Acetylsalicylic Acid Plus Intensive Blood Pressure Treatment in Patients With Unruptured Intracranial Aneurysms

NCT ID: NCT03063541

Last Updated: 2019-01-25

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

776 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-21

Study Completion Date

2022-10-31

Brief Summary

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Purpose of this study is to assess the hypothesis that a strategy with acetylsalicylic acid (ASA) 100 mg/day, intensive blood pressure treatment (targeted systolic blood pressure below 120 mmHg), and a blood pressure measuring device reduces the risk of aneurysm rupture or growth compared with standard care (i.e. no ASA, blood pressure management according to standard blood pressure management, no blood pressure measuring device)

Detailed Description

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Conditions

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Unruptured Intracranial Aneurysms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

controlled open trial, randomized 1:1
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors
observer blinding

Study Groups

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Acetylsalicylic acid, BP-target 120

100 mg ASA plus intensified blood pressure management. Recommended systolic blood pressure 120 mm/Hg

Group Type EXPERIMENTAL

Acetylsalicylic acid

Intervention Type DRUG

100 mg daily as one tablet

intensive blood pressure control

Intervention Type OTHER

Patients are encouraged to seek any therapy to have a systolic blood pressure of 120 or below. They will be provided with a blood pressure measurement device and are advised to control blood pressure daily.

standard care

blood pressure management according to guidelines

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Acetylsalicylic acid

100 mg daily as one tablet

Intervention Type DRUG

intensive blood pressure control

Patients are encouraged to seek any therapy to have a systolic blood pressure of 120 or below. They will be provided with a blood pressure measurement device and are advised to control blood pressure daily.

Intervention Type OTHER

Other Intervention Names

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aspirin

Eligibility Criteria

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Inclusion Criteria

* Patients 18 years or older with an intradural, saccular unruptured aneurysm (UIA) in whom it is decided not to intervene with preventive endovascular or neurosurgical repair of the aneurysm and who are monitored on a regular base for aneurysm growth
* Last aneurysm imaging with either CTA/MRA/DSA within the last 3 months

Exclusion Criteria

* All non-saccular UIAs or aneurysms related to arteriovenous malformations
* Frequent ASA use and/or indication for a vitamin K antagonist, or direct oral anticoagulant (DOAC) treatment at baseline
* Contra-indication for ASA
* History of hypersensitivity to ASA or to any other drug with similar chemical structure or to any excipient present in the pharmaceutical form of ASA
* Chronic kidney disease stage IV and V (GFR \< 30 mL/min/1.73 m2)
* Pregnancy and lactation
* Participation in another clinical trial or observation period of competing trials, respectively
* Life-expectancy \<3 years
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UMC Utrecht

OTHER

Sponsor Role collaborator

Schwiete Stiftung, Mannheim, Germany

UNKNOWN

Sponsor Role collaborator

KKS Netzwerk

NETWORK

Sponsor Role collaborator

University of Hamburg-Eppendorf

OTHER

Sponsor Role collaborator

Universitätsmedizin Mannheim

OTHER

Sponsor Role lead

Responsible Party

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Nima Etminan

Vice Chair

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nima Etminan, PD Dr.

Role: PRINCIPAL_INVESTIGATOR

UMM, Department of Neurosurgery

Mervyn D Vergouwen, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

UMC Utrecht, Department of Neurology and Neurosurgery

Locations

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Department of Neurology and Neurosurgery, Goethe University

Frankfurt am Main, Hesse, Germany

Site Status RECRUITING

Klinik für Neurochirurgie

Aachen, , Germany

Site Status RECRUITING

Neurochirurgische Klinik

Berlin, , Germany

Site Status RECRUITING

Neurochirurgische Klinik

Düsseldorf, , Germany

Site Status RECRUITING

Neurolgische Klinik

Erlangen, , Germany

Site Status RECRUITING

Klinik für Neurochirurgie

Essen, , Germany

Site Status RECRUITING

Klinik für Neurochirurgie

Göttingen, , Germany

Site Status RECRUITING

Klinik für Neurochirurgie

Hamburg, , Germany

Site Status RECRUITING

Neurologische Universitätsklinik

Heidelberg, , Germany

Site Status RECRUITING

Department of Neurosurgery, University Hospital Mannheim

Mannheim, , Germany

Site Status RECRUITING

Neurochirurgische Klinik und Poliklinik

München, , Germany

Site Status ACTIVE_NOT_RECRUITING

Universitätsklinikum Münster

Münster, , Germany

Site Status RECRUITING

AMC Department of Neurology

Amsterdam, , Netherlands

Site Status RECRUITING

UMCG

Groningen, , Netherlands

Site Status RECRUITING

Leiden University Medical Center

Leiden, , Netherlands

Site Status RECRUITING

Neurochirurgisch Centrum CWZ

Nijmegen, , Netherlands

Site Status RECRUITING

Erasmus MC

Rotterdam, , Netherlands

Site Status RECRUITING

UMC

Utrecht, , Netherlands

Site Status RECRUITING

Countries

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Germany Netherlands

Central Contacts

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Nima Etminan, PD Dr. med.

Role: CONTACT

+49 621 383-2360

Mervyn DI Vergouwen, M.D., Ph.D.

Role: CONTACT

+31 88 75 50455

Facility Contacts

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Helmuth Steinmetz, Prof. Dr.

Role: primary

+49 69 6301-5769

Jürgen Konczalla, PD Dr

Role: backup

Gerrit A Schubert, Prof. Dr.

Role: primary

+49 241 8082420

Rastislav Pjontek, Dr.

Role: backup

Peter Vajkoczy, Prof. Dr.

Role: primary

+49 30 450 560900

Lars Wessels, Dr.

Role: backup

030 450 56 ext. 0002

Athanasios Petridis, Prof. Dr.

Role: primary

+49 211810 ext. 4514

Kerim Beseoglu, Dr.

Role: backup

Hagen Huttner, Prof. Dr.

Role: primary

+4991318536597

Bernd Kallmünzer, Dr.

Role: backup

Ramazan Jabbarli, PD Dr.

Role: primary

Dorothe Mielke, Prof. Dr.

Role: primary

Katharina Lange

Role: backup

Nils O Schmidt, PD Dr.

Role: primary

Jan Regelsberger, Prof. Dr.

Role: backup

Peter A Ringleb, Prof. Dr.

Role: primary

+496221 56- ext. 8243

Elisabeth Beyrle

Role: backup

+406221 563- ext. 8856

Nima Etminan, PD Dr. med.

Role: primary

+49-621-383-2360

Katharina Hackenberg, Dr.med.

Role: backup

+49-621-383-2360

Markus Holling, MD PhD

Role: primary

+49 251 / 83 -47482

Yvo B. W. Roos, Prof. Dr.

Role: primary

+31-20-5663942

Rita Sprengers

Role: backup

Maarten Uyttenboogaart, Dr.

Role: primary

Ghislaine Holswilder, MD

Role: primary

A van der Meij, MD

Role: backup

Jeroen Boogaarts, Dr.

Role: primary

Viktoria Shimanskaya, Dr

Role: backup

Naziha el Ghannouti

Role: primary

+31 10 704 38 18

Mervyn D. I. Vergouwen, Dr.

Role: primary

+31 (0)88 755 0455

Jacco M. Westeneng

Role: backup

References

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Vergouwen MD, Rinkel GJ, Algra A, Fiehler J, Steinmetz H, Vajkoczy P, Rutten FH, Luntz S, Hanggi D, Etminan N. Prospective Randomized Open-label Trial to evaluate risk faCTor management in patients with Unruptured intracranial aneurysms: Study protocol. Int J Stroke. 2018 Dec;13(9):992-998. doi: 10.1177/1747493018790033. Epub 2018 Jul 18.

Reference Type BACKGROUND
PMID: 30019634 (View on PubMed)

Other Identifiers

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2017-000514-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

PROTECT-U_V2.2_20_Feb_2017

Identifier Type: -

Identifier Source: org_study_id

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