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A Feasibility Study to Evaluate the Safety and Effectiveness of Implantation of Flowise Cerebral Flow Diverter (Flowise)

Primary Purpose

Intracranial Aneurysm

Status
Completed
Phase
Not Applicable
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Flowise Cerebral Flow Diverter
Sponsored by
Yonsei University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Intracranial Aneurysm

Eligibility Criteria

19 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Functional neurological state ≤2 mRS
  • Unruptured wide-neck aneurysm in the internal carotid artery has a size >8mm, a neck ≥4mm, or dome/neck ratio <2
  • Parent artery with diameter ≥3.25mm and ≤4.5mm
  • Patient willing to provide written informed consent and comply with follow-up requirements

Exclusion Criteria:

  • Intracranial hemorrhage within 30 days
  • Untreated ruptured intracranial aneurysm
  • ≥1 intracranial aneurysm except the target one requires treatment within 6 months
  • Immunosuppressive disease
  • Active infectious disease (e.g. endocarditis, meningitis)
  • Platelet count < 100 x 103 cells/mm3
  • Female of child-bearing potential who are unable to take adequate contraceptive precautions, are known to be pregnant, or are currently breastfeeding an infant.

Sites / Locations

  • Yonsei University Healthcare System, Severance Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Flowise Cerebral Flow Diverter

Arm Description

Flowise Cerebral Flow Diverter (TaeWoong Medical Co., Ltd. Korea)

Outcomes

Primary Outcome Measures

Procedural success
Procedural success is defined as the full expansion of the Flowise identified on angiography and the full coverage of the targeted aneurysm neck in the absence of periprocedural stroke or death.
≥50% intracranial aneurysm size reduction success at 6 month
Intracranial aneurysm size is measured by Transfemoral Cerebral Angiography (TFCA).
Aneurysm occlusion success at 6month
Aneurysm occlusion success is defined as Raymond class Ⅰ, Ⅱ

Secondary Outcome Measures

≥50% Parent artery stenosis or occlusion
Newly developed neurological disorder
Newly developed neurological disorder is defined as neurological problem lasts for at least 1 month post procedure and ≥3 modified Rankin Scale (mRS).
Ipsilateral stroke
Ipsilateral stroke is defined as ≥5 according to the National Institute of Health Stroke Scale (NIHSS).
30-day death
30-day death was defined as death within 30 days post procedure.
Other adverse events

Full Information

First Posted
November 17, 2015
Last Updated
July 3, 2019
Sponsor
Yonsei University
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1. Study Identification

Unique Protocol Identification Number
NCT02609867
Brief Title
A Feasibility Study to Evaluate the Safety and Effectiveness of Implantation of Flowise Cerebral Flow Diverter (Flowise)
Official Title
A Feasibility Study to Evaluate the Safety and Effectiveness of Implantation of 'Flowise Cerebral Flow Diverter' for the Treatment of Unruptured Wide-necked Cerebral Aneurysm in the Internal Carotid Artery
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Completed
Study Start Date
October 23, 2015 (Actual)
Primary Completion Date
January 22, 2018 (Actual)
Study Completion Date
January 22, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yonsei University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and short-term effectiveness of implantation of 'Flowise Cerebral Flow Diverter' for the treatment of unruptured wide-necked cerebral aneurysm in the internal carotid artery.
Detailed Description
Flowise is indicated for use in patients with unruptured wide-necked aneurysm in the internal carotid artery. Consecutive subject data should be collected at discharge, 1, 3, and 6 month post Flowise implantation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intracranial Aneurysm

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Flowise Cerebral Flow Diverter
Arm Type
Experimental
Arm Description
Flowise Cerebral Flow Diverter (TaeWoong Medical Co., Ltd. Korea)
Intervention Type
Device
Intervention Name(s)
Flowise Cerebral Flow Diverter
Intervention Description
Flowise Cerebral Flow Diverter Placement
Primary Outcome Measure Information:
Title
Procedural success
Description
Procedural success is defined as the full expansion of the Flowise identified on angiography and the full coverage of the targeted aneurysm neck in the absence of periprocedural stroke or death.
Time Frame
5days
Title
≥50% intracranial aneurysm size reduction success at 6 month
Description
Intracranial aneurysm size is measured by Transfemoral Cerebral Angiography (TFCA).
Time Frame
6months
Title
Aneurysm occlusion success at 6month
Description
Aneurysm occlusion success is defined as Raymond class Ⅰ, Ⅱ
Time Frame
6months
Secondary Outcome Measure Information:
Title
≥50% Parent artery stenosis or occlusion
Time Frame
6months
Title
Newly developed neurological disorder
Description
Newly developed neurological disorder is defined as neurological problem lasts for at least 1 month post procedure and ≥3 modified Rankin Scale (mRS).
Time Frame
6months
Title
Ipsilateral stroke
Description
Ipsilateral stroke is defined as ≥5 according to the National Institute of Health Stroke Scale (NIHSS).
Time Frame
6months
Title
30-day death
Description
30-day death was defined as death within 30 days post procedure.
Time Frame
6months
Title
Other adverse events
Time Frame
6months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Functional neurological state ≤2 mRS Unruptured wide-neck aneurysm in the internal carotid artery has a size >8mm, a neck ≥4mm, or dome/neck ratio <2 Parent artery with diameter ≥3.25mm and ≤4.5mm Patient willing to provide written informed consent and comply with follow-up requirements Exclusion Criteria: Intracranial hemorrhage within 30 days Untreated ruptured intracranial aneurysm ≥1 intracranial aneurysm except the target one requires treatment within 6 months Immunosuppressive disease Active infectious disease (e.g. endocarditis, meningitis) Platelet count < 100 x 103 cells/mm3 Female of child-bearing potential who are unable to take adequate contraceptive precautions, are known to be pregnant, or are currently breastfeeding an infant.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Buyng Moon Kim, PhD. MD
Organizational Affiliation
Yonsei University Healthcare System, Severance Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Yonsei University Healthcare System, Severance Hospital
City
Seoul
State/Province
Yeonsei-ro Seodaemun-gu
ZIP/Postal Code
03722
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

A Feasibility Study to Evaluate the Safety and Effectiveness of Implantation of Flowise Cerebral Flow Diverter (Flowise)

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