ClinicalTrials.gg
WithdrawnNCT04994002Updated Mar 22, 2022

A Pharmacokinetic, Pharmacodynamic, Safety and Tolerability Study of CERC-006 in Adults With Complex Lymphatic Malformations

A Phase 1 interventional study of CERC-006 in Lymphatic Malformation, sponsored by Avalo Therapeutics, Inc.. Withdrawn at 3 sites in United States. Open to participants aged 18 Years to 31 Years. Per ClinicalTrials.gov, last updated 2022-03-22.

Sponsored by Avalo Therapeutics, Inc. · Phase 1, Interventional, and Treatment

Why this study was withdrawn
Sponsor Decision
Phase
Phase 1
Study type
Interventional
Enrollment
0
Allocation
Non-randomized
Ages
18 Years to 31 Years
Sex
All
01

Study summary

The primary objective of this study is to evaluate the safety and tolerability of CERC-006 in adults (aged 18-31 years) with active, moderate to severe complex lymphatic malformations.

02

Conditions studied

  • Lymphatic Malformation

Keywords

  • Lymphatic Malformation
  • Complex Lymphatic Malformations
  • CERC-006
03

In context

Lymphatic Abnormalities

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

Browse Lymphatic Abnormalities studies →

Lead sponsor

Avalo Therapeutics, Inc. is the lead sponsor of 10 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 31 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

Participants must fulfill the following requirements to be eligible for the study:

  1. Participant is 18 to 31 years of age (inclusive) at the time of consent.
  2. Participant has a verified diagnosis of a complex lymphatic malformation. Other moderate to severe vascular anomalies with associated lymphatic involvement will be considered, with approval by the study medical monitor.
  3. Participant's complex lymphatic malformation is considered, in the opinion of the investigator, to be moderate to severe.
  4. Participant has adequate liver function defined as:

    • Total (sum of conjugated and unconjugated) ≤1.5 × (ULN)
    • /Alanine aminotransferase (AST/ALT) \<5 × ULN
    • Serum albumin > 2 g/dL
  5. Participant has fasting low-density lipoprotein (LDL) of \<160 mg/dL.
  6. Participant has adequate bone marrow function defined as:

    • Peripheral (ANC) > 1000/µL
    • > 8.0 g/dL
    • count ≥ 50,000/µL
  7. Participant has adequate renal function defined as:

    • Serum creatinine ≤ 1.5 mg/dL or calculated of > 50 mL/min according to the Cockcroft-Gault equation
  8. Participant has agreed to and met the as follows:

    • At least 14 days prior to initiation of CERC-006 if receiving sirolimus (also known as rapamycin), mitogen-activated protein kinase (MEK) inhibitors, phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA) inhibitors, interferon alfa 2b, vascular endothelial growth factor receptor 3 (VEGFR-3) inhibitors, and/or other systemic agents targeting lymphatic malformation
    • At least 7 days prior to initiation of CERC-006 if receiving topical agents targeting lymphatic malformation
  9. Participant has a performance status of ≥50%.

Exclusion criteria

Exclusion Criteria:

The presence of any of the following criteria excludes a participant from the study:

  1. Participant has a concurrent severe or uncontrolled medical disorder, which could compromise participation in the study.
  2. Participant has significant impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of CERC-006.
  3. Participant has taken any medication that is a strong cytochrome P450 3A4 () enzyme inducer or inhibitor within 2 weeks prior to first dose of study drug, or in the opinion of the Investigator, subject may require such medication during the study
  4. Participant is receiving chronic treatment with systemic or another agent, or in the opinion of the Investigator, subject may require such medication during the study
  5. Participant has undergone myelosuppressive chemotherapy within 2 weeks, or radiation within 4 weeks prior to first dose of study drug.
  6. Participant has a known history of uncontrolled hypertension, cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, cardiac conduction problems, heart failure, exercise-related cardiac events including syncope and pre-syncope, or a known family history of sudden cardiac death or ventricular arrhythmia.
  7. Participant has received treatment with a medication that has the potential to prolong the within 1 week prior to the first dose of study drug, or in the opinion of the Investigator, subject may require such medication during the study.
Terms in these criteria, in plain language(13)

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

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.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Cohort 1: CERC-006 (0.5 mg)

    Approximately 5 participants will receive CERC-006 at a dose of 0.5 mg twice daily for 28 days.

    Drug: CERC-006

  • Experimental
    Cohort 2: CERC-006 (1 mg)

    Following a safety review, if there are no clinically important safety findings in Cohort 1, a second cohort of approximately 5 participants will be enrolled to receive CERC-006 at a dose of 1 mg twice daily for 28 days.

    Drug: CERC-006

Interventions

  • DrugCERC-006

    Oral solution

06

What researchers measure

Primary outcomes

  1. Safety and Tolerability of CERC-006 in Adults (Aged 18-31 Years) with Active, Moderate to Severe Complex Lymphatic Malformations

    Safety and tolerability will be assessed by incidence of adverse events (AEs). Clinically significant changes from baseline in vital signs, ocular exams, cardiology tests including echocardiogram (ECHO) and electrocardiogram (ECG), and clinical laboratory results will be recorded as AEs.

    Time frame: Up to approximately 6 weeks

Secondary outcomes

  1. Serum Concentrations of CERC-006

    Time frame: Baseline (Day 1) up to 3 days after last dose of study drug (up to approximately 4 weeks)

  2. Change from Baseline in Levels of mTOR Related Pathway Biomarkers

    Time frame: Baseline (Day 1) up to 3 days after last dose of study drug (up to approximately 4 weeks)

  3. Change from baseline to end of treatment in radiologic assessment, if clinically indicated and/or clinical signs/symptoms of disease

    Radiologic disease assessment will be done if clinically indicated, at the discretion of the investigator.

    Time frame: Baseline (Screening) up to 3 days after last dose of study drug (up to approximately 8 weeks)

  4. Change from Baseline in 36-Item Short Form Health Survey (SF-36) Score

    SF-36 score will measure eight scales: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health. Scores on each scale will be directly transformed into a 0-100 scale, where a lower score indicates more disability.

    Time frame: Baseline (Day 1) up to 3 days after last dose of study drug (up to approximately 4 weeks)

  5. Change from Baseline in Karnofsky Performance Status Score

    Karnofsky Performance Status score will be measured on a scale from 0 percent (%) to 100%, where a lower percentage score indicates a worse disease state.

    Time frame: Baseline (Day 1) up to 3 days after last dose of study drug (up to approximately 4 weeks)

  6. Change from Baseline in Pain Scale Assessment

    Pain scale assessment will be done using a 100 mm Visual Analog Scale (VAS) from no pain (0 mm) to extreme pain (100 mm).

    Time frame: Baseline (Day 1) up to 3 days after last dose of study drug (up to approximately 4 weeks)

07

Study locations

3 sites
  • Children's Hospital Colorado
    Aurora, Colorado 80045, United States
  • Children's Healthcare of Atlanta
    Atlanta, Georgia 30322, United States
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2021 (actual). Primary completion is estimated for Jun 2022, 9 months after the start.

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

Registered
Jul 20, 2021
First posted
Aug 6, 2021
StartActual
Sep 3, 2021
Primary completionEst.
Jun 2022
CompletionEst.
Jun 2022
Last update
Mar 22, 2022
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 Mar 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04994002
Lead sponsor
Avalo Therapeutics, Inc.
Responsible party
Sponsor
First posted
Aug 6, 2021
Start date
Sep 3, 2021
Primary completion
Jun 2022 (estimated)
Completion
Jun 2022 (estimated)
Last update
Mar 22, 2022

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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