New coil device aims to seal brain aneurysms without surgery
NCT ID NCT04057352
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing a new device called the Citadel Embolization Device, a coil used to block blood flow in brain aneurysms. It involves 150 adults aged 18-80 with unruptured or recently ruptured wide-neck aneurysms. The goal is to see if the device safely and effectively seals the aneurysm, preventing future bleeding.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Citadel Embolization Device (a coil used to block blood flow in brain aneurysms)
- What this could lead to
- If successful, this device could offer a safer, less invasive way to treat wide-neck brain aneurysms, potentially reducing the need for surgery.
- What could go wrong
- This is a single-arm study with no comparison group, so results may be less definitive. Risks include stroke or incomplete aneurysm closure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2019
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age is ≥18 and ≤80 years 2. Has a single, unruptured or ruptured target intracranial aneurysm that is suitable for endovascular treatment. Definition: For the purposes of this study, a ruptured intracranial aneurysm is defined as one with CT/MRI/LP evidence of subarachnoid hemorrhage attributed to the index aneurysm within the last 60 days. 3. Aneurysm morphology is saccular 4. Aneurysm size is between 6-12 mm 5. Has a wide-neck, saccular aneurysm, either bifurcation or sidewall, with a dome to neck ratio \<2 or neck ≥4 mm 6. If the target intracranial aneurysm is classified as ruptured, patient must be neurologically stable with a Hunt \& Hess Score of 1 or 2. 7. Must be willing to comply with protocol required procedures and follow up 8. Subject or LAR must be willing to sign and date an IRB approved written informed consent prior to initiation of any screening or study procedures Exclusion Criteria: 1. Target aneurysm has been previously treated 2. Target aneurysm is in any extradural location, including the extradural cavernous segment 3. Has vessel characteristics, tortuosity or morphology or unfavorable aneurysm morphology (e.g., determined from baseline or preprocedure imaging, or which may be evidenced by excessive resistance felt during the procedure) that would preclude safe endovascular access to the target aneurysm necessary for treatment with the study device 4. Has significant intracranial atherosclerotic disease or stenosis determined from baseline or pre-procedure imaging 5. If the target intracranial aneurysm is classified as ruptured, patient is neurologically unstable or has a Hunt \& Hess Score of ≥ 3 6. Has a history of intracranial vasospasm not responsive to medical therapy 7. Has undergone coiling or stenting of a non-target intracranial aneurysm within 30 days prior to study treatment or has a non-target intracranial aneurysm that is expected to be treated within 12 months following the treatment of the target aneurysm 8. Treatment with flow diverting stent implant is anticipated 9. A planned, staged procedure is anticipated 10. Has Moya-Moya disease, arteriovenous malformation(s), arteriovenous fistula(e), intracranial tumor(s), intracranial hematoma(s), any other intracranial vascular malformation, or any previous major intracranial surgery 11. Has had a recent (within 90 days) ischemic stroke, TIA, or intracranial hemorrhage 12. Has a baseline mRS score ≥2 13. Has a known coagulopathy or is on chronic anticoagulant therapy 14. Is pregnant or intends to become pregnant during the study or is breastfeeding 15. Is concurrently involved in another study that could affect outcomes of IA treatment 16. Has evidence of active cancer, terminal illness, high risk of embolic stroke, unstable atrial fibrillation, significant co-morbidities, major surgery ≤ 30 days pre-procedure, psychiatric disorders, substance abuse, or a life expectancy of less than 5 years 17. Has a contraindication to angiography, radiographic contrast agents, or any medications that are typically used during the procedure, and any other contraindications listed in the Investigational DFU 18. Has a confirmed allergy to platinum, tungsten, nickel (e.g. nitinol), or other elements used in the manufacturing of the investigational device
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Baptist Health
Jacksonville, Florida, 32207, United States
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Baptist Health
Lexington, Kentucky, 40503, United States
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California Pacific Medical Center
San Francisco, California, 94114, United States
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Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Indiana Methodist
Indianapolis, Indiana, 46202, United States
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John Muir Health
Walnut Creek, California, 94598, United States
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Kansas University Medical Center
Kansas City, Kansas, 66160, United States
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McLaren Health Center
Flint, Michigan, 48532, United States
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Montefiore Medical Center
New York, New York, 10467, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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RIA Neurovascular
Englewood, Colorado, 80113, United States
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Spectrum Health
Grand Rapids, Michigan, 49503, United States
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Tampa General Hospital
Tampa, Florida, 33606, United States
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Thomas Jefferson University
Philadelphia, Pennsylvania, 19107, United States
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UCSF Medical Center
San Francisco, California, 94143, United States
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UMass Memorial Health
Worcester, Massachusetts, 01605, United States
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University of Florida
Gainesville, Florida, 32608, United States
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University of Kentucky
Lexington, Kentucky, 40506, United States
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University of Miami/Jackson Memorial
Miami, Florida, 33136, United States
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University of Pennsylvania Hospital
Philadelphia, Pennsylvania, 19104, United States
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University of Washington
Seattle, Washington, 98104, United States
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Washington University
St Louis, Missouri, 63110, United States
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Weill Cornell
New York, New York, 10021, United States
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West Virginia University Hospital
Morgantown, West Virginia, 26506, United States