[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT05970549":3,"trial-entities:NCT05970549":117,"trial-summary:NCT05970549":121},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":20,"study_type":21,"primary_purpose":22,"phases":23,"enrollment_info":25,"interventions":28,"primary_outcomes":47,"secondary_outcomes":52,"sex":65,"minimum_age":66,"maximum_age":67,"healthy_volunteers":68,"eligibility_criteria":69,"std_ages":81,"locations":84,"central_contacts":104,"overall_officials":113,"references":115,"see_also_links":116},"NCT05970549","STUDY-21-01815","Deployment of Irrigating Intraventricular Catheter System for Intraventricular Hemorrhage","DIVE: Deployment of Irrigating Intraventricular Catheter System for Intraventricular Hemorrhage","RECRUITING","2026-12-31","2026-01","2026-05-06","2022-06-14","Icahn School of Medicine at Mount Sinai","OTHER",true,"The purpose of this research study is to evaluate the safety and outcomes associated with the use of IRRAflow® System catheters in externally draining intracranial fluid to reduce intracranial pressure. This study will be comparing the IRRAflow® system to standard of care catheters used in the same procedure. The IRRAflow® system is FDA approved for this procedure.","Intracranial hemorrhagic conditions can rapidly cause brain damage and often considered life- threatening. Of these, Intracerebral hemorrhagic (ICH) is the most common type of hemorrhagic stroke and is associated with higher rates of morbidity and mortality than all stroke subtypes.\n\nManagement of hemorrhagic patients is typically orchestrated by neurosurgeons and neuro-intensivists. Comprehensive care should include surveillance and monitoring of Intra Cranial Pressure (ICP), Cerebral Perfusion Pressure (CPP), and hemodynamic function. Furthermore, prevention of infection, complications of immobility through positioning and mobilization within physiological tolerance play an important role in optimizing outcomes after ICH.\n\nThere are multiple approaches to facilitating Cerebrospinal Fluid (CSF) drainage and monitor ICP. Routinely, intracranial pressure is measured by use of devices inserted into the brain parenchyma or cerebral ventricles. A Ventricular Catheter (VC) inserted into the lateral ventricle allows for drainage of CSF to help reduce ICP. Although CSF drainage is a vital sequence in patient management, there are reported risks including infection and limitations related to erroneous readings associated with current ICP monitors. Physicians lack the appropriate tools to employ active intermittent aspiration and drainage with continuous ICP monitoring.\n\nThe current clinical study is being initiated to evaluate the hypothesis that active irrigation by IRRAflow will reduce the time needed for clearance of intraventricular blood from intraventricular space.",[19],"Intraventricular Hemorrhage (IVH)",[],"INTERVENTIONAL","TREATMENT",[24],"NA",{"count":26,"type":27},17,"ESTIMATED",[29,37,42],{"type":30,"name":31,"description":32,"armGroupLabels":33,"otherNames":35},"DEVICE","IRRAflow® Active Fluid Exchange System","All patients in the prospective arm of the study who met the study criteria and consent will be enrolled in the IRRAflow with Active Fluid Exchange arm.\n\nInsertion of the IRRaflow catheter will be performed by neurosurgical attendings and residents who are privileged to place external ventricular drains and who have be instructed on how to appropriately connect the inserted IRRAflow catheter to the system. The on-site IRRAflow instructor will be present and available at all time to assist with any issues or questions should they arise.",[34],"IRRAflow with Active Fluid Exchange arm",[36],"IRRAflow® CNS System",{"type":30,"name":38,"description":39,"armGroupLabels":40},"Traditional extraventricular drain","The retrospective analysis will be performed on the last 60 traditional external ventricular drains.",[41],"Retrospective analysis of traditional external ventricular drains",{"type":43,"name":44,"description":45,"armGroupLabels":46},"PROCEDURE","Non-contrast head CTs","Non-contrast head CTs will be performed at least every 48 hours to document effectiveness. This frequency is standard, if not more frequent as necessary, for patients with external ventricular drainage and intraventricular hemorrhage. Scans are routinely obtained at this frequency to evaluate, for example: evacuation of hemorrhage, admission pathology, post-placement of catheters, any change in neurological exam, or after elevations in intracranial pressure. With these common CT scans we will be able to assess the efficacy of the IRRAflow catheter on the specified parameters. These scans are routinely performed due to this pathology and as such are covered as a necessity of the hospitalization by the insurance companies. MRI may be used in place of a CT scan if medically indicated as determined by the neurosurgical attending or neurocritical care attending according to standard of care for treatment of the neurological pathology.",[34],[48],{"measure":49,"description":50,"timeFrame":51},"Residual blood volume","Residual blood volume on post bleed day 5","At day 5",[53,57,60,63],{"measure":54,"description":55,"timeFrame":56},"Serious adverse events","Number of serious adverse events","up to 48 hours post-procedure",{"measure":58,"description":59,"timeFrame":56},"Hospital quality metrics","Length of stay in the NSICU as a quality metrics",{"measure":61,"description":62,"timeFrame":56},"Length of stay in the NSICU","Length of hospital stay in the as a quality metrics",{"measure":64,"description":64,"timeFrame":56},"Direct hospitalization costs","ALL","18 Years",null,false,{"inclusion":70,"exclusion":77,"raw_text":80},[71,72,73,74,75,76],"Age \\>=18 years of age","Intraventricular hemorrhage documented on head CT or MRI scan","Need of cerebrospinal fluid drainage","Indication for active treatment evaluated by the treating physicians","Signed informed consent obtained by patient or Legal Authorized Representative","Treatment possible within 72 hours of ictus",[78,79],"Patient has fixed and dilated pupils","Pregnant or nursing women (fertile female participants will be required to take a validated pregnancy test for evaluation of pregnancy)","Inclusion Criteria:\n\n* Age \\>=18 years of age\n* Intraventricular hemorrhage documented on head CT or MRI scan\n* Need of cerebrospinal fluid drainage\n* Indication for active treatment evaluated by the treating physicians\n* Signed informed consent obtained by patient or Legal Authorized Representative\n* Treatment possible within 72 hours of ictus\n\nExclusion Criteria:\n\n* Patient has fixed and dilated pupils\n* Pregnant or nursing women (fertile female participants will be required to take a validated pregnancy test for evaluation of pregnancy)",[82,83],"ADULT","OLDER_ADULT",[85],{"facility":13,"status":8,"city":86,"state":86,"zip":87,"country":88,"contacts":89,"geoPoint":101},"New York","10128","United States",[90,95,98],{"name":91,"role":92,"phone":93,"email":94},"Christopher P Kellner, MD","CONTACT","212-241-2606","christopher.kellner@mountsinai.org",{"name":96,"role":92,"phone":93,"email":97},"Trevor Hardigan, MD PhD","trevor.hardigan@mountsinai.org",{"name":99,"role":100},"Christopher P Kellner","PRINCIPAL_INVESTIGATOR",{"lat":102,"lon":103},40.71427,-74.00597,[105,109],{"name":106,"role":92,"phone":107,"email":108},"Emily Svendsen","(212) 241-3238","Emily.Svendsen@mountsinai.org",{"name":110,"role":92,"phone":111,"email":112},"Sydney Edwards","(212) 241-2524","Sydney.Edwards@mountsinai.org",[114],{"name":91,"affiliation":13,"role":100},[],[],{"nct_id":4,"conditions":118,"biomarkers":120},[119],"Intraventricular Brain Hemorrhage",[],{"nct_id":4,"found":15,"summary":122,"prompt_version":132},{"design":123,"status":124,"heading":125,"summary":126,"follow_up":127,"word_count":128,"commitments":129,"compensation":130,"drugs_mentioned":131},"This study will enroll 17 participants in the IRRAflow® arm, and will also look back at data from 60 patients who received traditional treatment. It is an interventional study, meaning participants will receive a specific treatment.","completed","Study of IRRAflow® System for Intraventricular Hemorrhage","This study is looking at a new way to treat Intraventricular Hemorrhage (IVH), which is bleeding inside the brain's fluid-filled spaces. It compares a device called the IRRAflow® Active Fluid Exchange System to the standard treatment, a traditional extraventricular drain. The IRRAflow® system helps drain fluid and reduce pressure in the brain. The study wants to see if the IRRAflow® system is safe and works better than current methods. You might be able to join if you are 18 or older, have IVH confirmed by a scan, need fluid drainage, and can start treatment within 72 hours of the bleeding. The main goal is to see how much blood remains in the brain after 5 days.","The primary endpoint, residual blood volume, is measured at day 5 after treatment.",116,"You would have non-contrast head CT scans at least every 48 hours to check the treatment's effectiveness. The IRRAflow® catheter would be inserted by neurosurgical staff.","Not stated in the trial record.",[31,38],"v2"]