Using MEK inhibitors to treat hypertrophic cardiomyopathy in children with RASopathies
Official title: MEK Inhibitors for the Treatment of Hypertrophic Cardiomyopathy in Patients With RASopathies (MEKinRAS) - Randomized Controlled Trial
Run by Medical University of Warsaw · NCT06555237 · Data updated 2026-11-12
This study is testing if a new medication called trametinib can help children with RASopathies and hypertrophic cardiomyopathy feel better compared to standard treatment alone.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 1 Day to 18 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Medical University of Warsaw Academic / other |
| Drugs / interventions | trametinib |
| Locations | 1 site (Warsaw) |
| Status | Recruiting |
| Started | August 1, 2024 |
| Main results expected | August 1, 2026 |
| Study ends | December 1, 2026 |
| Registry record updated | August 15, 2024 |
| Trial ID | NCT06555237 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are children aged 0 to 18 with a confirmed genetic mutation in the RAS/MAPK pathway and a diagnosis of hypertrophic cardiomyopathy.
✕Probably not a fit
Patients who have contraindications to the medications involved or do not have a confirmed diagnosis of RASopathy or hypertrophic cardiomyopathy may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to evaluate the effectiveness of trametinib, a MEK kinase inhibitor, in treating hypertrophic cardiomyopathy (HCM) in children with genetic mutations in the RAS/MAPK pathway, such as those seen in Noonan syndrome. It is a randomized, open-label trial involving patients aged 0 to 18 who have been diagnosed with both RASopathy and HCM. Participants will be divided into two groups: one receiving trametinib alongside standard treatment and the other receiving only standard treatment. The study will assess the effectiveness of trametinib over a three-month period, with potential continuation based on results.
Why it matters
Potential benefit: If successful, this treatment could significantly improve heart function and quality of life for children with hypertrophic cardiomyopathy associated with RASopathies.
How similar studies have gone: While there have been isolated cases of success in treating HCM in patients with RASopathies, this approach is being tested in a well-designed randomized study for the first time.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * patient with diagnosed RASopathy * patient with diagnosed hypertrophic cardiomyopathy * signed innform consent Exclusion Criteria: * contraindications to treatment with propranolol (drug hypersensitivity, atrioventricular block, severe bradycardia) disopyramide (drug hypersensitivity, WPW syndrome, atrioventricular block, QT prolongation) trametinib (drug hypersensitivity) * lack of consent of the child's guardians to participate in the study
Where it's running
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Department of Paediatrics, The Medical University of Warsaw, Poland
Warsaw, Poland Recruiting
Study contacts
- Principal investigator: MAciej Kołodziej, MD — Medical University of Warsaw
- Study coordinator: Maciej Kołodziej, MD
- Email: maciej.kolodziej@wum.edu.pl
- Phone: 22-317-95-37
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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National Registry for Noonan Syndrome (Italy)
This registry will collect genetic and clinical information from people with Noonan syndrome in Italy to understand how the condition changes over time and how treatments like growth hormone may work.
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Neuroradiology Features in Noonan Syndrome and Gene-Linked Brain Differences
This study tests brain MRI and MR angiography in people with Noonan syndrome to see how brain imaging patterns relate to their specific genetic mutations.
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Lipid and glucose patterns in Noonan syndrome and related RASopathies by age, sex, and genotype
This project will see how lipid and glucose levels differ by age, sex, and genetic type in people with Noonan syndrome and related RASopathies.
-
Using advanced heart MRI to improve diagnosis and risk prediction for rare cardiomyopathies
This project tests whether advanced cardiac MRI techniques can help diagnose and predict future risk for people with rare heart muscle diseases like Danon, Fabry, cardiac amyloidosis, Noonan syndrome, and cardiac sarcoidosis.
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LuAna AI help to detect problems on chest X-rays
We will test whether using LuAna, an AI tool, helps doctors find chest X-ray problems more often in adults with respiratory symptoms.
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Therapy to help caregivers of children with genetic disorders manage stress
This study tests whether a remote therapy program can help caregivers of children with genetic disorders manage their stress better.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.