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CompletedNCT01340612STATUpdated Jul 6, 2023

Stenting in the Treatment of Aneurysm Trial

An interventional study of endovascular coiling with any type of currently approved coil (first or second generation) and endovascular stenting with or without coiling. The stent may be any of the currently approved stents for intracranial aneurysms. in Intracranial Aneurysm, sponsored by Centre hospitalier de l'Université de Montréal (CHUM). Completed at 5 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-07-06.

Sponsored by Centre hospitalier de l'Université de Montréal (CHUM) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
205
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The STAT trial aims at comparing coiling versus coiling plus stenting in patients with aneurysms prone to recurrence, that is large aneurysms or recurring aneurysms after previous coiling or wide-necked aneurysms. The primary hypothesis is that the use of stenting in addition to coiling decreases the recurrence rate from 33% to 20% at 12 months as compared to coiling alone.

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Conditions studied

  • Intracranial Aneurysm

Keywords

  • large aneurysm
  • wide-necked aneurysm
  • recurring aneurysm
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In context

Intracranial Aneurysm

427 studies on the registry are indexed under Intracranial Aneurysm; 115 are open to participants now.

This study's enrollment of 205 is above the median of 110 across 207 interventional studies indexed under Intracranial Aneurysm.

Browse Intracranial Aneurysm studies →

Lead sponsor

Centre hospitalier de l'Université de Montréal (CHUM) is the lead sponsor of 370 studies on the registry; 110 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • All patients presenting at least one aneurysm candidate for coiling, with large (≥10mm), wide-necked (>4mm), or recurrent lesions after coiling (but not stenting) and judged by the neurovascular team to require elective treatment provided that this single lesion, and no other aneurysm, will be treated during the endovascular session to be the object of the trial
  • The anatomy of the lesion is such that endovascular treatment is judged possible with or without stenting
  • The endovascular physician is a priori content to use either type of technique
  • The patient has not previously been randomized into the trial
  • Treatment is elective
  • Patient is 18 or older
  • Life expectancy is more than 2 years
  • Patient has given fully informed consent and has signed consent form

Exclusion criteria

Exclusion Criteria:

  • Other aneurysms requiring treatment during the same session
  • Patients with associated cerebral arteriovenous malformations
  • Patients with recently ruptured aneurysms
  • When parent vessel occlusion is the primary intent of the procedure
  • Any absolute contraindication to endovascular treatment, angiography, or anesthesia such as severe allergies to contrast or medications, including ASA and Clopidogrel
  • Patients with recurring, previously stented aneurysms
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
205 participants (actual)

Study arms

  • Active comparator
    coiling

    endovascular coiling with any type of currently approved coil (first or second generation)

    Device: endovascular coiling with any type of currently approved coil (first or second generation)

  • Active comparator
    coiling plus stenting

    endovascular stenting with or without coiling. The stent may be any of the currently approved stents for intracranial aneurysms.

    Device: endovascular coiling with any type of currently approved coil (first or second generation) · Device: endovascular stenting with or without coiling. The stent may be any of the currently approved stents for intracranial aneurysms.

Interventions

  • Deviceendovascular coiling with any type of currently approved coil (first or second generation)

    Standard procedure for endovascular coiling.Coils may be bare Platinum coils or any so-called second generation coils such as but not restricted to Hydrocoil or Cerecyte

  • Deviceendovascular stenting with or without coiling. The stent may be any of the currently approved stents for intracranial aneurysms.

    Standard procedure for stenting. Addition of coils to the stent is left to the judgment of the treating physician

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What researchers measure

Primary outcomes

  1. Recurrence rate of target aneurysm

    rate of angiographic recurrence

    Time frame: 12 months

Secondary outcomes

  1. Rate of Procedural complications defined as number of subjects with reported peri-procedural Adverse Events

    Periprocedural Adverse Events is any type of complication or Adverse Event reported during or in the 30 days following the intervention

    Time frame: 30 days

  2. Rate of mortality and morbidity defined as the number of subjects with a disabling neurological events as measured by a modified Rankin Score greater than 2 during the follow-up period

    A morbid event is defined as any Adverse Event of any severity being possibly or probably related to the disease or the treatment

    Time frame: 12 months

  3. Overall morbidity and mortality given by the modified Rankin Score

    Overall morbidity and mortality is defined as a change in modified Rankin Score relative to baseline

    Time frame: 12 months

  4. Incidence of in-stent stenosis defined as the number of subjects with a reduction in the luminal diameter of greater than 50%

    luminal diameter will be evaluated by an independent Core Lab

    Time frame: 12 months

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Study locations

5 sites
  • University of Alberta Hospital
    Edmonton, Alberta, Canada
  • Queen Elizabeth II Health Sciences Centre
    Halifax, Nova Scotia, Canada
  • The Ottawa Hospital
    Ottawa, Ontario, Canada
  • Centre Hospitalier de l'Université de Montréal - Hôpital Notre Dame
    Montreal, Quebec H2L 4M1, Canada
  • CHRU de Brest (Brest University Hospital)
    Brest, 29 609 Brest, France
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References and documents

Publications

  • Naggara O, Darsaut T, Trystram D, Tselikas L, Raymond J. Unruptured intracranial aneurysms: why we must not perpetuate the impasse for another 25 years. Lancet Neurol. 2014 Jun;13(6):537-8. doi: 10.1016/S1474-4422(14)70091-2. No abstract available. PubMed 24849854 ↗
  • Darsaut TE, Raymond J; STAT Collaborative Group. The design of the STenting in Aneurysm Treatments (STAT) trial. J Neurointerv Surg. 2012 May;4(3):178-81. doi: 10.1136/neurintsurg-2011-010065. Epub 2011 Jun 23. PubMed 21990519 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01340612
Lead sponsor
Centre hospitalier de l'Université de Montréal (CHUM)
Collaborators
University Hospital, Brest
Responsible party
Sponsor
First posted
Apr 22, 2011
Start date
Aug 25, 2011
Primary completion
Jan 2023
Completion
Apr 2023
Last update
Jul 6, 2023

Study contacts

Jean Raymond, MD
principal investigator · Centre Hospitalier de l'Université de Montréal - Hôpital Notre Dame

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

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