About this trial
The goal of this clinical trial is to learn if the use of rapamycin cream can be used as a treatment together with pulsed dyed laser in treating port wine stain birthmarks. The main question it aims to answer is:
Will rapamycin cream and laser treatment show a greater improvement in appearance of port wine birthmarks, compared to treatment with placebo cream and laser?
Researchers will compare two concentrations of rapamycin cream (0.6% or 1.0%) with placebo treatment to see if appearance is improved following 12 weeks of treatment.
Participants will receive laser treatment of their port wine birthmark and then apply the rapamycin or placebo cream daily for 12 weeks. Patients will visit the clinic every 4 weeks for checkups and tests.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male and female patients aged ≤ 10 years on the day informed consent is obtained
Patients presenting either facial, neck, or upper trunk port-wine stains
Port wine stain size of at least 5 cm tall x 2.5 cm wide (2x1 inches)
Patients (or their legal representatives) capable of understanding the explanation of the clinical trial, and who give written informed consent for participation
Disqualifiers
Skin type classified as either V or VI on the Fitzpatrick scale
Patients with PWS in extremities and/or acral areas
Patients unwilling or unable to carry out the treatment plan or follow-up assessment
Patients with serious skin lesions such as erosions or ulcers
Trial design
Parallel
Treatments tested in this trial
Rapamycin cream
DrugApplication of rapamycin cream to port wine birthmark
Pulsed dyed laser
Procedure/SurgeryPulsed dyed laser (PDL) treatment of port wine birthmark
Treatment groups
Trial outcomes
Primary outcomes
Clinic Objective improvement rating at week 12
The average percentage improvement (0-100% with higher scores being a better outcome) of port wine stain appearance in the cream treated area from baseline to week 12, or at last visit if early withdrawal/discontinuation occurs, as assessed by the principal investigator during the clinic visit.
Secondary outcomes
Subjective improvement rating (all timepoints)
Subjective (patient or parent/caregiver) improvement rating (0-100% with higher scores being a better outcome) of port wine stain from baseline after 0, 4, 8 and 12 weeks of treatment.
Clinic Objective improvement rating (all timepoints)
Clinic Objective (investigator) improvement rating (0-100% with higher scores being a better outcome) in port wine stain from baseline after 0, 4, 8 and 12 weeks of treatment
Photographic Objective improvement rating (all timepoints)
Photographic Objective improvement rating (0-100% with higher scores being a better outcome), assessed by a committee of three dermatologists, in port wine stain from baseline after 0, 4, 8 and 12 weeks of treatment
Other outcomes
Subjective improvement rating change at follow-up
Subjective (patient or parent/caregiver) improvement rating (0-100% with higher scores being a better outcome) change of cream treated area from baseline at follow-up visit
Subjective improvement rating (post-treatment)
Subjective (patient or parent/caregiver) improvement rating (0-100% with higher scores being a better outcome) change of cream treated area between week 12 and follow-up
Clinic Objective improvement rating change at follow-up
Clinic Objective (investigator) improvement rating (0-100% with higher scores being a better outcome) change of cream treated area from baseline at follow-up visit
Clinic Objective improvement rating (post-treatment)
Clinic Objective (investigator) improvement rating (0-100% with higher scores being a better outcome) change of cream treated area between week 12 and follow-up
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: