A Study on a Multidimensional Prediction Model for Rupture Risk of Unruptured Intracranial Aneurysms

NCT ID: NCT03133624

Last Updated: 2018-08-10

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

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-05-01

Study Completion Date

2021-12-31

Brief Summary

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This is a registry study on a multidimensional prediction model for rupture risk of unruptured intracranial aneurysms in China.

Detailed Description

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This subsequent program China Intracranial Aneurysm Project - 2 (CIAP-2) will comprise screening of 500 patients from the UIA cohort (CIAP-1) and focus on hemodynamics factors, high resolution magnetic resonance imaging (HRMRI), genetic factors and biomarkers. Possible risk factors for rupture of UIA, including genetic factors, biomarkers, HRMRI, and hemodynamic will be analyzed. The first project of the China Intracranial Aneurysm Project (CIAP-1: Chaired by the Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China) will establish a prospective cohort of 5000 patients with UIA from 20 centers in China, and collect baseline information for each patient. Multidimensional data will be acquired in follow-up assessments. Statistically significant clinical features in the UIA cohort will also be analyzed and integrated into this model for predicting risk of UIA rupture. After the model has been set up, the resultant evidence-based prediction will be used to provide a preliminary theoretical basis for the treatment of aneurysms at high risk of rupture.

Conditions

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Intracranial Aneurysm

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* At least 1 UIA that is untreated and confirmed by imaging: Computed tomography angiography (CTA), magnetic resonance angiography (MRA) and digital subtraction angiography (DSA). Regardless of the presence of clinical symptoms
* Patient currently has the ability to live independently, and a modified Ranking Score less than or equal to 3 points
* Older than 14 years of age
* Patient or relatives agreed to sign the consent form

Exclusion Criteria

* Subarachnoid hemorrhage of unknown origin
* Presence of other intracranial vascular malformations, such as cerebral arteriovenous malformation (AVM) or cerebral arteriovenous fistula (AVF)
* Intracranial and other malignant tumors
* Fusiform, traumatic, bacterial or dissecting aneurysm
* Patients with severe mental illness who are unable to communicate
* Patients with other diseases or poor general condition who are expected to survive less than 1 year
* Patients with intracranial aneurysms who have joined other similar research institutions
* Patients who refused follow-up

The definition of modified Ranking Score:

* 0 Completely silent
* 1 Despite symptoms, but not visibly disabled, can complete all regular duties and activities
* 2 Mild disabilities, not all activities previously possible, but can deal with personal affairs without need of assistance
* 3 Moderate disability requires some help, but walking does not need assistance;
* 4 Severe disabilities, unable to walk independently, no others can not meet their needs
* 5 Severely disabled, bedridden, Urine, requiring continuous care and care;
* 6 Mortality
Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Science and Technology of the People´s Republic of China

OTHER_GOV

Sponsor Role collaborator

Beijing Neurosurgical Institute

OTHER

Sponsor Role lead

Responsible Party

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Xinjian Yang, MD

Vice Chair of Department of Interventional Neuroradiology of Beijing Neurosurgical Institute

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xinjian Yang, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing Neurosurgical Institute and Beijing Tiantan Hospital affiliated to Capital Medical University,China

Locations

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XuanWu Hospital,Capital Medical University

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

The 1st Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status NOT_YET_RECRUITING

Zhongshan Hospital Xiamen University

Xiamen, Fujian, China

Site Status NOT_YET_RECRUITING

Southern Medical University, Zhujiang Hospital

Guangzhou, Guangdong, China

Site Status NOT_YET_RECRUITING

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status NOT_YET_RECRUITING

Liao Cheng People's Hospital

Liaocheng, Shandong, China

Site Status NOT_YET_RECRUITING

Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status NOT_YET_RECRUITING

Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University Xi'an, China

Xi’an, Shanxi, China

Site Status NOT_YET_RECRUITING

West China Hospital of Sichuan University

Chengdu, Sichuan, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital Of Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status NOT_YET_RECRUITING

Beijing Neurosurgical Institute and Beijing Tiantan Hospital affiliated to Capital Medical University

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jian Liu, MD

Role: CONTACT

+86-010-67098852

Junfan Chen, MS

Role: CONTACT

+86-010-67098852

Facility Contacts

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Peng Hu, MD

Role: primary

+86-13811385341

Zongduo Guo, MD

Role: primary

+86-13594118695

Junlong Kang, MS

Role: primary

+86-15960256931

Xin Zhang, MD

Role: primary

+86-15989058895

Mingming Zhang, MD

Role: primary

+86-13907483144

Wanchun You, MD

Role: primary

+86-18550038323

Qingke Cui, MS

Role: primary

+86-1378718865

Shenghao Ding, MD

Role: primary

+86-13817282259

Wei Guo, MD

Role: primary

+86-18729985168

Zhiyong Liu, MD

Role: primary

+86-13658021726

Kahriman Kadeer, MS

Role: primary

+86-18599088599

Xinjian Yang, MD

Role: primary

+86-010-67098852

Jian Liu, MD

Role: backup

+86-010-67098852

References

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International Study of Unruptured Intracranial Aneurysms Investigators. Unruptured intracranial aneurysms--risk of rupture and risks of surgical intervention. N Engl J Med. 1998 Dec 10;339(24):1725-33. doi: 10.1056/NEJM199812103392401.

Reference Type RESULT
PMID: 9867550 (View on PubMed)

UCAS Japan Investigators; Morita A, Kirino T, Hashi K, Aoki N, Fukuhara S, Hashimoto N, Nakayama T, Sakai M, Teramoto A, Tominari S, Yoshimoto T. The natural course of unruptured cerebral aneurysms in a Japanese cohort. N Engl J Med. 2012 Jun 28;366(26):2474-82. doi: 10.1056/NEJMoa1113260.

Reference Type RESULT
PMID: 22738097 (View on PubMed)

Thompson BG, Brown RD Jr, Amin-Hanjani S, Broderick JP, Cockroft KM, Connolly ES Jr, Duckwiler GR, Harris CC, Howard VJ, Johnston SC, Meyers PM, Molyneux A, Ogilvy CS, Ringer AJ, Torner J; American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention; American Heart Association; American Stroke Association. Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2015 Aug;46(8):2368-400. doi: 10.1161/STR.0000000000000070. Epub 2015 Jun 18.

Reference Type RESULT
PMID: 26089327 (View on PubMed)

Liu J, Xiang J, Zhang Y, Wang Y, Li H, Meng H, Yang X. Morphologic and hemodynamic analysis of paraclinoid aneurysms: ruptured versus unruptured. J Neurointerv Surg. 2014 Nov;6(9):658-63. doi: 10.1136/neurintsurg-2013-010946. Epub 2013 Nov 12.

Reference Type RESULT
PMID: 24220206 (View on PubMed)

Li MH, Chen SW, Li YD, Chen YC, Cheng YS, Hu DJ, Tan HQ, Wu Q, Wang W, Sun ZK, Wei XE, Zhang JY, Qiao RH, Zong WH, Zhang Y, Lou W, Chen ZY, Zhu Y, Peng DR, Ding SX, Xu XF, Hou XH, Jia WP. Prevalence of unruptured cerebral aneurysms in Chinese adults aged 35 to 75 years: a cross-sectional study. Ann Intern Med. 2013 Oct 15;159(8):514-21. doi: 10.7326/0003-4819-159-8-201310150-00004.

Reference Type RESULT
PMID: 24126645 (View on PubMed)

Fan XX, Geng JW, He C, Hu P, Sun LY, Zhang HQ. Analysis of the wall thickness of intracranial aneurysms: Can computational fluid dynamics detect the translucent areas of saccular intracranial aneurysms and predict the rupture risk preoperatively? Front Neurol. 2023 Jan 9;13:1075078. doi: 10.3389/fneur.2022.1075078. eCollection 2022.

Reference Type DERIVED
PMID: 36698880 (View on PubMed)

Chen J, Liu J, Zhang Y, Tian Z, Wang K, Zhang Y, Mu S, Lv M, Jiang P, Duan C, Zhang H, Qu Y, He M, Yang X. China Intracranial Aneurysm Project (CIAP): protocol for a registry study on a multidimensional prediction model for rupture risk of unruptured intracranial aneurysms. J Transl Med. 2018 Sep 26;16(1):263. doi: 10.1186/s12967-018-1641-1.

Reference Type DERIVED
PMID: 30257699 (View on PubMed)

Other Identifiers

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2016YFC1300802

Identifier Type: -

Identifier Source: org_study_id

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