[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"ruptured-aneurysm-of-intracranial-artery\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:ruptured-aneurysm-of-intracranial-artery":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,42],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":4,"eligibilityCriteria":14,"healthyVolunteers":11,"sex":15,"minAge":16,"maxAge":17,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":4,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":30,"lastUpdatePostDateStruct":31,"startDateStruct":34,"completionDateStruct":36,"leadSponsor":38,"locationsCount":41},"100646901","safety-and-efficacy-analysis-of-stent-assisted-coil-embolization-in-the-treatment-of-acute-ruptured-intracranial-aneurysms-in-the-perioperative-period-100646901",false,"NCT07683377","Safety and Efficacy Analysis of Stent-assisted Coil Embolization in the Treatment of Acute Ruptured Intracranial Aneurysms in the Perioperative Period.","Inclusion Criteria:\n\n* Patients aged 18-80 with a single ruptured cystic aneurysm at the center, or multiple aneurysms with a clear responsible lesion, only treat the responsible lesion\n* Aneurysms with a wide neck, neck ≥4mm, or neck\u002Fbody ratio \\>1\u002F2\n* Treatment performed within 7 days of the last hemorrhage\n* Patients undergoing interventional treatment using a stent, including cases of remedial stent use.5. Hunt \\& Hess grade 1-3\n\nExclusion Criteria:\n\n* Exclude patients who meet the inclusion criteria but fail to undergo successful SAC embolization\n* Exclude non-cystic aneurysms, such as dissection, pseudoaneurysm, and distal aneurysm patients\n* Patients with other cerebrovascular diseases, including AVM, DAVF, Moyamoya disease, and arterial stenosis greater than 50%\n* Patients unable to use intravenous antiplatelet drugs\n* Patients with poor condition prior to aneurysm rupture, mRS ≥ 2\n* Exclude pregnant patients\n* Exclude patients with other severe preoperative diseases, such as malignant tumors or cardiopulmonary and renal diseases\n* Patients with multiple aneurysms where the responsible lesion cannot be identified and treatment is done for all","ALL","18 Years","80 Years",{"count":19,"type":20},174,"ESTIMATED","INTERVENTIONAL",[23],"NA","To determine the perioperative safety and efficacy of stent-assisted coil embolization of intracranial aneurysms in the acute phase. Intravenous antiplatelet drugs that are clinically easy to administer, have good reproducibility and good controllability are used.The program focuses on exploring the safety of emergency stent-assisted embolization of intracranial wide carotid aneurysms, and then determines the effectiveness of treatment in preventing rebleeding and preventing aneurysm recurrence in the long term.",[26,27,28],"Ruptured Aneurysm of Intracranial Artery","Stent-Assisted Coiling","Efficacy and Safety","RECRUITING","2026-06-28",{"date":32,"type":33},"2026-07-06","ACTUAL",{"date":35,"type":33},"2026-01-01",{"date":37,"type":20},"2027-08-01",{"name":39,"class":40},"Tang-Du Hospital","OTHER",1,{"id":43,"slug":44,"hasResults":11,"nctId":45,"briefTitle":46,"officialTitle":47,"acronym":48,"eligibilityCriteria":49,"healthyVolunteers":11,"sex":15,"minAge":16,"maxAge":4,"enrollmentInfo":50,"targetDuration":4,"studyType":21,"phases":52,"briefSummary":54,"conditions":55,"keywords":4,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":58,"lastUpdatePostDateStruct":59,"startDateStruct":61,"completionDateStruct":63,"leadSponsor":65,"locationsCount":68},"100571704","phase-2-efficacy-of-daily-iv-administration-of-dornase-alfa-up-to-14-days-post-subarachnoid-hemorrhage-on-functional-independence-at-6-months-100571704","NCT06723717","Efficacy of Daily IV Administration of Dornase Alfa up to 14 Days Post Subarachnoid Hemorrhage on Functional Independence at 6 Months","Efficacy of Daily IV Administration of Dornase Alfa up to 14 Days Post Subarachnoid Hemorrhage on Functional Independence at 6 Months: a PROBE Multicenter Open-label Randomized Controlled Trial","RESET","Inclusion Criteria:\n\n* Hospitalization for subarachnoid hemorrhage (SAH) due to aneurysm rupture\n* Onset of SAH symptoms less than 48 hours old\n* Aneurysm exclusion performed within the last 24 hours\n* No complications during exclusion procedure, confirmed on post-procedure CT scan\n* Fisher score \\> 1 on initial brain CT scan prior to exclusion (first scan performed during emergency management)\n\nExclusion Criteria:\n\n* Unidentified date of aneurysm rupture \u002F rebleeding\n* Severe infections\n* Patient with impaired renal function (GFR \\\u003C 60ml\u002Fmin\u002F1.73m2 or serum creatinine \\>1.5 mg\u002FdL)\n* Immediate complications of neurosurgical intervention or embolization\n* Known hypersensitivity to dornase alfa, Chinese hamster ovary cell products or product excipients.\n* Previous disability (mRS\\>1 prior to SAH)\n* Pregnant or breast-feeding women (negative urine pregnancy test for women aged 49 or under)\n* Participation in another interventional drug or medical device clinical trial within the 30 days prior to inclusion.",{"count":51,"type":20},304,[53],"PHASE2","Subarachnoid hemorrhage due to aneurysm rupture (SAH) results in high mortality, while survivors frequently suffer reduced quality of life and even loss of autonomy, particularly in the active population. A significant proportion of this morbidity and mortality is linked to the occurrence of delayed cerebral ischemia (DCI), defined as a new focal neurological deficit or reduced level of consciousness unrelated to the treatment of the aneurysm or a concomitant condition.\n\nDCI mainly occurs between days 4 and 14 after SAH, with an estimated incidence of 30%, and is significantly associated with an unfavorable functional prognosis at 3 months. Currently, the only treatment for post-SAH DCI is to prevent or reverse the onset of vasospasm, with limited efficacy, for example through nimodipine administration or hemodynamic optimization. However, according to existing data, vasospasm is not the only cause of DCI, as it may occur elsewhere than in the arterial territory affected by vasospasm, or even in the absence of any vasospasm at all. Recent reviews of the literature highlight the role of microvascular thrombo-inflammation in the pathophysiology of DCI.\n\nThis phenomenon begins as soon as SAH occurs, with the appearance of multiple microvascular obstructions responsible for ischemia of downstream territories and loss of distal autoregulatory capacity. Among the effectors of thrombo-inflammation, the NETose phenomenon (production of NETs - Neutrophil Extracellular Traps or extracellular DNA network) has recently been associated with the onset of DCI. Indeed, the concentration of NETs increases in the cerebrospinal fluid (CSF) and blood of SAH patients, and correlates with the severity of the hemorrhage. Furthermore, intravenous or intraperitoneal administration of DNAse in an animal model of SAH has been shown to reduce NET concentration and improve functional prognosis by acting directly on cerebral perfusion through the reduction of micro-thrombosis.\n\nIn humans, recombinant DNAse (dornase alfa, Pulmozyme®) has marketing authorization for inhaled administration in cystic fibrosis. The toxicology report accompanying the marketing authorization demonstrates the absence of serious side effects following administration of high IV doses of Pulmozyme® in monkeys and rats. Other studies evaluating IV administration of bovine DNAse at high doses report no complications.\n\nIn 1999, a study was published evaluating intravenous (IV) Pulmozyme® in lupus patients, reporting no serious adverse events (SAEs) among the 14 patients receiving the treatment. We are currently conducting a clinical trial of the same molecule in IV administration in patients treated with mechanical thrombectomy and IV thrombolysis for ischemic stroke (NCT04785066).\n\nThis study is the first randomized clinical trial to target NETs as effectors of the thrombo-inflammation responsible for post-HSA DCI.",[26,56,57],"SAH (Subarachnoid Hemorrhage)","Delayed Cerebral Ischemia","2026-05-07",{"date":60,"type":33},"2026-05-08",{"date":62,"type":33},"2025-09-26",{"date":64,"type":20},"2028-09",{"name":66,"class":67},"Fondation Ophtalmologique Adolphe de Rothschild","NETWORK",6]