Brain bleed breakthrough? new study tests artery blocking to avoid surgery
NCT ID NCT04402632
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a procedure that blocks a blood vessel in the brain to treat subdural hematoma, a type of brain bleed. Instead of standard surgery, doctors used a liquid material called Onyx to seal the artery. The trial involved 600 people with subacute or chronic subdural hematoma to see if this approach is safe and effective.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Onyx liquid embolic system
- What this could lead to
- If it works, this could offer a less invasive treatment for subdural hematoma, potentially reducing the need for brain surgery and improving recovery.
- What could go wrong
- This is a completed trial, but results are not yet widely available. The procedure carries risks like bleeding or stroke, and it may not work for everyone.
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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600 people
The number who actually took part.
- Started
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Oct 2020
- Finished
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Apr 2025
- 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 90 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: * Pre-morbid Modified Rankin Score ≤3 * Confirmed diagnosis of subacute or chronic subdural hematoma * Completed informed consent * Meets criteria for Surgery or Observation Cohort Exclusion Criteria: * Life expectancy \<1 year * Unable to complete follow-up * Pregnant, lactating, or has a positive pregnancy test at time of admission * Diagnosed with acute SDH * Potentially dangerous anatomic variations leading to increased procedural risk or unsafe access for MMA embolization * Pre-randomized Markwalder Grading Scale score ≥ 3 * Unmanaged, uncontrolled bleeding disorders/blood diathesis * Presumed septic embolus, or suspicion of microbial superinfection * Known active COVID-19 infection * CT or MRI evidence of intra-cranial tumor or mass lesion Contraindication to angiography * Participation in another clinical trial * Contraindicated for the use of Onyx™ LES * Cannot be taken off corticosteroids (intended to treat subacute or chronic SDH) for at least 90 days post-randomization
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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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Advocate Lutheran General Hospital
Park Ridge, Illinois, 60068, United States
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Albany Medical Center
Albany, New York, 12208, United States
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Ascension Saint Vincent Hospital
Indianapolis, Indiana, 46260, United States
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Atrium Health's Carolinas Medical Center
Charlotte, North Carolina, 28204, United States
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Aurora Saint Luke's Medical Center
Milwaukee, Wisconsin, 53215, United States
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Baptist Medical Center Jacksonville
Jacksonville, Florida, 322047, United States
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Barnes-Jewish Hospital
St Louis, Missouri, 63110, United States
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Baylor Scott & White Medical Center - Temple
Temple, Texas, 76508-0001, United States
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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Buffalo General Medical Center
Buffalo, New York, 14203, United States
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California Pacific Medical Center
San Francisco, California, 94109, United States
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Carondelet St. Joseph's Hospital
Tucson, Arizona, 85710, United States
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Cleveland Clinic
Cleveland, Ohio, 44195-0001, United States
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Corewell Health
Grand Rapids, Michigan, 49503, United States
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Geisinger Medical Center
Danville, Pennsylvania, 17822, United States
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Grady Memorial Hospital
Atlanta, Georgia, 30303, United States
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Harborview Medical Center
Seattle, Washington, 98104-2420, United States
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Huntington Memorial Hospital
Pasadena, California, 91105, United States
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Jackson Memorial Hospital
Miami, Florida, 33136, United States
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Lahey Hospital & Medical Center
Burlington, Massachusetts, 01805-0001, United States
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McLaren Flint Hospital
Flint, Michigan, 48532, United States
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Memorial Hermann-Texas Medical Center
Houston, Texas, 77030, United States
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Memorial Regional Hospital
Hollywood, Florida, 33021, United States
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New York-Presbyterian Hospital/Weill Cornell Medical Center
New York, New York, 10065, United States
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North Shore University Hospital
Manhasset, New York, 11030, United States
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Oklahoma University Medical Center
Oklahoma City, Oklahoma, 73104, United States
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Oregon Health & Science University Hospital
Portland, Oregon, 97239-3011, United States
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Orlando Regional Medical Center Orlando Health
Orlando, Florida, 32806, United States
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Prisma Health
Greenville, South Carolina, 29605, United States
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ProMedica Toledo Hospital
Toledo, Ohio, 43606, United States
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Providence Little Company of Mary Medical Center
Torrance, California, 90503-4607, United States
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Rush University Medical Center
Chicago, Illinois, 60612, United States
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Saint Mary's Medical Center
West Palm Beach, Florida, 33407, United States
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Tampa General Hospital
Tampa, Florida, 33606, United States
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The Mount Sinai Hospital
New York, New York, 10029, United States
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The Ohio State University/Wexner Medical Center
Columbus, Ohio, 43210, United States
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UCSD Medical Center
San Diego, California, 92037, United States
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UF Health Heart and Vascular Hospital
Gainesville, Florida, 32608, United States
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USC - Keck School of Medicine
Los Angeles, California, 90033, United States
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University of Alabama at Birmingham (UAB) Hospital
Birmingham, Alabama, 35233-1932, United States
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University of California Irvine Medical Center
Irvine, California, 92868, United States
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University of California San Francisco Medical Center
San Francisco, California, 94143, United States
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University of Colorado Denver School of Medicine
Aurora, Colorado, 80045, United States
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University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242, United States
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University of Kentucky Albert B Chandler Hospital
Lexington, Kentucky, 40506, United States
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University of Pittsburgh Medical Center UPMC Presbyterian
Pittsburgh, Pennsylvania, 15213-2536, United States
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University of Utah Hospital
Salt Lake City, Utah, 84132, United States
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Valley Baptist Medical Center
Harlingen, Texas, 78550, United States
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Westchester Medical Center
Valhalla, New York, 10595, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Why a simple fall can cause brain bleeding in older adults
- Cold plasma zaps brain bleed comeback risk in small trial
- Cheap Blood-Clot drug could cut repeat brain surgery risk
- New brain bleed treatment could reduce need for repeat surgery
- Massive study aims to predict brain surgery success
- New procedure aims to stop brain bleeds from coming back