UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042113
Receipt number R000048058
Scientific Title Clinical research on hemodynamic predictors for the progression of major intracranial cerebrovascular stenosis using CFD analysis
Date of disclosure of the study information 2020/10/14
Last modified on 2020/10/14 20:31:13

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Basic information

Public title

Clinical research on hemodynamic predictors for the progression of major intracranial cerebrovascular stenosis using CFD analysis

Acronym

CV Stenosis CFD Study

Scientific Title

Clinical research on hemodynamic predictors for the progression of major intracranial cerebrovascular stenosis using CFD analysis

Scientific Title:Acronym

CV Stenosis CFD Study

Region

Japan


Condition

Condition

major intracranial artery stenosis

Classification by specialty

Neurosurgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Major intracranial artery stenosis, such as intracranial internal carotid artery, middle cerebral artery M1 portion, anterior cerebral artery A1 portion, intracranial vertebral artery, and basilar artery, is major cause of atherosclerotic cerebral infarction. However, we cannot sufficiently predict the progression of stenosis followed by symptomatic stroke using known risk factors. Our previous NHO collaborative clinical study suggested that hemodynamic factors may be significantly involved in the development of cerebral infarction due to carotid artery stenosis. Therefore, the hemodynamics may also be involved in intracranial artery stenosis. In this study, we would like to elucidate the hemodynamic etiology of major intracranial artery stenosis using computational fluid dynamics (CFD) analysis and search for new predictors of the stenosis progression.

Basic objectives2

Others

Basic objectives -Others

Search for hemodynamic risk factors

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To identify hemodynamic factors that are significantly involved in the progression of major intracranial artery stenosis using computational fluid dynamics (CFD) analysis.

Key secondary outcomes

To identify hemodynamic factors that are significantly involved in the development of symptomatic cerebral infarction due to major intracranial artery stenosis using CFD analysis.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Cases who have undergone cerebrovascular 3D contrast-enhanced CT examination or 3D cerebral angiography examination for which the original image DICOM data remain
2) Cases with about 30% or more stenosis found in the intracranial main artery (intracranial internal carotid artery, middle cerebral artery M1 portion, anterior cerebral artery A1 portion, intracranial vertebral artery, and basilar artery) by cerebrovascular imaging
3) Cases aged 20 years or older at the time of consent acquisition
4) Cases who have obtained the voluntary written consent of the patient (or his / her substitute)

Key exclusion criteria

1) Cases with stenosis after irradiation
2) Cases with moyamoya disease
3) Cases with stenosis due to dissection
4) Cases with congenital stenosis
5) Cases after bypass surgery on the diseased side (registration is possible if there is an unoperated stenotic lesion on the contralateral side)
6) Patients after angioplasty of the lesion (registration is possible if there are other unoperated stenotic lesions)
7) When the principal investigator and the research coordinator judge that participation in this research is not appropriate

Target sample size

650


Research contact person

Name of lead principal investigator

1st name Shunichi
Middle name
Last name Fukuda

Organization

National Hospital Organization Kyoto Medical Center

Division name

Department of Neurosurgery

Zip code

612-8555

Address

1-1, Mukaihara-cho, Fukakusa, Fushimi-ku, Kyoto City

TEL

075-641-9161

Email

fukudashunichi@gmail.com


Public contact

Name of contact person

1st name Shunichi
Middle name
Last name Fukuda

Organization

National Hospital Organization Kyoto Medical Center

Division name

Department of Neurosurgery

Zip code

612-8555

Address

1-1, Mukaihara-cho, Fukakusa, Fushimi-ku, Kyoto City

TEL

075-641-9161

Homepage URL


Email

fukudashunichi@gmail.com


Sponsor or person

Institute

National Hospital Organization

Institute

Department

Personal name



Funding Source

Organization

National Hospital Organization

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Hospital Organization

Address

2-5-21, Higashigaoka, Meguro-ku, Tokyo

Tel

03-5712-5050

Email

700-kenkyu@mail.hosp.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 10 Month 14 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2020 Year 09 Month 23 Day

Date of IRB


Anticipated trial start date

2020 Year 10 Month 15 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

At the time of registration: Patient background, 3D cerebrovascular examination (3D contrast CT, 3D cerebrovascular imaging)
Two years after the registration: Cerebrovascular imaging


Management information

Registered date

2020 Year 10 Month 14 Day

Last modified on

2020 Year 10 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048058


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name