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Phase 3 N=118 Randomized Quadruple-blind Treatment

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)

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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