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Aneurysm Treatment Using Intrasaccular Flow Diversion With the ARTISSE™ Device (ARTISSE)

Primary Purpose

Intracranial Aneurysm

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Artisse™
Sponsored by
Medtronic Neurovascular Clinical Affairs
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Intracranial Aneurysm

Eligibility Criteria

22 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject has provided written informed consent using the IRB/EC-approved consent form and agrees to comply with protocol requirements.
  • Subject is at least 22 years old at the time of consent.
  • Subject has a ruptured or unruptured, wide neck, bifurcating saccular intracranial aneurysm (IA) requiring endovascular treatment.

Exclusion Criteria:

  • Subject has more than one aneurysm requiring treatment.
  • Subject underwent treatment of another aneurysm inside the affected territory of the target aneurysm.
  • Aneurysm is partially thrombosed.
  • Aneurysm has been previously treated with surgery or endovascular therapy, or there is a stent or other obstruction in the parent artery at the target aneurysm location.
  • Subject has had subarachnoid hemorrhage (SAH) from non target aneurysm or any other intracranial hemorrhage within 90 days prior to study procedure.
  • Subject vessel has characteristics that preclude safe endovascular access.
  • Subject has active vasospasm, malignant brain tumor or vascular malformation (e.g. arteriovascular malformation).
  • Subject has had major surgery including endovascular procedures within the past 30 days prior to study procedure.
  • Subject has a life expectancy of < 12 months.
  • The Investigator determines that the health of the subject or the validity of the study outcomes (e.g., high risk of neurologic events, conditions that may increase the chance of stroke) may be compromised by the subject's enrollment.
  • Subject is pregnant or wishes to become pregnant during the length of study participation.
  • Subject is participating in another clinical trial at any time during the duration of the study that could confound the treatment or outcomes of this investigation. Co-enrollment in concurrent trials is only allowed when documented pre-approval is obtained from Medtronic.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Artisse™ Intrasaccular Device

    Arm Description

    Outcomes

    Primary Outcome Measures

    Incidence of complete aneurysm occlusion without retreatment, recurrent SAH, and without significant parent artery stenosis
    Significant parent artery stenosis defined as stenosis of the parent artery associated with stroke or total occlusion of the artery
    Incidence of major stroke or neurological death

    Secondary Outcome Measures

    Incidence of successful device implantation
    Incidence of adequate aneurysm occlusion
    Incidence of unruptured aneurysm subjects with modified Rankin Score (mRS) of 0-2 or no increase in the mRS
    Incidence of major stroke in the territory supplied by the treated artery or neurological death

    Full Information

    First Posted
    December 16, 2016
    Last Updated
    October 25, 2022
    Sponsor
    Medtronic Neurovascular Clinical Affairs
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02998229
    Brief Title
    Aneurysm Treatment Using Intrasaccular Flow Diversion With the ARTISSE™ Device
    Acronym
    ARTISSE
    Official Title
    ARTISSE Aneurysm Treatment Using Intrasaccular Flow Diversion With the ARTISSE™ Device
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 2023 (Anticipated)
    Primary Completion Date
    October 2026 (Anticipated)
    Study Completion Date
    November 2026 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Medtronic Neurovascular Clinical Affairs

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    Yes
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The purpose of this study is to assess the safety and effectiveness of the Artisse™ Intrasaccular Device in the treatment of bifurcating saccular intracranial aneurysms.

    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
    150 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Artisse™ Intrasaccular Device
    Arm Type
    Experimental
    Intervention Type
    Device
    Intervention Name(s)
    Artisse™
    Intervention Description
    Intrasaccular Device
    Primary Outcome Measure Information:
    Title
    Incidence of complete aneurysm occlusion without retreatment, recurrent SAH, and without significant parent artery stenosis
    Description
    Significant parent artery stenosis defined as stenosis of the parent artery associated with stroke or total occlusion of the artery
    Time Frame
    1 year post procedure
    Title
    Incidence of major stroke or neurological death
    Time Frame
    1 year post procedure
    Secondary Outcome Measure Information:
    Title
    Incidence of successful device implantation
    Time Frame
    Implant
    Title
    Incidence of adequate aneurysm occlusion
    Time Frame
    1 year post procedure
    Title
    Incidence of unruptured aneurysm subjects with modified Rankin Score (mRS) of 0-2 or no increase in the mRS
    Time Frame
    1 year post procedure
    Title
    Incidence of major stroke in the territory supplied by the treated artery or neurological death
    Time Frame
    30 days post procedure
    Other Pre-specified Outcome Measures:
    Title
    Procedure time
    Description
    Time of guiding catheter entry to the time of guiding catheter removal
    Time Frame
    at procedure
    Title
    Radiation Exposure
    Description
    dosage and cumulative fluoroscopy time
    Time Frame
    at procedure
    Title
    Incidence of recurrence of the target aneurysm
    Description
    Web Occlusion Grade C or D at any time after achieving a complete occlusion grade of A immediately post procedure
    Time Frame
    1 year post procedure
    Title
    Incidence of retreatment
    Time Frame
    1 year post procedure
    Title
    Incidence of aneurysm rupture
    Time Frame
    1 year post procedure
    Title
    Incidence of intracranial hemorrhage (excluding target aneurysm)
    Time Frame
    1 year post procedure

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    22 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subject has provided written informed consent using the IRB/EC-approved consent form and agrees to comply with protocol requirements. Subject is at least 22 years old at the time of consent. Subject has a ruptured or unruptured, wide neck, bifurcating saccular intracranial aneurysm (IA) requiring endovascular treatment. Exclusion Criteria: Subject has more than one aneurysm requiring treatment. Subject underwent treatment of another aneurysm inside the affected territory of the target aneurysm. Aneurysm is partially thrombosed. Aneurysm has been previously treated with surgery or endovascular therapy, or there is a stent or other obstruction in the parent artery at the target aneurysm location. Subject has had subarachnoid hemorrhage (SAH) from non target aneurysm or any other intracranial hemorrhage within 90 days prior to study procedure. Subject vessel has characteristics that preclude safe endovascular access. Subject has active vasospasm, malignant brain tumor or vascular malformation (e.g. arteriovascular malformation). Subject has had major surgery including endovascular procedures within the past 30 days prior to study procedure. Subject has a life expectancy of < 12 months. The Investigator determines that the health of the subject or the validity of the study outcomes (e.g., high risk of neurologic events, conditions that may increase the chance of stroke) may be compromised by the subject's enrollment. Subject is pregnant or wishes to become pregnant during the length of study participation. Subject is participating in another clinical trial at any time during the duration of the study that could confound the treatment or outcomes of this investigation. Co-enrollment in concurrent trials is only allowed when documented pre-approval is obtained from Medtronic.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Medtronic Neurovascular Clinical Affairs
    Phone
    949-837-3700
    Email
    rs.nvclinicalartisse@medtronic.com

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    Aneurysm Treatment Using Intrasaccular Flow Diversion With the ARTISSE™ Device

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