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Intracranial AneurysmsBarrelNCT02125097

The Reverse Barrel™ VRD Intracranial Aneurysm Trial

A study testing Barrel™ Vascular Reconstruction Device (VRD) in people with Intracranial Aneurysms, run by Medtronic Neurovascular Clinical Affairs at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this clinical investigation is to evaluate the safety and effectiveness of the Barrel™ VRD when used to facilitate endovascular coiling of wide-neck bifurcating or branch intracranial aneurysms with any approved embolic coils. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Intracranial Aneurysms
What is being tested?
Barrel™ Vascular Reconstruction Device (VRD)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteFrance
Study dates
1 Dec 2013to 12 Dec 2015
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Summary Inclusion Criteria:

  1. Male or female ≥18 years old.
  2. A wide neck, intracranial, bifurcating or branch aneurysm with a neck ≥4 mm or a dome-to-neck ratio <2, including non-de novo aneurysms where no stent was utilized.
  3. Subject's aneurysm arises from a parent vessel with a diameter ≥ 2.0 mm and ≤ 4mm, measured by 2D Digital Subtraction Angiography (DSA).
  4. Subject responds to anti-coagulation and anti-platelet therapy according to the test used in each study center.
  5. Subject is eligible to undergo a procedure with the use of contrast media.
  6. Subject is willing to comply with protocol requirements and return to the treatment center for all required clinical evaluations and follow-up.
  7. Subject has given written informed consent.
  8. Life expectancy > 12 months. -

Summary Exclusion Criteria:

  1. Subject presents with ruptured aneurysm, unless rupture occurred 30 days or more prior to screening.
  2. Subject is currently undergoing radiation therapy.
  3. Subject has known allergies to nickel-titanium metal.
  4. Subject has known allergies to aspirin, heparin, ticlopidine, or clopidogrel.
  5. Subject has a life-threatening allergy to contrast media (unless treatment for allergy can be tolerated).
  6. Subject has a known cardiac disorder, likely to be associated with cardio-embolic symptoms such as atrial fibrillation (AFIB).
  7. Subject has any condition, which in the opinion of the treating physician, would place the subject at a high risk of embolic stroke.
  8. Subject is currently participating in another clinical research study.
  9. Subject has had a previous intracranial stenting procedure associated with the target aneurysm.
  10. Subject is unable to complete the required follow-up.
  11. Subject is pregnant or breastfeeding.(Females of childbearing potential must have a pregnancy test and provide written proof that they are not pregnant prior to inclusion.)
  12. Subject has participated in a drug study within the last 30 days.
  13. Subject who cannot or is unwilling to take ASA/Clopidogrel for a minimum of at least 3 months following the procedure.
  14. Extradural aneurysms. -

Trial locations and contacts

1 site in 1 country.

France1 site
  • Fondation Ophtalmologique Adolphe de Rothschild

    Paris, 75019

Other trials in France

About this study

Official title: Multi-center Non-randomized Clinical Investigation of the Reverse Medical Barrel™ Vascular Reconstruction Device (VRD) for Adjunctive Treatment to Embolic Coils for Wide Neck Intracranial Bifurcation and Branch Aneurysms

The purpose of this clinical investigation is to evaluate the safety and effectiveness of the Barrel™ VRD when used to facilitate endovascular coiling of wide-neck bifurcating or branch intracranial aneurysms with any approved embolic coils.

Being tested
Barrel™ Vascular Reconstruction Device (VRD)
Keywords
Intracranial Aneurysm Treatment, Endovascular Therapy
Medical subject headings
Intracranial Aneurysm

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Barrel™ Vascular Reconstruction Device (VRD)Device

    Intended for use with embolic coils for the treatment of wide-neck bifurcating or branch intracranial aneurysms arising from a parent vessel with a diameter of ≥ 2.0 mm and ≤ 4 mm, measured by 2D Digital Subtraction Angiography (DSA). Wide-neck is defined as having a neck width ≥ 4 mm or a dome-to-neck ratio < 2.

Study groups in NCT02125097
Study groupRoleWhat they receive
Intracranial Aneurysm TreatmentExperimentalBarrel™ Vascular Reconstruction Device (VRD) is Intended for use with embolic coils for the treatment of wide-neck bifurcating or branch intracranial aneurysms arising from a parent vessel with a diameter of ≥ 2.0 mm and ≤ 4 mm, measured by 2D Digital Subtraction Angiography (DSA). Wide-neck is defined as having a neck width ≥ 4 mm or a dome-to-neck ratio < 2.
Receives: Device: Barrel™ Vascular Reconstruction Device (VRD)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Successful aneurysm occlusion with the Barrel™ VRD, as measured by angiography with an aneurysm Raymond Grade Scale of 1 or 2 at 12 months post procedure

    Effectiveness measures are successful aneurysm treatment with the Barrel™ VRD, as measured by angiography with an aneurysm Raymond Grade Scale of 1 or 2 at 12 months post procedure in the absence of retreatment, parent artery stenosis (> 50%), or target aneurysm rupture.

    Safety measures are the absence of neurological death or major stroke at 12 months post treatment.

    Measured: 12 months

Secondary outcomes (1)
  1. Successful delivery of the device measured by technical success.

    Technical success is defined as access to the lesion, successful deployment of the Barrel™ VRD and correct positioning of the device over the aneurysm.

    Measured: At implant up to 30 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Apr 2014 (estimated)
  2. Study start1 Dec 2013
  3. Primary completion12 Dec 2015
  4. Study completion12 Dec 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02125097
Sponsor's protocol ID
Barrel OUS VRD-001
Acronym
Barrel
Status last verified
Jan 2019
First submitted
22 Apr 2014
Last updated
11 Jan 2019
Results posted
No
Data monitoring committee
Yes

Publications

  • Gory B, Blanc R, Turjman F, Berge J, Piotin M. The Barrel vascular reconstruction device for endovascular coiling of wide-necked intracranial aneurysms: a multicenter, prospective, post-marketing study. J Neurointerv Surg. 2018 Oct;10(10):969-974. doi: 10.1136/neurintsurg-2017-013602. Epub 2018 Feb 2.

    PubMed 29437935

Questions about this trial

What is this clinical trial studying?

A study testing Barrel™ Vascular Reconstruction Device (VRD) in people with Intracranial Aneurysms, run by Medtronic Neurovascular Clinical Affairs at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Successful aneurysm occlusion with the Barrel™ VRD, as measured by angiography with an aneurysm Raymond Grade Scale of 1 or 2 at 12 months post procedure (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02125097, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jan 2019.

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