Intracranial AneurysmCIAP-2NCT03133624
A Study on a Multidimensional Prediction Model for Rupture Risk of Unruptured Intracranial Aneurysms
An observational study of Intracranial Aneurysm, run by Beijing Neurosurgical Institute at 12 sites in China.
Trial summary
This is a registry study on a multidimensional prediction model for rupture risk of unruptured intracranial aneurysms in China. Read more about this study
- Who is it for?
- Ages 14 years and older
- Conditions the study is for
- Intracranial Aneurysm
- How many people
- 500 participants
- Where
- 12 sitesChina
- Study dates
- 1 May 2017to 31 Dec 2021
- How long will I take part?
- 1 Year
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 14 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: Patients with at least 1 UIA that is untreated and confirmed by imaging (CTA, MRA and DSA), regardless of the presence of clinical symptoms.
Who may be able to join
- 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
Who cannot join
- 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
Show all 16Show fewer
- 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
Trial locations and contacts
12 sites in 1 country.
12 sites in 1 country
China12 sites, 12 recruiting
- Not yet recruiting
XuanWu Hospital,Capital Medical University
Beijing, Beijing Municipality, 100053
Peng Hu, MD, +86-13811385341, doctor_hupeng@163.com
Hongqi Zhang, MD
- Recruiting
Beijing Neurosurgical Institute and Beijing Tiantan Hospital affiliated to Capital Medical University
Beijing, 100050
Xinjian Yang, MD, +86-010-67098852, yangxinjian@bjttyy.org
Jian Liu, MD, +86-010-67098852, jianliu_ns@163.com
- Not yet recruiting
The Second Xiangya Hospital of Central South University
Changsha, Hunan, 410011
Mingming Zhang, MD, +86-13907483144, zmm-zh@163.com
Yugang Jiang, MD
- Not yet recruiting
West China Hospital of Sichuan University
Chengdu, Sichuan, 610041
Zhiyong Liu, MD, +86-13658021726, doctor_lzy@163.com
Min He, MD
- Not yet recruiting
The 1st Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400016
Zongduo Guo, MD, +86-13594118695, stonegzd@163.com
Xiaochuan Sun, MD
- Not yet recruiting
Southern Medical University, Zhujiang Hospital
Guangzhou, Guangdong, 510282
Xin Zhang, MD, +86-15989058895, zhangxin19830818@163.com
Chuanzhi Duan, MD
- Not yet recruiting
Liao Cheng People's Hospital
Liaocheng, Shandong, 252004
Qingke Cui, MS, +86-1378718865, 45587746@qq.com
Jiyue Wang, MS
- Not yet recruiting
Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, 200127
Shenghao Ding, MD, +86-13817282259, ding_sheng_hao@126.com
Jieqing Wan, MD
- Not yet recruiting
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215006
Wanchun You, MD, +86-18550038323, wcyou@suda.edu.cn
Zhong Wang, MD
- Not yet recruiting
The First Affiliated Hospital Of Xinjiang Medical University
Ürümqi, Xinjiang, 830000
Kahriman Kadeer, MS, +86-18599088599, KAHriman@vip.qq.com
Maimaitili Aisha, MS
- Not yet recruiting
Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University Xi'an, China
Xi’an, Shanxi, 710038
Wei Guo, MD, +86-18729985168, 18729985168@163.com
Yan Qu, MD
- Not yet recruiting
Zhongshan Hospital Xiamen University
Xiamen, Fujian, 361000
Junlong Kang, MS, +86-15960256931, kjl295@163.com
Xinhua Tian, MD
About this study
Official title: This is a Registry Study on a Multidimensional Prediction Model for Rupture Risk of Unruptured Intracranial Aneurysms in China
This is a registry study on a multidimensional prediction model for rupture risk of unruptured intracranial aneurysms in China.
Read the detailed description
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
- Intracranial Aneurysm
- Keywords
- unruptured intracranial aneurysms, rupture risk, computational fluid dynamic, high resolution magnetic resonance images, gene, multi dimensional prediction model, clinical features, risk factors, registry study, china, biomarkers
- Medical subject headings
- Intracranial Aneurysm
What is being measured
The primary outcome is the main question the study is designed to answer.
The rupture of intracranial aneurysms
The rupture of unruptured intracranial aneurysms.
Measured: Up to 12 months or time of aneurysm repair surgery
Secondary outcomes (1)
Changes in morphology of unruptured intracranial aneurysms
Maximum diameter increase ≥ 1mm or appearance of a daughter sac.
Measured: Up to 12 months or time of aneurysm repair surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Apr 2017
- Study start1 May 2017
- Primary completion31 Dec 2020 (estimated)
- Study completion31 Dec 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Intracranial AneurysmStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 500 participants (estimated)
- Target duration
- 1 Year
Sponsor and investigators
- Lead sponsor
- Beijing Neurosurgical Institute
- Sponsor type
- University, hospital or other
- Collaborators
- Ministry of Science and Technology of the People´s Republic of China
- Responsible party
- Principal investigator, Xinjian Yang, MD, Beijing Neurosurgical Institute
- Investigators
- Xinjian Yang, MD, Principal investigator, Beijing Neurosurgical Institute and Beijing Tiantan Hospital affiliated to Capital Medical University,China
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03133624
- Sponsor's protocol ID
- 2016YFC1300802
- Acronym
- CIAP-2
- Status last verified
- Aug 2018
- First submitted
- 16 Apr 2017
- Last updated
- 10 Aug 2018
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: we can share the original data 5 years after the study.
Publications
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.
PubMed 9867550UCAS 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.
PubMed 22738097Thompson 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.
PubMed 26089327Liu 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.
PubMed 24220206Li 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.
PubMed 24126645Fan 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.
PubMed 36698880Chen 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.
PubMed 30257699
Study at a glance
From the registry record, last updated by the sponsor on 10 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- This is a Registry Study on a Multidimensional Prediction Model for Rupture Risk of Unruptured Intracranial Aneurysms in China
- ClinicalTrials.gov ID
- NCT03133624
- Acronym / sponsor ID
- CIAP-2 / 2016YFC1300802
- Conditions
- Intracranial Aneurysm
- Keywords
- unruptured intracranial aneurysms, rupture risk, computational fluid dynamic, high resolution magnetic resonance images, gene, multi dimensional prediction model, clinical features, risk factors
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 500 participants (estimated)
- Lead sponsor
- Beijing Neurosurgical InstituteUniversity, hospital or other
- Collaborators
- Ministry of Science and Technology of the People´s Republic of China
- Study start
- 1 May 2017 (actual)
- Primary completion
- 31 Dec 2020 (estimated)
- Study completion
- 31 Dec 2021 (estimated)
- First posted
- 28 Apr 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a registry study on a multidimensional prediction model for rupture risk of unruptured intracranial aneurysms in China.
Detailed description
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.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 1 Year
Who may qualify
- Ages
- 14 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Patients with at least 1 UIA that is untreated and confirmed by imaging (CTA, MRA and DSA), regardless of the presence of clinical symptoms.
Key inclusion criteria (4 listed)
- 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
Key exclusion criteria (16 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
The rupture of intracranial aneurysms
Time frame: Up to 12 months or time of aneurysm repair surgery
The rupture of unruptured intracranial aneurysms.
1 secondary outcome
Changes in morphology of unruptured intracranial aneurysms
Time frame: Up to 12 months or time of aneurysm repair surgery
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Aug 2018.
- Results publication: PubMed 9867550International 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.
- Results publication: PubMed 22738097UCAS 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.
- Results publication: PubMed 26089327Thompson 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.
- Results publication: PubMed 24220206Liu 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.
- Results publication: PubMed 24126645Li 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.
- Derived from this study: PubMed 36698880Fan 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.
- Derived from this study: PubMed 30257699Chen 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.
- Individual participant dataSharing planned: Yes. we can share the original data 5 years after the study.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Xinjian Yang, MD principal investigator
Beijing Neurosurgical Institute and Beijing Tiantan Hospital affiliated to Capital Medical University,China
12 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Intracranial Aneurysm, run by Beijing Neurosurgical Institute at 12 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 10 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 12 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Jian Liu, MD (+86-010-67098852, jianliu_ns@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The rupture of intracranial aneurysms (time frame: Up to 12 months or time of aneurysm repair surgery). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03133624, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Aug 2018.