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[Studie eines Geräts, das nicht von der US-amerikanischen FDA zugelassen oder freigegeben ist] (PIONEER)

15. Juli 2026 aktualisiert von: Balt USA

[Studie eines Geräts, das nicht von der U.S. FDA zugelassen oder freigegeben wurde]

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.

Studienübersicht

Status

Rekrutierung

Studientyp

Interventionell

Einschreibung (Geschätzt)

250

Phase

  • Unzutreffend

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studieren Sie die Kontaktsicherung

Studienorte

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

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Erwachsene
  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

Nein

Beschreibung

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

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: N / A
  • Interventionsmodell: Einzelgruppenzuweisung
  • Maskierung: Keine (Offenes Etikett)

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: 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.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Zeitfenster
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
Zeitfenster: 1 year post procedure
1 year post procedure

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Zeitfenster
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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: Within 1 year post procedure
Within 1 year post procedure
Device deployment success rate
Zeitfenster: Index procedure
Index procedure
Device migration rate
Zeitfenster: 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
Zeitfenster: 1 year and 2 years post procedure
1 year and 2 years post procedure
Occurrence of parent artery occlusion
Zeitfenster: 1 year and 2 years post procedure
1 year and 2 years post procedure
Occurrence of >50% In-Stent Stenosis at the target IA
Zeitfenster: 1 year and 2 years post procedure
1 year and 2 years post procedure

Andere Ergebnismessungen

Ergebnis Maßnahme
Zeitfenster
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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 2 years post procedure
2 years post procedure

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Ermittler

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

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

4. Februar 2026

Primärer Abschluss (Geschätzt)

1. Februar 2030

Studienabschluss (Geschätzt)

1. Februar 2031

Studienanmeldedaten

Zuerst eingereicht

3. November 2025

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

3. November 2025

Zuerst gepostet (Tatsächlich)

5. November 2025

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

17. Juli 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

15. Juli 2026

Zuletzt verifiziert

1. Juli 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

NEIN

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Ja

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .

Klinische Studien zur Silk Vista Baby (SVB) Flow Diverter

3
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