About this trial
The MIDAS study aims to follow male and female LAM patients who are currently taking, have previously failed or been intolerant of, or may (at some time in the future) take mTOR inhibitors (sirolimus or everolimus) as part of their clinical care. Adult female TSC patients may also enroll, with or without lung cysts.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female or male, age 18 or over
Diagnosis of LAM based on ATS/JRS criteria
Signed and dated informed consent
On chronic therapy, newly treated or may be considered for therapy with mTOR inhibitors or previously intolerant of or having failed mTOR inhibitor therapy
Disqualifiers
Inability to attend at least one RLD Clinic visit per year
Inability to give informed consent
Inability or unwillingness to perform pulmonary function testing
Trial population
Rare Lung Disease Clinical Network Consortium Clinics
Trial design
Cohort
Prospective
Treatments tested in this trial
Sirolimus
DrugSirolimus treatment will be part of a participant's clinical care and will be managed by their physician.
Everolimus
DrugEverolimus treatment will be part of a participant's clinical care and will be managed by their physician.
Treatment groups
Trial outcomes
Primary outcomes
Long term safety of mTOR inhibitor treatment in LAM
Symptoms and adverse events will be recorded
Efficacy - FEV1 slope
Rate of change in FEV1 in ml/month
Efficacy -10% reduction in FEV1
time from enrollment to 10% or greater reduction in FEV1(forced expiratory volume) in months
Secondary outcomes
Effect of long term sirolimus on quality of life
Evaluate ATAQ-LAM QOL responses over time
Sponsors and contacts
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University of Cincinnati
Lead sponsor
Rare Diseases Clinical Research Network
Collaborator
National Institutes of Health (NIH)
Collaborator
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator
The LAM Foundation
Collaborator