Evaluation of the Safety and Effectiveness of the CereVasc® eShunt® System in Normal Pressure Hydrocephalus (STRIDE)
Pivotal Study to Evaluate the Safety and Effectiveness of the CereVasc® eShunt® System in the Treatment of Normal Pressure Hydrocephalus
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: Ona Whelove
- Phone Number: 917-275-5340
- Email: clinicaltrials@cerevasc.com
Study Locations
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Buenos Aires, Argentina, C1426B
- Clinica La Sagrada Familia
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Alberta
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Calgary, Alberta, Canada, T2N 4N1
- University of Calgary - Foothills Medical Centre
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Ontario
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Toronto, Ontario, Canada, M5C 2W6
- St. Michael's Hospital
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California
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Los Angeles, California, United States, 90033
- University of Southern California
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Connecticut
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New Haven, Connecticut, United States, 06511
- Yale University
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Florida
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Jacksonville, Florida, United States, 32207
- Baptist Medical Center - Jacksonville
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Tampa, Florida, United States, 33606
- University of South Florida
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Illinois
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Chicago, Illinois, United States, 60611
- Northwestern University
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Park Ridge, Illinois, United States, 60068
- Advocate Lutheran General Hospital
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Indiana
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Indianapolis, Indiana, United States, 46202
- Indiana University
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Kansas
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Kansas City, Kansas, United States, 66160
- University of Kansas Medical Center
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Kentucky
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Lexington, Kentucky, United States, 40506
- University of Kentucky Research Foundation
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Beth Israel Deaconess Medical Center
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Boston, Massachusetts, United States, 02115
- Brigham and Women's Hospital
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Michigan
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West Bloomfield, Michigan, United States, 48322
- Henry Ford Health
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New Jersey
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Camden, New Jersey, United States, 08103
- Cooper Neurological Institute
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New York
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Albany, New York, United States, 12208
- Albany Medical Center
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Buffalo, New York, United States, 14203
- University at Buffalo Neurosurgery
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Manhasset, New York, United States, 11030
- Northwell Health
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New York, New York, United States, 10065
- Weill Cornell Medicine
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New York, New York, United States, 10029
- Icahn School of Medicine at Mount Sinai
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New York, New York, United States, 10016
- NYU Langone Health
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New York, New York, United States, 10075
- Lenox Hill Hospital
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Rochester, New York, United States, 14642
- University of Rochester Medical Center
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The Bronx, New York, United States, 10467
- Montefiore Medical Center
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic
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Pennsylvania
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Hershey, Pennsylvania, United States, 17033
- Milton S. Hershey Medical Center
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Philadelphia, Pennsylvania, United States, 19107
- Thomas Jefferson University
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Rhode Island
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Providence, Rhode Island, United States, 02903
- Rhode Island Hospital
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Texas
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Dallas, Texas, United States, 75390
- University of Texas Southwestern Medical Center
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Virginia
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Richmond, Virginia, United States, 23298
- Virginia Commonwealth University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Each subject must meet the following criteria:
- Patients ≥60 years old on the day of study informed consent
- Patient or legally authorized representative is able and willing to provide written informed consent
- History or evidence of gait impairment with a duration ≥3 months
Clinical presentation consistent with NPH including two or more of the clinical triad (i.e., history of gait disturbance, progressive mental deterioration, and urinary urgency or incontinence), together with all of the following:
- Brain MRI signs of ventricular enlargement disproportionate to cerebral atrophy (Evans' Index >0.3) and the absence of severe hippocampal atrophy,
- Pre-procedure spinal tap test or lumbar drain with subsequent gait disturbance improvement (Timed Up and Go Test) of at least 20%,
- CSF opening pressure ≥8 cmH2O,
- Baseline cognitive evaluation assessed by Montreal Cognitive Assessment (MoCA) test score ≥12
- Patient is willing and able to attend all scheduled visits and comply with study procedures.
- Confirmation of anatomy suitable for the eShunt procedure, as determined by evaluation of pre-procedure imaging (CT and MRI) and approved by an independent anatomical screening committee.
Exclusion Criteria:
Each subject may not:
- Be unable to walk 10 meters (33 feet) with or without an assistive device
- Be diagnosed with obstructive hydrocephalus
- Have an active systemic infection or infection detected in CSF
- Have had prior or existing shunts, endoscopic third ventriculostomy, or any previous surgical intervention for hydrocephalus
- Demonstrate hypersensitivity or contraindication to heparin or radiographic contrast agents against which the subject cannot be adequately pre-medicated, desensitized or where no alternative is available
- Have occlusion or stenosis of the internal jugular vein which would prohibit access to the IPS
- Present with venous distension in the neck on physical exam
- Have medical conditions associated with prolonged elevation of jugular venous pressure, including jugular vein stenosis or stricture, right sided heart failure, cirrhosis of the liver, arteriovenous fistulas in the arm for dialysis purposes, or an arterial venous fistula or malformation in the neck or brain
- Have history of bleeding diatheses, coagulopathy or refuse to consent for blood transfusion in cases of emergency
- Have had an ischemic stroke or transient ischemic attack within 180 days of eShunt procedure
- Have documented evidence of a deep vein thrombosis superior to the popliteal vein
- Have intrinsic blood clotting disorder
- Have medical conditions requiring anticoagulation which is unable to be managed to allow for surgical procedure
- Have presence of a posterior fossa tumor or mass
- Have a life expectancy <1 year
- Be currently participating in another interventional (drug, device, etc.) research project that may confound the results of this study.
- Have established diagnosis of neurodegenerative diseases such as Parkinson's disease, Alzheimer's disease, or Lewy body dementia
- Be diagnosed with schizophrenia or any psychiatric diagnosis (including depression) that may complicate outcome evaluation
- Need an intracranial neurosurgical procedure within 180 days of study index procedure
- Be unwilling or unable to comply with follow-up requirements
- Have mRS of 0, 5, or 6
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: eShunt System
Endovascular placement of the eShunt Implant
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The eShunt System consists of the following components:
Other Names:
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Active Comparator: VP Shunt
Surgical ventriculo-peritoneal shunt procedure
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Control arm - VP shunt
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Primary Effectiveness Endpoint
Time Frame: 6 months
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The Primary Effectiveness Endpoint of this study is change in gait impairment at 6-months, compared to baseline.
Change in gait impairment is defined as reduction in time required to complete the Timed Up and Go (TUG) test (stand up, walk 3m, turnaround, walk 3m, sit down).
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6 months
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Primary Safety Endpoint
Time Frame: 6 months
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All adverse events will be reported for the investigational (eShunt System) and control (VP shunt) arms.
Safety will be analyzed based on a review of all AEs in the investigational arm compared to the control arm, through 6-months post-procedure to demonstrate an acceptable safety profile of the eShunt System.
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6 months
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Collaborators and Investigators
Sponsor
Sponsor
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 (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CLIN 0036
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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