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临床试验/NCT06400940
NCT06400940招募中4 期

Prospective, Post-registration, Interventional, Randomized, in Parallel Groups, Multicenter Eurasian Clinical Study of DERIVO®/DERIVO® Mini Aneurysm Embolization Device, Europe-Asia

Federal State Budgetary Institution, V. A. Almazov Federal North-West Medical Research Centre, of the Ministry of Health1 个研究点 分布在 1 个国家目标入组 640 人开始时间: 2023年8月17日最近更新:
适应症
干预措施

试验速览

阶段
4 期
状态
招募中
发起方
入组人数
640
试验地点
1
主要终点
Composite primary endpoint:

研究概览

简要总结

Prospective, post-registration, interventional, randomized, in parallel groups, multicenter Eurasian clinical study of DERIVO®/DERIVO® mini Aneurysm Embolization Device, Europe-Asia

详细描述

Prospective, post-registration, interventional, randomized, in parallel groups, multicenter Eurasian clinical study of DERIVO®/DERIVO® mini Aneurysm Embolization Device, Europe-Asia

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • localization and structure of the aneurysm allows the use of a DERIVO®/DERIVO® mini flow-diverting stent for treatment;
  • the aneurysm cannot be cured by other methods of endovascular therapy, or there is a higher risk of complications when using other methods of endovascular therapy or microsurgery;
  • clipping or embolization with spirals (if performed earlier) led to a recurrence of the aneurysm.

排除标准

  • Age less than 18 years.
  • The presence of a previously implanted stent in a cerebral artery.
  • Dissection of cerebral or peripheral vessels.
  • The presence of contraindications to the use of the DERIVO®/DERIVO® mini medical device, specified in the instructions for use:
  • non-compliance of the aneurysm and/or the carrier vessel with the indications for the use of the device;
  • non-physiological structure of cerebral vessels;
  • vascular disorders that are a contraindication to endovascular interventions.
  • The presence of contraindications for antiplatelet (antithrombotic) and/or anticoagulant therapy in accordance with the instructions for the medical use of drugs.

研究组 & 干预措施

Antiplatelet (antithrombotic) monotherapy

Experimental

Antiplatelet (antithrombotic) monotherapy, including ticagrelor (tablets, 180 mg) or prasugrel (tablets, 10 mg).

干预措施: ticagrelor (tablets, 180 mg) or prasugrel (tablets, 10 mg). (Drug)

Double antiplatelet (antithrombotic) therapy

Active Comparator

Double antiplatelet (antithrombotic) therapy (DAT), including a combination of clopidogrel (tablets, 75 mg) and acetylsalicylic acid (ASA, tablets, 100 mg) or a combination of ticagrelor (tablets, 180 mg) and ASA (tablets, 100 mg).

干预措施: combination of clopidogrel (tablets, 75 mg) and acetylsalicylic acid (ASA, tablets, 100 mg) or a combination of ticagrelor (tablets, 180 mg) and ASA (tablets, 100 mg). (Drug)

结局指标

主要结局

Composite primary endpoint:

时间窗: For all participants from date of randomization and on visit 3 (3-6 months) and visit 4 study completion (12-18 months).

The proportion of favorable clinical outcomes corresponding to 0-2 points on the modified Rankin Scale (mRS) for assessing clinical status in the medium-term (3-6 months) and long-term (12-18 months) postoperative period.

次要结局

  • Secondary endpoints:(baseline/discharge)

研究者

发起方
Federal State Budgetary Institution, V. A. Almazov Federal North-West Medical Research Centre, of the Ministry of Health
申办方类型
Other
责任方
Principal Investigator
主要研究者

Andrey Evgenievich Petrov

MD, Principal Investigator, Head of Neurosurgical Department

Federal State Budgetary Institution, V. A. Almazov Federal North-West Medical Research Centre, of the Ministry of Health

研究点 (1)

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