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NCT00789828 · OUTCOME

Percentage of Participants With Best Overall Subependymal Giant Cell Astrocytomas (SEGA) Response

Efficacy and Safety of Everolimus (RAD001) in Patients of All Ages With Subependymal Giant Cell Astrocytoma Associated With Tuberous Sclerosis Complex (TSC)(EXIST-1) · Source last updated 2016-02-03

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
Percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
End of core period (Week 48), and end of extension period (up to 4 years)

What was measured

Participants were assessed for SEGA response, defined as 50% reduction from baseline in SEGA volume (where SEGA volume was the sum of the volumes of all target SEGA lesions identified at baseline, and confirmed with a second scan performed approximately 12 weeks later), no unequivocal worsening of non-target SEGA lesions, no new SEGA lesions (≥ 1 cm in longest diameter), and no new or worsening hydrocephalus. Multi-phase brain MRI was utilized to identify SEGA lesions. SEGA response rate was defined as the percentage of participants whose best overall status was SEGA response as determined by Independent Central Radiology Review. The Kaplan-Meier estimate was used for determining time to SEGA response.

Analysis population: The primary analysis was performed in Full Analysis Set (FAS) population, defined as all randomized participants involved in the study.

Groups in this outcome

Everolimus (Core Period)

Participants received oral dose of everolimus 4.5 mg/m\^2 daily as an initial starting dose to attain the whole blood trough concentrations in range of 5-15 ng/mL. Dose adjustments were permitted based on safety and whole blood trough concentrations.

Placebo (Core Period)

Participants received oral dose of placebo matching to everolimus daily.

Everolimus (Extension Period)

Participants received oral dose of everolimus 4.5 mg/m\^2 daily as an initial starting dose to attain blood trough concentrations in range of 5-15 ng/mL.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Everolimus (Core Period)78
Placebo (Core Period)39
Everolimus (Extension Period)111

Reported measurements

Source class 1
Values in Percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Everolimus (Core Period)34.6Not reported24.246.2Not reported
Placebo (Core Period)0.0Not reported0.09.0Not reported
Everolimus (Extension Period)57.7Not reported47.967Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        24.2
        upper Limit
        46.2
        value
        34.6
      2. group Id
        OG001
        lower Limit
        0.0
        upper Limit
        9.0
        value
        0.0
      3. group Id
        OG002
        lower Limit
        47.9
        upper Limit
        67
        value
        57.7
denoms
  1. counts
    1. group Id
      OG000
      value
      78
    2. group Id
      OG001
      value
      39
    3. group Id
      OG002
      value
      111
    units
    Participants
description
Participants were assessed for SEGA response, defined as 50% reduction from baseline in SEGA volume (where SEGA volume was the sum of the volumes of all target SEGA lesions identified at baseline, and confirmed with a second scan performed approximately 12 weeks later), no unequivocal worsening of non-target SEGA lesions, no new SEGA lesions (≥ 1 cm in longest diameter), and no new or worsening hydrocephalus. Multi-phase brain MRI was utilized to identify SEGA lesions. SEGA response rate was defined as the percentage of participants whose best overall status was SEGA response as determined by Independent Central Radiology Review. The Kaplan-Meier estimate was used for determining time to SEGA response.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received oral dose of everolimus 4.5 mg/m\^2 daily as an initial starting dose to attain the whole blood trough concentrations in range of 5-15 ng/mL. Dose adjustments were permitted based on safety and whole blood trough concentrations.
    id
    OG000
    title
    Everolimus (Core Period)
  2. description
    Participants received oral dose of placebo matching to everolimus daily.
    id
    OG001
    title
    Placebo (Core Period)
  3. description
    Participants received oral dose of everolimus 4.5 mg/m\^2 daily as an initial starting dose to attain blood trough concentrations in range of 5-15 ng/mL.
    id
    OG002
    title
    Everolimus (Extension Period)
param Type
NUMBER
population Description
The primary analysis was performed in Full Analysis Set (FAS) population, defined as all randomized participants involved in the study.
reporting Status
POSTED
time Frame
End of core period (Week 48), and end of extension period (up to 4 years)
title
Percentage of Participants With Best Overall Subependymal Giant Cell Astrocytomas (SEGA) Response
type
PRIMARY
unit Of Measure
Percentage of participants

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Preserved source evidence · Not medical advice