Plaque Clinical Trial
Official title:
A Long-term, Single-arm, Open-label Trial of NPC-12G (Topical Formulation of Sirolimus) to Angiofibroma and Other Skin Lesions in Patients With Tuberous Sclerosis Complex
The purpose of this trial is to evaluate the safety and efficacy of long-term treatment with NPC-12G gel (0.2% sirolimus gel) to angiofibroma and other skin lesions in patients with tuberous sclerosis complex in the open-label trial.
Tuberous Sclerosis Complex (TSC) is an autosomal dominant hereditary disease that causes
benign tumors on the almost whole body (including skin, brain, kidney, lung and heart),
behavior disorder as autism, mental retardation and neurologic symptom as epilepsy.
Angiofibroma is a TSC-specific facial skin lesion, and hamartoma caused by increase of the
component of skin connective tissues and blood vessels. Other skin lesions due to TSC are
white macule (hypomelanotic macule), plaque, shagreen patch and ungual fibromas. Current
therapeutic methods for angiofibroma are laser and surgical treatments, but there are
problems as many relapses, deficiency of evidence, change of pigment, scar and risk of
infection.
This is a multicenter and open-label trial. The trial consists of two phase. In the first
trial phase for 52 weeks, the efficacy as well as the safety is evaluated. For the second
trial phase the trial will be continued until the date of approval of NDA for NPC-12G. The
safety is evaluated during the second trial phase, but not the efficacy. Patients who meet
all entry criteria for the trial apply 0.2% NPC-12G gel twice a day. Patients will visit at 4
to 5-week intervals for the first 6 months of the first trial phase, and then 3 months
intervals thereafter.
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