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Device
Minimally Invasive Surgery for Stroke
N/A
Waitlist Available
Research Sponsored by Penumbra Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
SBP must be < 180 mmHg and controlled at this level for at least 6 hours
Supratentorial ICH of volume ≥ 20 and ≤ 80 cc (measured using A x B X C/2 method)
Must not have
Patient Factors: Severe active infection requiring treatment (e.g. sepsis or purulent wound) at the time of enrollment
Coagulation Issues: Known hereditary or acquired hemorrhagic diathesis, coagulation factor deficiency
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 180 and 365 days
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing whether a minimally invasive device is better than best medical management at treating intracerebral hemorrhage.
Who is the study for?
This trial is for adults aged 18-80 with a recent stroke causing bleeding in the brain (20-80 cc volume). They must have moderate to severe symptoms, be stable, and able to start treatment within 72 hours of the stroke. Excluded are those with certain types of hemorrhages, ongoing serious infections, severe kidney issues, pregnancy, or conditions affecting survival or follow-up.
What is being tested?
The MIND trial is testing if using Artemis Neuro Evacuation Device plus standard medical care is safer and more effective than just standard care alone for removing blood from the brain after a hemorrhage caused by a stroke.
What are the potential side effects?
Potential side effects may include risks associated with minimally invasive surgery such as infection, bleeding at the site of evacuation, possible neurological deterioration due to procedure-related complications or reactions to anesthesia.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My blood pressure has been under 180 mmHg for at least 6 hours.
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My brain bleed is between 20 and 80 cc in size.
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I am between 18 and 80 years old.
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My treatment started within 3 days after my bleeding began.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I do not have a severe infection needing treatment right now.
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I have a known bleeding disorder.
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I have a bleeding lesion in my brain, like a malformation or tumor.
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I need urgent surgery to relieve pressure inside my skull or have uncontrolled pressure despite having a drain.
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I am not pregnant and have a negative pregnancy test.
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I have kidney failure or am on dialysis.
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I have a high-risk heart condition or symptoms related to narrowed neck arteries.
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I need long-term blood thinners due to a mechanical heart valve or severe atrial fibrillation.
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I need treatment for bleeding inside my brain causing pressure or shift.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 180 and 365 days
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~180 and 365 days
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Global disability (functional outcome) assessed via the ordinal modified Rankin score (mRS)
Secondary study objectives
Functional outcomes measured via modified Rankin Score (mRS)
Functional outcomes measured via modified Rankin Score (mRS) of ≤ 2
Functional outcomes measured via modified Rankin Score (mRS) of ≤ 3
+3 moreAwards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Artemis + Medical Management (MIS)Experimental Treatment1 Intervention
Minimally invasive hematoma evacuation with the Artemis Neuro Evacuation Device with medical management
Group II: Best Medical Management Alone (MM)Active Control1 Intervention
Best medical management alone per standard of care at treating institution
Find a Location
Who is running the clinical trial?
Penumbra Inc.Lead Sponsor
36 Previous Clinical Trials
9,951 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- Your Glasgow Coma Scale score is between 5 and 15.My blood pressure has been under 180 mmHg for at least 6 hours.There is bleeding in the lower part of the brain on imaging.The midbrain shows signs of being affected in imaging tests.You cannot have certain imaging tests because it could be harmful for you.I do not have a severe infection needing treatment right now.I have a known bleeding disorder.Your blood clotting time and certain blood tests are abnormal and cannot be fixed.My brain bleed is between 20 and 80 cc in size.A scan shows signs of a growing bleed in an artery.I have a bleeding lesion in my brain, like a malformation or tumor.You have a stroke with bleeding in the brain.I need urgent surgery to relieve pressure inside my skull or have uncontrolled pressure despite having a drain.I am not pregnant and have a negative pregnancy test.I have kidney failure or am on dialysis.You have a National Institutes of Health Stroke Scale (NIHSS) score of 6 or higher.I haven't taken blood thinners like apixaban or rivaroxaban in the last 2 days.I have a high-risk heart condition or symptoms related to narrowed neck arteries.I am between 18 and 80 years old.You have experienced traumatic bleeding in your brain.You have bleeding in the middle part of your brain called the thalamus.You need to have no signs of bleeding in an artery, and may need to have additional scans to confirm this.Your blood has low platelet count or does not work normally.My treatment started within 3 days after my bleeding began.Your symptoms started less than 24 hours before your first CT or MRI scan.You have a historical mRS score of 0 or 1.I need long-term blood thinners due to a mechanical heart valve or severe atrial fibrillation.I need treatment for bleeding inside my brain causing pressure or shift.
Research Study Groups:
This trial has the following groups:- Group 1: Artemis + Medical Management (MIS)
- Group 2: Best Medical Management Alone (MM)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.