- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07225075
[Studio di dispositivo non approvato o autorizzato dalla FDA statunitense] (PIONEER)
15 luglio 2026 aggiornato da: Balt USA
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.
Panoramica dello studio
Stato
Reclutamento
Condizioni
Intervento / Trattamento
Tipo di studio
Interventistico
Iscrizione (Stimato)
250
Fase
- Non applicabile
Contatti e Sedi
Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.
Contatto studio
- Nome: Gregory Tirrell
- Numero di telefono: 949-788-1443
- Email: gregory.tirrell@baltgroup.com
Backup dei contatti dello studio
- Nome: Richelle Massey
- Email: richelle.massey@baltgroup.com
Luoghi di studio
-
-
Ontario
-
Toronto, Ontario, Canada, M5C 1R6
- Reclutamento
- St. Michael's Hospital/Unity Health
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Contatto:
- Eileen Liu
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-
-
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California
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Thousand Oaks, California, Stati Uniti, 91360
- Reclutamento
- Vascular and Neuroscience Institute of Southern California
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Contatto:
- Priya Kaushal
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Florida
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Jacksonville, Florida, Stati Uniti, 32207
- Reclutamento
- Baptist Health
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Contatto:
- Teresa Nicol
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Criteri di partecipazione
I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
No
Descrizione
Inclusion Criteria:
- Age 22 to ≤ 80 years old
- 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
- Participant has a target saccular or fusiform IA with an aneurysm neck ≥ 4mm or a dome to neck ratio <2
- Participant has a target IA that is ≤ 12 mm
- 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
- Participant has pre-procedure (obtained up to 14 days prior to the procedure day) PRU value between 60-200
- 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:
- Target aneurysm is unsuitable for flow diverter treatment
- Subject requires more than one flow diverter for target aneurysm treatment
- 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
- Received previous treatment of the target aneurysm or parent artery where it would interfere with the placement or proper apposition of the device
- 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
- Has a known severe allergy to nickel, titanium or platinum
- Modified Rankin Score (mRS) assessment is ≥ 3 at screening or pre-procedure mRS could not be assessed
- 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
- Subarachnoid hemorrhage occurred within 30 days prior to enrollment
- Intracranial parenchymal hemorrhage occurred within 60 days prior to enrollment
- Major surgery (including previous intracranial implant) occurred within previous 30 days or is planned in the next 120 days after treatment date
- Has more than one IA that requires treatment within 120 days of treatment date
- Received previous intracranial implant associated with the symptomatic or vascular distribution within the past 12 weeks prior to treatment date
- Requires adjunctive coiling during SVB procedure
- Chronic anticoagulation therapy is ongoing or known coagulopathy exists
- 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)
- Life expectancy is less than 5 years due to other illness or condition (in addition to an intracranial aneurysm)
- Unable to complete study follow-up due to dementia or psychiatric disorder, substance abuse, or history of noncompliance with medical advice
- Women who are pregnant or nursing at the time of enrollment or women who wish to become pregnant during the length of study participation
- 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
- Participation in any other investigational study which can influence collection of valid data under this study
Piano di studio
Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: N / A
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: 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.
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
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
Lasso di tempo: 1 year post procedure
|
1 year post procedure
|
Misure di risultato secondarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
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
Lasso di tempo: 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
Lasso di tempo: 180 days, 1 year, and 2 years post-procedure
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180 days, 1 year, and 2 years post-procedure
|
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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
Lasso di tempo: Within 180 days, 1 year, and 2 years post procedure
|
Within 180 days, 1 year, and 2 years post procedure
|
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Unplanned alternative treatment of the target IA
Lasso di tempo: Within 1 year post procedure
|
Within 1 year post procedure
|
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Device deployment success rate
Lasso di tempo: Index procedure
|
Index procedure
|
|
Device migration rate
Lasso di tempo: 180 days, 1 year, and 2 years post procedure
|
180 days, 1 year, and 2 years post procedure
|
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Evolution of occlusion between post-procedure and timepoints listed under timeframe, as adjudicated by an independent Core Lab
Lasso di tempo: 1 year and 2 years post procedure
|
1 year and 2 years post procedure
|
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Occurrence of parent artery occlusion
Lasso di tempo: 1 year and 2 years post procedure
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1 year and 2 years post procedure
|
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Occurrence of >50% In-Stent Stenosis at the target IA
Lasso di tempo: 1 year and 2 years post procedure
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1 year and 2 years post procedure
|
Altre misure di risultato
Misura del risultato |
Lasso di tempo |
|---|---|
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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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 2 years post procedure
|
2 years post procedure
|
Collaboratori e investigatori
Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.
Sponsor
Investigatori
- Investigatore principale: Ricardo Hanel, MD. PhD, Baptist Medical Center Jacksonville
- Investigatore principale: Vitor M Pereira, MD, MSc, St. Michael's Hospital/Unity Health
Studiare le date dei record
Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.
Studia le date principali
Inizio studio (Effettivo)
4 febbraio 2026
Completamento primario (Stimato)
1 febbraio 2030
Completamento dello studio (Stimato)
1 febbraio 2031
Date di iscrizione allo studio
Primo inviato
3 novembre 2025
Primo inviato che soddisfa i criteri di controllo qualità
3 novembre 2025
Primo Inserito (Effettivo)
5 novembre 2025
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
17 luglio 2026
Ultimo aggiornamento inviato che soddisfa i criteri QC
15 luglio 2026
Ultimo verificato
1 luglio 2026
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 202404 SILK VISTA BABY
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
NO
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
No
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Sì
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
Prove cliniche su Silk Vista Baby (SVB) Flow Diverter
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Balt ExtrusionAttivo, non reclutanteAneurisma intracranico | Deviatore di flussoSpagna, Israele, Croazia, Francia, Italia, Austria, Belgio, Germania, Olanda