Intracranial AneurysmREhealNCT05543447
DERIVO® 2heal® Study: Clinical Safety and Efficacy of the DERIVO® 2heal® Embolisation Device
An observational study of Intracranial Aneurysm and Flow Diverter, run by Acandis GmbH at 17 sites in Germany.
Trial summary
To analyse the clinical safety and efficacy of the DERIVO® 2heal® Embolisation Device in the standard clinical routine of flow diversion treatment with respect to the mid- and long-term clinical and angiographic outcomes. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Intracranial Aneurysm, Flow Diverter
- What is being tested?
- Flow Diverter Treatment with DERIVO 2 Heal Embolisation Device
- Type of treatment
- Medical device
- How many people
- 158 participants
- Where
- 17 sitesGermany
- Study dates
- 15 Dec 2022to Dec 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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
Study population: All patients who were selected for flow diversion therapy and will be treated with DERIVO® 2heal® Embolisation Device due to intracranial aneurysm according to clinical routine.
Who may be able to join
- Patient to be treated with DERIVO® 2heal® Embolisation Device due to intracranial aneurysm according to IFU
- Age > 18 years
- Signed Informed Consent Form
- Patient scheduled to be treated for only one target aneurysm except multiple aneurysms located in the same target zone to be treated with one DERIVO® 2heal® Embolisation Device
- Effective use of antiplatelet medication confirmed by applicable testing method according to local standard
Who cannot join
- Previously treated aneurysms with flow diverter, stent or WEB device
- Treatment as preparation for the flow-diversion treatment does not lead to exclusion of the patient
- Patient with a ruptured aneurysm in the acute phase of bleeding
- Pre-treatment disability (mRS > 2)
- Aneurysms related to pre-existing arteriosclerotic vascular disease in the target vessel
- Contraindication against treatment with anti-platelet medication
- Female patient who is known to be pregnant or is breastfeeding or wishes to become pregnant during participation in the study
- Participating in another study
Trial locations and contacts
17 sites in 1 country. Contact the study team or a site near you to ask about taking part.
17 sites in 1 country
Germany17 sites, 17 recruiting
- Recruiting
Universitätsklinikum Augsburg
Augsburg
Ansgar Berlis, Prof.
- Recruiting
Charité - Universitätsmedizin Berlin
Berlin
George Bohner, Dr.
- Recruiting
Klinikum Bremerhaven-Reinkenheide
Bremerhaven
Timo Phung, Dr.
- Recruiting
Universitätsklinikum Köln
Cologne
Christoph Kabbasch, Prof.
- Recruiting
Universitätsklinikum Carl Gustav Carus Dresden
Dresden
Johannes Gerber, Dr.
- Recruiting
Universitätsklinikum Düsseldorf
Düsseldorf
Bernd Turowski, Prof., bernd.turowski@med.uni-duesseldorf.de
- Recruiting
Universitätsklinikum Essen
Essen
Cornelius Deuschl, Dr.
- Recruiting
Krankenhaus Nordwest Frankfurt
Frankfurt am Main
Ansgar Schütz, Dr.
- Recruiting
Universitätsmedizin Halle
Halle
Stefan Schob, PD Dr.
- Recruiting
Universitätsklinikum Hamburg-Eppendorf
Hamburg
Maxim Bester, PD Dr.
- Recruiting
Westpfalz-Klinikum Kaiserslautern
Kaiserslautern
Andreas Simgen, Dr.
- Recruiting
Universitätsklinikum Magdeburg
Magdeburg
Behme Daniel, Prof., daniel.behme@med.ovgu.de
- Recruiting
Mühlenkreiskliniken | Johannes Wesling Klinikum Minden
Minden
Christoph Mönninghoff, Prof.
- Recruiting
Ludwig-Maximilians-Universität München
München
Thomas Liebig, Prof.
- Recruiting
Technische Universität München
München
Tobias Boeckh-Behrens, Dr.
- Recruiting
Klinikum Vest - Knappschaftskrankenhaus Recklinghausen
Recklinghausen
Christian Loehr, Dr.
- Recruiting
Städtisches Klinikum Solingen
Solingen
Hannes Nordmeyer, Dr.
About this study
Official title: DERIVO® 2heal® Study: Clinical Safety and Efficacy of the DERIVO® 2heal® Embolisation Device for Intracranial Aneurysms
To analyse the clinical safety and efficacy of the DERIVO® 2heal® Embolisation Device in the standard clinical routine of flow diversion treatment with respect to the mid- and long-term clinical and angiographic outcomes.
Read the detailed description
The purpose of the DERIVO® 2heal® trial is to conduct a post market clinical follow-up (PMCF) study of the use of the DERIVO® 2heal® Embolisation Device in clinical practice according to EU MDCGs guidance. The DERIVO® 2heal® Study is designed as a prospective, single-arm, multicenter, open-label, national study conducted in Germany with approximately 15 sites planned. The study aims to investigate potential residual risks associated with the use of the device and to update the clinical evaluation of the device in order to ensure the long-term safety and performance of the DERIVO® 2heal® Embolisation Device after its placing on the market. For this purpose, the DERIVO® 2heal® Study will systematically collect information on technical success, safety, and clinical success of treatment of intracranial aneurysms with DERIVO® 2heal® Embolisation Device in clinical practice.
The study duration is expected to be 36 months of enrolment and 12 months follow-up of patients. Up to 158 patients should be enroled at approx. 15 study sites in Germany.
Informed consent will be obtained from all patients prior to implantation of the DERIVO® 2heal® Embolisation Device. In exceptional cases, informed consent may be obtained after the intervention, as the study is purely data collection. It should be noted that the signed informed consent form must be obtained before recording of data in the study and prior any study-specific assessments. Informed consent process will be performed according to ICH-GCP standards. In case of emergency situations when the treatment needs to be performed immediately and informed consent cannot be given prior to the rescue treatment, the informed consent can be obtained retrospectively from the patient or patient's legal representative.
The analysis population will be consist of all patients enrolled who were treated with DERIVO® 2heal® Embolisation device or in whom an attempt of DERIVO® 2heal® Embolisation device implantation was made.
Personal data will be processed in accordance with the relevant national and international legislation and good clinical practice. Data will only be processed for the purpose of the PMCF study. Person-identifiable data will not leave the unit from which they originated, and for pseudonymized data, keys to identification numbers will be held confidentially by the responsible person. Individual patient's medical information will be recorded in the study only in pseudonymized form.
All data in this project are captured in eCRFs and stored into an electronic clinical database. Quality control and data validation procedures such as programmed automatic edit and consistency checks ensure data validity and accuracy immediately at the point of entry into this database. The database application which is used to capture electronic clinical trial data is protected from unauthorized access it is, among other features, access restricted, contains rights and roles functionalities, provides electronic authentication of data entries, maintains an electronic audit trail and provides appropriate data backup functionalities.
After data entry, study monitoring team will perform source data verification and issue monitoring queries directly in the database application.
The database will only be locked after all queries and discrepancies that may have occurred during data entry have been resolved. After database lock, data will be exported in an electronic format and transferred to the responsible biometrician for analysis. The locked database may also be used to generate subject listings and tabulations.
The results of the trial will be reported to the central Ethics Committees after the study was completed. By signing the protocol, the investigator agrees that the results of the clinical investigation may be used for publication. The investigator also agrees that is not permitted to publish any data related to the trial independent of the Sponsor.
- Conditions
- Intracranial Aneurysm, Flow Diverter
- Being tested
- Flow Diverter Treatment with DERIVO 2 Heal Embolisation Device
- Keywords
- Aneurysm, DERIVO, DERIVO 2 Heal
- Medical subject headings
- Intracranial Aneurysm, Aneurysm
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Flow Diverter Treatment with DERIVO 2 Heal Embolisation DeviceDevice
Flow diversion therapy fpr intracranial aneurysm treatment.
What is being measured
The primary outcome is the main question the study is designed to answer.
Primary efficacy endpoint
- Rate of complete aneurysm occlusion
Measured: 6 weeks +/- 3weeks; 6months +/- 3 months; 12months +/-3months
Primary safety endpoint
- Stroke/Death Occurrence Percentage of subjects with major stroke in the territory of treated artery or neurological death post-procedure
- Rate of device-related \& procedure-related complications (e.g. ICH, in-stent stenosis, in-stent thrombosis)
Measured: 12month ± 3month
Primary clinical endpoint
- Good Clinical outcome
Measured: 6 weeks ± 3weeks; 6months ± 3 months; 12months ± 3months
Secondary outcomes (2)
Secondary efficacy endpoint
- Wall apposition of the flow-diverter(s) per patient as determined by the treating physician and the core-lab after treatment.
- Correct wall apposition in the parent vessel
- Gap between FD and vessel wall < 25 % of vessel diameter
- Gap between FD and vessel wall >25 % of vessel diameter
- Stasis / flow changes in the aneurysm (O´Kelly Marotta Scale/Kamran grading scale)
Measured: Measured directly after treatment
Secondary safety endpoint
- Rate of participants (%) with significant parent artery stenosis (> 50%) or retreatment of the target aneurysm post-procedure
Measured: 12months ± 3months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Sep 2022
- Study start15 Dec 2022
- Primary completionDec 2025 (estimated)
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Intracranial AneurysmStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 158 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Acandis GmbH
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Behme Daniel, Prof., Study director, Universitätsklinikum Magdeburg
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05543447
- Sponsor's protocol ID
- REheal Version 1.3, 03.06.2025
- Acronym
- REheal
- Status last verified
- Dec 2024
- First submitted
- 14 Sep 2022
- Last updated
- 4 Sep 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- DERIVO® 2heal® Study: Clinical Safety and Efficacy of the DERIVO® 2heal® Embolisation Device for Intracranial Aneurysms
- ClinicalTrials.gov ID
- NCT05543447
- Acronym / sponsor ID
- REheal / REheal Version 1.3, 03.06.2025
- Conditions
- Intracranial Aneurysm, Flow Diverter
- Keywords
- Aneurysm, DERIVO, DERIVO 2 Heal
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 158 participants (estimated)
- Lead sponsor
- Acandis GmbHIndustry (pharma, biotech, devices)
- Study start
- 15 Dec 2022 (actual)
- Primary completion
- Dec 2025 (estimated)
- Study completion
- Dec 2026 (estimated)
- First posted
- 16 Sep 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To analyse the clinical safety and efficacy of the DERIVO® 2heal® Embolisation Device in the standard clinical routine of flow diversion treatment with respect to the mid- and long-term clinical and angiographic outcomes.
Detailed description
The purpose of the DERIVO® 2heal® trial is to conduct a post market clinical follow-up (PMCF) study of the use of the DERIVO® 2heal® Embolisation Device in clinical practice according to EU MDCGs guidance. The DERIVO® 2heal® Study is designed as a prospective, single-arm, multicenter, open-label, national study conducted in Germany with approximately 15 sites planned. The study aims to investigate potential residual risks associated with the use of the device and to update the clinical evaluation of the device in order to ensure the long-term safety and performance of the DERIVO® 2heal® Embolisation Device after its placing on the market. For this purpose, the DERIVO® 2heal® Study will systematically collect information on technical success, safety, and clinical success of treatment of intracranial aneurysms with DERIVO® 2heal® Embolisation Device in clinical practice.
The study duration is expected to be 36 months of enrolment and 12 months follow-up of patients. Up to 158 patients should be enroled at approx. 15 study sites in Germany.
Informed consent will be obtained from all patients prior to implantation of the DERIVO® 2heal® Embolisation Device. In exceptional cases, informed consent may be obtained after the intervention, as the study is purely data collection. It should be noted that the signed informed consent form must be obtained before recording of data in the study and prior any study-specific assessments. Informed consent process will be performed according to ICH-GCP standards. In case of emergency situations when the treatment needs to be performed immediately and informed consent cannot be given prior to the rescue treatment, the informed consent can be obtained retrospectively from the patient or patient's legal representative.
The analysis population will be consist of all patients enrolled who were treated with DERIVO® 2heal® Embolisation device or in whom an attempt of DERIVO® 2heal® Embolisation device implantation was made.
Personal data will be processed in accordance with the relevant national and international legislation and good clinical practice. Data will only be processed for the purpose of the PMCF study. Person-identifiable data will not leave the unit from which they originated, and for pseudonymized data, keys to identification numbers will be held confidentially by the responsible person. Individual patient's medical information will be recorded in the study only in pseudonymized form.
All data in this project are captured in eCRFs and stored into an electronic clinical database. Quality control and data validation procedures such as programmed automatic edit and consistency checks ensure data validity and accuracy immediately at the point of entry into this database. The database application which is used to capture electronic clinical trial data is protected from unauthorized access it is, among other features, access restricted, contains rights and roles functionalities, provides electronic authentication of data entries, maintains an electronic audit trail and provides appropriate data backup functionalities.
After data entry, study monitoring team will perform source data verification and issue monitoring queries directly in the database application.
The database will only be locked after all queries and discrepancies that may have occurred during data entry have been resolved. After database lock, data will be exported in an electronic format and transferred to the responsible biometrician for analysis. The locked database may also be used to generate subject listings and tabulations.
The results of the trial will be reported to the central Ethics Committees after the study was completed. By signing the protocol, the investigator agrees that the results of the clinical investigation may be used for publication. The investigator also agrees that is not permitted to publish any data related to the trial independent of the Sponsor.
Study design
- Observational model
- Other
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- All patients who were selected for flow diversion therapy and will be treated with DERIVO® 2heal® Embolisation Device due to intracranial aneurysm according to clinical routine.
Key inclusion criteria (5 listed)
- Patient to be treated with DERIVO® 2heal® Embolisation Device due to intracranial aneurysm according to IFU
- Age > 18 years
- Signed Informed Consent Form
- Patient scheduled to be treated for only one target aneurysm except multiple aneurysms located in the same target zone to be treated with one DERIVO® 2heal® Embolisation Device
- Effective use of antiplatelet medication confirmed by applicable testing method according to local standard
Key exclusion criteria (8 listed)
- Previously treated aneurysms with flow diverter, stent or WEB device
- Treatment as preparation for the flow-diversion treatment does not lead to exclusion of the patient
- Patient with a ruptured aneurysm in the acute phase of bleeding
- Pre-treatment disability (mRS > 2)
- Aneurysms related to pre-existing arteriosclerotic vascular disease in the target vessel
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Flow Diverter Treatment with DERIVO 2 Heal Embolisation DeviceFlow diversion therapy fpr intracranial aneurysm treatment. | Device | – |
Primary outcome
Primary efficacy endpoint
Time frame: 6 weeks +/- 3weeks; 6months +/- 3 months; 12months +/-3months
• Rate of complete aneurysm occlusion
Primary safety endpoint
Time frame: 12month ± 3month
* Stroke/Death Occurrence Percentage of subjects with major stroke in the territory of treated artery or neurological death post-procedure * Rate of device-related \& procedure-related complications (e.g. ICH, in-stent stenosis, in-stent thrombosis)
Primary clinical endpoint
Time frame: 6 weeks ± 3weeks; 6months ± 3 months; 12months ± 3months
• Good Clinical outcome
2 secondary outcomes
Secondary efficacy endpoint
Time frame: Measured directly after treatment
Secondary safety endpoint
Time frame: 12months ± 3months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Sep 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Behme Daniel, Prof. study director
Universitätsklinikum Magdeburg
17 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Intracranial Aneurysm and Flow Diverter, run by Acandis GmbH at 17 sites in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 8 exclusion criteria. 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: looking for participants now, as of the sponsor's last update on 4 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in Germany. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Acandis GmbH (Tel: +49 7231 155 00 0, info@acandis.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Primary efficacy endpoint (time frame: 6 weeks +/- 3weeks; 6months +/- 3 months; 12months +/-3months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 4 Sep 2025.