Clinical trial NCT06466564: Bioabsorbable/Nufairy Coil Application Trial in China
Official title: A Prospective, Multi-center, Open-label, Non-inferiority, Randomized, Controlled Trial of Bioabsorbable/Nufairy Coil Embolization System for the Treatment of Intracranial Aneurysms
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Intracranial Aneurysm
Lead sponsor: MicroPort NeuroTech Co., Ltd.
Sponsor class: INDUSTRY
First posted: 2024-06-20
Enrollment: 258
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The scope of this trial is the collection and analysis of effectiveness and safety endpoints, related to the use of the Bioabsorbable/Nufairy Coil Embolization System in the treatment of intracranial aneurysms.

Detailed description: Approximately 258 subjects with intracranial aneurysms would be enrolled for coiling embolization according to the inclusion and exclusion criteria specified in this trial protocol. Subjects were evaluated by mRS preoperatively, at the time of device implantation, at the time of discharge from the hospital, at 1 month (±7 days) postoperatively, at 6 months (±30 days) postoperatively, and at 12 months (±90 days) postoperatively; subjects would underwent DSA imaging at surgery and at 12months (±90 days) postoperatively, and MRA imaging at 18 months (±90 days) postoperatively. Unplanned follow-up of the subjects would performed when necessary, and data would be recorded to evaluate the safety and efficacy of Nufairy Coil Embolization System for coiling embolization for the treatment of intracranial aneurysms.

Eligibility criteria: Inclusion Criteria:

1. Male or female ≥18 years old and ≤80 years old at the time of signing the informed consent;
2. Intracranial aneurysm diagnosed by CTA, MRA, DSA neuroimaging examination;
3. Subjects whose target aneurysms are suitable for embolization with flow diverter or intracranial arterial stents assisted by coils, and the entire treatment can be performed in a single procedure;
4. The subjects or the subject's guardian signs the informed consent voluntarily and is willing to accept follow-up.

Exclusion Criteria:

1. mRS Score ≥3 points in clinical assessment prior to enrollment;
2. Subjects who received neurosurgical or endovascular treatment for recurrent aneurysms;
3. Subjects with multiple aneurysms;
4. Subjects with ruptured aneurysms \<30 days;
5. Significant stenosis (≥50%) of parent artery;
6. Subjects who are not suitable for anesthesia or intravascular surgery, such as major diseases of the heart, lung, liver, spleen, kidney, brain tumors, severe active infections, disseminated intravascular coagulation, and a history of serious mental illness;
7. Subjects who have undergone major surgical procedures (such as internal fixation device implantation of limbs fracture, tumor resection, major organ surgery, etc.) within 30 days before signing the informed consent or plan to undergo major surgical procedures within 60 days after signing the informed consent;
8. Subjects with morphology or lesions that may interfere with device use, including but not limited to: carotid artery dissection, vasculitis, aortic dissection, limited vascular access (e.g., severe intracranial vessel tortuosity, severe intracranial vessel spasm that does not respond to medical treatment, other anatomical or clinical changes that impede device access;
9. Treatment contrainidations of coils, including but not limited to: contrainidations of digital subtraction angiography, allergy to or intolerance of contrast agents, allergy to or intolerance of anti-platelet and anticoagulant drugs required for treatment, platinum-tungsten alloy, and poly(co-glycolic acid) (PLGA);
10. Pregnant or lactating women;
11. Life expectancy is less than 18 months;
12. Subjects participating in other drug or device studies did not meet the endpoint.

Primary outcomes:
measure: Successful occlusion rate of aneurysm at 12-month post-procedure.
timeFrame: 12 month
Secondary outcomes:
measure: Complete occlusion rate of aneurysm at 12-month post-procedure.
timeFrame: 12 month
measure: Recurrence rate of aneurysm at 12-month post-procedure.
timeFrame: 12 month
measure: Retreatment rate of aneurysm at 12-month post-procedure.
timeFrame: 12 month
measure: Device-related serious adverse events at 1, 6, and 12 months after surgery;
timeFrame: 12 month
measure: The incidence of ipsilateral stroke or neurologic death of the target aneurysm within 12 months.
timeFrame: 12 month
measure: The incidence of ipsilateral ischemic stroke of the target aneurysm within 12 months.
timeFrame: 12 month
Other outcomes:
measure: Successful occlusion rate of aneurysm at 18-month post-procedure.
timeFrame: 18 month
measure: Recurrence rate of aneurysm at 18-month post-procedure.
timeFrame: 18 month
measure: Retreatment rate of aneurysm at 18-month post-procedure.
timeFrame: 18 month
measure: The incidence of ipsilateral stroke or neurologic death of the target aneurysm within 18 months.
timeFrame: 18 month
measure: Device-related serious adverse events at 18 months after surgery
timeFrame: 18 month
Locations:
city: Shanghai
country: China
facility: Shanghai Changhai Hospital
Study officials:
affiliation: Changhai Hospital
name: Jianmin Liu
role: PRINCIPAL_INVESTIGATOR
References: