Study to Evaluate the TUBE Device Ability to Treat Unruptured, Wide-neck or Fusiform Aneurysms

Trial details

Who runs it

NVMedTech

Trial code

NCT07079956

Record updated

23 July 2025

Original description

To assess the safety and performance of the TUBE device in the endovascular treatment of unruptured, wide-neck or fusiform intracranial aneurysms located on the internal carotid artery (ICA) or its branchesRead full original descriptionShow less

A Prospective, Single-Arm, Multicenter, Feasibility Trial to Evaluate the Safety and Performance of the TUBE Device in the Endovascular Treatment of Unruptured, Wide-Neck or Fusiform Intracranial Aneurysms

To assess the safety and performance of the TUBE device in the endovascular treatment of unruptured, wide-neck or fusiform intracranial aneurysms located on the internal carotid artery (ICA) or its branches

Inclusion: Has a single unruptured target intracranial aneurysm (IA) with the following characteristics:; Is located on the internal carotid artery or its branch-es; Has a neck ≥ 4 mm, dome to neck ratio < 2.0, or no discernible neck; Aneurysm diameter ≤ 35 mm (saccular or fusiform configuration); Has a parent vessel diameter ≥ 2.0 mm and ≤ 5.0 mm at both the proximal and distal segments where the implant will be placed; Has multiple increased risk factors for intracranial aneurysm rupture, including but not limited to, aneurysm morphology, smoking, hypertension, diabetes, age, prior and/or family history of aneurysm rupture, and/or history of subarachnoid hemorrhage that may result in a benefit risk profile of endovascular treatment that outweighs the risks of intracranial aneurysm rupture during the patient's expected lifetime if left untreated; The patient is able and willing to provide written in-formed consent.

Exclusion: Has vessel characteristics, such as severe tortuosity (cICA Type IV), stenosis (>70%), or morphology that would preclude safe endovascular access to the target aneurysm necessary for treatment with the study device; Received previous treatment of the target aneurysm or parent artery where it would interfere with the placement or proper apposition of the device; Subarachnoid hemorrhage occurred within 30 days prior to enrollment; Major surgery (including previous intracranial implant) occurred within previous 30 days or is planned in the next 120 days after enrollment date; Received previous intracranial implant associated with the symptomatic or vascular distribution within the past 12 weeks prior to treatment date; Chronic anticoagulation therapy is ongoing or known coagulopathy exists; Enrollment in another trial involving an investigational product that could confound the outcomes of this trial; Has a medical contraindication to study or procedure related antiplatelet medications (aspirin, clopidogrel/ Plavix, prasugrel, ticagrelor, and heparin), local or general anesthesia, or life-threatening allergy to contrast dye; Has a known severe allergy to nickel titanium, stainless steel (304SS) tantalum, or platinum; Presence of unstable neurological deficit (i.e., worsening of clinical condition in the last 30 days); Has acute life-threatening illness other than the neurological disease (e.g., acute kidney or heart failure) to be treated in this trial; Life expectancy is less than 5 years due to other illness or condition (in addition to an intracranial aneurysm); Unable to complete study follow up due to dementia or psychiatric problem, substance abuse, or history of noncompliance with medical advice; Presence of intracranial mass (tumor, except meningioma, abscess, or other infection), non-treated arteriovenous malformation (AVM) in the territory of the target aneurysm; Evidence of active infection at the time of treatment; Has other known serious concurrent medical conditions such as heart disease (e.g., atrial fibrillation [with or without pacemaker], recent myocardial infarction [< 12 weeks ago], symptomatic congestive heart failure, or carotid stenosis), kidney failure [>2.0mg/dl serum creatinine], pulmonary disease, uncontrolled diabetes, progressive neurologic disorders, terminal cancer, vasculitis, high risk of ischemic stroke or recent stroke; Participants are not eligible for the study if ANY of the following criteria are present:; Has an extradural aneurysm; Has a target aneurysm in the posterior circulation; Perforator or branch vessel, inclusive of the posterior communicating artery, arises from the target aneurysm body or neck (branches or arteries must arise or connect from the parent vessel separate from the aneurysm or neck to not be excluded from study); Has a true bifurcation aneurysm, defined as an aneurysm (saccular or non-saccular) located at a point of vessel bifurcation; Target aneurysm is unsuitable for flow diverter treatment; Non-responders to prasugrel as determined by the P2Y12 assay ("VerifyNow" system); Modified Rankin Score assessment is ≥ 3 at pre-procedure exam; Has more than one intracranial aneurysm that requires treatment within 12 months; Pregnancy at time of enrollment.

ClinicalTrials.gov NCT07079956