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NCT04987463: ViRap
Randomized, Placebo-controlled, Double-blind and Double-dummy Clinical Trial Comparing the Safety, Tolerability, and Efficacy of Vigabatrin and Rapamycin in a Preventive Treatment of Infants With Tuberous Sclerosis Complex
Phase 2/Phase 3 trial testing Vigabatrin in Tuberous Sclerosis Complex in 60 participants. Status unknown.
1 March 2026
Quick facts
| Lead sponsor | Katarzyna Kotulska |
|---|---|
| Phase | Phase 2/Phase 3 |
| Status | Status unknown |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | double |
| Primary purpose | prevention |
| Enrollment | 60 |
| Start date | 7 May 2021 |
| Primary completion | 1 March 2026 |
| Estimated completion | 1 March 2026 |
| Sites | 2 locations across Poland |
Drugs / interventions tested
- Vigabatrin — full drug profile →
- Rapamycin — full drug profile →
- Placebo
- Placebo
Conditions studied
- Tuberous Sclerosis Complex — all drugs for Tuberous Sclerosis Complex →
Sponsor
Katarzyna Kotulska
Who can join
Adults 4 Weeks to 16 Weeks, any sex, with Tuberous Sclerosis Complex. Patients with the condition only — healthy volunteers not accepted.
What's being measured
Primary outcomes are the specific endpoints the trial is designed to prove or disprove.
-
Occurrence of clinical seizures in the blinded phase of the study,
Time frame: 730 days -
Summarized volume of TSC-associated tumors ≥ 125% of initial value within the blinded phase of the study
Time frame: 730 days
Sponsor's own description
The purpose of the study is to evaluate the efficacy, tolerability, and safety of vigabatrin versus rapamycin as a preventive treatment in infants with Tuberous Sclerosis Complex (TSC).
Publications & conference data
4 peer-reviewed publications reference this trial (live from Europe PMC):
-
Perfect match: mTOR inhibitors and tuberous sclerosis complex.
Luo C, Ye WR, Shi W, Yin P, et al · · 2022 · cited 52× · PMID 35246210 · DOI 10.1186/s13023-022-02266-0 -
Preventative treatment of tuberous sclerosis complex with sirolimus: Phase I safety and efficacy results.
Capal JK, Ritter DM, Franz DN, Griffith M, et al · · 2024 · cited 8× · PMID 39726432 · DOI 10.1002/cns3.20070 -
Long-term neuropsychologic outcome of pre-emptive mTOR inhibitor treatment in children with tuberous sclerosis complex (TSC) under 4 months of age (PROTECT), a two-arm, randomized, observer-blind, controlled phase IIb national multicentre clinical trial: study protocol.
Driedger JH, Schröter J, PROTECT-Study Group, Syrbe S, et al · · 2025 · cited 5× · PMID 39762914 · DOI 10.1186/s13023-024-03495-1 -
Mechanistic strategies for secondary prevention of developmental and epileptic encephalopathy in children with tuberous sclerosis complex.
Specchio N, Di Micco V, Scheper M, Aronica E, et al · · 2025 · cited 2× · PMID 40367637 · DOI 10.1016/j.ebiom.2025.105740
Verify or expand the search:
- PubMed search for NCT04987463
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other trials of Vigabatrin
Trials testing the same drug.
- NCT04321395 — Vigabatrin and Insulin Sensitivity · Phase 2 · completed
- NCT03421496 — A Study to Assess Cannabidiol Oral Solution With Vigabatrin as Initial Therapy in Participants With Infantile Spasms · Phase 3 · terminated
- NCT02299115 — Prednisolone Versus Vigabatrin in the First-line Treatment of Infantile Spasms · Phase 3 · withdrawn
Other recruiting trials for Tuberous Sclerosis Complex
Currently open trials in the same condition.
- NCT06160310 — Tuberous Sclerosis Complex and Lymphangioleiomyomatosis Pregnancy Registry (TSC-LAM Registry) · recruiting
- NCT05104983 — Stopping TSC Onset and Progression 2B: Sirolimus TSC Epilepsy Prevention Study · Phase 2 · recruiting
- NCT05467397 — Feasibility of [11C]Acetate-PET in LAM and TSC · Phase 1, PHASE2 · active not recruiting
- NCT05044819 — Assessment of Potential for Chronic Liver Injury in Participants Treated With Epidiolex (Cannabidiol) Oral Solution · Phase 4 · active not recruiting
- NCT04198181 — The Effectiveness and Safety of Resective Epilepsy Surgery for TRE · active not recruiting
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04987463 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Katarzyna Kotulska
- Last refreshed: 7 February 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04987463.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing