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RecruitingNCT04987463ViRapUpdated Oct 22, 2026

Efficacy and Safety of Rapamycin Versus Vigabatrin in the Prevention of Tuberous Sclerosis Complex Symptoms in Infants

A Phase 2/3 interventional study of Vigabatrin and Rapamycin in Tuberous Sclerosis Complex, sponsored by Katarzyna Kotulska. Recruiting at 2 sites in Poland. Open to participants aged 4 Weeks to 16 Weeks. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by Katarzyna Kotulska · Phase 2/3, Interventional, and Prevention

From the registry’s dates

  • Started May 2021; still recruiting 5 years 6 months later.
Updated Oct 22, 2026Primary completion movedStudy completion movedGo to Updates ↓
Phase
Phase 2/3
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
4 Weeks to 16 Weeks
Sex
All
01

Study summary

The purpose of the study is to evaluate the efficacy, tolerability, and safety of vigabatrin versus rapamycin as a preventive treatment in infants with Tuberous Sclerosis Complex (TSC).

Read the detailed description

This is a two-arm, randomized, double-blind and double-dummy, placebo controlled study to evaluate the efficacy, tolerability, and safety of vigabatrin versus rapamycin as a preventive treatment in infants with TSC. The study consists of 3 phases for each patient: screening, core blinded phase, and open-label follow-up phase. Patients who meet the eligibility criteria will be randomized to receive vigabatrin or rapamycin. The randomization ratio is 1:1. Randomization will be stratified by the sex and the presence of epileptiform activity on baseline videoEEG (video electroencephalography) recording (yes versus no). Approximately 60 infants are planned to be enrolled in the study.

02

Conditions studied

  • Tuberous Sclerosis Complex

Keywords

  • tuberous sclerosis complex, epilepsy, rapamycin, vigabatrin, tumors, prevention
03

In context

Tuberous Sclerosis

115 studies on the registry are indexed under Tuberous Sclerosis; 27 are open to participants now.

This study's planned enrollment of 60 is above the median of 52 across 73 interventional studies indexed under Tuberous Sclerosis.

Browse Tuberous Sclerosis studies →

Lead sponsor

Katarzyna Kotulska is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
4 Weeks to 16 Weeks
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

  • Male or female aged from 4 up to 16 weeks (44-56 weeks of gestational age) at the day of randomization
  • Parents/caregivers are willing to and able to give form for the participation in the study
  • Parents/caregivers are willing to and able to comply with all study requirements
  • Definite diagnosis of TSC according to the Consensus criteria (Northrup,2013)
  • At least 1 focus of cortical dysplasia disclosed on brain MRI

Exclusion criteria

Exclusion Criteria:

  • history of seizures prior to randomization,
  • history of antiepileptic treatment,
  • history of treatment with mTOR (mammalian Target of Rapamycin) inhibitor,
  • gestational age below 44 weeks at the day of randomization,
  • body weight lower than 3 kg at the day of randomization,
  • SEGA (Subependymal Giant Cell Astrocytoma) or other TSC-associated lesion requiring urgent surgical intervention
  • recent surgery within 1 month prior to the randomization
  • intercurrent infection at the date of randomization
  • known history of seropositivity
  • within 1 month prior to randomization*
  • lack of first TBC and vaccinations
  • Any significant clinical, laboratory , or other abnormalities, comorbidity or concomitant treatment which, in the opinion of the investigator, may either put a patient at significant risk associated with the participation in the study or may influence the results of the study.
  • Use of an drug within 1 month prior to randomization.
Terms in these criteria, in plain language(6)

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.

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.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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 / Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Vigabatrin arm

    Vigabatrin in capsules co-administered with placebo in liquid.

    Drug: Vigabatrin · Drug: Placebo

  • Experimental
    Rapamycin arm

    Rapamycin in liquid co-administered with placebo in capsules.

    Drug: Rapamycin · Drug: Placebo

Interventions

  • Vigabatrin in capsules administered orally, initially (between V1 and V2) once daily in the evening,and starting from V2 administered two times daily.

  • Rapamycin in liquid administered orally, in the morning, every other day or daily depending on the patient's body weight. The starting dose of rapamycin will be calculated according to the body weight of the patient measured at V1.

  • DrugPlacebo

    Placebo in liquid administered orally, once daily, in the morning. The starting dose of placebo in liquid will be calculated according to the body weight of the patient measured at V1.

    Also known as: Placebo in liquid

  • DrugPlacebo

    Placebo in granules administered orally, initially once daily in the evening,and after reaching the targeted dose administered two times daily.

    Also known as: Placebo in granules

06

What researchers measure

Primary outcomes

  1. Occurrence of clinical seizures in the blinded phase of the study,

    Time frame: 730 days

  2. Summarized volume of TSC-associated tumors ≥ 125% of initial value within the blinded phase of the study

    Time frame: 730 days

Secondary outcomes

  1. Total volume of TSC-associated tumors within the blinded phase and the whole study

    Time frame: 730 days

  2. The risk for high risk of autism assessed with psychological test at 6, 12, 18, 24 months

    Time frame: 6, 12, 18, 24 months

  3. The risk for low developmental quotient (< 70 points in Bayley Scales of Infant Development, measured at the end of the blinded phase and at the end of the entire study) at the end of the study

    Time frame: 730 days

  4. The risk of drug-resistant epilepsy at any point of the study

    Time frame: 730 days

  5. Occurrence of adverse events within the blinded phase of the study

    Time frame: 730 days

  6. Number of adverse events across the whole study

    Time frame: 730 days

  7. Parameters of physical development (weight gain history) across the whole study

    Time frame: 730 days

  8. Parameters of physical development (height gain history) across the whole study

    Time frame: 730 days

07

Study locations

1 of 2 sites recruiting
08

Updates

1 registry update since Sep 25, 2026
Primary completion
Mar 2026→Dec 2028
Oct 22, 2026
Study completion
Mar 2026→Dec 2028
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    Primary completion Mar 2026→Dec 2028
    Study completion Mar 2026→Dec 2028
    + 2 other changes: verification date and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT04987463
Lead sponsor
Katarzyna Kotulska
Responsible party
Katarzyna Kotulska (Head of the Department of Neurology and Epileptology at The Children's Memorial Health Institute, Children's Memorial Health Institute, Poland) — Sponsor-investigator
First posted
Aug 3, 2021
Start date
May 7, 2021
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Oct 22, 2026

Study contacts

Katarzyna Kotulska-Jozwiak
Contact
k.kotulska@ipczd.pl
+48 22 8157404
Monika Szkop
Contact
m.szkop@ipczd.pl
+48 22 815 74 04
Katarzyna Kotulska-Jozwiak
principal investigator · The Children's Memorial Health Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Vigabatrin · Sirolimus

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