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Cerebral AneurysmsNEXTNCT06693011

Contour Neurovascular System™ ContiNued Access Investigational Device EXempTion (IDE) Trial (NEXT Trial)

A study testing Contour Neurovascular System Treatment Attempt in people with Cerebral Aneurysms, run by Cerus Endovascular, Inc. at 9 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to collect additional data to demonstrate if the Contour Neurovascular System (CNS) is a safe and effective treatment of wide-necked, saccular, intracranial aneurysms. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Cerebral Aneurysms
What is being tested?
Contour Neurovascular System Treatment Attempt
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
250 participants
Where
9 sitesUnited States
Study dates
10 Jun 2025to Jan 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient is 18-75 years of age at the time of screening.
  • Patient has a single ruptured or unruptured IA requiring treatment. If the patient has an additional IA requiring treatment, the additional IA must not require treatment within 60 days after the index procedure.
  • The target IA must have the following characteristics:
  • Saccular morphology
  • Located at a bifurcation in the anterior or posterior circulation
  • Aneurysm neck diameter between 2 and 10 mm and aneurysm equatorial diameter between 2 and 10.5 mm
Show all 16Show fewer
  • Wide-necked, defined as neck size ≥ 4 mm or a dome/neck ratio < 2
  • Patient may be treated with Contour without the use of additional implanted devices.
  • Patient is able to comply with all aspects of the screening, evaluation, treatment, and the post-procedure follow-up schedule.
  • Patient or legally authorized representative has signed and dated an institutional review board (IRB)/Ethics Committee (EC)-approved written informed consent prior to initiation of any study procedures.
  • FOR PATIENTS WITH UNRUPTURED ANEURYSM
  • Patient meets the criteria outlined in the "Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms" as published by the AHA/ASA^6
  • FOR PATIENTS WITH RUPTURED ANEURYSM
  • Patient meets the criteria outlined in the "Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association" as published by the AHA/ASA.^6
  • Patient must be neurologically stable with Hunt \& Hess Score of I, II or III.
  • (^6: 6 https://www.ahajournals.org/doi/full/10.1161/STR.0000000000000070)

Who cannot join

  • Anatomy or physiology considered unsuitable for endovascular treatment with the Contour device by the implanting physician and/or the Patient Selection Committee
  • Target IA contains other devices/implants (e.g., coils) that could interfere with the correct placement of the Contour device
  • Subject has a known, untreatable hypersensitivity to contrast dye, iodine, or any component of the treatment device.
  • Contraindication to anticoagulants or anti-platelet medications
  • Stenosis of the target IA's parent vessel is >50%
  • Anticoagulation medications (e.g., warfarin) that cannot be discontinued
Show all 17Show fewer
  • Acute / chronic renal failure (unless on dialysis) or creatinine > 2.00 mg/dl or > 182 μmol/L
  • Vascular disease or other vascular anomaly that precluded the necessary access to the aneurysm for use of the study device.
  • Clinical, angiographic or computed tomography (CT) evidence of vasospasm, vasculitis, an intracranial tumor (except small meningioma) or any other intracranial vascular malformations on presentation.
  • Conditions placing them at high risk for ischemic stroke or had exhibited ischemic symptoms such as transient ischemic attacks, minor strokes, or stroke-in-evolution within the prior 60-days.
  • Any circulatory, neurovascular, cardiovascular, or neurologic conditions that can result in unstable neurological symptoms (e.g., multiple sclerosis, established seizure disorder).
  • Modified Rankin Scale (mRS) score ≥ 2 prior to presentation or rupture (as applicable).
  • Subarachnoid hemorrhage (SAH) from a non-index aneurysm or any other intracranial hemorrhage within 90 days.
  • Physical, neurologic or psychiatric conditions which precluded his/her ability to comply with all aspects of the screening, evaluation, treatment, and the post-procedure follow-up schedule.
  • Pregnant, breastfeeding or planning pregnancy in the next 2 years
  • Subject is enrolled in another device or drug study in which participation could confound study results.
  • Life expectancy of less than 2 years due to an illness or condition other than the index intracranial aneurysm.

Trial locations and contacts

9 sites in 1 country. Contact the study team or a site near you to ask about taking part.

9 sites in 1 country

United States9 sites, 9 recruiting
  • University at Buffalo Neurosurgery

    Buffalo, New York, 14203

    Ellen Carl, 716-472-9560, ecarl@ubns.com

    Recruiting
  • Medical University of South Carolina

    Charleston, South Carolina, 29425

    Melza Goffinet, 843-792-1679, vanroije@musc.edu

    Alejandro Spiotta, MD

    Recruiting
  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

    Jason Gorup, 913-588-6122, jgorup@kumc.edu

    Koji Ebersole, MD

    Recruiting
  • Advocate Aurora Health

    Park Ridge, Illinois, 60068

    Gina Littlejohn, 847-723-2099, Gina.Littlejohn@aah.org

    Demetrius Lopes, MD

    Recruiting
  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

    Leah Coghlan, 215-341-5864, leah.coghlan@pennmedicine.upenn.edu

    Recruiting
  • Thomas Jefferson University

    Philadelphia, Pennsylvania, 19107

    Danna Smith, 215-955-2173, Danna.Smith@jefferson.edu

    Pascal Jabbour, MD

    Recruiting
  • NC Heart and Vascular Research LLC

    Raleigh, North Carolina, 27607

    Jennifer Vanduine, 919-784-3100, jennifer.vanduine@unchealth.unc.edu

    Tibor Beckse, MD

    Recruiting
  • Swedish Neuroscience Institute

    Seattle, Washington, 98122

    Laura Johnson, 206- 320-2800

    Recruiting
  • Stony Brook University

    Stony Brook, New York, 11794

    Marlene Baumeister, 631-444-1213

    Recruiting

Other trials in United States

About this study

Official title: Contour Neurovascular System™ ContiNued Access Investigational Device EXempTion (IDE) Trial

The goal of this clinical trial is to collect additional data to demonstrate if the Contour Neurovascular System (CNS) is a safe and effective treatment of wide-necked, saccular, intracranial aneurysms.

Participants will:

Undergo treatment with the Contour Neurovascular System Complete follow-up visits at 1month, 12months, and 24 months, following their procedure Report any adverse events to their study team

Being tested
Contour Neurovascular System Treatment Attempt
Keywords
aneurysm, wide-neck, bifurcated, saccular
Medical subject headings
Intracranial Aneurysm, Aneurysm

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Contour Neurovascular System Treatment AttemptDevice

    The subject is brought into the procedure room, an angiogram on the day of the procedure indicates that the subject is anatomically eligible for the trial and any part of the investigational device comes in contact with the patient

Study groups in NCT06693011
Study groupRoleWhat they receive
Treatment Attempt with the Contour Neurovascular SystemExperimentalSubjects for which the index procedure (implant of the Contour Neurovascular System) was attempted.
Receives: Device: Contour Neurovascular System Treatment Attempt

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of death or stroke within 30 days of treatment or ipsilateral stroke or neurological death between 30 days and 1 year.

    Death or stroke within 30 days of treatment or ipsilateral stroke or neurological death between 30 days and 1 year.

    Stroke is defined per the World Health Organization as: rapidly developing clinical signs of focal or global disturbance of cerebral function lasting more than 24 hours with no apparent cause other than of vascular origin, including ischemic stroke and/or hemorrhagic stroke.

    Measured: From enrollment to 1 year

  2. Proportion of complete occlusion of the aneurysm with Contour, without retreatment, recurrent subarachnoid hemorrhage, or significant parent artery stenosis at one (1) year after treatment.

    Complete occlusion of the aneurysm with Contour as defined by complete aneurysm occlusion (Raymond Roy Scale of 1) without retreatment, recurrent subarachnoid hemorrhage, or significant parent artery stenosis (> 50% stenosis) at one (1) year after treatment as assessed by the angiographic core laboratory.

    The Raymond-Roy Scale grades aneurysms on a scale of one (1) to three (3) with a lower score correlating with a more favorable outcome. The Raymond-Roy Scale will be graded in accordance with the following definitions: Class 1 (Complete obliteration of the aneurysm), Class 2 (Persistence of any portion of the original defect of the arterial wall as seen on any single projection but without opacification of the aneurysmal sac), or Class 3 (Any opacification of the aneurysmal sac).

    Measured: From enrollment to 1 year

Secondary outcomes (5)
  1. Incidence of Serious Adverse Events (SAE) associated with the procedure or device

    Serious Adverse Events (SAE) associated with the procedure or device, both individually and in aggregate

    Measured: From enrollment to 2 years

  2. Proportions of aneurysm occlusion ratings

    ·Detailed assessment of aneurysm occlusion from post procedure to one (1) year (and also at two (2) years for any aneurysm not completely occluded at 1 year) provided by the core lab review of the angiogram, including the following:

    • Complete occlusion (Raymond Roy Scale of 1)
    • Adequate Occlusion (Raymond Roy Scale of 1 or 2)
    • Raymond Roy scale

    The Raymond-Roy Scale grades aneurysms on a scale of one (1) to three (3) with a lower score correlating with a more favorable outcome. The Raymond-Roy Scale will be graded in accordance with the following definitions: Class 1 (Complete obliteration of the aneurysm), Class 2 (Persistence of any portion of the original defect of the arterial wall as seen on any single projection but without opacification of the aneurysmal sac), or Class 3 (Any opacification of the aneurysmal sac).

    Measured: From enrollment to 2 years

  3. Incidence of stroke resulting in a disabling deficit

    Assessment of incidence of stroke resulting in a disabling deficit, defined operationally as a deficit that, if unchanged, would prevent the patient from performing basic activities of daily living (i.e., bathing, ambulating, toileting, hygiene, and eating) or returning to work (mRS ≥ 3).

    Measured: From enrollment to 2 years

  4. Incidence of serious neurological events

    All serious neurological adverse events

    Measured: From enrollment to 2 years

  5. Proportions of device movement ratings

    ·Detailed assessment of aneurysm occlusion from post procedure to one (1) year (and also at two (2) years for any aneurysm not completely occluded at 1 year) provided by the core lab review of the angiogram, including the following:

    • Device position (remains in place, migration into the parent artery or movement towards the aneurysm dome)

    Measured: From enrollment to 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Nov 2024
  2. Study start10 Jun 2025
  3. Primary completionOct 2028 (estimated)
  4. Study completionJan 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
This study is a prospective, multicenter, single-arm study.
Masking
None (open label)
Enrolment
250 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06693011
Sponsor's protocol ID
DNX140-01
Acronym
NEXT
Status last verified
Mar 2026
First submitted
8 Nov 2024
Last updated
31 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Contour Neurovascular System Treatment Attempt in people with Cerebral Aneurysms, run by Cerus Endovascular, Inc. at 9 sites in United States.

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 16 inclusion and 17 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: looking for participants now, as of the sponsor's last update on 31 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Amelia Saliba (408-582-4552, amelia.saliba@stryker.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of death or stroke within 30 days of treatment or ipsilateral stroke or neurological death between 30 days and 1 year. (time frame: From enrollment to 1 year). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 31 Mar 2026.

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