Crerbral AngiographyNCT07182188
A Clinical Trial of Vascular Interventional Robotic System for Cerebral Angiography
A study testing Vascular Interventional Robotic System in people with Crerbral Angiography, run by Peking Union Medical College Hospital at 2 sites in China.
Trial summary
This study aims to conduct a post-market, multicenter clinical trial utilizing an interventional robotic system for cerebral angiography. By comparing it with traditional angiography procedures, the study will systematically evaluate the efficacy and safety of robot-assisted angiography in real clinical settings. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Crerbral Angiography
- What is being tested?
- Vascular Interventional Robotic System
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 660 participants
- Where
- 2 sitesChina
- Study dates
- 1 Sep 2024to 30 Apr 2027
- 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
- Age between 18 and 75 years;
- Suspected vascular lesions in the head and neck, or other conditions involving head and neck vessels requiring whole-brain angiography for definitive diagnosis or to aid treatment decisions. Including but not limited to: intracranial aneurysms, arteriovenous malformations, cavernous malformations, arteriovenous fistulas, Moyamoya disease, Moyamoya syndrome, subarachnoid hemorrhage, symptomatic intracranial artery stenosis/occlusion, stenosis/occlusion of the carotid/subclavian/vertebral arteries, acute/ chronic subdural hematoma, etc;
- American Society of Anesthesiologists (ASA) physical status classification I-III (no severe cardiopulmonary dysfunction);
- Patients who voluntarily participate in this study and sign an informed consent form.
Who cannot join
- Patients who are to undergo surgery at the same time as cerebral angiography;
- Renal dysfunction (serum creatinine > 133 μmol/L or estimated glomerular filtration rate < 60 mL/min/1.73 m²);
- Patients with known allergy to iodinated contrast media;
- Coagulation disorders (prothrombin time >16s, activated partial thromboplastin time >45s, or platelet count <100×10⁹/L);
- Severe infection, skin ulceration, or vascular anatomical abnormalities at the puncture site (e.g., bilateral femoral artery occlusion);
- Pregnant or lactating women;
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- Patients with severe cognitive impairment;
- Patients with psychiatric disorders;
- Patients unable to undergo head magnetic resonance imaging (MRI), e.g., those with metallic implants, claustrophobia, or other contraindications;
- Patients with other severe advanced or terminal illnesses;
- Patients currently participating in other clinical trials.
Trial locations and contacts
2 sites in 1 country.
China2 sites
Beijing Tiantan Hospital, Capital Medical University
Beijing, Beijing Municipality, 100070
Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, 100730
About this study
Official title: Post-Market Application Study and Efficacy/Safety Evaluation of a Vascular Interventional Robotic System for Cerebral Angiography: A Multicenter Randomized Controlled Trial
This study aims to conduct a post-market, multicenter clinical trial utilizing an interventional robotic system for cerebral angiography. By comparing it with traditional angiography procedures, the study will systematically evaluate the efficacy and safety of robot-assisted angiography in real clinical settings. Researchers will compare the ordinary angiography to assess the clinical success rate, operation time, radiation absorption, complication rate, etc.
Read the detailed description
The ERASE trial is an investigator-initiated, multicenter, prospective, randomized, open-label, blinded-endpoint study designed to enroll 660 patients. Patients with suspected head and neck vascular lesions requiring cerebral angiography for definitive diagnosis, who meet the ERASE trial's inclusion and exclusion criteria, will be considered for enrollment across seven comprehensive stroke centers in China.
Eligible patients will be randomized to one of two treatment groups: the robot-assisted group and the control group. Those assigned to the robot-assisted group will undergo cerebral angiography performed by physicians via the YDHB-NS01 Ver 2.0 robotic-assisted system, while those in the control group will undergo the procedure via manual techniques by physicians.
- Conditions
- Crerbral Angiography
- Being tested
- Vascular Interventional Robotic System
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vascular Interventional Robotic SystemDevice
The cerebral angiography will be performed by using the vascular interventional robotic system
| Study group | Role | What they receive |
|---|---|---|
| Traditional Manual Endovascular Angiography | No intervention | Not described |
| Vascular Interventional Robotic System Assisted Angiography | Experimental | Not described Receives: Device: Vascular Interventional Robotic System |
What is being measured
The primary outcome is the main question the study is designed to answer.
Angiography (Clinical) Success Rate
Assessment of the success rate of the surgeon in completing cerebral angiography examination through the operation of vascular interventional robotic system or manual way. Success is confirmed by the criteria: clear visualization of all pre-specified target vessels (without significant imaging artifacts).
Measured: At the end of surgery
Complication Rate
Potential complications include: ① Directly related to the interventional procedure: Vascular injury (vessel rupture, perforation, spasm, gas embolism, and thrombosis); ② Neurological complications: New-onset neurological deficits (transient/permanent), new-onset cerebral ischemia, or new-onset intracerebral hemorrhage, confirmed by postoperative imaging; ③ Systemic complications: Cardiac events, gastrointestinal bleeding, renal dysfunction, etc.
Measured: At the day after surgery
New asymptomatic cerebral infarctions
Assessed via the comparison between the baseline and postoperative (performed within 24 hours post-procedure for all participants) brain magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI)
Measured: Within 24 hours post-procedure
Secondary outcomes (10)
Operation Time
Record and compare the duration of each surgical procedure.
Measured: At the end of surgery
Super-selective Success Rate
Assessing the success rate of the surgeon in performing super-selective catheterization of each cerebral vessels through the operation of vascular interventional robotic system or manual way.
Measured: At the end of surgery
Super-selective Catheterization Time for Vessels
Calculate and compare the average time taken for surgeon to perform super-selective catheterization for each target vessel during each surgical procedure.
Measured: At the end of surgery
Digital Subtraction Angiography (DSA) Fluoroscopy Time
Calculate and compare the average time of fluoroscopy during cerebral angiography for each surgical procedure.
Measured: At the end of surgery
Primary Operator Radiation Absorbed Dose
Record and compare the absorbed dose of radiation received by the primary operator during each surgical procedure.
Measured: At the end of surgery
Participant Radiation Absorbed Dose
Record and compare the absorbed dose of radiation received by the participant during each surgical procedure.
Measured: At the end of surgery
Vascular Interventional Robotic System Performance Evaluation
The surgical physician rate a score (0-10) after the surgery to subjectively evaluate the performance of the vascular interventional robotic system during the angiographic examination procedure.
Measured: At the end of surgery
Frequence of robotic operations transition to manual operations
Document the frequence where robotic operations transition to manual operations due to certain force majeure events.
Measured: At the end of surgery
Operation Preparation Time
Calculate and compare the time from when participants enter the operating room until the primary operator formal start the surgery.
Measured: At the end of Surgery
Technical Failure Rate
any conversion from robotic-assisted to manual operation, or inability to complete the procedure due to robotic system malfunctions (e.g., navigation errors, mechanical arm failure). All technical failure cases are classified as clinical failures in the ITT set and excluded from the PP set.
Measured: At the end of Surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2025
- Study start1 Sep 2024
- Primary completion30 Apr 2027 (estimated)
- Study completion30 Apr 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Crerbral AngiographyStudies of the same condition, open and under way.
- More trials run by Peking Union Medical College HospitalThe sponsor's other registered studies.
- 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Per-protocol (PP) set: The PP set includes all randomized participants who: (i) meet all inclusion criteria and none of the exclusion criteria; (ii) receive the allocated procedure modality without major protocol violation; and (iii) complete all primary endpoint assessments without missing data. The PP set is the primary dataset for the non-inferiority test (the non-inferiority margin was -5%) of the primary efficacy endpoint and the key DWI safety endpoint analysis. Intention-to-treat (ITT) set: The ITT set includes all randomized participants, analyzed according to their allocated treatment group regardless of protocol adherence or treatment received. In accordance with the principle, all cases of technical failure in the robotic-assisted group are classified as clinical failures in the ITT analysis. The ITT set is used for sensitivity analysis of the primary endpoint to verify the robustness of non-inferiority conclusions.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 660 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Peking Union Medical College Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Beijing Tiantan Hospital, The First Hospital of Hebei Medical University, The First Affiliated Hospital of Zhengzhou University, Tangshan Worker's Hospital, The Second Affiliated Hospital of Harbin Medical University, The First People's Hospital of Lianyungang
- Responsible party
- Principal investigator, Yuanli Zhao, Peking Union Medical College Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07182188
- Sponsor's protocol ID
- MR-11-24-024538
- Status last verified
- Oct 2026
- First submitted
- 11 Sep 2025
- Last updated
- 27 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The vascular interventional robotic system includes proprietary technical features that are integral to the IPD. Publicly sharing IPD would inadvertently disclose proprietary information, which could compromise the manufacturer's intellectual property rights and hinder future development of the technology for broader clinical use.
Publications
Liu H, Li C, Ren S, Li T, Zhong H, Jia J, Yang H, Qi Y, Feng J, Li Y, Wang Y. Efficacy and safety of a neurointerventional operation robotic assistance system in cerebral angiography. Stroke Vasc Neurol. 2024 Jun 21;9(3):243-251. doi: 10.1136/svn-2022-002260.
PubMed 37612055Zhang Y, Xu H, Sun J, Chen WH, Zhang Y, Chen M, Yi T, Wu YM, Cheng G, Guo J, Yang P, Guo S, Liu J. Safety and efficacy of cerebral robot assisted angiography: randomized comparison of robotic versus manual procedures. J Neurointerv Surg. 2026 Apr 16;18(5):1330-1336. doi: 10.1136/jnis-2025-023412.
PubMed 40633938Beaman C, Gautam A, Peterson C, Kaneko N, Ponce L, Saber H, Khatibi K, Morales J, Kimball D, Lipovac JR, Narsinh KH, Baker A, Caton MT, Smith ER, Nour M, Szeder V, Jahan R, Colby GP, Cord BJ, Cooke DL, Tateshima S, Duckwiler G, Waldau B; Robotics Working Group; Robotic Working Group. Robotic Diagnostic Cerebral Angiography: A Multicenter Experience of 113 Patients. J Neurointerv Surg. 2024 Jun 17;16(7):726-730. doi: 10.1136/jnis-2023-020448.
PubMed 37468266
Study at a glance
From the registry record, last updated by the sponsor on 27 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Post-Market Application Study and Efficacy/Safety Evaluation of a Vascular Interventional Robotic System for Cerebral Angiography: A Multicenter Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07182188
- Acronym / sponsor ID
- MR-11-24-024538
- Conditions
- Crerbral Angiography
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 660 participants (estimated)
- Lead sponsor
- Peking Union Medical College HospitalUniversity, hospital or other
- Collaborators
- Beijing Tiantan Hospital, The First Hospital of Hebei Medical University, The First Affiliated Hospital of Zhengzhou University, Tangshan Worker's Hospital, The Second Affiliated Hospital of Harbin Medical University, The First People's Hospital of Lianyungang
- Study start
- 1 Sep 2024 (actual)
- Primary completion
- 30 Apr 2027 (estimated)
- Study completion
- 30 Apr 2027 (estimated)
- First posted
- 19 Sep 2025 (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 study aims to conduct a post-market, multicenter clinical trial utilizing an interventional robotic system for cerebral angiography. By comparing it with traditional angiography procedures, the study will systematically evaluate the efficacy and safety of robot-assisted angiography in real clinical settings. Researchers will compare the ordinary angiography to assess the clinical success rate, operation time, radiation absorption, complication rate, etc.
Detailed description
The ERASE trial is an investigator-initiated, multicenter, prospective, randomized, open-label, blinded-endpoint study designed to enroll 660 patients. Patients with suspected head and neck vascular lesions requiring cerebral angiography for definitive diagnosis, who meet the ERASE trial's inclusion and exclusion criteria, will be considered for enrollment across seven comprehensive stroke centers in China.
Eligible patients will be randomized to one of two treatment groups: the robot-assisted group and the control group. Those assigned to the robot-assisted group will undergo cerebral angiography performed by physicians via the YDHB-NS01 Ver 2.0 robotic-assisted system, while those in the control group will undergo the procedure via manual techniques by physicians.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- Per-protocol (PP) set: The PP set includes all randomized participants who: (i) meet all inclusion criteria and none of the exclusion criteria; (ii) receive the allocated procedure modality without major protocol violation; and (iii) complete all primary endpoint assessments without missing data. The PP set is the primary dataset for the non-inferiority test (the non-inferiority margin was -5%) of the primary efficacy endpoint and the key DWI safety endpoint analysis. Intention-to-treat (ITT) set: The ITT set includes all randomized participants, analyzed according to their allocated treatment group regardless of protocol adherence or treatment received. In accordance with the principle, all cases of technical failure in the robotic-assisted group are classified as clinical failures in the ITT analysis. The ITT set is used for sensitivity analysis of the primary endpoint to verify the robustness of non-inferiority conclusions.
| Arm | Type | Receives |
|---|---|---|
| Traditional Manual Endovascular Angiography | No intervention | – |
| Vascular Interventional Robotic System Assisted Angiography | Experimental | Device: Vascular Interventional Robotic System |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Age between 18 and 75 years;
- Suspected vascular lesions in the head and neck, or other conditions involving head and neck vessels requiring whole-brain angiography for definitive diagnosis or to aid treatment decisions. Including but not limited to: intracranial aneurysms, arteriovenous malformations, cavernous malformations, arteriovenous fistulas, Moyamoya disease, Moyamoya syndrome, subarachnoid hemorrhage, symptomatic intracranial artery stenosis/occlusion, stenosis/occlusion of the carotid/subclavian/vertebral arteries, acute/ chronic subdural hematoma, etc;
- American Society of Anesthesiologists (ASA) physical status classification I-III (no severe cardiopulmonary dysfunction);
- Patients who voluntarily participate in this study and sign an informed consent form.
Key exclusion criteria (11 listed)
- Patients who are to undergo surgery at the same time as cerebral angiography;
- Renal dysfunction (serum creatinine > 133 μmol/L or estimated glomerular filtration rate < 60 mL/min/1.73 m²);
- Patients with known allergy to iodinated contrast media;
- Coagulation disorders (prothrombin time >16s, activated partial thromboplastin time >45s, or platelet count <100×10⁹/L);
- Severe infection, skin ulceration, or vascular anatomical abnormalities at the puncture site (e.g., bilateral femoral artery occlusion);
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Vascular Interventional Robotic SystemThe cerebral angiography will be performed by using the vascular interventional robotic system | Device | Vascular Interventional Robotic System Assisted Angiography |
Primary outcome
Angiography (Clinical) Success Rate
Time frame: At the end of surgery
Assessment of the success rate of the surgeon in completing cerebral angiography examination through the operation of vascular interventional robotic system or manual way. Success is confirmed by the criteria: clear visualization of all pre-specified target vessels (without significant imaging artifacts).
Complication Rate
Time frame: At the day after surgery
Potential complications include: ① Directly related to the interventional procedure: Vascular injury (vessel rupture, perforation, spasm, gas embolism, and thrombosis); ② Neurological complications: New-onset neurological deficits (transient/permanent), new-onset cerebral ischemia, or new-onset intracerebral hemorrhage, confirmed by postoperative imaging; ③ Systemic complications: Cardiac events, gastrointestinal bleeding, renal dysfunction, etc.
New asymptomatic cerebral infarctions
Time frame: Within 24 hours post-procedure
Assessed via the comparison between the baseline and postoperative (performed within 24 hours post-procedure for all participants) brain magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI)
10 secondary outcomes
Operation Time
Time frame: At the end of surgery
Super-selective Success Rate
Time frame: At the end of surgery
Super-selective Catheterization Time for Vessels
Time frame: At the end of surgery
Digital Subtraction Angiography (DSA) Fluoroscopy Time
Time frame: At the end of surgery
Primary Operator Radiation Absorbed Dose
Time frame: At the end of surgery
Participant Radiation Absorbed Dose
Time frame: At the end of surgery
Vascular Interventional Robotic System Performance Evaluation
Time frame: At the end of surgery
Frequence of robotic operations transition to manual operations
Time frame: At the end of surgery
Operation Preparation Time
Time frame: At the end of Surgery
Technical Failure Rate
Time frame: At the end of Surgery
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Oct 2026.
- Results publication: PubMed 37612055Liu H, Li C, Ren S, Li T, Zhong H, Jia J, Yang H, Qi Y, Feng J, Li Y, Wang Y. Efficacy and safety of a neurointerventional operation robotic assistance system in cerebral angiography. Stroke Vasc Neurol. 2024 Jun 21;9(3):243-251. doi: 10.1136/svn-2022-002260.
- Results publication: PubMed 40633938Zhang Y, Xu H, Sun J, Chen WH, Zhang Y, Chen M, Yi T, Wu YM, Cheng G, Guo J, Yang P, Guo S, Liu J. Safety and efficacy of cerebral robot assisted angiography: randomized comparison of robotic versus manual procedures. J Neurointerv Surg. 2026 Apr 16;18(5):1330-1336. doi: 10.1136/jnis-2025-023412.
- Results publication: PubMed 37468266Beaman C, Gautam A, Peterson C, Kaneko N, Ponce L, Saber H, Khatibi K, Morales J, Kimball D, Lipovac JR, Narsinh KH, Baker A, Caton MT, Smith ER, Nour M, Szeder V, Jahan R, Colby GP, Cord BJ, Cooke DL, Tateshima S, Duckwiler G, Waldau B; Robotics Working Group; Robotic Working Group. Robotic Diagnostic Cerebral Angiography: A Multicenter Experience of 113 Patients. J Neurointerv Surg. 2024 Jun 17;16(7):726-730. doi: 10.1136/jnis-2023-020448.
- Individual participant dataSharing planned: No. The vascular interventional robotic system includes proprietary technical features that are integral to the IPD. Publicly sharing IPD would inadvertently disclose proprietary information, which could compromise the manufacturer's intellectual property rights and hinder future development of the technology for broader clinical use.
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.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Vascular Interventional Robotic System in people with Crerbral Angiography, run by Peking Union Medical College Hospital at 2 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 11 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: under way, not looking for participants, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 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?
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?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Angiography (Clinical) Success Rate (time frame: At the end of surgery). The study lists 3 primary outcomes in all. 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 NCT07182188, which also lists 3 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 27 Oct 2026.