NCT03387995

Brief Summary

Intracranial aneurysms (IA) regarded the third cause of cerebral vascular disease is the majoy cause of subarachnoid hemorrhage (SAH). The mortality and morbidity account for 22% to 25% in cerebrovascular disease. More than half of the ruptured IA survivors has serious nerve dysfunction such as hemiplegia, aphasia,which seriously harms to human health. Endovascular embolization is one of the main treatment ways of IA.However,there are no studies on the multicenter cases of stent selection strategy at home and abroad.Therefore, the investigators conduct a prospective study by comparing the clinical efficacy, follow-up results, and hemodynamics between preoperative and postoperative patients with different types of stent assisted embolization treatment of IA.The investigators also study the relationship between cyclin dependent kinase inhibitor 2B antisense RNA 1 gene(CDKN2BAS1 gene)of IA patients and the results, for making indication of stents, improving the cure rate, reducing the recurrence rate of IA patients, providing theory gist for interventional therapy of complex IA and simplying slection of stent.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
4,157

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Sep 2016

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

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

Study Start

First participant enrolled

September 1, 2016

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

November 27, 2017

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 2, 2018

Completed
6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2023

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 30, 2024

Completed
Last Updated

September 23, 2024

Status Verified

September 1, 2024

Enrollment Period

7.3 years

First QC Date

November 27, 2017

Last Update Submit

September 19, 2024

Conditions

Keywords

treatment outcome

Outcome Measures

Primary Outcomes (5)

  • The safety evaluation of interventional therapy

    Modified Rankin Scale (mRS) score to measure the safety of of interventional therapy

    6 months later after operation

  • The efficacy evaluation of interventional treatment

    Raymond-Ray scale (for common stent) and O'Kelley Morrota scale (for FD) to measure the effectiveness of interventional treatment

    6 months later after operation

  • Evaluate the relationship between intracranial aneurysm and cyclin dependent

    The investigators will take the participant's blood and the relationship between intracranial aneurysm and CDKN2BAS1 will be evaluated by ligase detection reaction-polymerase chain reaction(LDP-PCR)

    6 months later after operation

  • The cerebrovascular complication after interventional therapy

    Perioperative and delayed cerebrovascular complication after stent deployment

    6 months later after operation

  • The incidence of in-stent stenosis after stent deployment

    the rate and degree of in-stent stenosis after stent deployment

    6 months later after operation

Other Outcomes (4)

  • The safety evaluation of interventional therapy

    24 months later after operation

  • The efficacy evaluation of interventional treatment

    24 months later after operation

  • The cerebrovascular complication after interventional therapy

    24 months later after operation

  • +1 more other outcomes

Study Arms (5)

Anterior communicating artery aneurysm

Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.

Device: LVIS stentDevice: Solitaire stentDevice: Enterprise stentDevice: Neuroform stentDevice: Flow diverter (FD) stent

Middle cerebral artery aneurysm

Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.

Device: LVIS stentDevice: Solitaire stentDevice: Enterprise stentDevice: Neuroform stentDevice: Flow diverter (FD) stent

Posterior communicating artery aneurysm

Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.

Device: LVIS stentDevice: Solitaire stentDevice: Enterprise stentDevice: Neuroform stentDevice: Flow diverter (FD) stent

Internal carotid artery aneurysm

Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.

Device: LVIS stentDevice: Solitaire stentDevice: Enterprise stentDevice: Neuroform stentDevice: Flow diverter (FD) stent

Vertebrobasilar system aneurysms

Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.

Device: LVIS stentDevice: Solitaire stentDevice: Enterprise stentDevice: Neuroform stentDevice: Flow diverter (FD) stent

Interventions

The paitents treated by LVIS stent implantation.

Anterior communicating artery aneurysmInternal carotid artery aneurysmMiddle cerebral artery aneurysmPosterior communicating artery aneurysmVertebrobasilar system aneurysms

The paitents treated by Solitaire stent implantation.

Anterior communicating artery aneurysmInternal carotid artery aneurysmMiddle cerebral artery aneurysmPosterior communicating artery aneurysmVertebrobasilar system aneurysms

The paitents treated by Enterprise stent implantation.

Anterior communicating artery aneurysmInternal carotid artery aneurysmMiddle cerebral artery aneurysmPosterior communicating artery aneurysmVertebrobasilar system aneurysms

The paitents treated by Neuroform stent implantation.

Anterior communicating artery aneurysmInternal carotid artery aneurysmMiddle cerebral artery aneurysmPosterior communicating artery aneurysmVertebrobasilar system aneurysms

The paitents treated by Enterprise FD implantation.

Anterior communicating artery aneurysmInternal carotid artery aneurysmMiddle cerebral artery aneurysmPosterior communicating artery aneurysmVertebrobasilar system aneurysms

Eligibility Criteria

Age14 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Subject has intracranial aneurysms confirmed by CT arteriography (CTA) or magnetic resonance angiography (MRA) or digital subtraction angiography (DSA).

You may qualify if:

  • Subject has intracranial aneurysms confirmed by CT arteriography (CTA) or magnetic resonance angiography (MRA) or digital subtraction angiography(DSA)
  • Subject has accepted stent - assisted embolization or flow-diversion treatment of intracranial aneurysm

You may not qualify if:

  • Subject has secondary intracranial aneurysms(e.g.traumatic aneurysm, infected aneurysm)
  • Subject has received previous surgical clipping or endovascular treatment
  • Subject has no intracranial aneurysms by DSA
  • Subject with poor image quality
  • Subject cannot use stent because of the small parent artery
  • Subject do not need to use stent because of narrow-neck aneurysm
  • History of aneurysm

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

ZhuJiang Hospital,Southern Medical University

Guangzhou, Guangdong, 510282, China

Location

Related Publications (10)

  • Zhang X, Long XA, Luo B, Karuna T, Duan CZ. Factors responsible for poor outcome after intraprocedural rerupture of ruptured intracranial aneurysms: identification of risk factors, prevention and management on 18 cases. Eur J Radiol. 2012 Jan;81(1):e77-85. doi: 10.1016/j.ejrad.2011.02.015. Epub 2011 Feb 24.

    PMID: 21353424BACKGROUND
  • Standhardt H, Boecher-Schwarz H, Gruber A, Benesch T, Knosp E, Bavinzski G. Endovascular treatment of unruptured intracranial aneurysms with Guglielmi detachable coils: short- and long-term results of a single-centre series. Stroke. 2008 Mar;39(3):899-904. doi: 10.1161/STROKEAHA.107.496372. Epub 2008 Feb 7.

    PMID: 18258836BACKGROUND
  • Ishibashi T, Murayama Y, Urashima M, Saguchi T, Ebara M, Arakawa H, Irie K, Takao H, Abe T. Unruptured intracranial aneurysms: incidence of rupture and risk factors. Stroke. 2009 Jan;40(1):313-6. doi: 10.1161/STROKEAHA.108.521674. Epub 2008 Oct 9.

    PMID: 18845802BACKGROUND
  • Gu DQ, Zhang X, Luo B, Long XA, Duan CZ. The effect of Neuroform stent-assisted coil embolization of wide-necked intracranial aneurysms and clinical factors on progressive aneurysm occlusion on angiographic follow-up. J Clin Neurosci. 2013 Feb;20(2):244-7. doi: 10.1016/j.jocn.2012.01.053. Epub 2012 Nov 30.

    PMID: 23201094BACKGROUND
  • Ye HW, Liu YQ, Wang QJ, Zheng T, Cui XB, Gao YY, Lai LF, Zhang X, Li XF, Su SX, He XY, Duan CZ. Comparison between Solitaire AB and Enterprise stent-assisted coiling for intracranial aneurysms. Exp Ther Med. 2015 Jul;10(1):145-153. doi: 10.3892/etm.2015.2481. Epub 2015 May 8.

    PMID: 26170926BACKGROUND
  • Li H, He XY, Li XF, Zhang X, Liu YC, Duan CZ. Treatment of giant/large internal carotid aneurysms: parent artery occlusion or stent-assisted coiling. Int J Neurosci. 2016;126(1):46-52. doi: 10.3109/00207454.2014.992427. Epub 2015 Jan 7.

    PMID: 25565057BACKGROUND
  • Naggara ON, White PM, Guilbert F, Roy D, Weill A, Raymond J. Endovascular treatment of intracranial unruptured aneurysms: systematic review and meta-analysis of the literature on safety and efficacy. Radiology. 2010 Sep;256(3):887-97. doi: 10.1148/radiol.10091982. Epub 2010 Jul 15.

    PMID: 20634431BACKGROUND
  • Mitra D, Herwadkar A, Soh C, Gholkar A. Follow-up of intracranial aneurysms treated with matrix detachable coils: a single-center experience. AJNR Am J Neuroradiol. 2007 Feb;28(2):362-7.

    PMID: 17297013BACKGROUND
  • Lopes D, Sani S. Histological postmortem study of an internal carotid artery aneurysm treated with the Neuroform stent. Neurosurgery. 2005 Feb;56(2):E416; discussion E416. doi: 10.1227/01.neu.0000147977.07736.66.

    PMID: 15670395BACKGROUND
  • Feng X, Huang C, Tong X, Wen Z, Zhu Y, Huang M, Lin J, Huang J, Yuan H, Xu A, Ma G, Ge R, Li C, Peng C, Su S, Zhang X, Li X, Guo Z, Liu A, Duan C. Effect of LDL-Cholesterol Levels and Oral Atorvastatin on Outcomes After Pipeline Therapy for Intracranial Aneurysms. Stroke. 2025 Oct;56(10):3002-3013. doi: 10.1161/STROKEAHA.124.049833. Epub 2025 Aug 6.

MeSH Terms

Interventions

Stents

Intervention Hierarchy (Ancestors)

Prostheses and ImplantsEquipment and Supplies

Study Officials

  • Chuanzhi Duan, Ph.D.

    Department of Neurosurgery, Zhujiang Hospital,Southern Medical University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Neurovascular Center of Zhujiang Hospital

Study Record Dates

First Submitted

November 27, 2017

First Posted

January 2, 2018

Study Start

September 1, 2016

Primary Completion

December 30, 2023

Study Completion

August 30, 2024

Last Updated

September 23, 2024

Record last verified: 2024-09

Data Sharing

IPD Sharing
Will not share

Anonymized data that support the findings of this article can be provided upon reasonable request by the SESIA steering committee.

Locations