Assessment of CSF Shunt Flow With Thermal Measurements A

December 17, 2024 updated by: Rhaeos, Inc.

Assessment Of Flow In Cerebrospinal Fluid Shunts With A Wireless Thermal Anisotropy Measurement Device: Phase A

This study evaluates the performance of a non-invasive thermal measurement device for assessing CSF shunt flow. Patients with an existing implanted shunt and symptoms of shunt malfunction will be evaluated with the study device.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Patients with an existing implanted ventriculoperitoneal (VP) shunt and who are experiencing shunt malfunction symptoms will be recruited by the clinical investigators at each investigational site in accordance with the inclusion and exclusion criteria. Assessment of shunt flow will be performed non-invasively with the study device; physician and clinical staff will be blinded to the device result. Standard-of-care assessment of shunt function will be performed and surgical intervention will occur based on the judgement of the treating neurosurgeon without the use of study device data. This trial will evaluate the ability of the study device to identify shunt malfunctions.

Study Type

Observational

Enrollment (Actual)

44

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • California
      • Oakland, California, United States, 94609
        • UCSF Benioff Children's Hospital - Oakland
      • San Francisco, California, United States, 94158
        • UCSF Benioff Children's Hospital
    • Illinois
      • Chicago, Illinois, United States, 60611
        • Ann & Robert H. Lurie Children's Hospital of Chicago
      • Chicago, Illinois, United States, 60611
        • Northwestern Memorial Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

hydrocephalus patients with an existing ventriculoperitoneal shunt and shunt malfunction symptoms

Description

Inclusion Criteria:

  • Existing ventriculoperitoneal CSF shunt
  • At least one symptom of shunt malfunction as determined by the investigator, including seizure, fever, headache, vision problems, dizziness, disorientation, confusion, vomiting, lethargy, irritability, difficulty waking or staying awake, swelling along shunt tract, enlargement of head, loss of balance, gait disturbance, and loss of sensory or motor function
  • Suspicion of shunt obstruction warrants the performance of a test for this condition in the investigator's judgement
  • Region of intact skin overlying an unambiguously identifiable chronically indwelling ventricular shunt which crosses the clavicle and is appropriate in size for application of the study device
  • Available for follow-up for up to fourteen days
  • Signed informed consent by patient or a parent, legal guardian, health care agent, or legally authorized representative.
  • Verbal assent by minors four years of age and older who are able to understand the study and communicate their decision

Exclusion Criteria:

  • Presence of multiple shunts, or presence of more than one distal shunt catheter (regardless of function) crossing the clavicle ipsilateral to the shunt with suspected obstruction
  • Use of the study device would interfere with standard patient care, or emergency surgery that cannot be delayed
  • Presence of an interfering open wound or edema over any portion of the shunt
  • Patient-reported history of adverse skin reactions to adhesives
  • Investigator judges that the subject is likely to be lost to follow-up due to unavailability or clinical outcome being unobtainable
  • Participation in the study will interfere with, or be detrimental to, administration of optimal health-care to the subject
  • Prior enrollment in this study (multiple enrollments of the same patient are disallowed)
  • Participation in any other investigational procedural, pharmaceutical, and/or device study that may influence the collection of valid data under this study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Prospective

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Hydrocephalus Patients
Hydrocephalus patients with an existing ventriculoperitoneal shunt and symptoms of a shunt malfunction.
A wireless device for non-invasively assessing CSF shunt flow.
Other Names:
  • FlowSense

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Study Device Sensitivity
Time Frame: 14-day follow-up period
Study device sensitivity is calculated as TP / (TP + FN), where TP = true positive and FN = false negative.
14-day follow-up period
Study Device Specificity
Time Frame: 14-day follow-up period
Study device specificity is calculated as TN / (TN + FP), where TN = true negative and FP = false positive.
14-day follow-up period

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Sandi Lam, Ann & Robert H Lurie Children's Hospital of Chicago

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 25, 2021

Primary Completion (Actual)

July 13, 2022

Study Completion (Actual)

July 13, 2022

Study Registration Dates

First Submitted

August 10, 2021

First Submitted That Met QC Criteria

August 16, 2021

First Posted (Actual)

August 20, 2021

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

December 17, 2024

Last Verified

December 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • 2020-01

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

Yes

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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