ClinicalTrials.gg
RecruitingNCT07131644Updated Sep 25, 2026

Sirolimus Discontinuation Strategies in Kaposiform Hemangioendothelioma

A Phase 2 interventional study of Sirolimus in Kaposiform Hemangioendothelioma, sponsored by West China Hospital. Recruiting at 1 site in China. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by West China Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.
Updated Sep 25, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Sex
All
01

Study summary

Sirolimus has demonstrated efficacy in the treatment of kaposiform hemangioendothelioma (KHE); however, a high rate of rebound growth following discontinuation has been reported, highlighting the clinical importance of establishing an appropriate withdrawal regimen.

02

Conditions studied

  • Kaposiform Hemangioendothelioma

Keywords

  • Kaposiform Hemangioendothelioma
  • Sirolimus
  • Discontinuation Strategies
03

In context

Lead sponsor

West China Hospital is the lead sponsor of 501 studies on the registry; 246 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

  • KHE patients who have received sirolimus treatment and met the criteria for drug discontinuation.
  • With evaluable clinical or imaging parameters to monitor disease activity or recurrence.
  • Patients or their guardians are able to understand the study and provide written .
  • Hematologic and hepatic/renal function meet the safety criteria for drug administration.

Exclusion criteria

Exclusion Criteria:

  • Patients who are unable to comply with the follow-up or treatment schedule, potentially affecting the integrity of study data.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
120 participants (estimated)

Study arms

  • Placebo comparator
    Direct discontinuation group

    Sirolimus was gradually tapered and discontinued over a 2-month period.

    Drug: Sirolimus

  • Experimental
    Intermittent treatment group

    Sirolimus was administered using a 3-days-on/4-days-off weekly schedule for 6 months, followed by gradual tapering and discontinuation over 2 months.

    Drug: Sirolimus

Interventions

  • Comparison of different sirolimus discontinuation strategies.

06

What researchers measure

Primary outcomes

  1. Rebound growth rate of KHE

    The primary endpoint is the rebound growth rate of KHE during the follow-up period.

    Time frame: 12 months

Secondary outcomes

  1. Incidence of disease sequelae

    Incidence of disease sequelae, assessed by the number of participants who develop clinically confirmed sequelae during the follow-up period, as determined through questionnaires and clinical plus imaging evaluations.

    Time frame: 12 months

  2. Incidence of adverse events throughout the study.

    Incidence of adverse events during the follow-up period.

    Time frame: 12 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Zhou J, Lan Y, Qiu T, Zhang Z, Gong X, Zhang X, Yang C, Zhou Z, Zhang Y, Yang M, Fu J, He C, Peng Q, Hu F, Xia C, Kong F, Chen S, Ji Y. Efficacy and safety of high-vs low-dose sirolimus in patients with kaposiform hemangioendothelioma: A randomized clinical trial. J Am Acad Dermatol. 2025 Jul;93(1):124-131. doi: 10.1016/j.jaad.2025.03.023. Epub 2025 Mar 17. PubMed 40107509 ↗
  • Zhou J, Li Y, Qiu T, Gong X, Yang K, Zhang X, Zhang Z, Lan Y, Hu F, Peng Q, Zhang Y, Kong F, Chen S, Ji Y. Long-term outcomes of sirolimus treatment for kaposiform hemangioendothelioma: Continuing successes and ongoing challenges. Int J Cancer. 2023 Aug 1;153(3):600-608. doi: 10.1002/ijc.34509. Epub 2023 Mar 22. PubMed 36916140 ↗
  • Ji Y, Chen S, Zhou J, Yang K, Zhang X, Xiang B, Qiu T, Gong X, Zhang Z, Lan Y, Hu F, Kong F, Qiu Q, Zhang Y. Sirolimus plus prednisolone vs sirolimus monotherapy for kaposiform hemangioendothelioma: a randomized clinical trial. Blood. 2022 Mar 17;139(11):1619-1630. doi: 10.1182/blood.2021014027. PubMed 35030255 ↗
  • Zhou J, Yang K, Dai S, Qiu T, Zhang X, Gong X, Chen S, Ji Y. Clinical features and management of kaposiform hemangioendothelioma and tufted angioma: Similarities and differences. J Am Acad Dermatol. 2022 Jul;87(1):172-174. doi: 10.1016/j.jaad.2021.07.012. Epub 2021 Jul 14. No abstract available. PubMed 34273457 ↗
  • Zhou J, Qiu T, Zhang Z, Lan Y, Huo R, Xiang B, Chen S, Qiu L, Xia C, Xu X, Li J, Ma Y, Yao W, Wang Z, Dong C, Qin Z, Tai M, Guo L, He X, Gu S, Li L, Hou F, Cai Y, Wang H, Wang J, Jiang X, Zheng J, Li K, Ji Y. Consensus statement for the diagnosis, treatment, and prognosis of kaposiform hemangioendothelioma. Int J Cancer. 2025 May 15;156(10):1986-1994. doi: 10.1002/ijc.35344. Epub 2025 Jan 20. PubMed 39831682 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2025 (actual). Primary completion is estimated for Sep 2027, 23 months after the start.

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

Registered
Aug 13, 2025
First posted
Aug 20, 2025
StartActual
Sep 13, 2025
Primary completionEst.
Sep 1, 2027
CompletionEst.
Feb 1, 2028
Last update
Sep 25, 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.
Status
Not yet recruiting→Recruiting
changed Sep 25, 2026
Sites
West China Hospital of Sichuan University is now Recruiting
Sep 25, 2026
Interventions
Arms removed: Low-dose treatment group
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Not yet recruiting→Recruiting
    West China Hospital of Sichuan University is now Recruiting
    Interventions Arms removed: Low-dose treatment group
    + 2 other changes: verification date and date precision

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 ↗

10

Registry details

Key details

Study ID
NCT07131644
Responsible party
Yi Ji (MD, PhD, West China Hospital) — Principal investigator
First posted
Aug 20, 2025
Start date
Sep 13, 2025
Primary completion
Sep 1, 2027 (estimated)
Completion
Feb 1, 2028 (estimated)
Last update
Sep 25, 2026

Study contacts

Yi Ji, PhD
Contact
jijiyuanyuan@163.com
+862885423453
Jiangyuan Zhou, Doctor
Contact
13668491160@163.com
+8613668491160
Yi Ji, PhD
principal investigator · Sichuan University West China Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
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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