ClinicalTrials.gg
WithdrawnNCT01997255Updated May 5, 2016

Adjunctive Everolimus (RAD 001) Therapy for Epilepsy in Children With Sturge-Weber Syndrome (SWS)

A Phase 2 interventional study of Everolimus in Sturge Weber Syndrome, sponsored by Baylor College of Medicine. Withdrawn at 1 site in United States. Open to participants aged 2 Years to 18 Years. Per ClinicalTrials.gov, last updated 2016-05-05.

Sponsored by Baylor College of Medicine · Phase 2, Interventional, and Treatment

Why this study was withdrawn
Site did not want to pursue study
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
2 Years to 18 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 792 studies in Epilepsy with a site in United States — 164 open to participants now, 197 under way, 17 of them phase 3. Epilepsy · United States.

Enrollment
563rd of 587
0 · median 40
Started
2014
with 27 others
Phase 2
103 of 792
6 open now
Registered
322nd of 792
by date

Among the 792 studies in Epilepsy with a site in United States, this one is the 563rd largest by enrollment of the 587 interventional ones, is one of 28 that started in 2014, is one of 103 in phase 2, and was the 322nd registered.

By phase

792 studies; the count open now beside each. This study's row is marked.

No phase221 · 78 open
Observational194 · 45 open
Phase 3126 · 11 open
Phase 2this study103 · 6 open
Phase 166 · 11 open
Phase 451 · 6 open
Phase 1/216 · 3 open
Other kind8 · 3 open
Phase 2/37 · 1 open

By the year they started

First in 1975; this study’s year is marked. 28 started in 2014.

Size and results

Median enrollment 40 across the 587 interventional studies, 90 across the 193 observational. Of the 525 that completed or were terminated, 243 (46%) have results posted.

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02

Study summary

Sturge Weber Syndrome (SWS) is a rare disease that affects the patient's brain and causes benign (non-cancerous) tumors to grow in the brain. One of the symptoms of SWS is epilepsy. People with epilepsy have seizures. Some patients may also have eye problems and a red mark on their facial skin.

This study is being done to find out if the study drug, everolimus, is safe and has helpful effects in patients with SWS who have seizures and are not responding to their current anti-epileptic medication.

The study drug, everolimus (Afinitor®), is supplied by Novartis Pharmaceuticals Corporation.

Read the detailed description

The main study part has 3 phases. The first phase is called the baseline phase and consists of 1-2 study site visit(s). During this phase, the investigators will gather information about the subject, his/her medical history, and current health.

During the second phase of the study, the subject will start taking the study drug. It will take approximately 4 weeks to find out the right amount of study drug the subject should be taking. This process is called the titration phase. There will be 2 visits during the titration phase.

Once the subject are on the right amount of study drug, he/she will take that dose for about 12 weeks. This phase is called the maintenance phase and consists of 3 study site visits.

At the end of the maintenance phase, if the study doctor determines that taking everolimus has helped to reduce the number of seizures the subject has, he/she will have the choice to continue taking the study drug for an extended time. There will be 4 total study site visits during the extension phase.

Study assessments:

  1. Medical History: A detailed medical history will be given and the subject's medical record will be reviewed by the study team to verify inclusion and exclusion criteria.
  2. Vital Signs: Weight, height, blood pressure, pulse rate, and body temperature, will be recorded.
  3. Physical Exam: A standard physical examination will be performed at baseline, week 4, 16, and month 6 and 12 of extension visits.
  4. Neurological Exam: A standard neurological examination will be performed at baseline, week 4, 16, and month 6 and 12 of extension visits.
  5. Dermatological Exam: A skin examination will be performed to assess the presence and characteristics of Port-wine stain birthmarks.
  6. Ophthalmologic Exam: An eye examination will be performed to evaluate for the presence of glaucoma. Visual acuity, tonometry, and visual fields will be assessed.
  7. Safety Laboratory Assessments: Safety laboratory assessments will be performed at baseline, week 4, week 8, week 16, and every 3 months thereafter in the extension phase of the study.
  8. Pregnancy testing: For females of child-bearing potential, serum pregnancy will be performed at screening and at every visit where safety laboratory assessments are being done.
  9. Antiepileptic Drug (AED) Concentrations: AED levels specific to each subject will be performed at baseline, week 2, week 4, week 8, week 16, and every 3 months thereafter in the extension phase of the study. This test is done to determine the blood level of other anti-epileptic drugs the participant may be taking.
  10. Everolimus Concentrations: Everolimus levels will be performed after the start of study medication at week 2, week 4, week 8, week 16, and every 3 months thereafter in the extension phase of the study. This test is done to determine the dose level of the study drug that will be given at each visit.
03

Conditions studied

  • Sturge Weber Syndrome

Keywords

  • Everolimus
  • Epilepsy
  • Sturge Weber Syndrome
  • Port wine stain
  • Glaucoma
04

Who can participate

Ages eligible
2 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 2-18 years of age, male and female.
  • Subject weights greater than or equal to 6 kg at study entry.
  • Subjects clinically diagnosed with SWS, inclusive of cerebral and dermatologic involvement. Ophthalmic involvement will be monitored if present, but is not necessary for enrollment.
  • History of epilepsy with a history of at least 4 seizures in the month prior to screening.
  • Medically epilepsy defined as failure of two or more approved antiepileptic therapies.
  • Females of must use highly effective during the study and for 8 weeks after stopping treatment.
  • Sexually active males must use a condom during intercourse while taking study drug, and for 8 weeks after stopping study treatment.
  • Adequate bone marrow function.
  • Adequate liver function.
  • Adequate renal function.
  • Acceptable fasting serum cholesterol and fasting triglycerides levels.

Exclusion criteria

Exclusion Criteria:

  • Patients currently receiving anticancer therapies or who have received anticancer therapies within 4 weeks of the start of Everolimus (including chemotherapy, radiation therapy, antibody based therapy, etc.).
  • Known intolerance or to Everolimus or other rapamycin analogs.
  • Known impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral Everolimus.
  • Uncontrolled diabetes mellitus despite adequate therapy.
  • Patients who have any severe and/or uncontrolled medical conditions.
  • Chronic treatment with or other agents. Topical or inhaled corticosteroids are allowed.
  • Known history of seropositivity.
  • Patients who have received within 1 week of start of Everolimus and during the study.
  • Patients who have a history of another primary , with the exceptions of: non-melanoma skin cancer, and carcinoma in situ of the cervix, uteri, or breast from which the patient has been disease free for ≥3 years.
  • Patients with a history of non-compliance to medical regimens or who are considered potentially unreliable or will not be able to complete the entire study.
  • Patients who are currently part of or have participated in any clinical investigation with an drug within 1 month prior to dosing.
  • Pregnant or nursing (lactating) women.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Everolimus

    Afinitor tablets will be administered at a starting dosage of 5 mg/ m2/ day, dosed once per day in the morning. To achieve appropriate doses for all subjects 2mg, 3mg, 5mg of everolimus Disperz tablets will be used. Subjects will take one or more of these tablets in combination to achieve the required dose. Dosages will be rounded to the nearest 2 mg when calculating doses for individual subjects.

    Drug: Everolimus

Interventions

  • Afinitor tablets will be administered at a starting dosage of 5 mg/ m2/ day, dosed once per day in the morning. To achieve appropriate doses for all subjects 2mg, 3mg, 5mg of everolimus Disperz tablets will be used. Subjects will take one or more of these tablets in combination to achieve the required dose. Dosages will be rounded to the nearest 2 mg when calculating doses for individual subjects.

    Also known as: Afinitor, RAD001

06

What researchers measure

Primary outcomes

  1. Evaluate the clinical effectiveness of Everolimus as an adjunct treatment to reduce the seizure activity

    The primary efficacy parameter will be the percentage of subjects classified as responders (greater than 50% reduction in seizure frequency during the maintenance phase as compared to the baseline phase) or near-responders (25-50% reduction in seizure frequency during the maintenance phase as compared to the baseline phase), as reported by caregivers via seizure diaries.

    Time frame: 2 years

Secondary outcomes

  1. Clinical progression of facial and/or body port-wine hemangioma

    Presence and progression (location and size) of the facial and/or body port-wine hemangioma assessed during dermatological examinations. This will be done using an ordinal scale 0- None; 1-Pink and flat; 2- Red and flat; 3-Red and hypertrophied; 4- Red, hypertrophied and cobblestoning

    Time frame: 2 years

  2. Clinical progression of glaucoma

    Presence and progression of glaucoma will be monitored through intraocular pressure assessment done at ophthalmologic exams.

    Time frame: 2 years

07

Study locations

1 site
  • Texas Children's Hospital
    Houston, Texas 77030, United States
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Apr 2014, a primary completion of Apr 2016 and a completion of Apr 2016. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 15, 2013
First posted
Nov 28, 2013
Start
Apr 2014
Primary completionActual
Apr 2016
CompletionActual
Apr 2016
Last update
May 5, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 5, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01997255
Responsible party
Angus Wilfong (Associate Professor of Pediatrics-Neurology, Baylor College of Medicine) — Principal investigator
First posted
Nov 28, 2013
Start date
Apr 2014
Primary completion
Apr 2016
Completion
Apr 2016
Last update
May 5, 2016

Study contacts

Angus A Wilfong, MD
principal investigator · Baylor College of Medicine - Texas Children's Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Dec 2015. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Everolimus

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