Could a transplant drug shrink Children's birthmarks?
NCT ID NCT02509468
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested the drug sirolimus (rapamycin) in 63 children aged 6 to 18 with large, complicated slow-flow vascular malformations (abnormal blood or lymph vessels). Each child had an observation period followed by 4 to 8 months of sirolimus treatment. The main goal was to see if the malformation shrank on MRI scans. The trial is completed, and results may help decide if sirolimus is a useful treatment for these rare conditions.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sirolimus (also known as rapamycin)
- What this could lead to
- If it works, this could point toward a drug treatment to shrink or control problematic vascular malformations in children, reducing pain and complications.
- What could go wrong
- This is a small, early-phase trial with only 63 children and no placebo group. The results may not apply to all types of malformations, and sirolimus can have side effects like mouth sores and infections.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
63 people
The number who actually took part.
- Started
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Sep 2015
- Finished
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Mar 2019
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
6 to 18 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
* Patients aged from 6 years to 18 years * With a slow-flow vascular malformation confirmed by MRI, included or not into a genetic disorder, among the following: * microcystic lymphatic malformation * mixed micro- and macrocystic malformation * venous malformation * combined lymphatic and venous malformation * Malformation voluminous and complicated (pain, functional impairment, bleeding, seepage) * Extended to the underlying subcutaneous tissue, to the fascias, the muscles and/or the underlying bone * MRI of the VM performed within 8 months * Vaccination schedule updated * Informed, written consent of the subject's parents or the 18 years old subject * Cooperative parent or subject, aware of the necessity and duration of controls so that perfect adhesion to the protocol could be expected * Subjects or subject's parents covered by or having the rights to social security. Exclusion criteria: * Slow-flow VMs which are only macrocystic lymphatic malformations * Visceral life-threatening involvement * Patients who received prior per os treatment with an mTOR inhibitor * Immunosuppression (immunosuppressive disease or immunosuppressive treatment) * Known chronic infectious disease * History of cancer in the 2 previous years * Brest feeding or pregnant women, or women on childbearing age without effective contraception, up to 12 weeks after treatment discontinuation * Known allergy to mTOR inhibitor * Concomitant treatment that inhibits or activates CYP3A4, and P-gp glycoprotein, cytotoxic drugs, antilymphocyte immunoglobulines and metoclopramide * Intolerance to fructose, intolerance or malabsorption to glucose, galactose, metabolic insufficiency in sucraseisomaltase, metabolic defect in lactase * Known allergy to peanuts or soyabean * Liver insufficiency (elevated transaminases \> 2.5 N) * Anemia with Hb \< 9 g/dl * Leukopenia \< 1000/mm3 * Thrombocytopenia \< 80 000/mm3 * Hypercholesterolemia (LDL-cholesterol ≥ 2g/l) * Patients with risk of opportunistic infections * Contraindication of MRI * Known allergy to lidocaïne * Live attenuated vaccine up to 3 months after sirolimus discontinuation * Subject already participating to a therapeutic study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Consultations externes de Dermatologie, Hôpital Clocheville, CHU Tours
Tours, 37000, France
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Explorations Médecine Vasculaire Hôpital A. Michallon, CHU de Grenoble
Grenoble, 38700, France
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Service de Dermatologie, Hôpital Hôtel-Dieu, CHU Nantes
Nantes, 44000, France
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Service de Dermatologie, Hôpital Pontchaillou, CHU RENNES
Rennes, 35000, France
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Service de Dermatologie, Hôpital St Eloi, CHU Montpellier
Montpellier, 34000, France
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Service de Dermatologie, vénéréologie et cancérologie cutanée, Hôpital La Timone APHM
Marseille, 13000, France
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Service de dermatologie, APHP Necker
Paris, 75743, France
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Service de dermatologie, CHU Angers
Angers, 49933, France
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Service de dermatologie, CHU Nice
Nice, 06202, France
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Service de dermatologie, Hôpital Larrey, CHU Toulouse
Toulouse, 31059, France
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Service de dermatologie, Hôpital du Bocage, CHU Dijon
Dijon, 21079, France
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Service de radiologie Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon
Lyon, 69000, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Massive HHT registry aims to unlock secrets of rare bleeding disorder
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- Small study examines risks of injection treatment for Children's facial vein blemishes
- New hope for rare blood vessel disorder: targeted drug shows promise