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CTRI Number  CTRI/2025/12/098353 [Registered on: 03/12/2025] Trial Registered Prospectively
Last Modified On: 02/12/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   Efficacy and safety of oral sirolimus in vascular malformation 
Scientific Title of Study   Efficacy and safety of oral sirolimus in vascular malformation: A prospective pilot assessor-blinded interventional study. 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Gomathy Sethuraman 
Designation  Professor 
Affiliation  MD Dermatology, professor, dept of dermatology, All India Institute of Medical Sciences, New Delhi 
Address  Room 4070, Academic block, All India Institute of Medical Sciences, New Delhi, Ansari Nagar, New Delhi, 110029

New Delhi
DELHI
110029
India 
Phone  8296529521  
Fax    
Email  aiimsgsr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shreya K 
Designation  Senior resident 
Affiliation  MD Dermatology, senior resident, dept of dermatology, All India Institute of Medical Sciences, New Delhi 
Address  Room 4070, Academic block, All India Institute of Medical Sciences, New Delhi, Ansari Nagar, New Delhi, 110029

New Delhi
DELHI
110029
India 
Phone  8296529521  
Fax    
Email  shreyakgowda@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shreya K 
Designation  Senior resident 
Affiliation  MD Dermatology, senior resident, dept of dermatology, All India Institute of Medical Sciences, New Delhi 
Address  Room 4070, Academic block, All India Institute of Medical Sciences, New Delhi, Ansari Nagar, New Delhi, 110029

New Delhi
DELHI
110029
India 
Phone  8296529521  
Fax    
Email  shreyakgowda@gmail.com  
 
Source of Monetary or Material Support  
Monetary support from IADVL academy India Material support All India Institute of Medical Sciences, New Delhi, Ansari Nagar, New Delhi, 110029 
 
Primary Sponsor  
Name  nil 
Address  nil 
Type of Sponsor  Other [nil] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shreya K  AIIMS   Room 308, new rak opd, A wing, All India Institute of Medical Sciences, New Delhi, Ansari Nagar, New Delhi, 110029
New Delhi
DELHI 
8296529521

shreyakgowda@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIMS Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L99||Other disorders of skin and subcutaneous tissue in diseases classified elsewhere, (2) ICD-10 Condition: L99||Other disorders of skin and subcutaneous tissue in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  nil  nil 
Intervention  oral sirolimus  oral sirolimus 0.8ng/m2 over 1 year 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Complex microcystic and macrocystic lymphatic malformations, venolymphatic or mixed malformations and or capillary malformations, vascular malformations associated overgrowth syndrome 
 
ExclusionCriteria 
Details  Concurrent use of drug with cytochrome P450 3A4 inducer such as barbiturates, glucocorticoids, rifampicin, clarithromycin, and erythromycin. Immunosuppressed patient or patients known case of human immunodeficiency virus infection, ateriovenous and capillary malformations 
 
Method of Generating Random Sequence   Other 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
to assess the percentage reduction in volume of vascular malformation at the end of 1 year of oral sirolimus  baseline, 1 month, 3 months, 6 months, 9 months and 12 months 
 
Secondary Outcome  
Outcome  TimePoints 
To assess time to attain resolution & safety of oral sirolimus in vascular malformation  baseline, 1 month, 3 months, 6 months, 9 months & 12 months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   13/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Management of vascular malformation is crucial to prevent the compression of vital organs, ulceration, and limb length discrepancies. Various complex and interlinking molecular pathways are involved in the pathogenesis of vascular malformation, thereby targeted therapy plays a pivotal role in the treatment. Sirolimus also known as rapamycin is a mTOR inhibitor, blocks the RAS-RAF-MEK and PIK3CA-AKT-mTOR pathways. Therefore, resulting in apoptosis and inhibition of vascular pathways.

 
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