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[Afprøvning af enhed, der ikke er godkendt eller frigivet af den amerikanske FDA] (PIONEER)

15. juli 2026 opdateret af: Balt USA

[Forsøg med enhed, der ikke er godkendt eller klaret af den amerikanske FDA]

The PIONEER Study is a pivotal, multi-center, prospective, single-arm study designed to evaluate the safety and efficacy of the Silk Vista Baby (SVB) Flow Diverter for the treatment of unruptured aneurysms.

Studieoversigt

Status

Rekruttering

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

250

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

    • Ontario
      • Toronto, Ontario, Canada, M5C 1R6
        • Rekruttering
        • St. Michael's Hospital/Unity Health
        • Kontakt:
          • Eileen Liu
    • California
      • Thousand Oaks, California, Forenede Stater, 91360
        • Rekruttering
        • Vascular and Neuroscience Institute of Southern California
        • Kontakt:
          • Priya Kaushal
    • Florida
      • Jacksonville, Florida, Forenede Stater, 32207
        • Rekruttering
        • Baptist Health
        • Kontakt:
          • Teresa Nicol

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  1. Age 22 to ≤ 80 years old
  2. Participant has a single target unruptured intracranial aneurysm (IA) originating from a parent vessel of 1.5 mm to 3.4mm in diameter located at or distal to the ICA terminus or in SVB-amenable anterior or posterior anatomy
  3. Participant has a target saccular or fusiform IA with an aneurysm neck ≥ 4mm or a dome to neck ratio <2
  4. Participant has a target IA that is ≤ 12 mm
  5. Participant meets one or more risk factors for IA rupture, such as age (≤70); 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 (yielding 1 point or greater score per UIATS scale); documented growth of IA on serial imaging; presence of multiple IAs; and presence of concurrent pathology
  6. Participant has pre-procedure (obtained up to 14 days prior to the procedure day) PRU value between 60-200
  7. Participant or a legally authorized representative (LAR) provides written informed consent using the IRB/REB-approved consent form and agrees to comply with protocol follow-up and requirements

Exclusion Criteria:

  1. Target aneurysm is unsuitable for flow diverter treatment
  2. Subject requires more than one flow diverter for target aneurysm treatment
  3. Has vessel characteristics, such as severe tortuosity, stenosis, atherosclerotic disease, or morphology that would preclude safe endovascular access to the target aneurysm necessary for treatment with the study device
  4. Received previous treatment of the target aneurysm or parent artery where it would interfere with the placement or proper apposition of the device
  5. Has a medical contraindication to study or procedure-related antiplatelet/anticoagulation medications (e.g., aspirin, clopidogrel/Plavix, ticagrelor, Prasugrel, Gp IIb/IIIa inhibitors, heparin, etc.), local or general anesthesia, or life-threatening allergy to contrast dye
  6. Has a known severe allergy to nickel, titanium or platinum
  7. Modified Rankin Score (mRS) assessment is ≥ 3 at screening or pre-procedure mRS could not be assessed
  8. The health of the participant or the validity of the study outcomes (e.g., high risk of neurologic events, worsening of clinical condition in the last 30 days) may be compromised by the participant's enrollment
  9. Subarachnoid hemorrhage occurred within 30 days prior to enrollment
  10. Intracranial parenchymal hemorrhage occurred within 60 days prior to enrollment
  11. Major surgery (including previous intracranial implant) occurred within previous 30 days or is planned in the next 120 days after treatment date
  12. Has more than one IA that requires treatment within 120 days of treatment date
  13. Received previous intracranial implant associated with the symptomatic or vascular distribution within the past 12 weeks prior to treatment date
  14. Requires adjunctive coiling during SVB procedure
  15. Chronic anticoagulation therapy is ongoing or known coagulopathy exists
  16. Has other known serious concurrent medical conditions such as active bacterial infection, heart disease (including atrial fibrillation, pacemaker, recent myocardial infarction [< 12 weeks], symptomatic congestive heart failure, or carotid stenosis), kidney failure (e.g., >2.0mg/dl serum creatinine) or any other non-neurological disease-related acute life threatening illness to be treated in this trial, pulmonary disease, uncontrolled diabetes, progressive neurologic disorders, cancer requiring active treatment (e.g., chemotherapy, etc.) or on palliative care, vasculitis, high risk of ischemic stroke or recent stroke (within 30 days)
  17. Life expectancy is less than 5 years due to other illness or condition (in addition to an intracranial aneurysm)
  18. Unable to complete study follow-up due to dementia or psychiatric disorder, substance abuse, or history of noncompliance with medical advice
  19. Women who are pregnant or nursing at the time of enrollment or women who wish to become pregnant during the length of study participation
  20. Presence of intracranial mass (tumor, except meningioma that doesn't require surgery for 1 year) or non-treated arteriovenous malformation (AVM) in the territory of the target aneurysm
  21. Participation in any other investigational study which can influence collection of valid data under this study

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Silk Vista Baby (SVB) Flow Diverter
Participants meeting eligibility criteria will undergo endovascular treatment of a single unruptured intracranial aneurysm using the SVB Flow Diverter.
The Silk Vista Baby (SVB) flow diverter is indicated for use in the endovascular treatment of adults (22 years of age and older) with unruptured small or medium (≤12mm) wide-neck (neck width ≥ 4mm or dome-to-neck ratio < 2), saccular or fusiform, intracranial aneurysms at or distal to the ICA terminus, in SVB-amenable anterior and posterior anatomy arising from a parent vessel with a minimum diameter of 1.5mm and a maximum diameter of 3.4mm.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
Proportion of participants with complete occlusion of the treated IA based on the Raymond-Roy I classification without significant parent artery stenosis (>50%), as evaluated by an independent Core Lab, without retreatment of the target aneurysm
Tidsramme: 1 year post procedure
1 year post procedure

Sekundære resultatmål

Resultatmål
Tidsramme
Complete occlusion of the treated aneurysm using the Raymond-Roy scale without significant parent artery stenosis (>50%), as adjudicated by an independent Core Lab, without retreatment of target IA
Tidsramme: 180 days and 2 years post-procedure
180 days and 2 years post-procedure
Complete occlusion of the treated aneurysm using the O'Kelly Marotta scale without significant parent artery stenosis (>50%), as adjudicated by an independent Core Lab, without retreatment of the target IA
Tidsramme: 180 days, 1 year, and 2 years post-procedure
180 days, 1 year, and 2 years post-procedure
Clinically acceptable occlusion of the treated aneurysm using the Raymond-Roy scale without significant parent artery stenosis (>50%) as adjudicated by an independent Core Lab, without retreatment of the target IA
Tidsramme: Within 180 days, 1 year, and 2 years post procedure
Within 180 days, 1 year, and 2 years post procedure
Unplanned alternative treatment of the target IA
Tidsramme: Within 1 year post procedure
Within 1 year post procedure
Device deployment success rate
Tidsramme: Index procedure
Index procedure
Device migration rate
Tidsramme: 180 days, 1 year, and 2 years post procedure
180 days, 1 year, and 2 years post procedure
Evolution of occlusion between post-procedure and timepoints listed under timeframe, as adjudicated by an independent Core Lab
Tidsramme: 1 year and 2 years post procedure
1 year and 2 years post procedure
Occurrence of parent artery occlusion
Tidsramme: 1 year and 2 years post procedure
1 year and 2 years post procedure
Occurrence of >50% In-Stent Stenosis at the target IA
Tidsramme: 1 year and 2 years post procedure
1 year and 2 years post procedure

Andre resultatmål

Resultatmål
Tidsramme
AEs will be analyzed with a specific summary rate of intracranial hemorrhage, ischemic stroke, all cause mortality including neurological death as adjudicated by the CEC
Tidsramme: 30 days, 180 days, 1 year, and 2 years post procedure
30 days, 180 days, 1 year, and 2 years post procedure
Occurrence of all SVB device and/or procedure related AEs
Tidsramme: 30 days, 180 days, 1 year, and 2 years post procedure
30 days, 180 days, 1 year, and 2 years post procedure
Proportion of participants with no change, improvement, or deterioration of mRS
Tidsramme: 2 years post procedure
2 years post procedure

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Ricardo Hanel, MD. PhD, Baptist Medical Center Jacksonville
  • Ledende efterforsker: Vitor M Pereira, MD, MSc, St. Michael's Hospital/Unity Health

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

4. februar 2026

Primær færdiggørelse (Anslået)

1. februar 2030

Studieafslutning (Anslået)

1. februar 2031

Datoer for studieregistrering

Først indsendt

3. november 2025

Først indsendt, der opfyldte QC-kriterier

3. november 2025

Først opslået (Faktiske)

5. november 2025

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

17. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

15. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ja

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Intrakraniel aneurisme

Kliniske forsøg med Silk Vista Baby (SVB) Flow Diverter

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