Treatment of Renal Angiomyolipomas in Tuberous Sclerosis by Beta-blockers (STBETA)
Treatment of Renal Angiomyolipomas in Tuberous Sclerosis by Beta-blockers: Pilot Trial
Treatment of angiomyolipomas is based on invasive techniques such as surgery or embolization. Development of anti-angiogenic therapies is a major and growing field of research in hypervascularized tumors. Angiomyolipomas have been shown to regress after prolonged treatment with mTOR inhibitors (Sirolimus), but with a large proportion of secondary effects. We showed recently that beta-blockers were able to induce regression of infantile hemagiomas. Consequently, we looked for and found, histologically, in a few cases of angiomyolipomas the presence of beta2 receptors.
The aim of the study is to estimate if beta-blockers could induce regression or stabilization of renal angiomyolipomas in tuberous sclerosis in a pilot study.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Bordeaux, France
- Nephrology department
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Tuberous sclerosis patients with one or several angiomyolipomas of a size of at least 4 cms.
Exclusion Criteria:
- Patients whom CT or MR scan shows one or several intra-lesional aneurisms requiring a preventive embolization.
- Patients with a retroperitoneal hemorragic complication requiring a preventive embolization.
- Patients whom biopsy will show an adenocarcinoma, hypertension non controlled, renal failure and severe liver.
- Diabetic subjects insufficiently controlled.
- Beta-blockers contra-indication.
- Psychosis, severe mental disorder.
- Patient already treated with beta-blockers or mTOR inhibitors.
- Pregnant or nursing women.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Patient
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Evolution of angiomyolipomas volume
Time Frame: 6 months and 1 year after inclusion
|
Stabilization or even regression of angiomyolipomas volume after 6 months and 1 year of treatment with a quantification of the vascular component.
|
6 months and 1 year after inclusion
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Renal function evolution
Time Frame: 6 months and 1 year after inclusion
|
Improvement of renal function after 6 months and 1 year of treatment
|
6 months and 1 year after inclusion
|
|
Effect on the potential haemorraghic transformation
Time Frame: 6 months and 1 year after inclusion
|
Haemorraghic transformation of angiomyolipomas is diagnosed by Scanner or MRI.
|
6 months and 1 year after inclusion
|
|
Improvement of the quality of life
Time Frame: 6 months and 1 year after inclusion.
|
Th evolution of the quality of life is assessed by an EVA scale and by QOL scale.
|
6 months and 1 year after inclusion.
|
|
Effect on face angiofibromas
Time Frame: 6 months and 1 year after inclusion
|
Evolution of the face angiofibromas by a dermatologic assessment.
|
6 months and 1 year after inclusion
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Claire RIGOTHIER, Dr, University Hospital, Bordeaux
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Neoplasms
- Genetic Diseases, Inborn
- Neurodegenerative Diseases
- Congenital Abnormalities
- Heredodegenerative Disorders, Nervous System
- Neoplastic Syndromes, Hereditary
- Neurocutaneous Syndromes
- Hamartoma
- Neoplasms, Multiple Primary
- Malformations of Cortical Development, Group I
- Malformations of Cortical Development
- Nervous System Malformations
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Tuberous Sclerosis
- Organic Chemicals
- Hydrocarbons
- Hydrocarbons, Cyclic
- Naphthalenes
- Polycyclic Aromatic Hydrocarbons
- Hydrocarbons, Aromatic
- Polycyclic Compounds
- Amines
- Alcohols
- Phenoxypropanolamines
- Propanolamines
- Amino Alcohols
- Propanols
- Propranolol
Other Study ID Numbers
Other Study ID Numbers
- CHUBX 2011/35
- 2013-003477-10 (EudraCT Number)
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