- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04973332
Safety and Efficacy of SINOMED SR for Endovascular Treatment of Acute Ischemic Stroke
September 15, 2022 updated by: Sinomed Neurovita Technology Inc.
A Prospective, Multicenter, Randomized Controlled, Non-inferiority Study to Investigate the Effectiveness and Safety of Intracranial Embolization Stents for Endovascular Treatment of Acute Ischemic Stroke
A prospective, multicenter, randomized controlled, non-inferiority study to investigate the effectiveness and safety of SINOMED SR for endovascular treatment of acute ischemic stroke
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
This is a multicenter, prospective, randomized, 1:1, controlled trial with blinded outcome assessment assessing non-inferiority of SINOMED SR compared to Solitaire FR.
The trial aims to randomize 220 patients 1:1 to receive SINOMED SR or Solitaire FR.The primary outcome is the Success rate of immediate recanalization.
Study Type
Interventional
Enrollment (Actual)
218
Phase
- Not Applicable
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
-
-
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Nanjing, China, 210000
- General Hospital of Eastern Theater Command, PLA
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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
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
General inclusion criteria:
- 18 years old or more;
- NIHSS≥6 during randomization;
- Pre-onset MRS < 2;
- Acute ischemic stroke was diagnosed;
- Within 24 hours from the onset of stroke to the completion of femoral artery puncture, regardless of whether intravenous thrombolysis has been performed;The time point of stroke onset was defined as the time point at which the patient's last normal condition was known;
- The subject (or his/her guardian) agrees to participate in this study and signs the informed consent.
Image inclusion criteria:
- When it is less than 6h (inclusive) from the onset of stroke to the completion of femoral artery puncture, patients should be examined by cranial CT or MR;
- When it is more than 6h but less than 24h (inclusive) from the onset of stroke to the completion of femoral artery puncture, brain CT or MR should be performed and Aspects ≥6 points should be satisfied.(If immediate CT perfusion imaging or MR perfusion imaging is feasible, CTP or MRP is recommended to assist in the assessment of the infarct core, and Aspects ≥6 points shall also be satisfied);
- DSA angiography showed acute intracranial arterial occlusion, including intracranial segment of internal carotid artery (C4-C7), middle cerebral artery (M1/M2), basilar artery and intracranial segment of vertebral artery (V4).
General exclusion criteria:
- Neither MRI nor CT can be performed;
- Hemorrhagic stroke or major ischemic stroke within 6 months before enrollment;
- Severe persistent hypertension that cannot be controlled by venous hypotension, i.e., patients with SBP persistent >185mmHg and/or DBP persistent >110mmHg;
- Suppose septic emboli or suspected bacterial endocarditis;
- Renal failure, defined as: creatinine >3.0mg/dL(264 mol/L);
- Blood glucose < 2.78mmol/L (50mg/dL) or >22.20mmol/L (400mg/dL);
- decreased platelet count (< 40×109/L);
- Known bleeding tendency, defect of coagulation factor, taking anticoagulants and INR > 3.0;
- Pregnant or lactating women;
- known to be severely allergic to contrast agents and known to be allergic to nickel materials;
- The presence of diseases that may affect the assessment of neurological function (such as neurological diseases, mental diseases, etc.);
- with heart, lung, liver function failure or other serious diseases to interventional surgery;
- Participating in clinical trials of other drugs or devices;
- Life expectancy less than 6 months;
- Other conditions judged by the researcher to be unsuitable for inclusion.
Image exclusion criteria:
- CT or MR imaging evidence of intracranial hemorrhage or known bleeding tendency;
- CT/MR/DSA showed > occlusion (such as bilateral internal carotid artery occlusion at the same time, or anterior circulation and posterior circulation intracranial vessels occlusion at the same time, or internal carotid intracranial and extracranial segments occlusion at the same time);
- Carotid artery dissection, carotid initial occlusion or arteritis;
- The vascular circuitry was severe, and the intracranial thrombectomy stent was difficult to reach the target position.
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
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Thrombectomy-SINOMED SR
Patients diagnosed with acute ischemic stroke within 24 hours from the onset of the stroke to the completion of femoral artery puncture, regardless of whether intravenous thrombolysis has been performed.
Intracranial thrombectomy stents can be used to remove the thrombus in the large vessels of the brain in patients with ischemic stroke To restore blood flow.
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Intracranial thrombectomy stents for ischemic stroke patients within 24 hours of symptom onset
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Active Comparator: Thrombectomy-Solitaire FR
Intracranial thrombectomy was performed with a control product(name:Solitaire FR)
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Intracranial thrombectomy stents for ischemic stroke patients within 24 hours of symptom onset
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Success rate of immediate recanalization
Time Frame: Within 24 hours post-procedure
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The criteria for successful immediate recanalization were target recanalization with a mTICI grade of 2b or 3 grade
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Within 24 hours post-procedure
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
mRS 0-2 ratio
Time Frame: pre-procedure, and 90 days post-procedure
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The ratio of mRS 0-2 points = the number of subjects with mRS 0-2 points 90 days after surgery/the number of subjects receiving thrombectomy by intracranial thrombectomy device ×100%
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pre-procedure, and 90 days post-procedure
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The time from femoral artery puncture to vascular recanalization or the end time of surgery for patients with no vascular recanalization
Time Frame: intra-operative
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Vascular recanalization time = successful recanalization time - femoral artery puncture time
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intra-operative
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The NIHSS score decreased the rate of subjects with > 4 points
Time Frame: pre-procedure, 24 hours and 7 days post-procedure
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The ratio of subjects with NIHSS score decreased > 4 points = the number of subjects with NIHSS score decreased > 4 points/the number of subjects with thrombotic stent thrombectomy ×100% in this group
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pre-procedure, 24 hours and 7 days post-procedure
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Success rate of instrument operation
Time Frame: intra-operative
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Device operation success = the number of devices completed conveying, releasing and retracting in the group/the number of all test devices used in the group ×100%
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intra-operative
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The incidence of symptomatic intracranial hemorrhage within 24 h post-procedure
Time Frame: within 24 hours post-procedure
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Symptomatic intracranial hemorrhage within 24 h, specifically intracranial hemorrhage (intracranial parenchymal hematoma, subarachnoid hemorrhage, and ventricular hemorrhage) accompanied by neurological deterioration (NIHSS score increased by ≥4 points compared with preoperative)
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within 24 hours post-procedure
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Mortality within 90 days
Time Frame: within 90 days
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All-cause mortality = the number of deaths in this group/the number of subjects receiving intracranial thrombectomy stent for thrombectomy in this group ×100%
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within 90 days
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Incidence of device defects
Time Frame: intra-operative
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Defects of research devices during clinical trials, such as broken devices, incorrect labeling, etc
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intra-operative
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Incidence of SAE (serious adverse events)
Time Frame: intra-operative, 24 hours, 7 days and 90 days post-procedure
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Incidence of SAE = number of subjects with SAE/number of subjects receiving thrombectomy with intracranial thrombectomy device ×100%
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intra-operative, 24 hours, 7 days and 90 days post-procedure
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Incidence of AE (adverse events)
Time Frame: intra-operative, 24 hours, 7 days and 90 days post-procedure
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Incidence of AE = number of subjects with AE/number of subjects receiving thrombectomy with intracranial thrombectomy device ×100%
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intra-operative, 24 hours, 7 days and 90 days post-procedure
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Xinfeng Liu, General Hospital of Eastern Theater Command, PLA
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 8, 2021
Primary Completion (Actual)
April 7, 2022
Study Completion (Actual)
June 24, 2022
Study Registration Dates
First Submitted
June 21, 2021
First Submitted That Met QC Criteria
July 13, 2021
First Posted (Actual)
July 22, 2021
Study Record Updates
Last Update Posted (Actual)
September 19, 2022
Last Update Submitted That Met QC Criteria
September 15, 2022
Last Verified
September 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SINOMED SR
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
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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