NAIF 2.0: See if glymphatic flow changes after dAVF treatment
Official title: NAIF 2.0 - COGNIFY: Cognitive Impairment in Patients With Intracranial Dural Arteriovenous Fistulae: Exploration & Understanding
Run by Hospital Universitari Vall d'Hebron Research Institute · NCT07824297 · Data updated 2026-11-12
This study tests whether the brain’s waste-clearance system changes after endovascular treatment for intracranial dural arteriovenous fistulas in adults.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 99 Years |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Hospital Universitari Vall d'Hebron Research Institute Academic / other |
| Locations | 3 sites (Bologna and 2 other locations) |
| Status | Recruiting |
| Started | January 1, 2026 |
| Main results expected | August 1, 2028 |
| Study ends | August 1, 2029 |
| Registry record updated | September 17, 2026 |
| Trial ID | NCT07824297 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–99 with an angiographically confirmed unruptured intracranial dAVF who are planned for endovascular embolization and can undergo MRI.
✕Probably not a fit
Patients who do not show changes in glymphatic imaging markers or who do not have cognitive symptoms may not experience measurable benefits in this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study compares brain MRI measurements taken before and about six months after endovascular embolization for unruptured intracranial dAVFs. The goal is to see if glymphatic system function, as seen on advanced diffusion-weighted MRI, improves following treatment. Researchers will analyze imaging markers related to perivascular spaces and brain clearance to understand potential links between venous drainage, embolization, and cognitive outcomes. Participants are adults undergoing treatment as part of standard care and will contribute imaging data within routine clinical workflows. The study builds on prior NAIF findings suggesting cognitive improvements after embolization and seeks to elucidate underlying mechanisms.
Why it matters
Potential benefit: If successful, findings could clarify how dAVF treatment affects brain waste clearance and potentially relate to cognitive outcomes after embolization.
How similar studies have gone: Previous NAIF work suggested possible cognitive improvements after embolization, but the glymphatic mechanistic link remains exploratory and not yet proven.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participant is willing and able to give informed consent for participation in the study. * Male or Female, aged 18 to 99 years. * Angiographically confirmed diagnosis of unruptured intracranial dAVF. * Candidate for endovascular embolization treatment with curative intent. * Able to undergo Brain MRI. Exclusion Criteria: * Contraindication to angiographic embolization procedures. * Acute intracranial haemorrhage secondary to dAVFs rupture and/or venous hypertension. * Any significant disease or disorder which, in the opinion of the investigator, might influence the participant's ability to participate in the study, other contraindications to MRI such as certain metallic implants.
Where it's running
-
Hospital Universitario Vall D'Hebron
Barcelona, Spain Recruiting -
Università di Bologna
Bologna, Italy Not yet recruiting -
University of Oxford
Oxford, United Kingdom Not yet recruiting
Study contacts
- Study coordinator: Laura Ludovica Gramegna, MD, PhD
- Email: laura.gramegna@vhir.org
- Phone: +34934893000
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.