Lumenate Observational Vasospasm Interventional Trial (LOVIT) (LOVIT)
Primary Purpose
Vasospasm, Intracranial, Subarachnoid Hemorrhage
Status
Unknown status
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Lumenate Intraluminal Device
Sponsored by
About this trial
This is an interventional treatment trial for Vasospasm, Intracranial
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 18
- Subject has the necessary mental capacity to participate and is willing and able to comply with protocol requirements
- Patient has suffered SAH from a ruptured intracranial aneurysm
- Has mWFNS ≤3 upon admission to the treating hospital or mWFNS ≤3 after insertion of an endoventricular drain (EVD) for acute hydrocephalus secondary to SAH.
- Subject has provided written informed consent using the IRB/Ethics committee-approved consent form and are willing to comply with the study protocol and planned follow-ups.
- Patients that develop symptoms of cerebral vasospasm, as determined by the physician, and/or have diagnostic (e.g. TCD) or radiological evidence of moderate/severe vasospasm.
Exclusion Criteria:
- Patients that have angiographically confirmed (CTA/MRA) vasospasm at admission to the treating hospital
- Subjects who require surgical treatment of culprit aneurysm.
- Endovascular treatment of culprit aneurysm resulting in severe procedural complication (e.g., vessel rupture, embolization or other complication).
- Placement of intraluminal stent or flow diverter is used to treat culprit aneurysm.
- Intraluminal stent or flow diverter placed in the 6 months prior to culprit aneurysm rupture.
- Treated with Intra Arterial vasodilators prior to Lumenate procedure
- Receiving Anti-coagulant with half-life longer than 24 hours, or Dual antiplatelet therapy (DAPT) including P2Y12 inhibition
- Woman of child-bearing potential who cannot provide a negative pregnancy test.
- Patients with vasculitis or connective tissue disorders that put them at risk for vasculitis.
- Known use of cocaine or methamphetamine within the last month.
- Any comorbid disease or medical condition with a life expectancy ≤3 months.
- Known allergy or contraindication to aspirin, heparin, local or general anesthesia
- Known history of life threatening allergy to contrast dye
- Serum creatinine ≥2.5 mg/dL
- Enrollment in another trial involving an investigational product
- Physician discretion that the patient may not benefit from treatment with Lumenate - reason for exclusion should be documented.
Sites / Locations
- Foundation Adolphe de Rothschild
- Hospital Purpan
- Uniklinik RWTH Aachen
- National Institute of Neurosciences
- Karolinska UniversitetssjukhusetRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Lumenate Intraluminal Device
Arm Description
Dilation of vasospastic intracranial vessels
Outcomes
Primary Outcome Measures
Vasospasm treatment freedom from complication (Primary Safety Endpoint)
No occurrence of device-related procedural complications as assessed by the post treatment angiogram. Catheter angiography will be used to determine the absence/presence of vessel wall disruption (e.g., dissection, perforation) or presence of thrombus within the target vessel.
Secondary Outcome Measures
Vessel caliber change post procedure (Secondary Effectiveness Endpoint)
The study's primary effectiveness endpoint is an improvement in the caliber of the treated vasospastic vessel by at least 1 point on the 4-point angiographic scale
Freedom from device-related SAEs at 30 days (Secondary Descriptive Endpoint)
Any device-related serious adverse events at 30±5 days post-treatment
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03511040
Brief Title
Lumenate Observational Vasospasm Interventional Trial (LOVIT)
Acronym
LOVIT
Official Title
Lumenate Observational Vasospasm Interventional Trial (LOVIT)
Study Type
Interventional
2. Study Status
Record Verification Date
April 2018
Overall Recruitment Status
Unknown status
Study Start Date
March 14, 2018 (Actual)
Primary Completion Date
October 30, 2018 (Anticipated)
Study Completion Date
December 30, 2018 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Neurvana Medical
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The LOVIT study is a European prospective, multi-center, open-label, single-arm feasibility trial designed to determine the safety and angiographic effectiveness through 30 days post treatment with Lumenate Intraluminal Device in the treatment of symptomatic vasospasm.
Detailed Description
The Neurvana Lumenate Intraluminal Device is delivered via a percutaneous endovascular approach to the target segment for mechanical assistance and the treatment of vasospasm.
The LOVIT study is a European prospective, multi-center, open-label, single-arm feasibility trial designed to determine the safety and angiographic effectiveness through 30 days post treatment with Lumenate Intraluminal Device in the treatment of symptomatic vasospasm. The primary objective of the study is to support the CE-mark vasospasm label claim for the Lumenate Device. The study will be enrolled at up to 8 European sites with study subjects being followed for 90 days post-treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vasospasm, Intracranial, Subarachnoid Hemorrhage
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Prospective, multi-center, open-label, single-arm trial
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Lumenate Intraluminal Device
Arm Type
Experimental
Arm Description
Dilation of vasospastic intracranial vessels
Intervention Type
Device
Intervention Name(s)
Lumenate Intraluminal Device
Other Intervention Name(s)
Lumenation
Intervention Description
Dilation of vasospastic intracranial vessels
Primary Outcome Measure Information:
Title
Vasospasm treatment freedom from complication (Primary Safety Endpoint)
Description
No occurrence of device-related procedural complications as assessed by the post treatment angiogram. Catheter angiography will be used to determine the absence/presence of vessel wall disruption (e.g., dissection, perforation) or presence of thrombus within the target vessel.
Time Frame
Acute - immediate post-procedure
Secondary Outcome Measure Information:
Title
Vessel caliber change post procedure (Secondary Effectiveness Endpoint)
Description
The study's primary effectiveness endpoint is an improvement in the caliber of the treated vasospastic vessel by at least 1 point on the 4-point angiographic scale
Time Frame
Acute - immediate post-procedure
Title
Freedom from device-related SAEs at 30 days (Secondary Descriptive Endpoint)
Description
Any device-related serious adverse events at 30±5 days post-treatment
Time Frame
30±5 days post-procedure
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age ≥ 18
Subject has the necessary mental capacity to participate and is willing and able to comply with protocol requirements
Patient has suffered SAH from a ruptured intracranial aneurysm
Has mWFNS ≤3 upon admission to the treating hospital or mWFNS ≤3 after insertion of an endoventricular drain (EVD) for acute hydrocephalus secondary to SAH.
Subject has provided written informed consent using the IRB/Ethics committee-approved consent form and are willing to comply with the study protocol and planned follow-ups.
Patients that develop symptoms of cerebral vasospasm, as determined by the physician, and/or have diagnostic (e.g. TCD) or radiological evidence of moderate/severe vasospasm.
Exclusion Criteria:
Patients that have angiographically confirmed (CTA/MRA) vasospasm at admission to the treating hospital
Subjects who require surgical treatment of culprit aneurysm.
Endovascular treatment of culprit aneurysm resulting in severe procedural complication (e.g., vessel rupture, embolization or other complication).
Placement of intraluminal stent or flow diverter is used to treat culprit aneurysm.
Intraluminal stent or flow diverter placed in the 6 months prior to culprit aneurysm rupture.
Treated with Intra Arterial vasodilators prior to Lumenate procedure
Receiving Anti-coagulant with half-life longer than 24 hours, or Dual antiplatelet therapy (DAPT) including P2Y12 inhibition
Woman of child-bearing potential who cannot provide a negative pregnancy test.
Patients with vasculitis or connective tissue disorders that put them at risk for vasculitis.
Known use of cocaine or methamphetamine within the last month.
Any comorbid disease or medical condition with a life expectancy ≤3 months.
Known allergy or contraindication to aspirin, heparin, local or general anesthesia
Known history of life threatening allergy to contrast dye
Serum creatinine ≥2.5 mg/dL
Enrollment in another trial involving an investigational product
Physician discretion that the patient may not benefit from treatment with Lumenate - reason for exclusion should be documented.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Nate Knock
Phone
+1-949.743.1158
Ext
707
Email
nknock@NEURVANAMEDICAL.COM
First Name & Middle Initial & Last Name or Official Title & Degree
Tom Fogarty
Phone
+1-949.743.1158
Email
tfogarty@NEURVANAMEDICAL.COM
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Prof. Dr. med Anastasios Mpotsaris, MD
Organizational Affiliation
Uniklinik RWTH Aachen
Official's Role
Principal Investigator
Facility Information:
Facility Name
Foundation Adolphe de Rothschild
City
Paris
ZIP/Postal Code
75019
Country
France
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Prof. Michel Piotin, MD
Phone
+33 148036829
Email
michel.piotin@me.com
Facility Name
Hospital Purpan
City
Toulouse
ZIP/Postal Code
31059
Country
France
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Prof. Christophe Cognard, MD
Phone
+33 561772339
Email
cognard.c@chu-toulouse.fr
Facility Name
Uniklinik RWTH Aachen
City
Aachen
ZIP/Postal Code
52074
Country
Germany
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Prof. Dr. med Anastasios Mpotsaris, MD
Phone
+49 (0)241 8088346
Email
ampotsaris@ukaachen.de
Facility Name
National Institute of Neurosciences
City
Budapest
ZIP/Postal Code
1145
Country
Hungary
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dr. Istvan Szikora, MD
Phone
+36 1 251 2999
Email
h13424szi@ella.hu
Facility Name
Karolinska Universitetssjukhuset
City
Stockholm
State/Province
Solna
ZIP/Postal Code
171 76
Country
Sweden
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dr. Tommy Andersson, MD
Phone
+46 8 5177 4037
Email
tommy.andersson@sll.se
First Name & Middle Initial & Last Name & Degree
Dr. Michael Soderman, MD
Phone
+46 8 5177 3168
Email
michael.soderman@sll.se
12. IPD Sharing Statement
Plan to Share IPD
No
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Lumenate Observational Vasospasm Interventional Trial (LOVIT)
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