一项前瞻性、多中心、随机对照、非劣效设计临床试验,评价颅内血管支架与栓塞弹簧圈配合使用治疗颅内动脉瘤的安全性和有效性

注册号:

Registration number:

ChiCTR2200066759 

最近更新日期:

Date of Last Refreshed on:

2023-07-15 23:19:56 

注册时间:

Date of Registration:

2022-12-16 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

一项前瞻性、多中心、随机对照、非劣效设计临床试验,评价颅内血管支架与栓塞弹簧圈配合使用治疗颅内动脉瘤的安全性和有效性

Public title:

Safety and Effectiveness of Cyllene Devices with Coils in Endovascular Treatment of Intracranial Aneurysms-A Prospective, Multicenter, Randomized, Controlled, Non-inferiority Trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

一项前瞻性、多中心、随机对照、非劣效设计临床试验,评价颅内血管支架与栓塞弹簧圈配合使用治疗颅内动脉瘤的安全性和有效性

Scientific title:

Safety and Effectiveness of Cyllene Devices with Coils in Endovascular Treatment of Intracranial Aneurysms-A Prospective, Multicenter, Randomized, Controlled, Non-inferiority Trial

研究课题代号(代码):

Study subject ID:

SECURE

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

曹玲玲 

研究负责人:

刘建民 

Applicant:

Cao lingling 

Study leader:

Liu jianmin 

申请注册联系人电话:

Applicant telephone:

+86 186 1128 9106

研究负责人电话:

Study leader's
telephone:

+86 139 0178 0638

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

lingling.cao@kaimtgroup.com

研究负责人电子邮件:

Study leader's E-mail:

liu118@vip.163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

上海市闵行区联航路1588号

研究负责人通讯地址:

上海市杨浦区长海路168号

Applicant address:

1588, Lianhang Road, Minhang District, Shanghai

Study leader's address:

168, Changhai Road, Yangpu District, Shanghai

申请注册联系人邮政编码:

Applicant postcode:

201112

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

上海励楷科技有限公司

Applicant's institution:

Shanghai Lee Kai Technology Co.,Ltd

研究负责人所在单位:

上海长海医院

Affiliation of the Leader:

Shanghai Changhai Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

CHEC2022-197

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

上海长海医院医学伦理委员会

Name of the ethic committee:

Shanghai Changhai Hospital Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2022-10-24 00:00:00

伦理委员会联系人:

计一平

Contact Name of the ethic committee:

Ji Yiping

伦理委员会联系地址:

上海市杨浦区长海路168号

Contact Address of the ethic committee:

No. 168, Changhai Road, Yangpu District, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 3116 2338

伦理委员会联系人邮箱:

Contact email of the ethic committee:

changhaiec@126.com

研究实施负责(组长)单位:

上海长海医院

Primary sponsor:

Shanghai Changhai Hospital

研究实施负责(组长)单位地址:

上海市杨浦区长海路168号

Primary sponsor's address:

No. 168, Changhai Road, Yangpu District, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

闵行区

Country:

China

Province:

Shanghai

City:

Minhang District

单位(医院):

上海励楷科技有限公司

具体地址:

上海市闵行区联航路1588号

Institution
hospital:

Shanghai Lee Kai Technology Co.,Ltd

Address:

1588, Lianhang Road, Minhang District, Shanghai

经费或物资来源:

上海励楷

Source(s) of funding:

Shanghai Lee Kai

研究疾病:

颅内动脉瘤  

Target disease:

Intracerebral aneurysm

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

III期临床试验 

Study phase:

3

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

验证上海励楷科技有限公司生产的颅内血管支架Cyllene与栓塞弹簧圈配合用于颅内动脉瘤受试者介入治疗的安全性和有效性  

Objectives of Study:

To verify the safety and effectiveness of intracranial vascular stent Cyllene produced by Shanghai Lee Kai Technology Co., Ltd. combined with embolization coil in the interventional treatment of intracranial aneurysm subjects

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 梭形动脉瘤,夹层动脉瘤,假性动脉瘤,血泡样动脉瘤,感染性动脉瘤,动静脉畸形相关动脉瘤,烟雾病相关动脉瘤;
2. 目标动脉瘤既往接受过血管栓塞或支架植入治疗;
3. 合并有与目标动脉瘤无关的颅内血肿或脑肿瘤等占位性病变;
4. 颅内动脉严重狭窄或迂曲,或解剖异常,预估器械难以到达病变部位;
5. 拟一年内行其他颅内病变治疗者;
6. 同一支架不能完全覆盖的多发动脉瘤;
7. 血小板(PLT)<60×109/L或/和抗凝、抗血小板治疗禁忌者;
8. 支架植入前未服用抗血小板药物的受试者;
9. 受试者既往明确镍钛合金、铂铱合金材料过敏史;
10. 血管造影或MRI、CT检查禁忌者;
11. 有活动性感染的证据;
12. 受试者评估预期寿命<12个月,无法完成研究随访;
13. 妊娠或哺乳期的女性,或未来一年内有生育计划的女性;
14. 经研究者判断不适合使用颅内血管支架进行颅内动脉瘤栓塞手术治疗;
15. 正在参加其它药物或器械的研究;
16. 受试者不能配合完成要求的检查和随访或研究判断不适合入选的其他情况。

Exclusion criteria:

1.Fusiform aneurysms, dissection aneurysms, pseudoaneurysms, vesicular aneurysms, infectious aneurysms, arteriovenous malformation related aneurysms, moyamoya disease related aneurysms;
2. The target aneurysm has previously received vascular embolization or stent implantation;
3. Complicated with space-occupying lesions such as intracranial hematoma or brain tumor unrelated to the target aneurysm;
4. Severe intracranial artery stenosis or tortuosity, or anatomical abnormalities, estimated that it is difficult to reach the lesion site;
5. Patients who plan to receive treatment for other intracranial lesions within one year;
6. Multiple aneurysms that cannot be completely covered by the same stent;
7. Platelet (PLT)<60×109/L or/and anticoagulation, antiplatelet therapy contraindoed;
8. Subjects who did not take antiplatelet drugs before stent implantation;
9. The subject has a clear history of allergies to Nitinol and platinum-iridium alloys;
10. Contraindicated angiography, MRI, CT;
11. Evidence of active infection;
12. Subjects with an estimated life expectancy of less than 12 months could not complete the study follow-up;
13. Women who are pregnant or breastfeeding, or who plan to give birth within the next year;
14. The researchers judged that it was not suitable to use intracranial vascular stents for the embolization of intracranial aneurysms;
15. Participating in the study of other drugs or devices;
16. Subject is unable to cooperate in completing the required examination and follow-up or for other conditions deemed unsuitable for inclusion by the study.

研究实施时间:

Study execute time:

From 2022-09-01 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-12-14 00:00:00 To 2023-09-30 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

114

Group:

Test group

Sample size:

干预措施:

上海励楷Cyllene颅内血管支架配合弹簧圈使用

干预措施代码:

Intervention:

Shanghai Lee Kai Cyllene intracranial vascular stent used with spring coil

Intervention code:

组别:

对照组

样本量:

114

Group:

Control group

Sample size:

干预措施:

史赛克颅内支架系统配合弹簧圈使用

干预措施代码:

Intervention:

Stryker Neuroform Atlas stent system used with spring coil

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海长海医院 

单位级别:

三甲 

Institution
hospital:

No. 168, Changhai Road, Yangpu District, Shanghai

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

安徽 

市(区县):

 

Country:

China

Province:

Anhui

City:

单位(医院):

安徽省立医院 

单位级别:

三甲 

Institution
hospital:

Anhui Provincial Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

佛山市第一人民医院 

单位级别:

三甲 

Institution
hospital:

Foshan First People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

贵州 

市(区县):

 

Country:

China

Province:

Guizhou

City:

单位(医院):

贵州医科大学附属医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Hospital of Guizhou Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

黑龙江 

市(区县):

 

Country:

China

Province:

Heilongjiang

City:

单位(医院):

哈尔滨医科大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Harbin Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北 

市(区县):

 

Country:

China

Province:

Hebei

City:

单位(医院):

河北医科大学第三医院 

单位级别:

三甲 

Institution
hospital:

The Third Hospital of Hebei Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北 

市(区县):

 

Country:

China

Province:

Hubei

City:

单位(医院):

华中科技大学同济医学院附属协和医院 

单位级别:

三甲 

Institution
hospital:

Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江西 

市(区县):

 

Country:

China

Province:

Jiangxi

City:

单位(医院):

南昌大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Nanchang University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

宁波市第一医院 

单位级别:

三甲 

Institution
hospital:

Ningbo First Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

山西 

市(区县):

 

Country:

China

Province:

Shanxi

City:

单位(医院):

山西医科大学第一医院 

单位级别:

三甲 

Institution
hospital:

First Hospital of Shanxi Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

深圳市第二人民医院 

单位级别:

三甲 

Institution
hospital:

Shenzhen Second People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京朝阳医院 

单位级别:

三甲 

Institution
hospital:

Beijing Chaoyang Hospital, Capital Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河南 

市(区县):

 

Country:

China

Province:

Henan

City:

单位(医院):

新乡市中心医院 

单位级别:

三甲 

Institution
hospital:

Xinxiang Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

浙江大学医学院附属第二医院 

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital of Zhejiang University School of Medicine

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

辽宁 

市(区县):

 

Country:

China

Province:

Liaoning

City:

单位(医院):

中国医科大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of China Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

目标动脉瘤成功闭塞率

指标类型:

主要指标

Outcome:

Rate of successful occlusion of target aneurysms

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后即刻动脉瘤成功闭塞率

指标类型:

次要指标

Outcome:

Rate of successful aneurysm occlusion immediately after surgery

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

支架技术成功率

指标类型:

次要指标

Outcome:

Technical success rate of stent

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

支架内狭窄率

指标类型:

次要指标

Outcome:

Rate of intrastent stenosis

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

目标动脉瘤再治疗率

指标类型:

次要指标

Outcome:

Re-treatment rate of target aneurysms after surgery

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

动脉瘤完全闭塞率

指标类型:

次要指标

Outcome:

Aneurysm complete occlusion rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

mRS评分

指标类型:

次要指标

Outcome:

Grade of mRS

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

器械操作性能评价

指标类型:

次要指标

Outcome:

Instrument operation performance evaluation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

同侧致残性脑卒中率

指标类型:

副作用指标

Outcome:

Ipsilateral disabling stroke rate

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

神经源性死亡率

指标类型:

副作用指标

Outcome:

Neurogenic mortality

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

AE/SAE发生率

指标类型:

副作用指标

Outcome:

Incidence of AE/SAE

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

器械缺陷发生率

指标类型:

副作用指标

Outcome:

Incidence of device defects

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 80 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

中央化随机系统随机

Randomization Procedure (please state who generates the random number sequence and by what method):

Centralized stochastic system stochastic

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

论文发表

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

paper publishment

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

使用CRF收集数据,用电子采集和管理系统进行数据管理

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

data was collected by CRF and managed by EDC

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2022-12-16 12:10:56