex (TSC) or Sporadic Lymphangioleiomyomatosis (LAM)
Tuberous Sclerosis Complex (TSC) · Lymphangioleiomyomatosis (LAM)
Bottom Line
View on ClinicalTrials.gov: NCT00790400 ↗Enrolled (actual)
118
Serious AEs
40.7%
Results posted
Aug 2012
Primary outcome: Primary: Angiomyolipoma Response Rate as Per Central Radiology Review — 41.8; 0; 58.0 Percentage of Participants — p=<0.0001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Everolimus (RAD001) (Drug); Everolimus Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Novartis Pharmaceuticals
- Primary completion
- Jun 2011
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Angiomyolipoma Response Rate as Per Central Radiology Review |
41.8; 0; 58.0 | <0.0001 sig |
| SECONDARY Time to Angiomyolipoma Progression as Per Central Radiology Review |
NA; 11.37; NA | — |
| SECONDARY Skin Lesion Response Rate as Per Investigator (Only Patients With at Least One Skin Lesion at Baseline) |
26; 0; 68.2 | — |
| SECONDARY Percentage of Participants With Renal Impairment |
2.5; 7.7; 7.1; 97.5; 92.3; 92.9 | — |
| SECONDARY Change From Baseline in Plasma Angiogenic Molecules - Vascular Endothelial Growth Factor (VEGF) Marker |
38.7; 17.6; 43.4; -6.1; 31.1; -4.3 | — |
| SECONDARY Everolimus Trough Concentrations (Cmin) |
7.63; 7.72; 8.79; 9.37; 11.49 | — |
| SECONDARY Everolimus Blood Concentrations (C2h) at 2 Hours Post-dose |
33.38; 30.89; 34.48; 39.27; 33.20 | — |
| SECONDARY Time to Angiomyolipoma Response - Only Everolimus Patients With Angiomyolipoma Response |
2.86; 2.89 | — |
| SECONDARY Duration of Angiomyolipoma Response - Only Everolimus Patients With Angiomyolipoma Response |
NA; NA | — |
| SECONDARY Duration of Skin Lesion Response - Only Everolimus Patients With Best Overall Skin Lesion Response of Complete Clinical Response (CCR) or Partial Response (PR) |
NA; NA | — |
Summary
This study will evaluate the safety and efficacy of RAD001 in treating patients with Angiomyolipoma associated with Tuberous Sclerosis Complex or Sporadic Lymphangioleiomyomatosis.
Eligibility Criteria
Inclusion Criteria
- Male or Female 18 years or older
- Clinically definite diagnosis of Tuberous Sclerosis Complex according to the modified Gomez criteria or sporadic LAM (biopsy-proven or compatible chest CT scan)
- Clinically definite diagnosis of renal angiomyolipoma
- At least one Angiomyolipoma of ≥ 3 cm in its longest diameter using CT or MRI
- Females of child bearing potential must use birth control and have documentation of negative pregnancy test
- Written informed consent according to local guidelines
Exclusion Criteria
- Recent heart attack, cardiac related chest pain or stroke
- Severely impaired lung function
- Bleeding related to angiomyolipoma or embolization during 6 months prior to randomization
- Clinically significant chylous ascites
- Clinically significant hematological or hepatic abnormality
- Severe liver dysfunction
- Severe kidney dysfunction
- Pregnancy or breast feeding
- Current infection
- History of organ transplant
- Surgery within two months prior to study enrollment
- Prior therapy with a medication in the same class as Everolimus
- Recent use of an investigational drug
- Bleeding diathesis or on oral anti-vitamin K medication
- Uncontrolled high cholesterol
- Uncontrolled diabetes
- HIV
- Inability to attend scheduled clinic visits
- Patients with metal implants thus prohibiting MRI evaluations
- Angiomyolipoma which requires surgery at the time of randomization
- History of malignancy
- Severe or uncontrolled medical conditions which would cause an unacceptable safety risk or compromise compliance with the protocol
Data sourced from ClinicalTrials.gov (NCT00790400). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.