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AzTrials

AgingPhase 1/2NCT06727305

MTOR Inhibitors in Older Adults

A Phase 1/2 study testing Sirolimus 0.5 Mg Oral Tablet, Sirolimus 1Mg Oral Tablet and Sirolimus 2 MG Oral Tablet in people with Aging, run by University of Texas Southwestern Medical Center at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Over the past decades, healthcare systems face significant challenges to meet the needs of an aging population due to progressive debility, functional decline and chronic diseases development. Read more about this study

Who is it for?
Ages 65 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Aging
What is being tested?
Sirolimus 0.5 Mg Oral Tablet, Sirolimus 1Mg Oral Tablet and Sirolimus 2 MG Oral Tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteUnited States
Study dates
11 May 2026to 13 Nov 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Community-dwelling adults
  • Patients should be 65 Years and older
  • Patients is able to understand and follow trial procedures

Who cannot join

  • Creatinine clearance <30 mL/min;
  • History of chronic liver disease;
  • Uncontrolled Hypertension (i.e., systolic blood pressure >160 mm Hg);
  • Hemorrhagic central nervous system (CNS) event within 1 year from screening visit;
  • Thrombotic event (DVT,PE) within 1 year from screening visit if not on anticoagulation;
  • Planned major surgical procedures;
Show all 10Show fewer
  • Cardiovascular diseases ( i.e., admission for heart failure or myocardial infarction within 12 months);
  • Taking medication that increase or decrease sirolimus blood concentrations;
  • Other investigational therapy received within 1 month prior to screening visit;
  • History of dementia; 11 Dependence in any Katz Basic Activities of Daily Living.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Irina Timofte, MD, MS contact

2163347534

Irina.Timofte@utsouthwestern.edu

United States1 site, 1 recruiting
  • UT Southwestern Medical Center

    Dallas, Texas, 75390

    Rhoda Annoh Gordon, PharmD, MPH, 2146457108, Rhoda.annohgordon@utsouthwestern.edu

    Recruiting

Other trials in United States

About this study

Official title: Characterization of mTOR Inhibitor Pharmacokinetics and Pharmacodynamics in Older Adults .

Over the past decades, healthcare systems face significant challenges to meet the needs of an aging population due to progressive debility, functional decline and chronic diseases development. While there is a growing appreciation of the potential impact of mTOR inhibitors on slowing aging processes, preventing chronic disease and prolonging healthy lifespan, a major challenge in developing clinical trials to establish the clinical efficacy of mTOR inhibitors is the absence of pharmacokinetics (PK) and pharmacodynamics (PD) data in older adults. The proposed study will provide the foundation for future clinical trials assessing the role of mTOR inhibitors on aging related indications

Read the detailed description

Study Objectives To characterize Pharmacokinetics (PK) and Pharmacodynamics (PD) of mTOR Inhibitors and determine whether mTOR Inhibitors will improve phenotypic biomarkers of aging as measured by SASP (senescence-associated secretory phenotype) index score at 3 months follow-up in older adults.

Specific Aims:

Aim 1: To characterize Pharmacokinetics (PK) and Pharmacodynamics (PD) of mTOR Inhibitors (sirolimus and everolimus) in older adults.

Aim 2: To determine whether mTOR Inhibitors will improve phenotypic biomarkers of aging as measured by SASP (senescence-associated secretory phenotype) index score at 3 months follow-up.

Exploratory Aim 3: We will also assess the feasibility of collecting the laboratory biomarkers (ESR, CRP, S6K activity, mitochondrial function, metabolomics) and data regarding the functional biomarkers of aging measured by walking speed, chair stand, standing balance, grip strength

Conditions
Aging
Being tested
Sirolimus 0.5 Mg Oral Tablet, Sirolimus 1Mg Oral Tablet, Sirolimus 2 MG Oral Tablet, Everolimus 0.5 MG Oral Tablet, Everolimus 1 MG Oral Tablet
Keywords
Aging, Geriatic, Disability

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Sirolimus 0.5 Mg Oral TabletDrug

    Sirolimus 0.5 mg oral tablets daily for 2 weeks and complete PK/PD testing. After the first 2 weeks, dose increase, or dose reduction will be made to obtain a stable blood level of 5-7 ng/ml.

  • Sirolimus 1Mg Oral TabletDrug

    Sirolimus 1 mg oral tablets daily for 2 weeks and complete PK/PD testing. After the first 2 weeks, dose increase, or dose reduction will be made to obtain a stable blood level of 5-7 ng/ml.

  • Sirolimus 2 MG Oral TabletDrug

    Sirolimus 2 mg oral tablets daily for 2 weeks and complete PK/PD testing. After the first 2 weeks, dose increase, or dose reduction will be made to obtain a stable blood level of 5-7 ng/ml.

  • Everolimus 0.5 MG Oral TabletDrug

    Everolimus 0.5 mg oral tablets daily for 2 weeks and complete PK/PD testing. After the first 2 weeks, dose increase, or dose reduction will be made to obtain a stable blood level of 5-7 ng/ml.

  • Everolimus 1 MG Oral TabletDrug

    Everolimus 1 mg oral tablets daily for 2 weeks and complete PK/PD testing. After the first 2 weeks, dose increase, or dose reduction will be made to obtain a stable blood level of 5-7 ng/ml.

  • Everolimus 2 MG Oral TabletDrug

    Everolimus 2 mg oral tablets for daily for 2 weeks and complete PK/PD testing. After the first 2 weeks, dose increase, or dose reduction will be made to obtain a stable blood level of 5-7 ng/ml.

Study groups in NCT06727305
Study groupRoleWhat they receive
sirolimus 0.5 mg ArmActive comparatorParticipant would receive 0.5 mg of sirolimus.
Receives: Drug: Sirolimus 0.5 Mg Oral Tablet
sirolimus 1 mg ArmActive comparatorParticipant would receive 1 mg of sirolimus.
Receives: Drug: Sirolimus 1Mg Oral Tablet
sirolimus 2 mg ArmActive comparatorParticipant would receive 2 mg of sirolimus.
Receives: Drug: Sirolimus 2 MG Oral Tablet
everolimus 0.5 mg ArmActive comparatorParticipant would receive 0.5 mg of Everolimus.
Receives: Drug: Everolimus 0.5 MG Oral Tablet
everolimus 1 mg ArmActive comparatorParticipant would receive 1 mg of Everolimus.
Receives: Drug: Everolimus 1 MG Oral Tablet
everolimus 2 mg ArmActive comparatorParticipant would receive 2 mg of Everolimus.
Receives: Drug: Everolimus 2 MG Oral Tablet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cmax for Sirolimus

    Maximum Sirolimus Concentration at Steady State (Cmax)

    Measured: Predose (0 hour) and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, and 24-hour post dose

  2. Cmax for Everolimus

    Maximum Everolimus Concentration at Steady State (Cmax)

    Measured: Predose (0 hour) and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, and 12-hour post dose

  3. Ctrough for Sirolimus

    Trough Sirolimus Concentration at Steady State (Ctrough)

    Measured: Predose (0 hour) and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, and 24-hour post dose

  4. Ctrough for Everolimus

    Trough Everolimus Concentration at Steady State (Ctrough)

    Measured: Predose (0 hour) on Day 14 and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, and 12-hour post dose

  5. AUC for Sirolimus

    Sirolimus Area Under the Curve from Time Zero to End of Dosing Interval (AUCtau) at Steady State

    Measured: Predose (0 hour) on Day 14 and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, and 24-hour post dose

  6. AUC for Everolimus

    Everolimus Area Under the Curve from Time Zero to End of Dosing Interval (AUCtau) at Steady State

    Measured: Predose (0 hour) on Day 14 and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, and 12-hour post dose

  7. CL/F for Sirolimus

    Sirolimus Apparent Oral Clearance (CL/F)

    Measured: Predose (0 hour) on Day 14 and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, and 24-hour post dose

  8. CL/F for for Everolimus

    Everolimus Apparent Oral Clearance (CL/F)

    Measured: Predose (0 hour) on Day 14 and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, and 12-hour post dose

  9. S6K Activity, in Sirolimus cohorts

    Pharmacodynamic parameter, S6K Activity, in Sirolimus cohorts

    Measured: Predose (0 hour) and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, and 24-hour post dose on Day 1 and Day 14

  10. S6K Activity, in Everolimus cohorts

    Pharmacodynamic parameter, S6K Activity, in Everolimus cohorts

    Measured: Predose (0 hour) on Day 14 and 0.5, 1, 1.5, 2.5, 3, 4, 6, and 12-hour post dose on Day 1 and Day 14

  11. Senescence-associated secretory phenotype (SASP) index

    Clinical biomarker parameter (SASP) index is a clinical biomarker parameter that measures the level of proteins secreted by senescent cells in the body.

    Measured: Day 1 Week 1 (Baseline), Week 5, Week 9, Week 13

  12. Erythrocyte sedimentation rate (ESR)

    Clinical biomarker parameter (ESR) is a blood test that detects and monitors inflammation in the body.

    Measured: Day 1 Week 1 (Baseline), Week 5, Week 9, Week 13

  13. C-reactive protein (CRP)

    A measure of Clinical biomarker parameter (CRP), is an inflammatory marker.

    Measured: Day 1 Week 1 (Baseline), Week 5, Week 9, Week 13

  14. 6-minute walk test (6MWT)

    The 6MWT is simply a record of the distance (in meters) traveled by a given patient at his or her self-selected walking speed over a period of six minutes.

    Measured: Day 1 Week 1 (Baseline), Week 5, Week 9, Week 13

  15. Short physical performance battery (SPPB)

    Clinical biomarker parameter (SPPB) assesses lower extremity function in older adults. The test battery consists of three physical tasks (walking, sit-to-stand and balance) to assess functional mobility. The test will be performed according to standardized procedure. The maximal total score is 12 and higher total scores indicate a better lower extremity functioning.

    Measured: Day 1 Week 1 (Baseline), Week 5, Week 9, Week 13

Secondary outcomes (6)
  1. Change in SASP response at 3 months follow-up

    SASP (senescence-associated secretory phenotype) index score is quantified using blood work comparing results at baseline and at 3 months follow-up. Patients with high SASP scores have a poor survival rate, while patients with low SASP scores have a good survival rate.

    Measured: Baseline, 3 months

  2. Change in Laboratory Biomarker response (ESR) from baseline at 3 months follow-up

    Feasibility of collecting the laboratory biomarker - Erythrocyte sedimentation rate (ESR) is assessed by change in blood work readings ((millimeters per hour [mm/hour])) at 3 months follow-up.

    Measured: Baseline, 3 months

  3. Change in laboratory Biomarker response (CRP) from baseline at 3 months follow-up

    Feasibility of collecting the laboratory biomarker- C-Reactive Protein (CRP) is assessed by change in blood work readings (mg/dl) at 3 months follow-up.

    Measured: Baseline, 3 months

  4. Change in laboratory Biomarker response (S6K activity) from baseline at 3 months follow-up

    Feasibility of collecting the laboratory biomarker- S6 Kinase (S6K) activity is assessed by change in blood work readings (mg/dl) at 3 months follow-up.

    Measured: Baseline, 3 months

  5. Change in laboratory Biomarker response (mitochondrial function) from baseline at 3 months follow-up

    Feasibility of collecting the laboratory biomarker (mitochondrial function) is assessed by change in blood work readings at 3 months follow-up. The mitochondrial function will be measured through the Bioenergetic Health Index. The Bioenergetic Health Index (BHI) is calculated using the following formula: BHI=(ATP-linked×reserve capacity)/(proton leak×non-mitochondrial) - as described by Chacko et al. The expected range is 0-100.

    Measured: Baseline, 3 months

  6. Change in laboratory Biomarker response (metabolomics) from baseline at 3 months follow-up

    Feasibility of collecting the laboratory biomarker (metabolomics) is assessed by change in blood work readings at 3 months follow-up. Changes in blood metabolomics are quantified by measuring the concentration levels of individual metabolites within a blood sample using techniques like mass spectrometry (MS) or nuclear magnetic resonance (NMR) spectroscopy, where the relative abundance of each metabolite is compared between different samples, allowing for identification of changes in metabolic pathways based on variations in metabolite levels. The unit of measure is "concentration", usually expressed in micromolar (µM) or millimolar (mM), as it represents the quantity of a specific metabolite per unit volume of the sample.

    Measured: Baseline, 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Dec 2024
  2. Study start11 May 2026
  3. Primary completion1 Sep 2027 (estimated)
  4. Study completion13 Nov 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Patients who will be randomized in 1:1:1:1:1:1 ratios to receive oral tablet doses of sirolimus and everolimus with concentrations of 0.5mg, 1mg, 2mg each
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06727305
Sponsor's protocol ID
STU-2024-0798
Other IDs
1U01AG081450-01A1
Status last verified
Jun 2026
First submitted
20 Nov 2024
Last updated
25 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Sirolimus 0.5 Mg Oral Tablet, Sirolimus 1Mg Oral Tablet and Sirolimus 2 MG Oral Tablet in people with Aging, run by University of Texas Southwestern Medical Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 25 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Irina Timofte, MD, MS (2163347534, Irina.Timofte@utsouthwestern.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cmax for Sirolimus (time frame: Predose (0 hour) and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, and 24-hour post dose). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jun 2026.

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