About this trial
To evaluate the efficacy of Rapamycin in extended cervicofacial lymphatic malformations in pediatric patients. Rapamycin is administered oral for a 6 month period.
The success rate is determined by volume reduction superior to 1/5e of the initial volume measured by MRI, impact on QOL and reduction of bleeding in case of mucosal involvement.
Eligibility criteria
Qualifiers
Patient from 0 to 18 years of age, presenting with poly-cystic suprahyoid or mediastinal lymphatic.
with chronic pain or functional respiratory or swallowing impairment with a CDS score < 8
Curative treatment is not possible or associated with a high risk of morbidity ,mortality and functional and cosmetic impairment
Karnofsky Score (> 10 years of age) or Lansky score (≤10 years of age) > 50%
Disqualifiers
Non-respect of inclusion criteria
Other immunosuppressive therapy or long-term general corticosteroid therapy without a 28-day washout period
renal failure
Liver failure
Trial design
Treatments tested in this trial
- rapamycin
- MRI
- Rapamycin dosage
Treatment groups
Sponsors and collaborators
University Hospital, Lille
Lead sponsor
Ministry of Health, France
Collaborator