Efficacy and Safety of RAD001 in Patients Aged 18 and Over With Angiomyolipoma Associated With Either Tuberous Sclerosis Complex (TSC) or Sporadic Lymphangioleiomyomatosis (LAM) (EXIST-2)
Tuberous Sclerosis Complex (TSC), Lymphangioleiomyomatosis (LAM)
About this trial
This is an interventional treatment trial for Tuberous Sclerosis Complex (TSC) focused on measuring Angiomyolipoma, AML, Tuberous Sclerosis Complex, TSC, mTOR, RAD001, Mammalian Target of Rapamycin, Everolimus, Afinitor, SEGA, Subependymal Giant Cell Astrocytoma, Seizures, Tuberous sclerosis complex (TSC), Tuberous sclerosis, benign tumors of brain, kidney, heart, eyes, lungs, skinTSC1, TSC2, hamaratin, tuberin, tumor growth suppressors, gyri, tubers, Sporadic Lymphangioleiomyomatosis., Lymphangioleiomyomatosis (LAM), rare lung disease
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
Sites / Locations
- University of Alabama at Birmingham
- Barrow Tuberous Sclerosis Center
- Massachusetts General Hospital Massachussetts General Hospita
- Minnesota Epilepsy Group
- Cincinnati Children's Hospital Medical Center
- LeBonheur Childrens Medical Group SC-2
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Everolimus
Placebo
Study drug was given by continuous oral daily dosing of two 5 mg tablets.
Placebo was given by continuous oral daily dosing of two 5 mg tablets.