ClinicalTrials.gg
RecruitingNCT04861064Updated Mar 5, 2026

Weekly Sirolimus Therapy

A Phase 2 interventional study of Sirolimus in Venous Malformation and Lymphatic Malformation, sponsored by Medical University of South Carolina. Recruiting at 1 site in United States. Open to participants aged 2 Years and older. Per ClinicalTrials.gov, last updated 2026-03-05.

Sponsored by Medical University of South Carolina · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2022; still recruiting 4 years 9 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
2 Years and older
Sex
All
01

Study summary

In current practice, options for venous and lymphatic malformations remain limited. Recently an oral medication, sirolimus, has been found to benefit patients when taken once or twice a day for several months. Unfortunately there are many side effects associated with this medication, some of which can be severe including, neutropenia, oral ulcerations, and lab abnormalities. The purpose of this study is to determine if once weekly dosed sirolimus will be effective for the treatment of venous and lymphatic malformations. Additionally, the study will evaluate patient satisfaction and identify adverse effects. Participants will be on the medication for 6 months with an option to continue after this time period.

02

Conditions studied

  • Venous Malformation
  • Lymphatic Malformation
03

In context

Lymphatic Abnormalities

42 studies on the registry are indexed under Lymphatic Abnormalities; 17 are open to participants now.

This study's planned enrollment of 24 is below the median of 46 across 28 interventional studies indexed under Lymphatic Abnormalities.

Browse Lymphatic Abnormalities studies →

Lead sponsor

Medical University of South Carolina is the lead sponsor of 874 studies on the registry; 166 are open to participants now.

Of its 131 completed or terminated interventional studies of FDA-regulated products, 104 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
2 Years and older
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

  • Patient 2 years of age and older
  • Venous, lymphatic, or venolymphatic malformations

Exclusion criteria

Exclusion Criteria:

  • Children with to use of sirolimus
  • Children with history of transplant
  • Children with a history of natural immunodeficiency
  • Children with a history of artificially induced immunodeficiency
  • Children with a history of a serious or life-threatening infection
  • Children taking inhibiting medications
  • Children taking strong CYP3A4 inducers to avoid subtherapeutic dosing/exposure.
  • Inability or unwillingness of subject or legal guardian/representative to give
  • Women that are or may become pregnant o Sirolimus is a Pregnancy Category C drug. No randomized controlled studies have been done on pregnant women. Women of must be on effective prior to, during, and for 12 weeks following sirolimus therapy.
Terms in these criteria, in plain language(5)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

05

Study design

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

Study arms

  • Experimental
    Treatment Group

    Drug: Sirolimus

Interventions

  • Participants will get Sirolimus (1.5-2 2mg/m2) weekly for 6 months.

06

What researchers measure

Primary outcomes

  1. Change in size of lesion

    Will be measuring the size of the lesions (mm) at each patient visit

    Time frame: Baseline and 6 months

  2. Change in size of lesion through photograph

    Will be evaluating clinical photographs of lesions at each patient visit

    Time frame: Baseline and 6 months

Secondary outcomes

  1. Number of side effects experienced

    Patient will complete side effect questionnaires at each visit

    Time frame: Month One

  2. Number of side effects experienced

    Patient will complete side effect questionnaires at each visit

    Time frame: Month Two

  3. Number of side effects experienced

    Patient will complete side effect questionnaires at each visit

    Time frame: Month Three

  4. Number of side effects experienced

    Patient will complete side effect questionnaires at each visit

    Time frame: Month Four

  5. Number of side effects experienced

    Patient will complete side effect questionnaires at each visit

    Time frame: Month Five

  6. Number of side effects experienced

    Patient will complete side effect questionnaires at each visit

    Time frame: Month Six

  7. Change in quality of life as assessed by questionnaire

    Patient will complete quality of life questionnaire at each visit

    Time frame: Baseline and 6 months

  8. Number of participants with laboratory abnormalities

    Standard of care laboratory results (CBC, CMP, triglycerides) will be monitored

    Time frame: From baseline visit to 2 month visit

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04861064
Responsible party
Chelsea Shope (Principal Investigator, Medical University of South Carolina) — Principal investigator
First posted
Apr 27, 2021
Start date
Jan 18, 2022
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Mar 5, 2026

Study contacts

Stephnie Munie, BS
Contact
munie@musc.edu
843-566-2453
Chelsea Shope, MSCR
principal investigator · Medical University of South Carolina

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Sirolimus

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