The Artisse™ Intrasaccular Device is Indicated for the Treatment of Wide-neck Bifurcating Intracranial Aneurysms (IAs). (ARTISSE)
Artisse™ Intrasaccular Device IDE
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Medtronic Neurovascular Clinical Affairs
- Phone Number: 949-837-3700
- Email: rs.nvclinicalartisse@medtronic.com
Study Locations
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California
-
Los Angeles, California, United States, 90033
- Recruiting
- USC - Keck School of Medicine
-
Principal Investigator:
- Kasra Khatibi, MD
-
Contact:
- Kelly Hu
- Phone Number: 323-442-0661
- Email: Kelly.Hu@med.usc.edu
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Colorado
-
Englewood, Colorado, United States, 80113-2764
- Recruiting
- Swedish Medical Center
-
Contact:
- Ashley Thompson
- Phone Number: 303-907-5634
- Email: Ashley.Thompson3@HCAhealthcare.com
-
Principal Investigator:
- Ian Kaminsky, MD
-
-
Connecticut
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New Haven, Connecticut, United States, 06519
- Recruiting
- Yale New Haven Hospital
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Principal Investigator:
- Charles Matouk, MD
-
Contact:
- Lindsey Fraczkiewicz
- Email: lindsey.fraczkiewicz@yale.edu
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Florida
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Jacksonville, Florida, United States, 32207
- Recruiting
- Baptist Medical Center Jacksonville
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Principal Investigator:
- Eric Sauvageau, MD
-
Contact:
- Smitha Gubbi, MD
- Phone Number: 904-202-7069
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Tampa, Florida, United States, 33606
- Recruiting
- Tampa General Hospital
-
Principal Investigator:
- Maxim Mokin, MD
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Contact:
- Muni Sai Bachalakuri
- Phone Number: 813-844-8498
- Email: mbachalakuri@tgh.org
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Illinois
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Chicago, Illinois, United States, 60673
- Recruiting
- University of Chicago
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Principal Investigator:
- Tareq Kass-Hout, MD
-
Contact:
- Khalid Trad
- Email: khalid.trad@bsd.uchicago.edu
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Park Ridge, Illinois, United States, 60068
- Suspended
- Advocate Lutheran General Hospital
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Indiana
-
Indianapolis, Indiana, United States, 46260-1902
- Recruiting
- Ascension Saint Vincent Hospital - Indianapolis
-
Contact:
- Luke Watkins
- Email: lwatkins@goodmancampbell.com
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Principal Investigator:
- Daniel H. Sahlein, MD
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-
Iowa
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Iowa City, Iowa, United States, 52242
- Recruiting
- University of Iowa Hospitals and Clinics
-
Contact:
- Heena Olalde
- Phone Number: 319-356-8326
- Email: heena-olalde@uiowa.edu
-
Principal Investigator:
- Edgar Samaniego, MD
-
-
Massachusetts
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Boston, Massachusetts, United States, 02114
- Recruiting
- Massachusetts General Hospital
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Principal Investigator:
- Aman B. Patel, MD
-
Contact:
- Shayna Hollander
- Phone Number: 617-643-5547
- Email: sdhollander@mgh.harvard.edu
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-
New Jersey
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Camden, New Jersey, United States, 08103
- Recruiting
- Cooper University Health
-
Principal Investigator:
- Daniel Tonetti, MD
-
Contact:
- Thuy Van Cao
- Phone Number: 856-342-2362
- Email: cao-thuy@cooperhealth.edu
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-
New York
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Albany, New York, United States, 12208
- Recruiting
- Albany Medical Center
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Contact:
- Alexandra Paul, MD
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Buffalo, New York, United States, 14203
- Recruiting
- Buffalo General Medical Center
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Contact:
- Adnan Siddiqui, MD
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New York, New York, United States, 10029
- Recruiting
- The Mount Sinai Hospital
-
Contact:
- Johanna Fifi, MD
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Stony Brook, New York, United States, 11794
- Recruiting
- Stony Brook University Hospital
-
Principal Investigator:
- David Fiorella, MD
-
Contact:
- Marlene Baumeister
- Phone Number: 631-444-1610
- Email: marlene.baumeister@stonybrookmedicine.edu
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North Carolina
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Charlotte, North Carolina, United States, 28211
- Recruiting
- Novant Health Brain and Spine Surgery
-
Contact:
- Ziad Hage, MD
-
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Ohio
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Cleveland, Ohio, United States, 44195
- Recruiting
- Cleveland Clinic Foundation
-
Contact:
- Heidi Poppendeck
- Email: poppenh@ccf.org
-
Principal Investigator:
- Ashutosh Mahapatra, MD
-
-
Oklahoma
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Oklahoma City, Oklahoma, United States, 73104-5004
- Recruiting
- Oklahoma University Medical Center
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Principal Investigator:
- Hakeem Shakir, MD
-
Contact:
- Katarzyna Zyla-Jackson
- Email: katarzyna-zyla@ou.edu
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-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19107
- Recruiting
- Thomas Jefferson University Hospital
-
Principal Investigator:
- Pascal Jabbour, MD
-
Contact:
- Nico Agosti
- Email: nico.agosti@jefferson.edu
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Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- Hospital of the University of Pennsylvania
-
Principal Investigator:
- Jan-Karl Burkhardt, MD
-
Contact:
- Christopher Boivin
- Email: christopher.boivin@pennmedicine.upenn.edu
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Pittsburgh, Pennsylvania, United States, 15213-2536
- Recruiting
- UPMC Presbyterian
-
Principal Investigator:
- Bradley Gross, MD
-
Contact:
- Lauren Puccio
- Email: pucciolm@upmc.edu
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South Carolina
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Greenville, South Carolina, United States, 29605
- Recruiting
- Prisma Health
-
Contact:
- Mohammad Chaudry, MD
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Tennessee
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Memphis, Tennessee, United States, 38120
- Recruiting
- Semmes Murphy Clinic
-
Principal Investigator:
- Violiza Inoa, MD
-
Contact:
- Wendell Barnett
- Phone Number: 901-260-6124
- Email: wbarnett@semmes-murphey.com
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Utah
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Salt Lake City, Utah, United States, 84132
- Recruiting
- University of Utah Hospital
-
Contact:
- Ramesh Grandhi, MD
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West Virginia
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Morgantown, West Virginia, United States, 26506-9260
- Recruiting
- West Virginia University
-
Principal Investigator:
- Ansaar Rai, MD
-
Contact:
- Jennifer Domico
- Phone Number: 304-598-6930
- Email: jennifer.domico@wvumedicine.org
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject or subject's Legally Authorized Representative (LAR) has provided written informed consent using the Institutional Review Board/Ethics Committee (IRB/EC) approved Informed Consent Form (ICF). Health Insurance Portability and Accountability Act (HIPAA)/data protection authorization has been provided and signed by the subject or subject's LAR.
- Subject is 18-75 years of age at the time of consent.
- Subject has a single unruptured or ruptured IA requiring treatment. If the patient has an additional IA, the additional IA must not be deemed to require treatment within 1-year of the index procedure.
The target aneurysm must have the following characteristics:
- Saccular morphology
- Located at a bifurcation in the anterior or posterior circulation
- Aneurysm Width appropriate for treatment with the Artisse™ Intrasaccular Device for device sizingper the Instructions for Use.
- Wide-necked, defined as neck size ≥ 4 mm and/or a dome-to-neck ratio of ≥ 1 and < 2.
If the target aneurysm was acutely ruptured, subject must be neurologically stable with Hunt and Hess Grade of I or II.
Ruptured IA is defined as showing evidence of SAH attributed to the target aneurysm within the last 30-days (using computed tomography (CT), magnetic resonance imaging (MRI), or lumbar puncture (LP).)
- Subject is able to comply with all aspects of the Clinical Investigation Plan (CIP) requirements (e.g., screening, evaluation, treatment, and the post-procedure follow-up schedule).
- Subject meets one or more risk factors for IA rupture, such as age, hypertension, cigarette smoking, use of sympathomimetic drugs, Japanese or Finnish ancestry, history of prior aneurysmal subarachnoid hemorrhage (aSAH), familial intracranial aneurysms or SAH, clinical or radiological mass effect, reduced quality of life due to fear of rupture, IA size, location, and morphology, documented growth of IA on serial imaging (or enhanced aneurysm walls on contrast), presence of multiple IAs, and presence of concurrent pathology.
- Treating physician has already selected the subject for endovascular treatment of the target aneurysm after considering risk-benefit of clipping vs endovascular treatment
- If the subject has an additional IA that was treated previously, the additional IA must have been clinically stable in the past 90 days (i.e. without ongoing adverse events related to the previous treatment).
Exclusion Criteria:
- During treatment planning, it is determined that subject may need an adjunctive implant device in addition to the Artisse™ Intrasaccular Device. (Subjects who need unplanned adjunctive implant devices are not excluded.)
- Subject's target aneurysm was previously treated with other devices/implants (e.g., coils) or parent artery has a stent or other obstruction that could interfere with the correct placement of the Artisse™ Intrasaccular Device.
- Subject has a known active systemic bacterial infection.
- Subject has anatomy or physiology considered unsuitable (e.g., vessel anomaly or disease) for endovascular treatment with the Artisse™ Intrasaccular Device by the treating physician.
- Subject has a mRS score > 2 (i.e., mRS scores of 3 to 5) prior to procedure (in case of unruptured IA) or prior to rupture (in case of ruptured IA).
- Subject has an SAH from a non-target aneurysm or any other intracranial hemorrhage within 90 days.
- Subject, of child-bearing potential, is pregnant (confirmed with a positive pregnancy test) or plans to become pregnant during the 1 year follow up period after the index procedure.
- Subject is enrolled in another device or drug study in which participation could confound study results.
- The treating physician determines that the health of the subject or the validity of the study outcomes (e.g., high risk of neurologic events, conditions that may increase the chance of stroke) may be compromised by the subject's enrollment.
- Subject has a known hypersensitivity, which cannot be medically treated, to any component of the study device, procedural materials, or medications commonly used during the procedure.
- Subject is taking anticoagulants (e.g., warfarin) that cannot be discontinued for a minimum of 7 days post-procedure or have a known blood dyscrasia, coagulopathy, or hemoglobinopathy.
- Subject has acute or chronic renal failure (unless on dialysis) that would prevent them from undergoing digital subtraction angiography (DSA).
- Subject has a life expectancy of less than 5 years due to an illness or condition other than the index IA.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Artisse™ Intrasaccular Device
Study subjects with an unruptured or ruptured wide-neck bifurcating intracranial aneurysm will be treated by endovascular implantation of the Artisse™ Intrasaccular Device.
|
Intrasaccular Device
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Effectiveness: Incidence of complete aneurysm occlusion
Time Frame: 1 year post procedure
|
Incidence of complete aneurysm occlusion without retreatment of the target aneurysm, recurrent subarachnoid hemorrhage (SAH) from the target aneurysm, or significant parent artery stenosis (>50% stenosis) at 1 year post-procedure.
|
1 year post procedure
|
|
Safety Evaluation
Time Frame: through study completion, an average of 5 years
|
The safety of the Artisse™ Intrasaccular Device will be determined based on a review of all the serious adverse events (SAEs) observed during the study.
|
through study completion, an average of 5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of implant success
Time Frame: Procedure
|
Proportion of subjects with device implant success at the target site
|
Procedure
|
|
Incidence of recurrence
Time Frame: 1 year post procedure
|
Proportion of subjects with angiographic aneurysmal recurrence at 1 year post-procedure
|
1 year post procedure
|
|
Incidence of adequate aneurysm occlusion
Time Frame: 180 days, 1 year, 3 years, and 5 years post-procedure
|
Incidence of adequate aneurysm occlusion of the target aneurysm at 180 days post-procedure, 1 year post-procedure, 3 years post-procedure, and 5 years post-procedure
|
180 days, 1 year, 3 years, and 5 years post-procedure
|
|
Incidence of retreatment
Time Frame: 3 years and 5 years post-procedure
|
Incidence of retreatment of the target aneurysm through 3 years post-procedure, and 5 years post-procedure
|
3 years and 5 years post-procedure
|
|
Incidence of good clinical outcomes in unruptured intracranial aneurysms (IAs)
Time Frame: 30 days, 180 days, 1 year, 3 years, and 5 years post-procedure
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Proportion of subjects with unruptured IAs experiencing good clinical outcomes, defined as an Modified Rankin Score (mRS) score of 0-2 (0: No symptoms, 1: No significant disability despite symptoms, 3: Slight disability) through 30 days post-procedure, 180 days post-procedure, 1 year post-procedure, 3 years post-procedure, and 5 years post-procedure
|
30 days, 180 days, 1 year, 3 years, and 5 years post-procedure
|
|
Incidence of good clinical outcomes in ruptured intracranial aneurysms (IAs)
Time Frame: 30 days, 180 days, 1 year, 3 years, and 5 years post-procedure
|
Proportion of subjects with ruptured IAs experiencing good clinical outcomes, defined as an Modified Rankin Score (mRS) score of 0-2 (0: No symptoms, 1: No significant disability despite symptoms, 3: Slight disability) through 30 days post-procedure, 180 days post-procedure, 1 year post-procedure, 3 years post-procedure, and 5 years post-procedure
|
30 days, 180 days, 1 year, 3 years, and 5 years post-procedure
|
|
Incidence of stroke
Time Frame: 30 days, 180 days, 1 year, 3 years, and 5 years post-procedure
|
Proportion of subjects experiencing a stroke (ischemic or hemorrhagic) within 30 days post-procedure, 180 days post-procedure, 1 year post-procedure, 3 years post-procedure, and 5 years post-procedure
|
30 days, 180 days, 1 year, 3 years, and 5 years post-procedure
|
|
Change in Modified Rankin Score (mRS) compared to baseline. mRS scores can range from 0 (no symptoms) to 5 (severe disability) with a separate category of 6 added for patients who expire.
Time Frame: 30 days, 180 days, 1 year, 3 years, and 5 years post-procedure
|
Proportion of subjects with unruptured intracranial aneurysms (IAs) experiencing improvement, deterioration, or no change in the mRS score compared to baseline through 30 days post-procedure, 180 days post procedure, 1 year post-procedure, 3 years post-procedure, and 5 years post-procedure
|
30 days, 180 days, 1 year, 3 years, and 5 years post-procedure
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Procedure time
Time Frame: at procedure
|
Time of guiding catheter entry to the time of guiding catheter removal
|
at procedure
|
|
Radiation Exposure
Time Frame: at procedure
|
dosage and cumulative fluoroscopy time
|
at procedure
|
|
Incidence of recurrence of the target aneurysm
Time Frame: 1 year post procedure
|
Web Occlusion Grade C or D at any time after achieving a complete occlusion grade of A immediately post procedure
|
1 year post procedure
|
|
Incidence of retreatment
Time Frame: 1 year post procedure
|
1 year post procedure
|
|
|
Incidence of aneurysm rupture
Time Frame: 1 year post procedure
|
1 year post procedure
|
|
|
Incidence of intracranial hemorrhage (excluding target aneurysm)
Time Frame: 1 year post procedure
|
1 year post procedure
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Harsh Sancheti, Medtronic
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- MDT24004
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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