Comparative Study of Embolic Agents in Patients With Subdural Hemorrhage Undergoing Middle Meningeal Artery (MMA) Embolization

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorSanford Health

About this trial

Single site, prospective, comparative effectiveness pilot trial comparing efficacy and safety outcomes of three embolic materials (particles, liquid embolics, and Wallaby Phenox coils) in MMA embolication for cSDH.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients (≥ 18 years)

Undergoing Middle Meningeal Artery Embolization (MMAE) for chronic subdural hematoma (cSDH)

Able to provide informed consent or have a legally authorized representative (LAR) do so

Disqualifiers

Ineligible for MMAE procedure, as deemed by the treating physician, for any indication (e.g. pregnancy)

Non-chronic subdural hematoma (cSDH) indications for Middle Meningeal Artery Embolization (MMAE), including acute subdural hematoma with symptom onset < 72 hours or mixed acute/chronic without predominant chronic features

Pregnancy or breastfeeding

Known severe allergy or contraindication to embolic materials (e.g. particles, liquids like Onyx/n-BCA, or coils)

Trial design

Design model

Single group

Treatments tested in this trial

  • Particles (polyvinyl alcohol or similar microspheres)

    Device

    Participants will be sequentially enrolled into one of three clinically accepted MMAE treatment strategies (interventions) to compare radiographic and clinical outcomes.

  • Liquid Embolics (Onyx, n-BCA, or equivalent)

    Device

    Participants will be sequentially enrolled into one of three clinically accepted MMAE treatment strategies (interventions) to compare radiographic and clinical outcomes.

  • Phenox Coils (Avenir UNO Helical Coil)

    Device

    Participants will be sequentially enrolled into one of three clinically accepted MMAE treatment strategies (interventions) to compare radiographic and clinical outcomes.

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: MMA EmbolizationExperimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Change in hematoma size

The primary objective aims to compare the radiographic efficacy of three embolic materials (particles, liquid embolics, Phenox coils) in MMA embolization for cSDH to evaluate change in hematoma size.

Time frame
Baseline, 90 days

Secondary outcomes

1

Complications

The secondary objectives aim to evaluate the safety profile of the embolic materials, to support overall comparative effectiveness.

Time frame
Baseline, 90 days
2

Recurrence Rates

The secondary objectives aim to evaluate the the safety profile of the embolic materials, to support overall comparative effectiveness.

Time frame
Baseline, 90 days
3

Adverse Events

The secondary objectives aim to evaluate the the safety profile of the embolic materials, to support overall comparative effectiveness.

Time frame
Baseline, 90 days
4

Re-Intervention Rates

The secondary objectives aim to evaluate the the safety profile of the embolic materials, to support overall comparative effectiveness.

Time frame
Baseline, 90 days

Other outcomes

Sponsors and contacts

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Sanford Health

Lead sponsor

phenox Inc.

Collaborator

This trial is not recruiting at the moment. You can still explore other options: