Everolimus (RAD001) Therapy of Giant Cell Astrocytoma in Patients With Tuberous Sclerosis Complex
Everolimus (RAD001) Therapy of Giant Cell Astrocytoma in Patients With Tuberous Sclerosis Complex
The purpose of the study is to evaluate the safety and potential side effects of everolimus
 (an experimental drug) on a person with Tuberous Sclerosis Complex who also has been
 diagnosed with a brain tumor (astrocytoma)

 The hypothesis is that the drug will cause the tumor size to decrease, and may have
 beneficial activity separate from effects on tumors in patients.
Tuberous Sclerosis Complex (TSC)is a genetic disorder with a birth incidence of approximately
 one in six thousand. Five to twenty percent of patients with TSC will develop astrocytoma, a
 slowly progressive tumor. They grow and cause damage to surrounding brain tissue, blockage of
 spinal fluid (hydrocephalus), blindness, trouble walking, seizures, and brain damage. If
 untreated, they can be fatal. Standard treatment involves surgery to remove the tumor;
 however surgery may itself cause brain damage, bleeding, or infection, as well as other
 complications. Studies have shown that everolimus suppresses the chemicals that cause tumors
 to grow in tuberous sclerosis, and may cause them to shrink.

 The primary objective of this study is to find out the effects of everolimus on astrocytomas
 in a six month trial in patients with Tuberous Sclerosis who have been diagnosed with an
 astrocytoma
Inclusion Criteria:

 -  Age three years and older

 -  If female and of child bearing potential, documentation of negative pregnancy test
 prior to enrollment. In the extension phase, all females of child bearing potential
 will be required to take monthly home pregnancy tests and record results on a provided
 diary card.

 -  Clinically definite diagnosis of tuberous sclerosis (modified Gomez criteria or
 positive genetic test)

 -  Presence of giant cell astrocytoma as defined by imaging characteristics and serial
 increase in size of lesion on 2 or more MRI scans

 -  Adequate renal function (creatinine < 1.5 mg/dl)

 Exclusion Criteria:

 -  Serious intercurrent medical illness or other uncontrolled medical disease which could
 compromise participation in the study

 -  Significant hematologic or hepatic abnormality

 -  Continuous requirement for supplemental oxygen

 -  Intercurrent infection at initiation of everolimus

 -  Embolization of angiomyolipoma within one month; any other recent surgery within 2
 months of initiation of everolimus

 -  Pregnant or lactating women

 -  Use of an investigational drug within the last 30 days

 -  Must be adequately recovered from the acute toxicities of any prior therapy

 -  Clinical evidence of impending herniation or focal neurologic deficit related to the
 subject's astrocytoma

 -  Unwilling or unable to use highly effective contraception