Using Ticagrelor instead of Dual Antiplatelet Therapy for treating unruptured intracranial aneurysms
Official title: Stent-Assisted Coiling Followed by Ticagrelor Monotherapy Instead of Dual Antiplatelet Therapy in Endovascular Treatment of Unruptured Intracranial Aneurysm (SAC-TIDE) ---a Pilot Study
Run by The First Affiliated Hospital with Nanjing Medical University · NCT06015477 · Data updated 2026-05-14
This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.
This study is testing if using Ticagrelor alone instead of two blood-thinning medications can help adults with unruptured brain aneurysms have fewer bleeding problems after treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 60 Years |
| Sex | All |
| Enrollment | 180 (estimated) |
| Sponsor | The First Affiliated Hospital with Nanjing Medical University Academic / other |
| Locations | 1 site (Nanjing, Jiangsu) |
| Trial ID | NCT06015477 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18-60 with unruptured intracranial aneurysms less than 10 mm who have undergone stent-assisted coiling without perioperative complications.
✕Probably not a fit
Patients with a history of chronic diseases or those requiring anticoagulation therapy may not benefit from 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 trial investigates the effectiveness of Ticagrelor monotherapy compared to dual antiplatelet therapy in reducing bleeding complications for patients undergoing stent-assisted coiling for unruptured intracranial aneurysms. The study aims to determine if Ticagrelor, a P2Y12 inhibitor, can maintain ischemic protection while minimizing the risk of major bleeding. Participants will include adults aged 18-60 with specific eligibility criteria, and the trial will assess both safety and efficacy outcomes. The goal is to improve post-procedural management of patients with intracranial aneurysms.
Why it matters
Potential benefit: If successful, this approach could significantly reduce bleeding complications for patients undergoing treatment for unruptured intracranial aneurysms.
How similar studies have gone: Previous studies have indicated that P2Y12 inhibitor monotherapy may effectively reduce bleeding risks without increasing ischemic events, suggesting potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients with a definitive diagnosis of an unruptured intracranial aneurysm with imaging suggestive of an aneurysm \<10 mm 2. Patients who successfully underwent stent-assisted spring coil treatment for intracranial aneurysms without acute ischaemic or bleeding stroke events in the perioperative period 3. Age 18-60 years old 4. Patients with no previous history of chronic diseases such as hypertension, diabetes mellitus, coronary heart disease, hyperlipidaemia and so on 5. Agreed to participate in this study and gave informed consent for the collection and preservation of case data and the follow-up process. Exclusion Criteria: 1. Planned surgery or intervention during the experiment requiring study drug discontinuation; (2) Contraindications requiring oral anticoagulation or aspirin or clopidogrel; (3) History of severe central nervous system damage (e.g., as a result of tumour, aneurysm, intracranial or spinal cord surgery); (4) Severe liver disease, including hepatic failure, cirrhosis, portal hypertension (oesophageal varices), active hepatitis; (5 ) severe renal dysfunction (creatinine more than 1.5 times the upper limit of the normal range); (6) severe heart failure (NYHA class:III \~ IV); high risk for chronic arrhythmias (1st or 2nd degree atrioventricular block due to sinus node disease, bradycardic syncope without pacemaker); diagnosis or suspected diagnosis of acute coronary syndrome; bacterial endocarditis, pericarditis; (7) severe comorbidities or patients with active cancer with a life expectancy of less than 2 years; (8) participation in another clinical study using an experimental product within the past 30 days; currently receiving an experimental drug or device; and (9) pregnant, currently pregnant, or of childbearing potential without birth control or breastfeeding.
Where it's running
-
Hua Lu
Nanjing, Jiangsu, China Recruiting
Study contacts
- Study coordinator: Hua Lu, Doctor
- Email: luhua@njmu.edu.cn
- Phone: 18761671021
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Flow Diverter Stent for Intracranial Aneurysm in China
This study tests a novel flow diverter stent to treat intracranial aneurysms in adults and follows patients through treatment and follow-up.
-
Real-World Experience With the WEB Device for Intracranial Aneurysms
This study tests how well the Woven EndoBridge device works in routine treatment of intracranial aneurysms in China across multiple centers.
-
Choydar flow-directed mesh stent for unruptured brain aneurysms
This trial tests the Choydar flow-directed mesh stent to see if it is safe and works for people with unruptured intracranial aneurysms in the internal carotid or vertebral arteries.
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Pivotal test of the Silk Vista Baby Flow Diverter for unruptured brain aneurysms
This study tests whether the Silk Vista Baby flow diverter can safely and effectively treat a single unruptured intracranial aneurysm in adults 22–80 years old.
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Non-invasive detection of coronary stent complications using a new device
This study is testing a new non-invasive device to see if it can safely detect problems with coronary stents in patients who need heart tests.
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Pipeline Vantage post-approval safety and outcomes for intracranial aneurysm treatment
This project will test whether the Pipeline Vantage embolization device with Shield Technology is safe and effective for adults treated for intracranial aneurysms.
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.