ClinicalTrials.gg
CompletedNCT04402632EMBOLISEUpdated Dec 11, 2025

Embolization of the Middle Meningeal Artery With ONYX™ Liquid Embolic System for Subacute and Chronic Subdural Hematoma

An interventional study of Surgical Management and Onyx™ Liquid Embolic System (LES) Embolization in Subdural Hematoma, sponsored by Medtronic Neurovascular Clinical Affairs. Completed at 49 sites in United States. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2025-12-11.

Sponsored by Medtronic Neurovascular Clinical Affairs (part of Medtronic) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Dec 2024, 1 year 10 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Nov 2025.
Phase
Not applicable
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and efficacy of embolization of the middle meningeal artery (MMA) using the Onyx™ Liquid Embolic System (LES) for treatment of symptomatic subacute or chronic subdural hematoma (SDH)

02

Conditions studied

  • Subdural Hematoma

Browse trials for

03

In context

Hematoma, Subdural

44 studies on the registry are indexed under Hematoma, Subdural; 15 are open to participants now.

This study's enrollment of 600 is above the median of 105 across 30 interventional studies indexed under Hematoma, Subdural.

Browse Hematoma, Subdural studies →

Lead sponsor

Medtronic Neurovascular Clinical Affairs is the lead sponsor of 32 studies on the registry; 4 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Pre-morbid Modified Rankin Score ≤3
  • Confirmed diagnosis of subacute or chronic subdural hematoma
  • Completed
  • Meets criteria for Surgery or Observation Cohort

Exclusion criteria

Exclusion Criteria:

  • \<1 year
  • Unable to complete follow-up
  • Pregnant, lactating, or has a positive pregnancy test at time of admission
  • Diagnosed with acute SDH
  • Potentially dangerous anatomic variations leading to increased procedural risk or unsafe access for MMA embolization
  • Pre-randomized Markwalder Grading Scale score ≥ 3
  • Unmanaged, uncontrolled bleeding disorders/blood diathesis
  • Presumed septic embolus, or suspicion of microbial superinfection
  • Known active COVID-19 infection
  • CT or MRI evidence of intra-cranial tumor or mass lesion to angiography
  • Participation in another clinical trial
  • Contraindicated for the use of Onyx™ LES
  • Cannot be taken off (intended to treat subacute or chronic SDH) for at least 90 days post-randomization
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Single (Outcomes assessor)
Enrollment
600 participants (actual)

Study arms

  • Active comparator
    Surgery Cohort: Control Arm

    Procedure: Surgical Management

  • Experimental
    Surgery Cohort: Treatment Arm

    Device: Onyx™ Liquid Embolic System (LES) Embolization · Procedure: Surgical Management

  • Active comparator
    Observational Cohort: Control Arm

    Other: Observation Only

  • Experimental
    Observational Cohort: Treatment Arm

    Device: Onyx™ Liquid Embolic System (LES) Embolization

Interventions

  • ProcedureSurgical Management

    Surgical Evacuation of the Subdural Hematoma (SDH) (Control)

  • DeviceOnyx™ Liquid Embolic System (LES) Embolization

    Onyx™ LES Embolization of the Subdural Hematoma (SDH)

  • OtherObservation Only

    Medical Management (Control)

  • DeviceOnyx™ Liquid Embolic System (LES) Embolization

    Onyx™ LES Embolization of the Subdural Hematoma (SDH)

  • ProcedureSurgical Management

    Surgical Evacuation of the Subdural Hematoma (SDH)

06

What researchers measure

Primary outcomes

  1. Rate of hematoma recurrence/progression requiring surgical drainage OR poor clinical outcome at 90 days, OR clinical deterioration at 90 days compared to baseline

    Time frame: 90 days post-procedure

Secondary outcomes

  1. Non-inferiority assessment of Onyx™ LES embolization treatment compared to standard of care based on change in Modified Rankin Scale Score

    Time frame: 90 days post-procedure

  2. Effectiveness: Incidence of hospital readmissions

    Time frame: 90 days post-procedure

  3. Effectiveness: Change in hematoma volume based on CT/MRI imaging

    Time frame: 90 days post-procedure

  4. Effectiveness: Change in hematoma thickness per CT/MRI imaging

    Time frame: 90 days post-procedure

  5. Effectiveness: Change in midline shift based on CT/MRI imaging

    Time frame: 90 days post-procedure

  6. Safety: Incidence of device-related serious adverse events

    Time frame: 30 days post-procedure

  7. Safety: Incidence of procedure-related serious adverse events

    Time frame: 30 days post-procedure

  8. Safety: Incidence of neurological death

    Time frame: 90 days and 180 days post-procedure

  9. Safety: Incidence of device-related adverse events

    Time frame: 90 days and 180 days post-procedure

07

Study locations

49 sites
  • University of Alabama at Birmingham (UAB) Hospital
    Birmingham, Alabama 35233-1932, United States
  • Carondelet St. Joseph's Hospital
    Tucson, Arizona 85710, United States
  • University of California Irvine Medical Center
    Irvine, California 92868, United States
  • USC - Keck School of Medicine
    Los Angeles, California 90033, United States
  • Huntington Memorial Hospital
    Pasadena, California 91105, United States
  • UCSD Medical Center
    San Diego, California 92037, United States
  • California Pacific Medical Center
    San Francisco, California 94109, United States
  • University of California San Francisco Medical Center
    San Francisco, California 94143, United States
  • Providence Little Company of Mary Medical Center
    Torrance, California 90503-4607, United States
  • University of Colorado Denver School of Medicine
    Aurora, Colorado 80045, United States
  • UF Health Heart and Vascular Hospital
    Gainesville, Florida 32608, United States
  • Memorial Regional Hospital
    Hollywood, Florida 33021, United States
  • Baptist Medical Center Jacksonville
    Jacksonville, Florida 322047, United States
  • Jackson Memorial Hospital
    Miami, Florida 33136, United States
  • Orlando Regional Medical Center Orlando Health
    Orlando, Florida 32806, United States
  • Tampa General Hospital
    Tampa, Florida 33606, United States
  • Saint Mary's Medical Center
    West Palm Beach, Florida 33407, United States
  • Grady Memorial Hospital
    Atlanta, Georgia 30303, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Advocate Lutheran General Hospital
    Park Ridge, Illinois 60068, United States
  • Ascension Saint Vincent Hospital
    Indianapolis, Indiana 46260, United States
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
  • University of Kentucky Albert B Chandler Hospital
    Lexington, Kentucky 40506, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Lahey Hospital & Medical Center
    Burlington, Massachusetts 01805-0001, United States
  • McLaren Flint Hospital
    Flint, Michigan 48532, United States
  • Corewell Health
    Grand Rapids, Michigan 49503, United States
  • Barnes-Jewish Hospital
    St Louis, Missouri 63110, United States
  • Albany Medical Center
    Albany, New York 12208, United States
  • Buffalo General Medical Center
    Buffalo, New York 14203, United States
  • North Shore University Hospital
    Manhasset, New York 11030, United States
  • The Mount Sinai Hospital
    New York, New York 10029, United States
  • New York-Presbyterian Hospital/Weill Cornell Medical Center
    New York, New York 10065, United States
  • Westchester Medical Center
    Valhalla, New York 10595, United States
  • Atrium Health's Carolinas Medical Center
    Charlotte, North Carolina 28204, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195-0001, United States
  • The Ohio State University/Wexner Medical Center
    Columbus, Ohio 43210, United States
  • ProMedica Toledo Hospital
    Toledo, Ohio 43606, United States
  • Oklahoma University Medical Center
    Oklahoma City, Oklahoma 73104, United States
  • Oregon Health & Science University Hospital
    Portland, Oregon 97239-3011, United States
  • Geisinger Medical Center
    Danville, Pennsylvania 17822, United States
  • University of Pittsburgh Medical Center UPMC Presbyterian
    Pittsburgh, Pennsylvania 15213-2536, United States
  • Prisma Health
    Greenville, South Carolina 29605, United States
  • Valley Baptist Medical Center
    Harlingen, Texas 78550, United States
  • Memorial Hermann-Texas Medical Center
    Houston, Texas 77030, United States
  • Baylor Scott & White Medical Center - Temple
    Temple, Texas 76508-0001, United States
  • University of Utah Hospital
    Salt Lake City, Utah 84132, United States
  • Harborview Medical Center
    Seattle, Washington 98104-2420, United States
  • Aurora Saint Luke's Medical Center
    Milwaukee, Wisconsin 53215, United States
08

References and documents

Publications

  • Kniep H, Gellissen S, Bechstein M, Meyer L, Broocks G, Heitkamp C, Winkelmeier L, Flottmann F, Geest V, Hanning U, Thaler C, Bester M, Davies JM, Knopman J, Mokin M, Hassan AE, Harbaugh RE, Khalessi A, Siddiqui AH, Gross BA, Grandhi R, Tarpley J, Sivakumar W, Bain M, Crowley RW, Link TW, Fraser JF, Levitt MR, Chen PR, Hanel RA, Bernard JD, Jumaa M, Youssef P, Cress MC, Chaudry MI, Shakir HJ, Lesley WS, Billingsley J, Jones J, Koch MJ, Paul AR, Mack WJ, Osbun JW, Dlouhy K, Grossberg JA, Kellner CP, Sahlein DH, Santarelli J, Schirmer CM, Singer J, Liu JJ, Majjhoo AQ, Wolfe T, Patel NV, Roark C, Fiehler J; EMBOLISE Investigators. Middle Meningeal Artery Embolization for Subdural Hematoma: CT/MRI End Points of the EMBOLISE Trial. Radiology. 2026 Jan;318(1):e251746. doi: 10.1148/radiol.251746. PubMed 41591252 ↗
  • Davies JM, Knopman J, Mokin M, Hassan AE, Harbaugh RE, Khalessi A, Fiehler J, Gross BA, Grandhi R, Tarpley J, Sivakumar W, Bain M, Crowley RW, Link TW, Fraser JF, Levitt MR, Chen PR, Hanel RA, Bernard JD, Jumaa M, Youssef P, Cress MC, Chaudry MI, Shakir HJ, Lesley WS, Billingsley J, Jones J, Koch MJ, Paul AR, Mack WJ, Osbun JW, Dlouhy K, Grossberg JA, Kellner CP, Sahlein DH, Santarelli J, Schirmer CM, Singer J, Liu JJ, Majjhoo AQ, Wolfe T, Patel NV, Roark C, Siddiqui AH; EMBOLISE Investigators. Adjunctive Middle Meningeal Artery Embolization for Subdural Hematoma. N Engl J Med. 2024 Nov 21;391(20):1890-1900. doi: 10.1056/NEJMoa2313472. PubMed 39565988 ↗

Individual participant data

Plan to share: No — No individual participant data will be available

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04402632
Responsible party
Sponsor
First posted
May 27, 2020
Start date
Oct 27, 2020
Primary completion
Dec 19, 2024
Completion
Apr 3, 2025
Last update
Dec 11, 2025

Study contacts

Jared Knopman, MD
principal investigator · New York-Presbyterian Hospital/Weill Cornell Medical Center
Jason Davies, MD
principal investigator · Buffalo General Medical Center

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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