Study on Prognosis of Acutely Ruptured Intracranial Aneurysms

NCT ID: NCT05851989

Last Updated: 2025-03-25

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

RECRUITING

Total Enrollment

880 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-07-14

Study Completion Date

2034-07-14

Brief Summary

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The SPARTA study is a prospective multicenter observational trial in the Netherlands with the aim of identifying the best clinical care in patients with aneurysmal subarachnoidal haemorrhage. Differences in outcome between surgical treatment and endovascular treatment will be explored.

Furthermore, cost effectiveness and radiological prognostic factors will be examined.

Detailed Description

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Rationale:

Ruptured intracranial aneurysms resulting in subarachnoid haemorrhage can be treated by open surgical treatment or endovascular treatment. Despite multiple previous studies, biases and uncertainty around the best current treatment practice still exist. The resulting variation of care may result in a variable outcome. The protocol for a prospective multicentre observational study aimed at comparing the effectiveness of different treatment strategies in patients with ruptured aneurysms is presented.

Objective:

The primary aim of this study is to identify the effectiveness of clipping versus coiling on functional outcome in patients presenting with a subarachnoid haemorrhage due to a ruptured intracranial aneurysm 1 year after onset of symptoms. Secondary objectives include long term functional outcome, complications, cost-effectiveness and explorative analysis of the diagnostic and prognostic value of radiological imaging.

Study design:

This multi-centre study will have an observational prospective cohort design. Patient will have a follow-up of maximum 10 years.

Study population:

Patients with a subarachnoid haemorrhage will be included. Patients with evident other causes and patients without diagnosis of intracranial aneurysm after six months will be excluded.

Main study parameters/endpoints:

The primary endpoint is the score on the modified Rankin scale (mRs) and mortality at 1 year after the initial SAH. Secondary endpoints include the mRs, Modified Telephone Interview of Cognitive Status (TICS-M), 5-level EuroQol-5D (EQ-5D-5L) and derived Quality of Life Years, costs from patient diaries, and the Hospital Anxiety and Depression Scale (HADS), measured at 6 months, 1, 2, 5 and 10 years.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness:

Patients will receive 'nonexperimental' regular care during their hospital stay. For this study, health questionnaires and functional outcome will be assessed at baseline, follow-up visits and before discharge. Temporary fatigue is the only possible side-effect of completion of the questionnaires.

Conditions

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Aneurysmal Subarachnoid Hemorrhage Endovascular Procedures Craniotomy Patient Outcome Assessment Treatment Outcome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Neurosurgical treatment

This cohort contains the patients with aneurysmal subarachnoid hemorrhage who received the neurosurgical clipping treatment.

No interventions assigned to this group

Endovascular treatment

This cohort contains the patients with neurysmal subarachnoid hemorrhage who received the endovascular coiling treatment. Other endovascular treatments which will be included as well are flow diverter procedures, Woven EndoBridge (WEB) devices and stent assisted coiling.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Confirmed diagnosis of subarachnoid haemorrhage on CT-scan or lumbar puncture (in the presence of a negative CT-scan)
* Intracranial aneurysm proven within 6 months to be the cause of subarachnoid haemorrhage
* Age 18 years or over at presentation.
* Written informed consent

Exclusion Criteria

* Subarachnoid haemorrhage deemed most likely of 'perimesencephalic' origin after consideration of history, clinical examination and radiological findings (including angiographic imaging)
* Subarachnoid haemorrhage deemed most likely of post-traumatic origin after consideration of history, clinical examination and radiological findings (including angiographic imaging)
* Diagnosis of intracerebral arteriovenous malformations or dural arteriovenous fistula.
* No diagnosis of intracranial aneurysm at 6 months after onset of symptoms.
* Not mastering the Dutch language
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Haaglanden Medical Centre

OTHER

Sponsor Role lead

Responsible Party

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Wouter Moojen

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wouter Moojen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Haaglanden Medical Center

Locations

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Amsterdam UMC

Amsterdam, , Netherlands

Site Status RECRUITING

Maastricht UMC

Maastricht, , Netherlands

Site Status RECRUITING

Radboudumc

Nijmegen, , Netherlands

Site Status RECRUITING

Erasmus MC

Rotterdam, , Netherlands

Site Status RECRUITING

Haaglanden Medical Center

The Hague, , Netherlands

Site Status RECRUITING

Universitair Medisch Centrum Utrecht

Utrecht, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Rick Vreeburg, MD

Role: CONTACT

+31(0)88-9792165

Wouter Moojen, MD, PhD

Role: CONTACT

Facility Contacts

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Dagmar Verbaan

Role: primary

Roel Haeren

Role: primary

Jeroen Boogaarts

Role: primary

Ruben Dammers

Role: primary

Rick Vreeburg, MD

Role: primary

+31(0)88-9792165

Mervyn Vergouwen, PhD

Role: primary

Philippine van Wijngaarden, MSc

Role: backup

References

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Hamming AL, van Dijck JTJM, Visser T, Baarse M, Verbaan D, Schenck H, Haeren RHL, Fakhry R, Dammers R, Aquarius R, Boogaarts JHD, Peul WC, Moojen WA. Study on prognosis of acutely ruptured intracranial aneurysms (SPARTA): a protocol for a multicentre prospective cohort study. BMC Neurol. 2024 Feb 17;24(1):68. doi: 10.1186/s12883-024-03567-6.

Reference Type DERIVED
PMID: 38368355 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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NL71261.058.19

Identifier Type: -

Identifier Source: org_study_id

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