UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030797
Receipt number R000034192
Scientific Title Uncontrolled open label study of sirolimus about efficacy for epileptic seizures and safety in patients with focal cortical dysplasia type 2
Date of disclosure of the study information 2018/01/13
Last modified on 2023/01/16 14:43:08

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Basic information

Public title

Uncontrolled open label study of sirolimus about efficacy for epileptic seizures and safety in patients with focal cortical dysplasia type 2

Acronym

Clinical research-sirolimus FCD Shizuoka2017-1

Scientific Title

Uncontrolled open label study of sirolimus about efficacy for epileptic seizures and safety in patients with focal cortical dysplasia type 2

Scientific Title:Acronym

Clinical research-sirolimus FCD Shizuoka2017-1

Region

Japan


Condition

Condition

focal cortical dysplasia type 2

Classification by specialty

Neurology Pediatrics Neurosurgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To reveal the efficacy of sirolimus for epileptic seizures, safety and pharmacokinetics in patients with focal cortical dysplasia type 2

Basic objectives2

Pharmacokinetics

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Reduction rate of partial seizures (including secondary GTC) among 28 days from observation period to maintenance dose period

Key secondary outcomes

Reduction rate of other seizures than partial seizures among 28 days from observation period to maintenance dose period


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Period: 8 weeks to 2 years
Initial dose:
1mg/day for boy weight from 20 to 40Kg
2mg/day for body weight above 40Kg
Increasing dose: 1mg/day until the level of 5-15ng/ml (sirolimus)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

6 years-old <=

Age-upper limit

65 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Diagnossi of FCD type 2 by MRI and /or histological exaamination.
2. Age (6 years to 65 years old), body weitht more than 20 Kg.
3. partial seizures difined by classification of ILAE.
4. Seizure continued, in spite of treatment for one year, by more than 2 AEDS.
5. Current AEDs:1-4 AEDs
6. No change of prescription of AEDs from obserbational stage.
7. Written informed consent from gurdians or patients.
8. Seizure frequency: more than two times among obserbational stage.

Key exclusion criteria

1. Other clinical trials in less than one month before obsebational stage.
2. Experience of eberolimus or sirolimus treatment.
3. Imposible counting of seizure frequency and duration.
4. Possible inflammation and /or degeneration suggested by CT , MRI, etc.
5. No epilepsy surgery among 6 months before obserbational stage. Partients with VNS before 6 months of obserbational stge, stimulation frequency is consistent.
6. Treatment with PB or VGB in 6 months before obserbational stage.
7. Current ketogenic diet.
8. History of suicide.
9. History or comorbidity of addiction including alcohol.
10. Pregnant mowen and breast-feedin women.
11. active hepatitis.
12. arhythmia with treatment.
13. heart failure with treatment.
14. immunodeficiency
15. surgical intervention in 8 weeks before obserbational stage.
16. Judgement of contraindication by reserchers.

Target sample size

1


Research contact person

Name of lead principal investigator

1st name Yukitoshi
Middle name
Last name Takahashi

Organization

National Epilepsy Center,
Shizuoka Institute of Epilepsy and Neurological Disorders, NHO

Division name

Pediatrics

Zip code

420 8688

Address

Shizuoka

TEL

054-245-5446

Email

takahashi-ped@umin.ac.jp


Public contact

Name of contact person

1st name Yukitoshi
Middle name
Last name Takahashi

Organization

National Epilepsy Center,

Division name

Pediatrics

Zip code

420 8688

Address

886 Urushiyama Aoi-ku Shizuoka 420-8688, Japan

TEL

054-245-5446

Homepage URL


Email

takahashi-ped@umin.ac.jp


Sponsor or person

Institute

National Epilepsy Center,
Shizuoka Institute of Epilepsy and Neurological Disorders, NHO

Institute

Department

Personal name



Funding Source

Organization

AMED

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Epilepsy Center,

Address

886 Urushiyama Aoi-ku Shizuoka 420-8688, Japan

Tel

054-245-5446

Email

takahashi-ped@umin.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立病院機構静岡てんかん・神経医療センター


Other administrative information

Date of disclosure of the study information

2018 Year 01 Month 13 Day


Related information

URL releasing protocol

in progress

Publication of results

Unpublished


Result

URL related to results and publications

in progress

Number of participants that the trial has enrolled

1

Results

Effectiveness for seizure outcome was not confirmed.

Results date posted

2023 Year 01 Month 16 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

adolescent female

Participant flow

one patient

Adverse events

nothing

Outcome measures

seizure outcome

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 10 Month 31 Day

Date of IRB

2017 Year 10 Month 31 Day

Anticipated trial start date

2017 Year 12 Month 01 Day

Last follow-up date

2020 Year 09 Month 30 Day

Date of closure to data entry

2020 Year 10 Month 31 Day

Date trial data considered complete

2020 Year 10 Month 31 Day

Date analysis concluded

2020 Year 10 Month 31 Day


Other

Other related information



Management information

Registered date

2018 Year 01 Month 13 Day

Last modified on

2023 Year 01 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034192


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name