Brain aneurysm study aims to predict rupture risk without surgery
NCT ID NCT04578808
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study follows 1,000 people with small, unruptured brain aneurysms (3-7 mm) for three years. Researchers will use MRI scans to see if a specific imaging sign—wall enhancement—can predict which aneurysms grow. The goal is to create a safer, personalized monitoring plan so that only high-risk aneurysms get treated.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could lead to a personalized follow-up plan for people with unruptured brain aneurysms, reducing unnecessary treatments and anxiety.
- What could go wrong
- This is an observational study, not a treatment trial. It may not find a reliable predictor, and results may not apply to all aneurysm types or sizes.
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.
- Participants
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About 1,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2019
- Expected to finish
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Mar 2031
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.
Who is studied
The recruited population is composed of subjects carrying unruptured asymptomatic typical IA of bifurcation for whom a clinical, a biological and an imaging follow-up, without occlusion treatment, was scheduled by local multidisciplinary staff.
- 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 : * Subject carrying unruptured, asymptomatic and untreated typical IA of bifurcation, measured on conventional imaging (MRI, CTA or DSA) between 3 and 7 mm of larger diameter. * Ability to be followed-up during 3 years decided in consensus multidisciplinary gathering. * Age \> 18 years old. Exclusion Criteria : * A failure to obtain informed consent * Contraindications for undergoing an MRI scan include : (heart pacemaker, a metallic foreign body (metal sliver) in their eye, or aneurysm clip in their brain, severe claustrophobia) * Contraindications for a gadolinium contrast medium injection (:eGFR below 30 mL/min/1.73 m2, Previous or pre-existing nephrogenic systemic fibrosis, Previous anaphylactic/anaphylactoid reaction to gadolinium containing contrast agent, Acutely deteriorating renal function, Pregnancy and breast-feeding) * A mycotic, fusiform-shaped, or dissecting IA, an IA in relation with an arteriovenous malformation * A family history of polycystic kidney disease, Ehlers-Danlos syndrome, Marfan's syndrom, fibromuscular dysplasia, or Moya Moya disease * Intra-cavernous UIA because the sinus cavernous that is fulfilled with venous blood precluded a reliable assessment of aneurysmal wall enhancement (AWE)
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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
28 sites in 2 countries. 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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AP-HP La Pitié-Salpêtrière Hospital
RECRUITINGParis, Paris, 75000, France
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AP-HP Le Kremlin Bicêtre Hospital
RECRUITINGParis, Paris, 75000, France
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Amiens University Hospital
RECRUITINGAmiens, Somme, 80000, France
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Angers University Hospital
RECRUITINGAngers, Maine et Loire, 49000, France
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Bordeaux University Hospital
RECRUITINGBordeaux, Gironde, 33000, France
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Brest University Hospital
RECRUITINGBrest, Finistère, 29200, France
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CHU Dijon
RECRUITINGDijon, France
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CHU de Besançon
RECRUITINGBesançon, France
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CHU de Caen
RECRUITINGCaen, France
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CHU de Clermont Ferrand
RECRUITINGClermont-Ferrand, France
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CHU de Poitiers
RECRUITINGPoitiers, France
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CHU de Strasbourg
RECRUITINGStrasbourg, France
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CHU de saint Etienne
RECRUITINGSaint-Etienne, France
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Clairval's Hospital
RECRUITINGMarseille, Bouches-du-Rhône, 13000, France
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Creteil University Hospital
RECRUITINGCréteil, Val-de-Marne, 94000, France
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Hôpital Foch
RECRUITINGSuresnes, France
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InselHospital Bern
NOT_YET_RECRUITINGBern, 3000, Switzerland
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Limoges University Hospital
RECRUITINGLimoges, Haute-Vienne, 87000, France
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Nancy University Hospital
RECRUITINGNancy, Meurthe-et-Moselle, 54000, France
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Nantes University Hospital
RECRUITINGNantes, Loire-Atlantique, 44000, France
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Reims University Hospital
NOT_YET_RECRUITINGReims, Marne, 51100, France
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Rennes University Hospital
RECRUITINGRennes, Ille-et-Vilaine, 35000, France
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Rostchild Foundation Hospital
RECRUITINGParis, Paris, 75000, France
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Rouen University Hospital
RECRUITINGRouen, Seine-Maritime, 76000, France
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St Anne HIA
RECRUITINGToulon, France
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Ste Anne's Hospital
RECRUITINGParis, Île-de-France Region, 75674, France
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Toulouse University Hospital
RECRUITINGToulouse, Haute-Garonne, 31000, France
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Tours University Hospital
RECRUITINGTours, Indre-et-Loire, 37000, France
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UMC Utrecht
COMPLETEDUtrecht, 3500, Netherlands
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Other studies related to the condition(s) this trial covers.
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