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RecruitingNCT05534672RaRE-TSUpdated Oct 22, 2026

Placebo Controlled Study to Assess the Efficacy and Safety of Rapamycin in Drug Resistant Epilepsy Associated With Tuberous Sclerosis Complex

A Phase 3 interventional study of Rapamycin and Placebo in Tuberous Sclerosis Complex, sponsored by Katarzyna Kotulska. Recruiting at 2 sites in Poland. Open to participants aged 3 Months to 50 Years. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by Katarzyna Kotulska · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2023; still recruiting 3 years 9 months later.
Updated Oct 22, 2026Primary completion movedStudy completion movedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
3 Months to 50 Years
Sex
All
01

Study summary

The purpose of the RaRE-TS study is to determine safety, tolerability and efficacy of rapamycin versus placebo in a drug resistant epilepsy associated with tuberous sclerosis complex (TSC).

Read the detailed description

This is a two-arm, randomized, double-blind, placebo controlled study to evaluate the efficacy, tolerability, and safety of rapamycin versus placebo in a drug resistant epilepsy associated with TSC. The study consists of 3 phases for each patient: screening, dose adjustment blinded phase, core blinded phase, followed by open-label observation. Patients who meet the eligibility criteria will be randomized to receive rapamycin or placebo. The randomization ratio is 1:1. Randomization will be stratified by age, sex and and the number of antiepileptic drugs ever used in the patient's history (up to 3 drugs / more than 3 drugs).

02

Conditions studied

  • Tuberous Sclerosis Complex

Keywords

  • tuberous sclerosis complex, epilepsy, rapamycin, drug resistant epilepsy
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 200 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
3 Months to 50 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

  • male or female aged from 3 months up to 50 years at the day of randomization
  • patients/parents/caregivers are willing to and able to give form for the participation in the study
  • patients/parents/caregivers are willing to and able to comply with all study requirements
  • definite diagnosis of TSC according to the Consensus criteria (Northrup, 2013)
  • drug-resistant epilepsy associated with TSC with at least 8 seizures during 4 weeks

Exclusion criteria

Exclusion Criteria:

  • history of treatment with mTOR inhibitor in the three months prior to screening,
  • history of pseudo-epileptic seizures,
  • history of progressive CNS disease other than TSC
  • recent surgery within 2 weeks prior to the screening
  • severe infection within 2 weeks prior to the screening
  • use of the cannabis derivatives
  • for MRI or general anesthesia
  • occurrence of the serious comorbidities 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 the investigator
  • pregnancy
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

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

Study arms

  • Experimental
    Rapamycin arm

    Each patient randomized to the rapamycin arm will receive rapamycin in liquid. The rapamycin will be administered in individually calculated doses depending on the body surface of participants

    Other: Rapamycin

  • Placebo comparator
    Placebo arm

    The patients assigned to the placebo arm will receive placebo in liquid, analogically to the rapamycin group.

    Other: Placebo

Interventions

  • OtherRapamycin

    Rapamycin in liquid administered orally

  • OtherPlacebo

    Placebo in liquid administered orally

06

What researchers measure

Primary outcomes

  1. comparison of the number of patients with at least 50% reduction of seizures per week in the last month of the core blinded phase in comparison to screening phase in the rapamycin vs placebo group

    Time frame: final analyses after the formal final database lock, planned within one month after the last patient last visit in the study

  2. number of adverse events (according to CTCAE classification) in the rapamycin vs placebo group during the double-blind core phase

    Time frame: final analyses after the formal final database lock, planned within one month after the last patient last visit in the study

Secondary outcomes

  1. comparison of the number of seizures per week and the number of days free of seizures in the rapamycin vs placebo group, during 12-week treatment in double-blind core phase

    Time frame: final analyses after the formal final database lock, planned within one month after the last patient last visit in the study

  2. severity of adverse events (according to CTCAE) and the number of patients withdrawn from the study due to adverse events in the rapamycin vs placebo group

    Time frame: final analyses after the formal final database lock, planned within one month after the last patient last visit in the study

07

Study locations

1 of 2 sites recruiting
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Jan 2023 (actual). Primary completion is estimated for Sep 2029, 80 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 22, 2026: primary completion Jun 2027 → Sep 2029 and completion Jun 2027 → Sep 2029.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Sep 6, 2022
First posted
Sep 9, 2022
StartActual
Jan 23, 2023
Primary completionEst.
Sep 2029was Jun 2027
CompletionEst.
Sep 2029was Jun 2027
Last update
Oct 22, 2026
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.
Primary completion
Jun 2027→Sep 2029
Oct 22, 2026
Study completion
Jun 2027→Sep 2029
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    Primary completion Jun 2027→Sep 2029
    Study completion Jun 2027→Sep 2029
    + 3 other changes: verification date, site details 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
NCT05534672
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
Sep 9, 2022
Start date
Jan 23, 2023
Primary completion
Sep 2029 (estimated)
Completion
Sep 2029 (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 88

Oversight

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

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