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Trial · NCT01713946

A Placebo-controlled Study of Efficacy & Safety of 2 Trough-ranges of Everolimus as Adjunctive Therapy in Patients With Tuberous Sclerosis Complex (TSC) & Refractory Partial-onset Seizures

NCT01713946, Phase 3, Completed, Novartis Pharmaceuticals; results first posted 2018-11-07

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Placebo-controlled Study of Efficacy & Safety of 2 Trough-ranges of Everolimus as Adjunctive Therapy in Patients With Tuberous Sclerosis Complex (TSC) & Refractory Partial-onset Seizures. Trials, record NCT01713946. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01713946

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Trial

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

Title
A Placebo-controlled Study of Efficacy & Safety of 2 Trough-ranges of Everolimus as Adjunctive Therapy in Patients With Tuberous Sclerosis Complex (TSC) & Refractory Partial-onset Seizures
NCT number
NCT01713946
Status
Completed
Phases
Phase 3
Enrollment
366 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Tuberous Sclerosis Complex-associated Refractory Seizures
Interventions
RAD001, Placebo, Antiepileptic drug (1 to 3 only), open label RAD001 (only used for post-extension phase)
First posted
2012-10-25
Last updated
2018-11-07
Other registries' IDs
eudract:2011-000860-90
Results first posted
2018-11-07

Source ClinicalTrials.gov

Registered outcomes22

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

ListOutcomeTime frameDescription
PrimaryCore Phase: European Medicine Agency (EMA): Seizure Frequency Response RateBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)
Comparison of response rates in the everolimus low-trough treatment arm (3-7 ng/mL), high-trough treatment arm (9-15 ng/mL) and placebo arm. Response means at least a 50% reduction from baseline in partial-onset seizure frequency during the maintenance period of the core phase.
PrimaryCore Phase: Food & Drug Administration (FDA): Percentage Change From Baseline in Partial Onset-seizure FrequencyBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)
Comparison of median percent change from baseline in weekly seizure frequency in the everolimus low-trough treatment arm (3-7 ng/mL), high-trough treatment arm (9-15 ng/mL) and placebo arm during maintenance period of the core phase. Percentage change from baseline in average weekly seizure frequency during the maintenance period of the Core phase (SFcfb) = 100 × (SFB - SFM) ÷ SFB where: SFB is the average weekly seizure frequency in the Baseline phase SFM is the average weekly seizure frequency in the maintenance period of the Core phase A positive percentage change from baseline (SFcfb) means a reduction in seizure frequency whereas a negative percentage change from baseline (SFcfb) means an increase in seizure frequency.
SecondaryPercentage of Seizure-free Patients During the Maintenance Period of the Core PhaseBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)
Comparison of seizure freedom (100% reduction in seizure frequency) in the everolimus low-trough treatment arm (3-7 ng/mL), high-trough treatment arm (9-15 ng/mL) and placebo arm during maintenance period of the core phase. Seizure free means a 100% reduction from baseline in partial-onset seizure frequency during maintenance period of the core phase.
SecondaryCore Phase: Percentage of Patients With at Least a 25% Reduction in Seizure FrequencyBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)
Comparison of percentage of patients with at least ≥ 25% reduction in seizure frequency in the everolimus low-trough treatment arm (3-7 ng/mL), high-trough treatment arm (9-15 ng/mL) and placebo arm during maintenance period of the core phase. At least 25% reduction from baseline in partial-onset seizure frequency during maintenance period of the core phase.
SecondaryCore Phase: Distribution of Reduction From Baseline in Seizure FrequencyBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)
Comparison of percentage of patients in six categories of seizure reduction from baseline (≤ -25% (exacerbation); \> -25% to \< 25% (no change); ≥ 25% to \< 50%; ≥ 50% to \< 75%; ≥ 75% to \< 100%; 100% (seizure-freedom)) in the everolimus low-trough treatment arm (3-7 ng/mL), high-trough treatment arm (9-15 ng/mL) and placebo arm during maintenance period of the core phase
SecondaryCore Phase: Changes From Baseline in Number of Seizure-free DaysBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)
Comparison of seizure-free days relative to baseline in the everolimus low-trough treatment arm (3-7 ng/mL), high-trough treatment arm (9-15 ng/mL) and placebo arm during maintenance period of the core phase
SecondaryCore Phase: Probability That a Patient Remains On-treatment up to a Specified Time PointWeek 6, Week 12, Week 18
Comparison of time to treatment discontinuation in the everolimus low-trough treatment arm (3-7 ng/mL), high-trough treatment arm (9-15 ng/mL) and placebo arm during the core phase. Treatment duration is defined as the time from randomization until the date of permanent study treatment discontinuation (for any reason) at any time during the Core phase. The percentage event-free probability estimate is the estimated probability that a patient will remain on-treatment up to a specified time point (Week 6, 12, 18)
SecondaryCore Phase: Change From Baseline in the QOLCE Overall Quality-of-life Score for Patients <11 YearsBaseline, Week 18
Comparison of quality of life in the everolimus (from 3 age specific questionnaires) low-trough treatment arm (3-7 ng/mL), high-trough treatment arm (9-15 ng/mL) and placebo arm at the end of the core phase. The Quality of Life Childhood Epilepsy (QOLCE) questionnaire, used for patients \< 11 years at baseline, was completed by the patient's parent or caregiver. It consists of 16 subscales (13 multi-item scales and 3 single item scales) and one overall quality-of-life score. Scores range from 0-100, with higher scores corresponding to improved QoL. The Overall Quality of Life Score is computed by adding each subscale score for each individual and then dividing by 16.
SecondaryCore Phase: Change From Baseline in the QOLIE-AD-48 Overall Quality-of-life Score for Patients >=11 to 18 YearsBaseline, Week 18
Comparison of quality of life (from 3 age specific questionnaires) in the everolimus low-trough treatment arm (3-7 ng/mL), hightrough treatment arm (9-15 ng/mL) and placebo arm at the end of the core phase. The Quality of Life in Epilepsy Inventory for Adolescents-48 (QOLIE-AD-48) is a survey of health-related quality of life for adolescents 11 to 18 years of age with epilepsy. The QOLIE-AD-48 is completed by the patient. It contains 48 items which assess 8 subscales. Scores range from 0-100, with higher scores corresponding to improved QoL. The overall quality of life score is obtained by summing a linear combination of the 8 subscale scores, where each subscale is multiplied by a relative weight that is provided in the original publication.
SecondaryCore Phase: Change From Baseline in the QOLIE-31-P Overall Quality-of-life Score for Patients Aged >=18 YearsBaseline, Week 18
Comparison of quality of life (from 3 age specific questionnaires) in the everolimus low-trough treatment arm (3-7 ng/mL), hightrough treatment arm (9-15 ng/mL) and placebo arm at the end of the core phase. The Quality of Life in Epilepsy Inventory-31-Problems (QOLIE-31-P) is a survey of health-related quality of life for adults with epilepsy. The QOLIE-31-P is completed by the patient. It contains 39 items, of which a total of 30 are used to make up 7 different subscales. Scores range from 0-100, with higher scores indicating a greater level of functioning and QoL. The overall quality of life score is obtained by summing a linear combination of the 7 subscale scores, where each subscale is multiplied by a relative weight that is obtained from the patient's answer to 7 items of this questionnaire.

Outcomes22

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYCore Phase: European Medicine Agency (EMA): Seizure Frequency Response RateBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomizationPercentage of respondersNUMBER
PRIMARYCore Phase: Food & Drug Administration (FDA): Percentage Change From Baseline in Partial Onset-seizure FrequencyBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomizationPercentage change from baselineMEDIAN
SECONDARYPercentage of Seizure-free Patients During the Maintenance Period of the Core PhaseBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomizationPercentage of seizure-free participantsNUMBER
SECONDARYCore Phase: Percentage of Patients With at Least a 25% Reduction in Seizure FrequencyBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomizationPercentage of participantsNUMBER
SECONDARYCore Phase: Distribution of Reduction From Baseline in Seizure FrequencyBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomizationPercentage of participantsNUMBER
SECONDARYCore Phase: Changes From Baseline in Number of Seizure-free DaysBaseline (8-week period before randomization), Week 7 to 18 (12-week maintenance period of the core phase)The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomizationNumber of seizure-free days -per 28 daysMEDIAN
SECONDARYCore Phase: Probability That a Patient Remains On-treatment up to a Specified Time PointWeek 6, Week 12, Week 18The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomizationPercentage event-free prob. estimatesNUMBER
SECONDARYCore Phase: Change From Baseline in the QOLCE Overall Quality-of-life Score for Patients <11 YearsBaseline, Week 18The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomizationscores on a scaleMEDIAN
SECONDARYCore Phase: Change From Baseline in the QOLIE-AD-48 Overall Quality-of-life Score for Patients >=11 to 18 YearsBaseline, Week 18The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomizationscores on a scaleMEDIAN
SECONDARYCore Phase: Change From Baseline in the QOLIE-31-P Overall Quality-of-life Score for Patients Aged >=18 YearsBaseline, Week 18The Full Analysis Set (FAS) comprised all patients to whom study treatment was assigned by randomizationscores on a scaleMEDIAN

Results by group160

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

OutcomeGroupCategoryValueSpreadUnits
Core Phase: European Medicine Agency (EMA): Seizure Frequency Response RateEverolimus LT Target of 3 to 7 ng/mL28.295% Confidence Interval 20.3 to 37.3Percentage of responders
Core Phase: European Medicine Agency (EMA): Seizure Frequency Response RateEverolimus HT Target of 9 to 15 ng/mL40.095% Confidence Interval 31.5 to 49.0Percentage of responders
Core Phase: European Medicine Agency (EMA): Seizure Frequency Response RatePlacebo15.195% Confidence Interval 9.2 to 22.8Percentage of responders
Core Phase: Food & Drug Administration (FDA): Percentage Change From Baseline in Partial Onset-seizure FrequencyEverolimus LT Target of 3 to 7 ng/mL29.2995% Confidence Interval 18.82 to 41.88Percentage change from baseline
Core Phase: Food & Drug Administration (FDA): Percentage Change From Baseline in Partial Onset-seizure FrequencyEverolimus HT Target of 9 to 15 ng/mL39.5595% Confidence Interval 35.03 to 48.74Percentage change from baseline
Core Phase: Food & Drug Administration (FDA): Percentage Change From Baseline in Partial Onset-seizure FrequencyPlacebo14.8695% Confidence Interval 0.11 to 21.71Percentage change from baseline
Percentage of Seizure-free Patients During the Maintenance Period of the Core PhaseEverolimus LT Target of 3 to 7 ng/mL5.195% Confidence Interval 1.9 to 10.8Percentage of seizure-free participants
Percentage of Seizure-free Patients During the Maintenance Period of the Core PhaseEverolimus HT Target of 9 to 15 ng/mL3.895% Confidence Interval 1.3 to 8.7Percentage of seizure-free participants
Percentage of Seizure-free Patients During the Maintenance Period of the Core PhasePlacebo0.895% Confidence Interval 0.0 to 4.6Percentage of seizure-free participants
Core Phase: Percentage of Patients With at Least a 25% Reduction in Seizure FrequencyEverolimus LT Target of 3 to 7 ng/mL52.195% Confidence Interval 42.7 to 61.5Percentage of participants

Participant flow30

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDEverolimus LT Target of 3 to 7 ng/mL117
Overall StudySTARTEDEverolimus HT Target of 9 to 15 ng/mL130
Overall StudySTARTEDPlacebo119
Overall StudyCompleted Core PhaseEverolimus LT Target of 3 to 7 ng/mL110
Overall StudyCompleted Core PhaseEverolimus HT Target of 9 to 15 ng/mL122
Overall StudyCompleted Core PhasePlacebo114
Overall StudyContinued in Ext. PhaseEverolimus LT Target of 3 to 7 ng/mL110
Overall StudyContinued in Ext. PhaseEverolimus HT Target of 9 to 15 ng/mL119
Overall StudyContinued in Ext. PhasePlacebo114
Overall StudyCompleted Ext. PhaseEverolimus LT Target of 3 to 7 ng/mL79

Adverse events820

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 LT Target of 3 to 7 ng/mL10117
otherAnaemiaBlood and lymphatic system disordersEverolimus HT Target of 9 to 15 ng/mL7130
otherAnaemiaBlood and lymphatic system disordersEverolimus Start Ext4114
otherAnaemiaBlood and lymphatic system disordersEverolimus All21361
otherNeutropeniaBlood and lymphatic system disordersEverolimus LT Target of 3 to 7 ng/mL4117
otherNeutropeniaBlood and lymphatic system disordersEverolimus HT Target of 9 to 15 ng/mL9130
otherNeutropeniaBlood and lymphatic system disordersEverolimus Start Ext1114
otherNeutropeniaBlood and lymphatic system disordersEverolimus All14361
otherAbdominal painGastrointestinal disordersEverolimus LT Target of 3 to 7 ng/mL10117
otherAbdominal painGastrointestinal disordersEverolimus HT Target of 9 to 15 ng/mL4130

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEverolimus LT Target of 3 to 7 ng/mL1117
Total, all-cause mortalityEverolimus HT Target of 9 to 15 ng/mL2130
Total, all-cause mortalityEverolimus Start Ext1114
Total, all-cause mortalityEverolimus All4361
Total, other adverse eventsEverolimus LT Target of 3 to 7 ng/mL110117
Total, other adverse eventsEverolimus HT Target of 9 to 15 ng/mL126130
Total, other adverse eventsEverolimus Start Ext109114
Total, other adverse eventsEverolimus All345361
Total, serious adverse eventsEverolimus LT Target of 3 to 7 ng/mL50117
Total, serious adverse eventsEverolimus HT Target of 9 to 15 ng/mL49130

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
25682485DERIVEDPubMed
27613521DERIVEDPubMed
30169322DERIVEDPubMed

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/NCT01713946

GET https://conductscience.org/api/trials/v1/NCT01713946/registered?page=2