Extracorporeal Filtration of Subarachnoid Hemorrhage Via Spinal Catheter

NCT ID: NCT02872636

Last Updated: 2019-08-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-23

Study Completion Date

2018-08-31

Brief Summary

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The objective of this feasibility study is to demonstrate the safety and feasibility of using an investigational extracorporeal system and catheter to filter hemorrhagic cerebrospinal fluid (CSF) post subarachnoid hemorrhage (SAH) treatment, and reintroduce the CSF via the same catheter.

Detailed Description

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Conditions

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Subarachnoid Hemorrhage

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Treatment Group

Group Type EXPERIMENTAL

Spinal catheter insertion with extracorporeal filtration of CSF

Intervention Type DEVICE

Extracorporeal filtration of CSF

Interventions

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Spinal catheter insertion with extracorporeal filtration of CSF

Extracorporeal filtration of CSF

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age: 18 years or older
* Informed consent by the patient or his/her legally authorized representative
* Modified Fisher Grade 2, 3, or 4
* Hunt \& Hess I-III
* First aneurysmal SAH that has been confirmed by Angio, CTA or MRA
* Patient is ≤ 48 hours post bleeding event
* World Federation of Neurosurgeons (WFNS) Grades I-IV and those Grade V patients who improve to Grade IV or less after ventriculostomy.

Exclusion Criteria

* Patients with a SAH due to mycotic aneurysm or AV malformation
* Patients who present with an acute MI or unstable angina
* Patients with uncontrolled diabetes
* Patients who present with a creatinine \> 2.0mg/dl
* Imaging demonstrates supratentorial mass lesions greater than 50 cc
* Imaging demonstrates more than 5 mm of mid-line-shift associated with infarction and or edema
* Effacement of the basilar cisterns (suprasellar, ambient, chiasmatic and quadrageminal)
* Vasospasm on admission as defined by angiographic evidence
* Patients with a coagulopathy that cannot be reversed per the professional discretion of the investigator
* Thrombocytopenia def. platelet count \< 100,000
* Patients on low molecular weight heparin e.g., Lovenox
* Patients on Clopidogrel bisulfate (Plavix) or other chronic platelet inhibitors
* Patients with a documented history of cirrhosis
* Patients who will be managed with supportive care rather than intervention
* Obstructive hydrocephalus i.e., non-communicating
* Pregnancy
* History of posterior fusion hardware that would interfere with placement of the catheter
* Pre-existing Lumbar Drain
* Local skin infections or eruptions over the puncture site
* Signs of systemic infection/sepsis or pneumonia
* Lumbar puncture within 6 hours
* Concurrent participation in another study which is not observational or retrospective in nature without prior approval from the Sponsor
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Minnetronix

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Julie Messer

Role: STUDY_DIRECTOR

Minnetronix

Locations

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University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Memorial Hermann

Houston, Texas, United States

Site Status

Countries

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United States

References

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Blackburn SL, Grande AW, Swisher CB, Hauck EF, Jagadeesan B, Provencio JJ. Prospective Trial of Cerebrospinal Fluid Filtration After Aneurysmal Subarachnoid Hemorrhage via Lumbar Catheter (PILLAR). Stroke. 2019 Sep;50(9):2558-2561. doi: 10.1161/STROKEAHA.119.025399. Epub 2019 Jul 26.

Reference Type DERIVED
PMID: 31345133 (View on PubMed)

Other Identifiers

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DK-0000-001-306

Identifier Type: -

Identifier Source: org_study_id

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