PHIL® Embolic System Pediatric IDE
- Conditions
- Intracranial Arteriovenous MalformationsArterio-venous Fistula
- Interventions
- Device: PHIL® device
- Registration Number
- NCT03731000
- Lead Sponsor
- Alejandro Berenstein
- Brief Summary
The purpose of this study is to collect information about how the PHIL® Embolic System works in the treatment of intracranial dural arteriovenous fistulas. Data collected in this study will be used to evaluate the safety and probable benefits in treating DAVFs.
The PHIL® Embolic System is a Humanitarian Use Device (HUD). The U.S. Food and Drug Administration (FDA) approved the use of the PHIL Embolic System as a HUD in June 2016.
- Detailed Description
Study design:The study is a prospective, single-center, single-arm, clinical study evaluating outcomes in pediatric subjects with intracranial dural arteriovenous fistulas treated with PHIL® device.
Study purpose: To evaluate the safety and probable benefit of MicroVention, Inc. PHIL® Liquid Embolic material in the treatment of intracranial dural arteriovenous fistulas, alone or as an adjunctive treatment for dAVFs.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 15
- Subject is <22 years of age
- Subject and legally authorized representative are willing and capable of complying with all study protocol requirements, including specified follow-up period.
- Subject's legally authorized representative(s) must sign and date an IRB approved written informed consent prior to initiation of any study procedure
- Subject has an intracranial dAVF that is deemed appropriate for embolization with PHIL without significantly increased risk to collateral or adjacent territories, OR subject has been previously treated with other embolic materials for dAVF.
- Subject presents with an intracranial mass or is currently undergoing radiation therapy for carcinoma or sarcoma of the head or neck region
- Subject has known allergies to DMSO (dimethyl sulfoxide), iodine or heparin.
- Subject with a history of life threatening allergy to contrast media (unless treatment for allergy is tolerated).
- Female subject is currently pregnant.
- Subject has an acute or chronic life-threatening illness other than the neurological disease to be treated in this study including but not limited to any malignancy or debilitating autoimmune disease
- Subject has existing severe or advanced comorbid conditions which significantly increase general anesthesia and/ or surgical risk
- Evidence of active infection at the time of treatment.
- Subject has a history of bleeding diathesis or coagulopathy, international normalized ratio (INR) greater than 1.5, or will refuse blood transfusions.
- Subject weighs ≤ 2.5kg Angiographic
- Subject has severe calcification or vascular tortuosity that may preclude the safe introduction of the sheath, guiding catheter, or access to the lesion with the microcatheter.
- Contra-indication to DSA, CT scan or MRI/ MRA
- History of intracranial vasospasm not responsive to medical therapy
- Extra-cranial stenosis or parent vessel stenosis > 50% proximal to the target lesion to be treated.
- Subject has a propensity to contrast induced renal injury or a potential to nephrogenic systemic fibrosis
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description PHIL® device PHIL® device Using device
- Primary Outcome Measures
Name Time Method Proportion of participants with neurological death or major ipsilateral stroke 12 months The proportion of subjects with neurological death or major ipsilateral stroke (defined as a major stroke within the vascular distribution of the vessel targeted for treatment) within 12 months following completion of treatment, reported as one composite data variable
Proportion of participants with angiographic occlusion up to 12 months Proportion of subjects with Angiographic occlusion of the pre-specified target vessel intended for treatment at procedure following completion of treatment
- Secondary Outcome Measures
Name Time Method Injected volume of PHIL at time of procedure, average of 3-4 hours Incidence of new-onset permanent morbidity up to 12 months New-onset permanent morbidity up to 12 month follow-up
Dosage of Radiation exposure average of 60 minutes Number of significant technical events up to 12 months Clinically significant technical events during the PHIL embolization procedure(s) including but not limited to reflux of embolic material, migration of the embolic material, catheter entrapment or damage, and vessel dissection.
Procedure time average of 3-4 hours Procedure time (defined as first to last fluoroscopic or digital subtraction angiographic acquisitions)
Incidence of new-onset Intracranial hemorrhage (ICH) up to 12 months New-onset Intracranial hemorrhage (ICH) up to 12 month follow0up
Incidence of device-related mortality at 30 days Device-related mortality at 30 days
Incidence of angiographic cure up to 12 months Angiographic cure of the target dAVF, defined as complete obliteration of dAVF flow following final treatment.
Radiation exposure time average of 60 minutes Incidence of device-related adverse events at procedure Day 1 during procedure Incidence of device-related adverse events at procedure at Day 1
Incidence of device-related adverse events at 30 days at 30 days Incidence of device-related adverse events at 30 days.
Incidence of procedure related adverse events up to 12 months Procedure related adverse events including complications of arterial puncture, contrast-induced nephropathy, renal and anesthesia-related complications.
Pediatric NIH Stroke Scale (PedNIHSS) at 12 months PedNIHSS - 11 item instrument measuring levels of impairment on a scale of 0-42 with higher score demonstrating higher levels of impairment
Incidence of cranial neuropathy up to 12 months Incidence of cranial neuropathy up to 12 months follow-up
The Pediatric Stroke Outcome Measure (PSOM) at 12 months PSOM - measures stroke outcomes across 115 test items. On completion of the PSOM examination, the neurologist scores a Summary of Impressions containing 5 subscales: right sensorimotor, left sensorimotor (each with subcategories), language production, language comprehension, and cognitive/behavioral. Subscale scoring is 0 (no deficit), 0.5 (mild deficit, normal function), 1 (moderate deficit, decreased function), or 2 (severe deficit, missing function). The PSOM total score is the sum of the 5 subscale scores and ranges from 0 (no deficit) to 10 (maximum deficit).
Number of procedures up to 6 months Number of procedures required to treat the fistula at 3-6 month follow-up
Trial Locations
- Locations (1)
Mount Sinai Hospital
🇺🇸New York, New York, United States