NCT03210623

Brief Summary

The study is a prospective, multi-center, stratified randomized, single-blind, parallel assignment, active control, non-inferiority trial. Patients are randomized 1 : 1 to either stent retriever(TonbridgeMT) or Solitaire™ for endovascular therapy for AIS. The study aims to evaluate the benefit and safety of stent retriever(TonbridgeMT) for AIS therapy, as compared to Solitaire™.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
220

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2017

Geographic Reach
1 country

17 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 2, 2017

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 7, 2017

Completed
27 days until next milestone

Study Start

First participant enrolled

August 3, 2017

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 27, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 27, 2018

Completed
Last Updated

September 12, 2018

Status Verified

June 1, 2017

Enrollment Period

1.1 years

First QC Date

July 2, 2017

Last Update Submit

September 10, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • successful recanalization rate in patients

    Successful recanalization is defined as modified Thrombolysis In Cerebral Ischemia scale 2b or 3. And it is evaluated by DSA intraoperative immediately in both treatment groups

    intraoperative immediate

Secondary Outcomes (6)

  • successful recanalization rate in vessels

    intraoperative immediate

  • Time to achieve recanalization

    intraoperative immediate

  • NIHSS score

    baseline, 24±6d and 7±2d after operation

  • mRS score

    baseline, 90±14d after operation

  • the ratio of mRS 0-2

    baseline, 90±14d after operation

  • +1 more secondary outcomes

Study Arms (2)

group A

EXPERIMENTAL

subjects applying the stent retriever(TonbridgeMT)

Device: stent retriever(TonbridgeMT)

group B

ACTIVE COMPARATOR

subjects applying Solitaire™

Device: Solitaire™

Interventions

mechanical thrombectomy with stent retriever(TonbridgeMT), digital subtraction angiography(DSA), computed tomography(CT), magnetic resonance imaging (MRI), diffusion weighted imaging (DWI)

group A

mechanical thrombectomy with Solitaire™ , digital subtraction angiography(DSA), computed tomography(CT), magnetic resonance imaging(MRI), diffusion weighted imaging(DWI)

group B

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • ≤ages≤80;
  • Baseline NIHSS score obtained prior to randomization must be lower than 30 points;
  • Acute occlusion(TICI 0-1) of the intracranial segment of internal carotid artery(ICA), or M1/M2 middle cerebral artery(MCA), or A1/A2 anterior cerebral artery(ACA), as evidenced by digital subtraction angiography(DSA);
  • Patient treatable within 6 hours of symptom onset(symptoms onset is defined as point in time the patient was last seen well (at baseline)) can accept the complete femoral artery puncture;
  • Pre-AIS mRS score lower than 2.

You may not qualify if:

  • Computed tomography (CT) or magnetic resonance imaging (MRI) evidence of intracranial hemorrhage or massive cerebral infarction (ASPECTS score of\<6 or infarct volume≥70ml or volume\>1/3 blood supplying areas of MCA on CT/diffusion weighted imaging(DWI);
  • DSA evidence of simultaneous acute bilateral carotid occlusion;
  • DSA evidence of occlusions in the initial segment of carotid artery or carotid artery dissection or arteritis;
  • DSA evidence of tortuosity of cervical vessels precluding device delivery/deployment;
  • Hypertension (Systolic blood pressure(SBP)\>185 mm Hg or diastolic blood pressure(DBP)\>110 mm Hg) after using drug;
  • Platelet count\<40,000/μL and use of Novel Anticoagulant with International Normalized Ratio(INR)\>3.0;
  • Random blood glucose of\<2.7mmol/L or\>22.2mmol/L;
  • Patients with heart or lung or liver or renal failure or other sever disease(intracranial tumors, cerebral arteriovenous malformation (AVM), systemic infection, active disseminated intravascular coagulation, myocardial infarction within the past 12 months before enrollment, history of sever psychosis);
  • Patients who will not cooperate or tolerate interventional operation;
  • Anticipated life expectancy of less than 90 days;
  • Allergy to contrast medium;
  • Females who are pregnant or breastfeeding;
  • Participation in any other clinical trial within the past 1 months before screening and follow-up;
  • The patient or the patient's legally authorized representative hasn't signed and dated an informed consent form;
  • Other factors that would cause harm or increased risk to the participant or close contacts, or preclude the participant's full adherence as per investigator's judgement.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (17)

Changhai Hospital of Shanghai

Shanghai, Shanghai Municipality, China

Location

The 306th Hospital of Chinese PLA

Beijing, China

Location

China-Japan union hospital

Changchun, China

Location

The First Hospital of Jilin University

Changchun, China

Location

The First People's Hospital of Changzhou

Changzhou, China

Location

The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine

Guangzhou, China

Location

The Affiliated Hospital of Guizhou Medical University

Guiyang, China

Location

Hangzhou First People's Hospital

Hangzhou, China

Location

The Second Affiliated hospital of Zhejiang University School of Medicine

Hanzhou, China

Location

Nanjing First Hospital Affiliated to Nanjing Medicine University

Nanjing, China

Location

Nanning People's Hospital

Nanning, China

Location

The Third People's Hospital of Hubei Province

Wuhan, China

Location

Tangdu Hospital

Xi'an, China

Location

Henan Provincial People's Hospital

Zhengzhou, China

Location

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, China

Location

Zhongshan People's Hospital

Zhongshan, China

Location

The Fifth Affiliated Hospital Sun Yat-sen University

Zhuhai, China

Location

Related Publications (1)

  • Zhang Y, Hua W, Li Z, Peng Y, Han Z, Li T, Yin C, Wang S, Nan G, Zhao Z, Yang H, Zhou B, Li T, Cai Y, Zhang J, Li G, Peng X, Guan S, Zhou J, Ye M, Wang L, Zhang L, Hong B, Zhang Y, Wan J, Wang Y, Zhu Q, Liu J, Yang P. Efficacy and Safety of a Novel Thrombectomy Device in Patients With Acute Ischemic Stroke: A Randomized Controlled Trial. Front Neurol. 2021 Aug 12;12:686253. doi: 10.3389/fneur.2021.686253. eCollection 2021.

MeSH Terms

Conditions

Ischemic Stroke

Condition Hierarchy (Ancestors)

StrokeCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular Diseases

Study Officials

  • Jianmin Liu

    Changhai Hospital of Shangha

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: prospective, stratified-randomized, single-blind, parallel assignment, active control
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 2, 2017

First Posted

July 7, 2017

Study Start

August 3, 2017

Primary Completion

August 27, 2018

Study Completion

August 27, 2018

Last Updated

September 12, 2018

Record last verified: 2017-06

Data Sharing

IPD Sharing
Will not share

Locations