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Idiopathic Intracranial HypertensionNCT07915453

Multimodal MRI Assessment of Brain Fluid Circulation in Idiopathic Intracranial Hypertension

An observational study of Idiopathic Intracranial Hypertension, run by Beijing Tiantan Hospital at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Idiopathic intracranial hypertension (IIH) is a neurological disorder characterized by increased pressure inside the skull without an identifiable cause. It can lead to headaches, swelling of the optic nerve, and visual impairment. Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Idiopathic Intracranial Hypertension
How many people
105 participants
Where
1 siteChina
Study dates
1 Nov 2026to Aug 2028
Phase
Observational
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 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: This single-center prospective observational study will enroll 105 participants, including 65 patients with idiopathic intracranial hypertension (IIH) and 40 healthy controls. Patients with IIH will be recruited at Beijing Tiantan Hospital. Healthy controls will be selected for comparison based on age, sex, and body mass index. Patients with IIH will undergo baseline and follow-up assessments, while healthy controls will undergo baseline assessments only.

Who may be able to join

  • Patients with Idiopathic Intracranial Hypertension (IIH):
  • Aged 18-60 years.
  • Clinical manifestations consistent with or highly suggestive of IIH, such as headache, visual disturbance, papilledema, pulsatile tinnitus, or diplopia.
  • No hydrocephalus, intracranial mass, or other structural cause of increased intracranial pressure on CT or MRI.
  • Normal cerebrospinal fluid composition.
  • Lumbar puncture opening pressure ≥250 mmH₂O.
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  • Ability to complete standardized baseline MRI examinations.
  • Provision of written informed consent.
  • Healthy Controls:
  • Aged 18-60 years.
  • Comparable age, sex, and body mass index to the IIH group.
  • No history of IIH or symptoms suggestive of increased intracranial pressure.
  • No papilledema or significant visual or neuro-ophthalmological abnormalities.
  • No history of major neurological disorders.
  • Ability to complete standardized multimodal MRI examinations.
  • Provision of written informed consent.

Who cannot join

  • Patients with IIH:
  • Secondary intracranial hypertension due to cerebral venous sinus thrombosis, intracranial infection, mass lesions, hydrocephalus, or other identifiable causes.
  • Previous surgical or endovascular procedures substantially affecting intracranial pressure or cerebral venous drainage.
  • Ophthalmological or neuro-ophthalmological disorders that may interfere with visual assessment.
  • Recent head trauma or intracranial surgery, major brain abnormalities, or neurological disorders that may substantially affect MRI assessments; long-term use of medications considered likely to interfere with intracranial pressure or fluid metabolism.
  • Pregnancy or breastfeeding.
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  • Severe systemic illness or MRI contraindications.
  • Inadequate baseline MRI quality or substantial missing clinical data preventing reliable analysis.
  • Any other condition considered unsuitable for participation by the investigator.
  • Healthy Controls:
  • History of IIH, cerebral venous disorders, intracranial mass lesions, hydrocephalus, or other neurological conditions potentially affecting brain fluid dynamics.
  • Ophthalmological or neuro-ophthalmological disorders that may interfere with visual assessment.
  • Pregnancy or breastfeeding.
  • MRI contraindications.
  • Severe systemic illness preventing completion of study examinations.
  • Any other condition considered unsuitable for participation by the investigator.

Trial locations and contacts

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

Dapeng Mo, PhD contact

18811039300

bjttmodp@163.com

China1 site
  • Beijing Tiantan Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100070

Other trials in China

About this study

Official title: A Clinical Study Using Multimodal MRI to Evaluate the Effects of Choroid Plexus Function, Glymphatic Function, and Blood-Brain Barrier Function on Cerebrospinal Fluid Circulation in Patients With Idiopathic Intracranial Hypertension

Idiopathic intracranial hypertension (IIH) is a neurological disorder characterized by increased pressure inside the skull without an identifiable cause. It can lead to headaches, swelling of the optic nerve, and visual impairment. Alterations in cerebrospinal fluid circulation and fluid exchange within the brain may contribute to this condition, but the underlying mechanisms remain incompletely understood.

This prospective observational study aims to investigate brain fluid circulation in patients with IIH using multimodal magnetic resonance imaging (MRI).A total of 105 participants will be enrolled, including 65 patients with IIH and 40 healthy controls. Healthy controls will be recruited to achieve comparable distributions of age, sex, and body mass index at the group level.

Read more

The primary objective is to compare MRI measures related to the choroid plexus, cerebrospinal fluid flow, glymphatic function, cerebral perfusion, and water exchange across the blood-brain barrier between patients with IIH and healthy controls. Secondary objectives are to assess changes in these measures after clinical treatment and examine their associations with intracranial pressure, optic nerve swelling, visual function, and clinical symptoms.

Patients with IIH will undergo clinical, ophthalmological, and MRI assessments at baseline and approximately 3 and 6 months after treatment. Healthy controls will undergo baseline assessments only.

This study will not assign treatments. All clinical management decisions will be made independently by treating physicians. Research MRI examinations will not require contrast agents, and no invasive procedures will be performed solely for research purposes.

Read the detailed description

This is a single-center, prospective observational study designed to characterize brain fluid circulation-related abnormalities in patients with idiopathic intracranial hypertension (IIH) through multimodal MRI and to investigate their clinical relevance and longitudinal changes following routine clinical treatment.

A total of 105 participants will be enrolled, including 65 patients with IIH and 40 healthy controls. Healthy controls will be recruited to achieve comparable distributions of age, sex, and body mass index at the group level. Baseline comparisons will assess differences in imaging markers representing several complementary aspects of brain fluid homeostasis.

Multimodal MRI examinations will include structural T1- and T2-weighted imaging, magnetic resonance venography, phase-contrast MRI, diffusion MRI, resting-state functional MRI, arterial spin labeling, and vascular water exchange imaging (VEXI).

The imaging assessment will include choroid plexus volume, cerebral aqueduct cerebrospinal fluid flow parameters, perivascular space burden, diffusion tensor imaging analysis along the perivascular space (DTI-ALPS) index, free-water fraction, diffusion tensor imaging-estimated periventricular diffusivity (DTI-EstPVeD), global blood oxygen level-dependent signal-cerebrospinal fluid coupling, cerebral blood flow, and the apparent water exchange rate across the blood-brain barrier (AXR_BBB).

Clinical evaluations in patients with IIH will include cerebrospinal fluid opening pressure, visual acuity, visual field mean deviation, Frisén papilledema grade, retinal nerve fiber layer thickness, and standardized assessments of headache, tinnitus, quality of life, and cognitive function. Trans-stenotic pressure gradients and other invasive clinical measurements will be recorded when available from clinically indicated procedures.

Patients with IIH will undergo repeated clinical, ophthalmological, and multimodal MRI assessments at baseline, 90 ± 14 days, and 180 ± 30 days after clinical treatment. Healthy controls will undergo baseline assessments only. Treatment, including medical management or venous sinus stenting when clinically indicated, will be determined independently by treating physicians and will not be assigned by the study protocol.

The primary analysis will compare baseline imaging measures between patients with IIH and healthy controls, adjusting for age, sex, and body mass index. Longitudinal analyses will evaluate within-patient changes in imaging measures and their associations with changes in intracranial pressure, papilledema, visual function, and clinical symptoms. Comparisons between treatment subgroups will be considered exploratory because treatment allocation is not randomized.

The study aims to provide a comprehensive multimodal imaging characterization of brain fluid circulation-related abnormalities in IIH and to identify potential imaging markers for future disease assessment and treatment monitoring.

Keywords
Idiopathic Intracranial Hypertension, Choroid Plexus, Glymphatic System, Blood-Brain Barrier, Cerebrospinal Fluid Dynamics, Multimodal Magnetic Resonance Imaging, DTI-ALPS, Perivascular Spaces
Medical subject headings
Pseudotumor Cerebri

What participants receive

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

Study groups in NCT07915453
Study groupRoleWhat they receive
IIH PatientsSixty-five patients with idiopathic intracranial hypertension (IIH) will undergo baseline clinical, ophthalmological, and multimodal MRI assessments. Follow-up assessments will be performed at 90 ± 14 days and 180 ± 30 days after clinical treatment. Treatment, including medical management or venous sinus stenting when clinically indicated, will be determined independently by treating physicians and will not be assigned by the study protocol.
Healthy ControlsForty healthy controls will be recruited to achieve comparable distributions of age, sex, and body mass index to those of the IIH group at the group level. Healthy controls will undergo baseline demographic assessment, noninvasive screening, and multimodal MRI only. No longitudinal follow-up or study-related invasive procedures will be performed in healthy controls.

What is being measured

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

  1. Total Choroid Plexus Volume

    Total bilateral choroid plexus volume (mm³) measured using structural MRI.

    Measured: Baseline

  2. Whole-Brain-Normalized Choroid Plexus Volume

    Choroid plexus volume normalized to whole-brain volume, expressed as a dimensionless ratio.

    Measured: Baseline

  3. Peak Systolic Cerebrospinal Fluid Velocity in the Cerebral Aqueduct

    Peak systolic cerebrospinal fluid velocity (cm/s) in the cerebral aqueduct measured using phase-contrast MRI.

    Measured: Baseline

  4. Peak Diastolic Cerebrospinal Fluid Velocity in the Cerebral Aqueduct

    Peak diastolic cerebrospinal fluid velocity (cm/s) in the cerebral aqueduct measured using phase-contrast MRI.

    Measured: Baseline

  5. Mean Cerebrospinal Fluid Velocity in the Cerebral Aqueduct

    Mean cerebrospinal fluid velocity (cm/s) in the cerebral aqueduct measured using phase-contrast MRI.

    Measured: Baseline

  6. Net Cerebrospinal Fluid Flow Rate Through the Cerebral Aqueduct

    Net cerebrospinal fluid flow rate (mL/min) through the cerebral aqueduct measured using cardiac-gated phase-contrast MRI.

    Measured: Baseline

  7. Total Perivascular Space Volume Fraction

    Ratio of MRI-visible perivascular space volume to intracranial volume, derived from structural MRI.

    Measured: Baseline

  8. Overall Diffusion Tensor Imaging Along the Perivascular Space Index

    Overall diffusion tensor imaging along the perivascular space (DTI-ALPS) index derived from diffusion MRI, expressed as a dimensionless ratio.

    Measured: Baseline

  9. White Matter Free-Water Fraction

    Extracellular free-water fraction in cerebral white matter estimated using diffusion MRI.

    Measured: Baseline

  10. Diffusion Tensor Imaging-Estimated Periventricular Diffusivity Index

    Periventricular diffusivity (PVeD) index estimated from the transverse tensor ratio (TTR) in periventricular white matter using diffusion tensor MRI.

    Measured: Baseline

  11. Global Blood Oxygen Level-Dependent Signal-Cerebrospinal Fluid Coupling

    Pearson correlation coefficient (r) between the global gray-matter BOLD signal and the CSF inflow signal derived from resting-state functional MRI.

    Measured: Baseline

  12. Whole-Brain Cerebral Blood Flow

    Mean whole-brain cerebral blood flow (mL/100 g/min) measured using arterial spin labeling MRI.

    Measured: Baseline

  13. Gray Matter Cerebral Blood Flow

    Mean cerebral blood flow (mL/100 g/min) in gray matter measured using arterial spin labeling MRI.

    Measured: Baseline

  14. White Matter Cerebral Blood Flow

    Mean cerebral blood flow (mL/100 g/min) in white matter measured using arterial spin labeling MRI.

    Measured: Baseline

  15. White Matter Apparent Blood-Brain Barrier Water Exchange Rate

    Apparent blood-brain barrier water exchange rate (AXR_BBB) in cerebral white matter estimated using vascular water exchange imaging (VEXI).

    Measured: Baseline

  16. Deep Gray Matter Apparent Blood-Brain Barrier Water Exchange Rate

    Apparent blood-brain barrier water exchange rate (AXR_BBB) in deep gray matter estimated using vascular water exchange imaging (VEXI).

    Measured: Baseline

Secondary outcomes (16)
  1. Cerebrospinal Fluid Opening Pressure

    Cerebrospinal fluid opening pressure (mmH₂O) measured during clinically indicated lumbar puncture in patients with IIH.

    Measured: Baseline

  2. Trans-Stenotic Venous Pressure Gradient

    Pressure gradient (mmHg) across venous sinus stenosis measured during clinically indicated venous manometry in patients with IIH.

    Measured: Baseline

  3. Visual Acuity

    Visual acuity recorded as a numerical measure during ophthalmological examination in patients with IIH.

    Measured: Baseline

  4. Visual Field Mean Deviation

    Visual field mean deviation (dB) measured using automated perimetry in patients with IIH.

    Measured: Baseline

  5. Frisén Papilledema Grade

    Papilledema severity assessed using the Frisén grading scale (0-5), with higher grades indicating greater severity.

    Measured: Baseline

  6. Retinal Nerve Fiber Layer Thickness

    Retinal nerve fiber layer thickness (µm) measured using optical coherence tomography.

    Measured: Baseline

  7. Headache Impact Test-6 Score

    Total score on the six-item Headache Impact Test (HIT-6), ranging from 36 to 78, with higher scores indicating greater headache-related impact.

    Measured: Baseline

  8. Tinnitus Handicap Inventory Score

    Total score on the Tinnitus Handicap Inventory (THI), ranging from 0 to 100, with higher scores indicating greater tinnitus-related handicap.

    Measured: Baseline

  9. EuroQol 5-Dimension Index Score

    Health-related quality of life measured using the EQ-5D index value, with higher scores indicating better health status.

    Measured: Baseline

  10. Mini-Mental State Examination Score

    Total score on the Mini-Mental State Examination (MMSE), ranging from 0 to 30, with higher scores indicating better cognitive performance.

    Measured: Baseline

  11. Montreal Cognitive Assessment Score

    Total score on the Montreal Cognitive Assessment (MoCA), ranging from 0 to 30, with higher scores indicating better cognitive performance.

    Measured: Baseline

  12. Oral Symbol Digit Modalities Test Score

    Number of correct responses on the Oral Symbol Digit Modalities Test (Oral SDMT), with higher scores indicating better information processing speed.

    Measured: Baseline

  13. Trail Making Test Part A Completion Time

    Completion time (seconds) for the Trail Making Test Part A (TMT-A), with longer times indicating slower performance.

    Measured: Baseline

  14. Trail Making Test Part B Completion Time

    Completion time (seconds) for the Trail Making Test Part B (TMT-B), with longer times indicating slower performance.

    Measured: Baseline

  15. Stroop Color-Word Interference Completion Time

    Completion time (seconds) for the interference condition of the Stroop Color-Word Test, with longer times indicating poorer performance.

    Measured: Baseline

  16. Backward Digit Span Score

    Number of digit sequences correctly recalled in reverse order, with higher scores indicating better working memory performance.

    Measured: Baseline

Timeline

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

  1. First posted4 Nov 2026
  2. Study start1 Nov 2026 (estimated)
  3. Primary completionFeb 2028 (estimated)
  4. Study completionAug 2028 (estimated)

Resources

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
Case-control
Time perspective
Prospective
Enrolment
105 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07915453
Sponsor's protocol ID
HX-B-2026054
Status last verified
Oct 2026
First submitted
29 Oct 2026
Last updated
4 Nov 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is currently no plan to share individual participant data outside the study team.

Questions about this trial

What is this clinical trial studying?

An observational study of Idiopathic Intracranial Hypertension, run by Beijing Tiantan Hospital at 1 site 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 16 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: opening soon, as of the sponsor's last update on 4 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

Contact Dapeng Mo, PhD (18811039300, bjttmodp@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total Choroid Plexus Volume (time frame: Baseline). The study lists 16 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 4 Nov 2026.

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