Sirolimus for Massive Polycystic Liver
SILVER
An Open-label, Prospective Clinical Trial to Evaluate the Effectiveness and Safety of Sirolimus to Reduce Cyst Growth in ADPKD Patients With Massive Polycystic Liver
1 other identifier
interventional
44
1 country
1
Brief Summary
The purpose of this study is to evaluate the effectiveness and safety of Sirolimus in reducing liver volume in autosomal dominant polycystic kidney disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Sep 2011
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2011
CompletedFirst Submitted
Initial submission to the registry
August 30, 2012
CompletedFirst Posted
Study publicly available on registry
September 7, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2015
CompletedSeptember 7, 2012
September 1, 2012
3 years
August 30, 2012
September 3, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Total liver volume
Change in total liver volume
12 months
Secondary Outcomes (7)
Total liver volume
24 months
Total kidney volume
12 month
Estimated glomerular filtration rate
12 month
Urinary biomarker
12 month
Total kidney volume
24 month
- +2 more secondary outcomes
Other Outcomes (5)
Abdominal pain
12month
Abdominal pain
24 month
Infection
24 month
- +2 more other outcomes
Study Arms (1)
Sirolimus
EXPERIMENTALSirolimus administration group starting dose: 2mg/day target trough level: 4-10 ng/dL
Interventions
Sirolimus administration for 12 months followed by conventional therapy alone for additional 12 months
Eligibility Criteria
You may qualify if:
- Age 18 - 65
- Patients diagnosed as ADPKD based upon the unified criteria for ultrasonographic diagnosis of ADPKD
- Polycystic liver with total liver volume \> 2500 mL or symptomatic polycystic liver
- Estimated glomerular filtration rate (IDMS-traceable MDRD equation) \>= 30 mL/min/1.73m2
You may not qualify if:
- Concomitant systemic renal parenchymal or urinary tract disease (random urine albumin-to-creatinine ratio \> 500 mg/g)
- WBC \< 4,000/uL, platelet \< 100,000/uL, or hemoglobin \< 10.0 g/dL
- Diabetes mellitus, cancer, or psychiatric disorder
- Increased liver enzymes (2-fold above normal value)
- Hypercholesterolemia (fasting cholesterol \> 200mg/dL) or hypertriglyceridemia (\>150 mg/dL) not controlled by lipid lowering therapy
- Infection with hepatitis B, C, HIV
- Any condition that could prevent full comprehension of the purpose and risks of the study
- Pregnant or lactating women or fertile women without effective contraception
- History of intervention, such as cyst aspiration or embolization in past 1 year
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Seoul National University Hospital
Seoul, 110-744, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Curie Ahn, MD, PhD
Seoul National University Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 30, 2012
First Posted
September 7, 2012
Study Start
September 1, 2011
Primary Completion
September 1, 2014
Study Completion
August 1, 2015
Last Updated
September 7, 2012
Record last verified: 2012-09