ClinicalTrials.gg
WithdrawnNCT06080165Updated Jul 10, 2024

Sirolimus for Improving Social Abilities in People With PTEN Germline Mutations

A Phase 1/2 interventional study of Sirolimus and Placebo in PTEN Gene Mutation, PTEN Hamartoma Tumor Syndrome and PTEN Hamartoma Syndrome, sponsored by Stanford University. Withdrawn at 3 sites in United States. Open to participants aged 5 Years to 45 Years. Per ClinicalTrials.gov, last updated 2024-07-10.

Sponsored by Stanford University · Phase 1/2, Interventional, and Treatment

Why this study was withdrawn
Investigator decided not to proceed with the trial.
Phase
Phase 1/2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
5 Years to 45 Years
Sex
All
01

Where this study stands

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

Among 13 studies in Hamartoma Syndrome, Multiple with a site in United States — 3 open to participants now, 5 under way, 1 of them phase 3. Hamartoma Syndrome, Multiple · United States.

Started
2024
the only one that year
Phase 1/2
3 of 13
none open now
Registered
10th of 13
by date
Lead sponsor
1 of 13
Stanford University

Among the 13 studies in Hamartoma Syndrome, Multiple with a site in United States, this one is the only one that started in 2024, is one of 3 in phase 1/2, and was the 10th registered.

By phase

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

Observational5 · 2 open
Phase 1/2this study3 · 0 open
Phase 22 · 0 open
No phase1 · 0 open
Phase 11 · 0 open
Phase 2/31 · 1 open

By the year they started

First in 2002; this study’s year is marked. 1 started in 2024.

Size and results

Median enrollment 52 across the 8 interventional studies, 377 across the 5 observational. Of the 7 that completed or were terminated, 2 (29%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 13 studies in Hamartoma Syndrome, Multiple with a site in United States, or all of them as a file.
02

Study summary

The goal of this study is to examine the safety and treatment effects of sirolimus for targeting social communication deficits in people with genetic disorders associated with PTEN germline mutations, which are often referred to as PTEN Harmartoma Tumor Syndrome (PHTS). The mechanism of sirolimus in the body has shown promise for helping to improve social communication skills in case reports of people with PHTS. Everolimus, a closely related compound, also showed benefits in social communication skills in a previous pilot trial in people with PHTS. This is a 6 month double-blind trial followed by at 6 month open label extension trial.

03

Conditions studied

  • PTEN Gene Mutation
  • PTEN Hamartoma Tumor Syndrome
  • PTEN Hamartoma Syndrome

Keywords

  • Sirolimus
  • Rapamune
04

Who can participate

Ages eligible
5 Years to 45 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

  • Inclusion Criteria: All participants will meet the following selection criteria:
  • Male or female outpatients between 5.00 and 45.99 years of age
  • PHTS confirmed by genetic testing;
  • Fluent in English
  • at least moderate severity of social skill deficits based on a social responsiveness scale t score ≥ 60
  • Stable psychotropic and anti-epileptic medications for at least 4 weeks with the exception of fluoxetine which should be stable for at least 8 weeks
  • Adequate Liver function (, SGPT, TBili, Alk Phos all\<3x normal); HCT>27%; WBC > 3.0, >1,500, and >100,000
  • adequate renal function with a ≥ 50 ml/min/m2 as determined by the Schwartz Formula for children and MDRD for adults (www.nkdep.nih.gov/professionals/gfr_calculators/index)
  • Negative urine pregnancy test for females and no plans to become pregnant or conceive a child while participating in the study. The effects of mTOR inhibitors on the developing fetus at the doses used in this study are unknown. For this reason, women of and men must agree to use adequate prior to study entry and for the duration of the study. Because of the possibility of drug interactions and the potential effect of female hormones on the growth of kidney angiomyolipomas and lymphangioleiomyomatosis, estrogen-containing oral contraceptives are not recommended in women enrolled in this study, so an effective non-estrogen or barrier method of contraception must be used.
  • Medically stable with no active medical problems such as unstable seizures or cardiovascular disease or cancer that is not in remission as evidenced by medical history; -No anticipated changes in frequency and intensity of existing interventions such as behavioral and developmental treatments, in home services, or speech therapy;
  • No planned changes in school placement in children and adolescents;
  • Availability of reliable transportation to attend clinic visits;
  • availability of a trustworthy informant who interacts with subject on a regular basis;
  • Ability to participate in the testing procedures to the extent that valid standard scores and biological samples can be obtained.

Exclusion criteria

Exclusion Criteria:

  • Participants will be excluded if one of the following is met:
  • Significant medical illness, such as endocrinopathies, cardiovascular disease, or severe chronic malnutrition;
  • Pregnancy, planned pregnancy, or unwillingness to use adequate ;
  • Planned changes to concomitant medications;
  • Concomitant therapy, or prior use within 3 months of the baseline visit, with an agent with known or possible anti-mTOR activity or concomitant therapy with strong inhibitors (e.g., cyclosporine and ketoconazole) or inducers of ;
  • Active infection at time of enrollment;
  • Participation in a clinical trial in the 30 days prior to study entry;
  • Major surgery, radiation therapy or stereotactic radio-surgery within previous 4 weeks at time of enrollment; and
  • Neurosurgery within prior 6 months at time of enrollment.
Terms in these criteria, in plain language(7)

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.

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

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.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Sirolimus

    Participants that are 5 to 12.99 years old will start at 1 mg/m2/dose. Participants that are 13 to 45.99 years old and \< 39.99 kg in weight will also start on 1 mg/day. Participants that are 13 to 45.99 years old and \> 40 kg in weight will start on 2 mg/day. The target blood level will be 5-15 ng/ml with dose adjustment based on sirolimus levels obtained every 2 to 3 weeks after every dose change.

    Drug: Sirolimus

  • Placebo comparator
    Placebo

    matching placebo

    Drug: Placebo

Interventions

  • Experimental: Sirolimus Participants that are 5 to 12.99 years old will start at 1 mg/m2/dose. Participants that are 13 to 45.99 years old and \< 39.99 kg in weight will also start on 1 mg/day. Participants that are 13 to 45.99 years old and \> 40 kg in weight will start on 2 mg/day. The target blood level will be 5-15 ng/ml with dose adjustment based on clinical labs of sirolimus levels. The target blood level will be 5-15 ng/ml with dose adjustment based on sirolimus levels obtained every 2 to 3 weeks after every dose change.

    Also known as: Rapamune

  • DrugPlacebo

    matching placebo

06

What researchers measure

Primary outcomes

  1. Change from baseline in parent rated Social Responsiveness Scale, Second Edition Total Scores (SRS-2) total scores during treatment.

    Time frame: Month 1, Month 2, Month 3, Month 4, Month 5, Month 6

Secondary outcomes

  1. Clinical Global Impression Improvement (CGI-I) Scale changes during treatment.

    Time frame: Month 1, Month 2, Month 3, Month 4, Month 5, Month 6

  2. Change from baseline on parent rated Stanford Social Dimensions Scale (SSDS)

    Time frame: Month 1, Month 2, Month 3, Month 4, Month 5, Month 6

Other outcomes

  1. Change from baseline on Brief Observation of Social Communication Change (BOSCC)

    Time frame: Month 6

  2. Change from baseline on Neurobehavioral Evaluation Tool (NET) Social Communication and Interaction subscale

    Time frame: Month 3, Month 6

  3. Change from baseline on the Reading the Mind in the Eyes Test (RMET)

    Time frame: Month 6

  4. Change from baseline on Purdue Pegboard (PP) Test

    Time frame: Month 6

  5. Change from baseline on parent rated Dimensional Assessment of Restricted/Repetitive Behaviors (DARB)

    Time frame: Month 3, Month 6

  6. Change from baseline on Vineland Adaptive Behavior Scales (VABS-III)

    Time frame: Month 3, Month 6

  7. Change from baseline on Wide Range Assessment of Memory and Learning-2 (WRAML-2)

    Time frame: Month 6

  8. Change from baseline on Clinical Global Impression Improvement (CGI-I) Scale changes during treatment.

    Time frame: Month 1, Month 2, Month 3, Month 4, Month 5, Month 6

  9. Change from baseline on parent reported Child or Adult Behavioral Checklist

    Time frame: Month 3, Month 6

  10. Change from baseline on complete blood count (CBC) with differential as measured by peripheral blood

    Time frame: Month 1, Month 3, Month 5, Month 6

  11. Change from baseline on comprehensive metabolic panel as measured by peripheral blood

    Time frame: Month 1, Month 3, Month 5, Month 6

  12. Change from baseline on lipid profile as measured by peripheral blood.

    Time frame: Month 1, Month 3, Month 5, Month 6

07

Study locations

3 sites
  • Stanford University
    Stanford, California 94305, United States
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
08

References and documents

Individual participant data

Plan to share: Yes — Data will be on the National Institute of Mental Health Data Archive (NDA).

Time frame: shared twice per year

Data sharing details ↗ · nda.nih.gov

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jul 2024; primary completion for Jun 2028, 47 months later.

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

Registered
Sep 29, 2023
First posted
Oct 12, 2023
StartEst.
Jul 2024
Primary completionEst.
Jun 2028
CompletionEst.
Jun 2028
Last update
Jul 10, 2024
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 Jul 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06080165
Responsible party
Antonio Hardan (Professor, Stanford University) — Principal investigator
First posted
Oct 12, 2023
Start date
Jul 2024 (estimated)
Primary completion
Jun 2028 (estimated)
Completion
Jun 2028 (estimated)
Last update
Jul 10, 2024

Study contacts

Antonio Hardan, MD
principal investigator · Stanford University

Oversight

Data monitoring committee
Yes
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 Jul 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Sirolimus

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