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Trial · NCT00790400

Efficacy and Safety of RAD001 in Patients Aged 18 and Over With Angiomyolipoma Associated With Either Tuberous Sclerosis Complex (TSC) or Sporadic Lymphangioleiomyomatosis (LAM)

NCT00790400, Phase 3, Completed, Novartis Pharmaceuticals; results first posted 2012-08-28

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of RAD001 in Patients Aged 18 and Over With Angiomyolipoma Associated With Either Tuberous Sclerosis Complex (TSC) or Sporadic Lymphangioleiomyomatosis (LAM). Trials, record NCT00790400. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00790400

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety of RAD001 in Patients Aged 18 and Over With Angiomyolipoma Associated With Either Tuberous Sclerosis Complex (TSC) or Sporadic Lymphangioleiomyomatosis (LAM)
NCT number
NCT00790400
Status
Completed
Phases
Phase 3
Enrollment
118 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Tuberous Sclerosis Complex (TSC), Lymphangioleiomyomatosis (LAM)
Interventions
Everolimus (RAD001), Everolimus Placebo
First posted
2008-11-13
Last updated
2017-02-17
Other registries' IDs
eudract:2008-002113-48
Results first posted
2012-08-28

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAngiomyolipoma Response Rate as Per Central Radiology ReviewFrom date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to 5.7 years
Angiomyolipoma response defined as the combination of the following criteria: reduction in angiomyolipoma volume of ≥ 50% relative to baseline, where angiomyolipoma volume was sum of volumes of all target lesions identified at baseline, and with a confirmatory scan performed approximately 12 weeks later (no sooner than 8 weeks later); no new angiomyolipoma lesions ≥ 1.0 cm in longest diameter were identified; there were no kidney increases in volume \> 20% from nadir. The patient did not have any angiomyolipoma-related bleeding of ≥ grade 2. For the everolimus (core/extension periods) treatment group, the baseline means the latest value on or before starting everolimus.
SecondaryTime to Angiomyolipoma Progression as Per Central Radiology ReviewFrom date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to about 5.7 years
Time to angiomyolipoma progression (TTAP) is defined as time from date of randomization to date of first documented angiomyolipoma progression. Angiomyolipoma progression was defined as one or more of the following: Increase from nadir of ≥ 25% in angiomyolipoma volume to value greater than baseline; the appearance of a new angiomyolipoma ≥ 1.0 cm in longest diameter; an increase from nadir of 20% or more in the volume of either kidney to a value greater than baseline; angiomyolipoma-related bleeding grade ≥ 2. For the everolimus (core/extension periods) treatment group, the time to angiomyolipoma progression is defined starting from the start of everolimus. The baseline means the latest value on or before starting everolimus.
SecondarySkin Lesion Response Rate as Per Investigator (Only Patients With at Least One Skin Lesion at Baseline)From date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to 5.7 years
Skin lesion response rate in the double-blind period was determined only among patients with at least one skin lesion at baseline, and is the percentage of this group of patients with a best overall skin lesion response on the Physician's Global Assessment of Clinical Condition (PGA) of either complete clinical response (CCR) or partial response (PR). A complete clinical response (CCR) requires a grading of 0 indicating the absence of disease (histological confirmation is not required). Grades 1, 2, and 3 constitute partial response, indicating improvement of at least 50 percent, but less than 100 percent improvement. For the everolimus (core/extension periods) treatment group, the baseline means the latest value on or before starting everolimus.
SecondaryPercentage of Participants With Renal ImpairmentDay 1 up to 28 days after end of treatment
Renal Impairment was measured by glomerular filtration rate which was calculated using the Modification of Diet in Renal Disease formula. Percentage of participants with renal impairment was reported. Severe renal impairment was defined as a GFR of \<30ml/min/1.73m2.
SecondaryChange From Baseline in Plasma Angiogenic Molecules - Vascular Endothelial Growth Factor (VEGF) Marker4 weeks, 12 weeks, 24 weeks, 36 weeks 48 weeks, 60 weeks, 72 weeksBlood samples for biomarker assessment were collected immediately prior to study administration. On-treatment samples was compared to baseline samples with the change from baseline.
SecondaryEverolimus Trough Concentrations (Cmin)Prior to dosing at weeks 2, 4, 12, 24, 48
Cmin values collected prior to dose administration on the same study day and at 20-28 hours after previous dose, at steady state, and patient did not vomit within 4 hours of previous dose. Samples collected during the first 4 days of dosing were excluded from all analyses.
SecondaryEverolimus Blood Concentrations (C2h) at 2 Hours Post-dose2 hours post-dose administration at Weeks 2, 4, 12, 24, 48
C2h values collected 1-3 hours after dose administration on the same study day, at steady state, and patient did not vomit between taking previous dose and blood collection. Samples collected during the first 4 days of dosing will be excluded from all analyses.
SecondaryTime to Angiomyolipoma Response - Only Everolimus Patients With Angiomyolipoma ResponseFrom date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to 5.7 years
Time to angiomyolipoma response was defined as the time from the date of randomization until the date of the first documented angiomyolipoma response. Angiomyolipoma response defined as the combination of the following criteria: reduction in angiomyolipoma volume of ≥ 50% relative to baseline, where angiomyolipoma volume was sum of volumes of all target lesions identified at baseline, and with a confirmatory scan performed approximately 12 weeks later (no sooner than 8 weeks later); no new angiomyolipoma lesions ≥ 1.0 cm in longest diameter were identified; no kidney increases in volume \> 20% from nadir; no angiomyolipoma-related bleeding of ≥ grade 2. For the everolimus (core/extension periods) treatment group, the time to angiomyolipoma response is from the start of everolimus. The baseline in the response definition means the latest value on or before starting everolimus.
SecondaryDuration of Angiomyolipoma Response - Only Everolimus Patients With Angiomyolipoma ResponseFrom date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to about 5.7 years
Duration of angiomyolipoma response was defined as the time from the date of the first documented angiomyolipoma response until the date of the first documented angiomyolipoma progression . Angiomyolipoma response was defined as the combination of the following criteria: reduction in angiomyolipoma volume of ≥ 50% relative to baseline, where angiomyolipoma volume was sum of volumes of all target lesions identified at baseline, and with a confirmatory scan performed approximately 12 weeks later (no sooner than 8 weeks later); no new angiomyolipoma lesions ≥ 1.0 cm in longest diameter were identified; there were no kidney increases in volume \> 20% from nadir. The patient did not have any angiomyolipoma-related bleeding of ≥ grade 2.
SecondaryDuration of Skin Lesion Response - Only Everolimus Patients With Best Overall Skin Lesion Response of Complete Clinical Response (CCR) or Partial Response (PR)From date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to about 5.7 years
Duration of skin lesion response is defined as the time from the date of the first skin lesion response until the date of the first skin lesion progression, according to the PGA (physician's global assessment of clinical condition). A progression is when the disease is worse than at baseline evaluation by \>=25% or more.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAngiomyolipoma Response Rate as Per Central Radiology ReviewFrom date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to 5.7 yearsThe Full Analysis Set (FAS) is defined according to the Intention-to-Treat principle and consists of all randomized patients.Percentage of ParticipantsNUMBER
SECONDARYTime to Angiomyolipoma Progression as Per Central Radiology ReviewFrom date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to about 5.7 yearsThe Full Analysis Set (FAS) is defined according to the Intention-to-Treat principle and consists of all randomized patients.monthsMEDIAN
SECONDARYSkin Lesion Response Rate as Per Investigator (Only Patients With at Least One Skin Lesion at Baseline)From date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to 5.7 years
The Full Analysis Set (FAS) is defined according to the Intention-to-Treat principle and consists of all randomized patients. Only patients with at least one skin lesion at baseline are included in the analysis.
Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Renal ImpairmentDay 1 up to 28 days after end of treatment
Safety set consists of all patients who received at least 1 dose of the double-blind study drug with a valid post-baseline assessment. For the everolimus (core/extension) treatment arm, patients received at least 1 dose of everolimus with a valid post-baseline assessment, where baseline was defined as the assessment just before start of everolimus.
Percentage of ParticipantsNUMBER
SECONDARYChange From Baseline in Plasma Angiogenic Molecules - Vascular Endothelial Growth Factor (VEGF) Marker4 weeks, 12 weeks, 24 weeks, 36 weeks 48 weeks, 60 weeks, 72 weeks
The Full Analysis Set (FAS) is defined according to the Intention-to-Treat principle and consists of all randomized patients. The 'n' signifies those participants evaluable for this measure at specified time points for each group, respectively.
pg/mLMEAN
SECONDARYEverolimus Trough Concentrations (Cmin)Prior to dosing at weeks 2, 4, 12, 24, 48The analysis was performed in the Safety Set population for patients treated only with Everolimus and with a confirmed PK sample.ng/mLMEAN
SECONDARYEverolimus Blood Concentrations (C2h) at 2 Hours Post-dose2 hours post-dose administration at Weeks 2, 4, 12, 24, 48The analysis was performed in the Safety Set population for patients treated only with Everolimus and with a confirmed PK sample.ng/mLMEAN
SECONDARYTime to Angiomyolipoma Response - Only Everolimus Patients With Angiomyolipoma ResponseFrom date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to 5.7 yearsThe analysis was performed on the Full analysis Set for patients in Everolimus arm and who experienced an angiomyolipoma response.monthsMEDIAN
SECONDARYDuration of Angiomyolipoma Response - Only Everolimus Patients With Angiomyolipoma ResponseFrom date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to about 5.7 yearsThe analysis was performed on the Full analysis Set for patients in Everolimus arm and who experienced an angiomyolipoma response.monthsMEDIAN
SECONDARYDuration of Skin Lesion Response - Only Everolimus Patients With Best Overall Skin Lesion Response of Complete Clinical Response (CCR) or Partial Response (PR)From date of randomization until the earliest date of first documented AML progression, date of further anti-AML medication (including open-label Everolimus)/surgery or up to about 5.7 yearsThe analysis was performed on the Full analysis Set for patients in Everolimus arm and who experienced a best overall skin lesion response CCR or PR.monthsMEDIAN

Results by group45

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Angiomyolipoma Response Rate as Per Central Radiology ReviewEverolimus Randomized (Core Period)41.895% Confidence Interval 30.8 to 53.4Percentage of Participants
Angiomyolipoma Response Rate as Per Central Radiology ReviewPlacebo Randomized (Core Period)095% Confidence Interval 0.0 to 9.0Percentage of Participants
Angiomyolipoma Response Rate as Per Central Radiology ReviewEverolimus (Core and/or Extension Period)58.095% Confidence Interval 48.3 to 67.3Percentage of Participants
Time to Angiomyolipoma Progression as Per Central Radiology ReviewEverolimus Randomized (Core Period)NA95% Confidence Interval NA to NAmonths
Time to Angiomyolipoma Progression as Per Central Radiology ReviewPlacebo Randomized (Core Period)11.3795% Confidence Interval 11.07 to NAmonths
Time to Angiomyolipoma Progression as Per Central Radiology ReviewEverolimus (Core and/or Extension Period)NA95% Confidence Interval NA to NAmonths
Skin Lesion Response Rate as Per Investigator (Only Patients With at Least One Skin Lesion at Baseline)Everolimus Randomized (Core Period)2695% Confidence Interval 16.6 to 37.2Percentage of participants
Skin Lesion Response Rate as Per Investigator (Only Patients With at Least One Skin Lesion at Baseline)Placebo Randomized (Core Period)095% Confidence Interval 0.0 to 9.5Percentage of participants
Skin Lesion Response Rate as Per Investigator (Only Patients With at Least One Skin Lesion at Baseline)Everolimus (Core and/or Extension Period)68.295% Confidence Interval 58.5 to 76.9Percentage of participants
Percentage of Participants With Renal ImpairmentEverolimus Randomized (Core Period)Glomerular filtration rate <30 ml/min/1.73m^22.5Percentage of Participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Double-blind Period (Core Phase)STARTEDEverolimus79
Double-blind Period (Core Phase)STARTEDPlacebo39
Double-blind Period (Core Phase)COMPLETEDEverolimus72
Double-blind Period (Core Phase)COMPLETEDPlacebo26
Double-blind Period (Core Phase)NOT COMPLETEDEverolimus7
Double-blind Period (Core Phase)NOT COMPLETEDPlacebo13
Everolimus Period (Core or Extension)STARTEDEverolimus112
Everolimus Period (Core or Extension)STARTEDPlacebo0
Everolimus Period (Core or Extension)COMPLETEDEverolimus83
Everolimus Period (Core or Extension)COMPLETEDPlacebo0

Adverse events726

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersEverolimus Randomized (Core & Ext)979
otherAnaemiaBlood and lymphatic system disordersPlacebo Randomized/Crossed Over to Everolimus633
otherAnaemiaBlood and lymphatic system disordersPlacebo Randomized/Never Crossed-over06
otherLeukopeniaBlood and lymphatic system disordersEverolimus Randomized (Core & Ext)979
otherLeukopeniaBlood and lymphatic system disordersPlacebo Randomized/Crossed Over to Everolimus733
otherLeukopeniaBlood and lymphatic system disordersPlacebo Randomized/Never Crossed-over06
otherLymphopeniaBlood and lymphatic system disordersEverolimus Randomized (Core & Ext)579
otherLymphopeniaBlood and lymphatic system disordersPlacebo Randomized/Crossed Over to Everolimus533
otherLymphopeniaBlood and lymphatic system disordersPlacebo Randomized/Never Crossed-over06
otherNeutropeniaBlood and lymphatic system disordersEverolimus Randomized (Core & Ext)779

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEverolimus Randomized (Core & Ext)
Total, all-cause mortalityPlacebo Randomized/Crossed Over to Everolimus
Total, all-cause mortalityPlacebo Randomized/Never Crossed-over
Total, other adverse eventsEverolimus Randomized (Core & Ext)7979
Total, other adverse eventsPlacebo Randomized/Crossed Over to Everolimus3333
Total, other adverse eventsPlacebo Randomized/Never Crossed-over56
Total, serious adverse eventsEverolimus Randomized (Core & Ext)2879
Total, serious adverse eventsPlacebo Randomized/Crossed Over to Everolimus1733
Total, serious adverse eventsPlacebo Randomized/Never Crossed-over36

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
23312829BACKGROUNDPubMed
26156073DERIVEDPubMed
29023494DERIVEDPubMed
30053159DERIVEDPubMed
30192751DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00790400

GET https://conductscience.org/api/trials/v1/NCT00790400/results?page=2