Brain bleed breakthrough? embolization procedure aims to stop repeat hematomas
NCT ID NCT06772740
First seen Jul 17, 2026 · Last updated Jul 17, 2026
Summary
This trial investigates whether a procedure called middle meningeal artery embolization can reduce the recurrence of chronic subdural hematoma—a collection of blood on the brain's surface that often comes back after standard treatment. The study enrolls adults with a hematoma at least 10 mm thick who also have at least one risk factor for recurrence, such as older age or use of blood thinners. Participants receive either the embolization procedure within a week of randomization or standard care, and researchers track how often the hematoma returns.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a procedure called middle meningeal artery embolization, which blocks blood flow to the outer lining of the brain to prevent re-bleeding
- What this could lead to
- If it works, this could offer a way to lower the chance that a chronic subdural hematoma comes back after initial treatment, reducing the need for repeat surgery.
- What could go wrong
- This is a relatively new application of an existing technique, and it is being tested in a specific high-risk group, so results may not apply to all patients. The procedure itself carries small risks like bleeding or stroke.
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 600 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Mar 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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 years and older
- 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 \>=18 2. pre-mRS 0-3 3. Hematoma thickness \>=10mm 4. Having at least one risk factor Risk factor: Age \>=75, Antithrombotic therapy, DM, Bilateral hematoma, Markwalder grading score \>3, Preoperative volume \>=130ml, Preoperative midline shift \>=8mm, CT appearance (Homogeneous, laminar or separated) Exclusion Criteria: 1. Cr \>=1.8 2. Plt \<50,000, PT-INR \>2 3. Life expectancy \<6 months
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hyogo Medical University
RECRUITINGNishinomiya, Hyōgo, 663-8501, Japan
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