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).
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
60
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.
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.
Medical University of Warsaw, Department of Pediatric Neurology
Warsaw, Poland
NOT_YET_RECRUITINGChildren's Memorial Health Institute, Neurology and Epileptology
Warsaw, Poland
RECRUITINGOccurrence of clinical seizures in the blinded phase of the study,
Time frame: 730 days
Summarized volume of TSC-associated tumors ≥ 125% of initial value within the blinded phase of the study
Time frame: 730 days
Total volume of TSC-associated tumors within the blinded phase and the whole study
Time frame: 730 days
The risk for high risk of autism assessed with psychological test at 6, 12, 18, 24 months
Time frame: 6, 12, 18, 24 months
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
The risk of drug-resistant epilepsy at any point of the study
Time frame: 730 days
Occurrence of adverse events within the blinded phase of the study
Time frame: 730 days
Number of adverse events across the whole study
Time frame: 730 days
Parameters of physical development (weight gain history) across the whole study
Time frame: 730 days
Parameters of physical development (height gain history) across the whole study
Time frame: 730 days
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Placebo in granules administered orally, initially once daily in the evening,and after reaching the targeted dose administered two times daily.