EvaLuate EndoVascular Leczenie ostro pękniętych płytkich tętniaków śródoponowych za pomocą urządzenia do embolizacji Pipeline™ Flex z osłoną TECHnology™ (ELEVATE) (ELEVATE)
The purpose of the study is to assess the safety and effectiveness of the Pipeline™ Flex Embolization Device with Shield Technology™ in the treatment with acutely ruptured intracranial aneurysms.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
The ELEVATE study is a prospective, multi-center, single-arm trial of the Pipeline™ Shield Device for the treatment of adults with acutely ruptured intracranial aneurysms. The primary objective of the ELEVATE study is to assess the safety and effectiveness of treatment with the Pipeline™ Shield Device of acutely ruptured intracranial aneurysms that are not amenable for clipping and coiling.
Typ studiów
Typ studiów
Zapisy (Rzeczywisty)
Zapisy
Faza
Faza
- Nie dotyczy
Kontakty i lokalizacje
Lokalizacje studiów
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-
Connecticut
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New Haven, Connecticut, Stany Zjednoczone, 06510
- Yale New Haven Hospital
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Georgia
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Marietta, Georgia, Stany Zjednoczone, 30060
- Wellstar Kennestone Hospital
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Illinois
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Chicago, Illinois, Stany Zjednoczone, 60612
- Rush University Medical Center
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Kentucky
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Lexington, Kentucky, Stany Zjednoczone, 40506
- University of Kentucky Albert B Chandler Hospital
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New York
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Stony Brook, New York, Stany Zjednoczone, 11794
- Stony Brook University Hospital
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Pennsylvania
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Danville, Pennsylvania, Stany Zjednoczone, 17822
- Geisinger Medical Center
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Tennessee
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Memphis, Tennessee, Stany Zjednoczone, 38120
- Semmes Murphey Clinic
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-
Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Subject has a previously untreated, wide neck, side-wall, intradural aneurysm that is deemed unfavorable for both surgical clipping and endovascular coiling, as confirmed on DSA.
- Subject has a ruptured intracranial aneurysm with vessel diameter suitable for treatment with the study device.
- Subject is ≥ 22 and ≤ 80 years of age.
- Subject has an acutely ruptured aneurysm with Hunt and Hess Scale 1, 2 or 3.
- Subject or subject's Legally Authorized Representative (LAR) has provided written informed consent.
Exclusion Criteria:
- Subject's vessel characteristics preclude safe endovascular access to the aneurysm to treat with the Pipeline™ Shield Device.
- Subject has aneurysm vessel characteristics that would preclude the device from fully conforming to the parent vessel to reduce any risk of embolic complications, retreatment, or device movement.
- Subject has true bifurcation or aneurysms with vessels that cannot be separated from the fundus with placement of the study device.
- Subject with intraparenchymal hemorrhage.
- Subject is unable to undergo nasogastric/orogastric tube placement prior to device placement.
- Subject has a pre-morbid mRS >2.
- Subject requires treatment of another aneurysm (with another treatment modality) within the affected territory of the target aneurysm.
- Subject has a target ruptured aneurysm that is thought to be mycotic, including those caused by left atrial myxoma, or subject has an active systemic bacterial infection.
- Subject with a requirement for continuous anti-coagulation.
- Subject has a malignant brain tumor or vascular malformation (e.g. arteriovenous malformation).
- Subject's target ruptured aneurysm has not been determined by the treating physician to be the source of SAH.
- Subject with known allergy to platinum or cobalt chromium alloy (including the major elements platinum, cobalt, chromium, nickel or molybdenum).
- Subject has a known hypersensitivity to ticagrelor or aspirin.
- Subject is unable to undergo DSA or DSA is determined unsuitable by the treating physician.
- Subject has a serious or life-threatening comorbidity that could confound study results.
- Subject is at high risk of noncompliance per treating physician due to reasons including but not limited to a history of substance abuse.
- Subject is unable to complete scheduled follow-up assessments due to comorbidities, geographical limitations, or a life expectancy of less than 24 months.
- Subject is pregnant, or breastfeeding at the time of admission or plans to become pregnant during their participation in the study.
- Subject is participating in another clinical study at the time of enrollment.
- Presumed septic embolus, or suspicion of microbial superinfection.
- Subject with a known COVID-19 viral infection, confirmed by testing.
- Subject in whom a pre-existing stent is in place in the parent artery at target aneurysm location.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
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Eksperymentalny: Pipeline™ Flex Embolization Device with Shield Technology™
This is a prospective, single-arm study in which subjects have consented and deployment of the Pipeline™ Flex Embolization Device with Shield Technology™ is attempted. |
The Pipeline™ Flex Embolization Device with Shield Technology™ is intended for endovascular treatment of adults with intracranial acutely ruptured aneurysms not amenable to clipping and coiling.
Inne nazwy:
|
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Incidence of Complete Angiographic Occlusion Without Significant Stenosis, and no Rebleeding or Retreatment of the Target Aneurysm
Ramy czasowe: at 365-day
|
Occlusion is measured by the Raymond Roy Scale. Significant stenosis is classified as > 50%. |
at 365-day
|
|
Incidence of Neurological Death or Disabling Stroke Post-procedure.
Ramy czasowe: at 365-day
|
Disabling stroke is defined as any post-procedural ischemic or hemorrhagic event that results in poor functional outcome (i.e. mRS ≥ 3 points) assessed at 90 days post stroke event. |
at 365-day
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Pipeline™ Flex Device Deployment Success Rate
Ramy czasowe: Day 0 During Procedure
|
Incidence of Pipeline™ Shield device deployment success. Device deployment success is the successful implantation of the device at the target location. |
Day 0 During Procedure
|
|
Incidence of Rebleed of Target Aneurysm
Ramy czasowe: through 180-day and 365-day post procedure
|
through 180-day and 365-day post procedure
|
|
|
Incidence of Neurological Hemorrhagic Serious Adverse Events
Ramy czasowe: through 180-day and 365-day post procedure
|
Incidence of Neurological Hemorrhagic SAEs Post-Procedure |
through 180-day and 365-day post procedure
|
|
Incidence of Ipsilateral Major Stroke or Neurological Death Post-procedure After 30 Days
Ramy czasowe: through 180-day and 365-day post procedure
|
Incidence of Major Stroke in the Territory Supplied by the Treated Artery or Neurological Death After 30 Days Post-Procedure |
through 180-day and 365-day post procedure
|
|
Incidence of Any Ipsilateral Stroke Post-procedure After 30 Days
Ramy czasowe: through 180-day and 365-day post procedure
|
Incidence of Any Stroke in the Territory Supplied by the Treated Artery After 30 Days Post-Procedure |
through 180-day and 365-day post procedure
|
|
Good Clinical Outcome (Modified Rankin Scale (mRS) 0-2)
Ramy czasowe: at 30-day, 180-day and 365-day post procedure
|
Scale for measuring general neurologic function: 0- No symptoms at all
|
at 30-day, 180-day and 365-day post procedure
|
|
Incidence of Parent Artery Thrombosis
Ramy czasowe: through 365-day post procedure
|
Core lab assessment of parent artery stenosis as "Angiographically Occluded" was used to indicate parent artery thrombosis. |
through 365-day post procedure
|
|
Incidence of In-construct Stenosis > 50%
Ramy czasowe: through 365-day post procedure
|
through 365-day post procedure
|
|
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Incidence of Retreatment
Ramy czasowe: through 180-day and 365-day post procedure
|
Incidence of Target Aneurysm Retreatment |
through 180-day and 365-day post procedure
|
|
Incidence of Peri-/Post-procedural Serious Adverse Events Related to the Device, Procedure or Antiplatelet Therapy
Ramy czasowe: through 180-day and 365-day post procedure
|
through 180-day and 365-day post procedure
|
|
|
Incidence of Neurological Death or Disabling Stroke
Ramy czasowe: through 180-day post procedure
|
through 180-day post procedure
|
|
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Incidence of Complete Angiographic Occlusion Without Significant Stenosis (≤ 50%), and no Rebleeding or Retreatment of the Target Aneurysm
Ramy czasowe: through 180-day post procedure
|
through 180-day post procedure
|
Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Główny śledczy: David Fiorella, MD, Stony Brook University Hospital
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Rzeczywisty)
Zakończenie podstawowe
Ukończenie studiów (Rzeczywisty)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- MDT19025TRACER
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
No individual participant data will be available.
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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