Trial Outcomes & Findings for The WEB-IT Clinical Study (NCT NCT02191618)

NCT ID: NCT02191618

Last Updated: 2024-12-27

Results Overview

The study's primary safety endpoint was the proportion of subjects with death of any nonaccidental cause or any major stroke (defined as an ischemic or hemorrhagic stroke resulting in an increase of 4 points or more on the National Institutes of Health Stroke Scale (NIHSS)) within the first 30 days after treatment or major ipsilateral stroke or death due to neurologic cause from day 31 to 365 days after treatment.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

150 participants

Primary outcome timeframe

12 months

Results posted on

2024-12-27

Participant Flow

Participant milestones

Participant milestones
Measure
WEB Aneurysm Embolization Device
The WEB is an intra-aneurysmal device intended for use in endovascular embolization of intracranial aneurysms. The intended therapeutic effect of the WEB device is to line the neck of the aneurysm with a metallic structure that disrupts the inflow of blood, causing hemostasis within the aneurysm sac, and leading to thrombus formation within the implant.
Overall Study
STARTED
150
Overall Study
COMPLETED
143
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
WEB Aneurysm Embolization Device
The WEB is an intra-aneurysmal device intended for use in endovascular embolization of intracranial aneurysms. The intended therapeutic effect of the WEB device is to line the neck of the aneurysm with a metallic structure that disrupts the inflow of blood, causing hemostasis within the aneurysm sac, and leading to thrombus formation within the implant.
Overall Study
Withdrawal by Subject
3
Overall Study
Missed Visit
4

Baseline Characteristics

Race and Ethnicity were not obtained for subjects from the European and Canadian sites.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
WEB Aneurysm Embolization Device
n=150 Participants
The WEB is an intra-aneurysmal device intended for use in endovascular embolization of intracranial aneurysms. The intended therapeutic effect of the WEB device is to line the neck of the aneurysm with a metallic structure that disrupts the inflow of blood, causing hemostasis within the aneurysm sac, and leading to thrombus formation within the implant.
Age, Continuous
58.98 years
STANDARD_DEVIATION 10.16 • n=5 Participants
Sex: Female, Male
Female
110 Participants
n=5 Participants
Sex: Female, Male
Male
40 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants • Race and Ethnicity were not obtained for subjects from the European and Canadian sites.
Race (NIH/OMB)
Asian
4 Participants
n=5 Participants • Race and Ethnicity were not obtained for subjects from the European and Canadian sites.
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants • Race and Ethnicity were not obtained for subjects from the European and Canadian sites.
Race (NIH/OMB)
Black or African American
14 Participants
n=5 Participants • Race and Ethnicity were not obtained for subjects from the European and Canadian sites.
Race (NIH/OMB)
White
98 Participants
n=5 Participants • Race and Ethnicity were not obtained for subjects from the European and Canadian sites.
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants • Race and Ethnicity were not obtained for subjects from the European and Canadian sites.
Race (NIH/OMB)
Unknown or Not Reported
34 Participants
n=5 Participants • Race and Ethnicity were not obtained for subjects from the European and Canadian sites.
Region of Enrollment
United States
116 participants
n=5 Participants
Region of Enrollment
Turkey
20 participants
n=5 Participants
Region of Enrollment
Hungary
10 participants
n=5 Participants
Region of Enrollment
Canada
2 participants
n=5 Participants
Region of Enrollment
Denmark
1 participants
n=5 Participants
Region of Enrollment
Germany
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 months

The study's primary safety endpoint was the proportion of subjects with death of any nonaccidental cause or any major stroke (defined as an ischemic or hemorrhagic stroke resulting in an increase of 4 points or more on the National Institutes of Health Stroke Scale (NIHSS)) within the first 30 days after treatment or major ipsilateral stroke or death due to neurologic cause from day 31 to 365 days after treatment.

Outcome measures

Outcome measures
Measure
WEB Aneurysm Embolization Device
n=150 Participants
The WEB is an intra-aneurysmal device intended for use in endovascular embolization of intracranial aneurysms. The intended therapeutic effect of the WEB device is to line the neck of the aneurysm with a metallic structure that disrupts the inflow of blood, causing hemostasis within the aneurysm sac, and leading to thrombus formation within the implant.
The Primary Safety Endpoint Included Any Death or Major Stroke in the First 30 Days and Neurologic Death or Ipsilateral Major Stroke Between Day 31 and Day 365.
1 Participants

PRIMARY outcome

Timeframe: 12 months

Population: The overall number of participants analyzed is 143 due to 3 subjects withdrawing and 4 subjects that missed their 1 year follow up visit.

The primary effectiveness endpoint was defined as the percentage of subjects with complete aneurysm occlusion assessed using the WEB Occlusion Scale (WOS) without retreatment, recurrent subarachnoid hemorrhage, without significant parent artery stenosis (\>50% stenosis) at one year after treatment in the mITT population.

Outcome measures

Outcome measures
Measure
WEB Aneurysm Embolization Device
n=143 Participants
The WEB is an intra-aneurysmal device intended for use in endovascular embolization of intracranial aneurysms. The intended therapeutic effect of the WEB device is to line the neck of the aneurysm with a metallic structure that disrupts the inflow of blood, causing hemostasis within the aneurysm sac, and leading to thrombus formation within the implant.
Percentage of Subjects With Complete Aneurysm Occlusion Assessed Using the WEB Occlusion Scale (WOS) Without Retreatment, Recurrent Subarachnoid Hemorrhage, Without Significant Parent Artery Stenosis (>50% Stenosis) at One Year After Treatment
77 Participants

Adverse Events

CEC Adjudicated Adverse Events Through 1-Year

Serious events: 33 serious events
Other events: 54 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
CEC Adjudicated Adverse Events Through 1-Year
n=150 participants at risk
The WEB is an intra-aneurysmal device intended for use in endovascular embolization of intracranial aneurysms. The intended therapeutic effect of the WEB device is to line the neck of the aneurysm with a metallic structure that disrupts the inflow of blood, causing hemostasis within the aneurysm sac, and leading to thrombus formation within the implant.
Cardiac disorders
Angina pectoris
0.67%
1/150 • Number of events 4 • 1 year
Cardiac disorders
Cardiac arrest
0.67%
1/150 • Number of events 1 • 1 year
Cardiac disorders
Coronary artery disease
1.3%
2/150 • Number of events 2 • 1 year
Endocrine disorders
Cushing's syndrome
0.67%
1/150 • Number of events 2 • 1 year
Gastrointestinal disorders
Crohn's disease
0.67%
1/150 • Number of events 1 • 1 year
Gastrointestinal disorders
Enteritis
0.67%
1/150 • Number of events 1 • 1 year
Gastrointestinal disorders
Gastrointestinal haemorrhage
1.3%
2/150 • Number of events 2 • 1 year
Gastrointestinal disorders
Impaired gastric emptying
0.67%
1/150 • Number of events 1 • 1 year
Gastrointestinal disorders
Vomiting
0.67%
1/150 • Number of events 1 • 1 year
General disorders
Chest pain
0.67%
1/150 • Number of events 1 • 1 year
Hepatobiliary disorders
Cholelithiasis
0.67%
1/150 • Number of events 1 • 1 year
Infections and infestations
Cytomegalovirus infection
0.67%
1/150 • Number of events 1 • 1 year
Infections and infestations
Diverticulitis
0.67%
1/150 • Number of events 1 • 1 year
Infections and infestations
Pneumonia
0.67%
1/150 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Fracture
0.67%
1/150 • Number of events 1 • 1 year
Investigations
Blood pressure increased
0.67%
1/150 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Lumbar spinal stenosis
0.67%
1/150 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma
0.67%
1/150 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.67%
1/150 • Number of events 1 • 1 year
Nervous system disorders
Aphasia
0.67%
1/150 • Number of events 1 • 1 year
Nervous system disorders
Benign intracranial hypertension
0.67%
1/150 • Number of events 1 • 1 year
Nervous system disorders
Confusional state
0.67%
1/150 • Number of events 1 • 1 year
Nervous system disorders
Haemorrhage intracranial
0.67%
1/150 • Number of events 1 • 1 year
Nervous system disorders
Headache
1.3%
2/150 • Number of events 2 • 1 year
Nervous system disorders
Ischemic Stroke
4.0%
6/150 • Number of events 7 • 1 year
Nervous system disorders
Seizure
1.3%
2/150 • Number of events 2 • 1 year
Nervous system disorders
Subarachnoid hemorrhage
1.3%
2/150 • Number of events 2 • 1 year
Nervous system disorders
Syncope
0.67%
1/150 • Number of events 1 • 1 year
Nervous system disorders
TIA
2.0%
3/150 • Number of events 5 • 1 year
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.67%
1/150 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
1.3%
2/150 • Number of events 2 • 1 year
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.67%
1/150 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Tracheal stenosis
0.67%
1/150 • Number of events 1 • 1 year
Surgical and medical procedures
Vessel puncture site hematoma
2.7%
4/150 • Number of events 4 • 1 year
Vascular disorders
Arterial thrombosis
0.67%
1/150 • Number of events 1 • 1 year
Vascular disorders
Hypertension
1.3%
2/150 • Number of events 3 • 1 year
Vascular disorders
Vascular occlusion
0.67%
1/150 • Number of events 1 • 1 year

Other adverse events

Other adverse events
Measure
CEC Adjudicated Adverse Events Through 1-Year
n=150 participants at risk
The WEB is an intra-aneurysmal device intended for use in endovascular embolization of intracranial aneurysms. The intended therapeutic effect of the WEB device is to line the neck of the aneurysm with a metallic structure that disrupts the inflow of blood, causing hemostasis within the aneurysm sac, and leading to thrombus formation within the implant.
Gastrointestinal disorders
Nausea
6.7%
10/150 • Number of events 11 • 1 year
Vascular disorders
Vessel puncture site hematoma
5.3%
8/150 • Number of events 8 • 1 year
Nervous system disorders
Headache
24.0%
36/150 • Number of events 44 • 1 year
General disorders
Adverse drug reaction
9.3%
14/150 • Number of events 15 • 1 year
Eye disorders
Visual impairment
5.3%
8/150 • Number of events 8 • 1 year

Additional Information

Director, Clinical Operations

Sequent Medical, Inc

Phone: 714-247-8000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place