ClinicalTrials.gg
RecruitingNCT07143019PIANOUpdated Oct 13, 2026

The Use of p48/64 MW HPC Flow Modulation Device in the Treatment of Wide-necked Intracranial Aneurysms

An interventional study of Flow diversion in Hemorrhagic Stroke, Aneurysm, Intracranial and Saccular Aneurysm, sponsored by phenox Inc.. Recruiting at 25 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by phenox Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Updated Oct 13, 20261 site addedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
214
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To determine safety and effectiveness of the p48 MW HPC and p64 MW HPC Flow Modulation Device in the treatment of wide-necked intracranial aneurysms.

Read the detailed description

To assess safety, effectiveness, and performance of the p48/p64 MW HPC Flow Modulation Device in the endovascular treatment of wide-necked intracranial aneurysms (IA) at 12 months post-procedure.

02

Conditions studied

  • Hemorrhagic Stroke
  • Aneurysm, Intracranial
  • Saccular Aneurysm
  • Fusiform Aneurysm
  • Brain Aneurysm

Keywords

  • Neurovascular Intervention
  • phenox
  • Brain
  • Unruptured Aneurysm
  • Flow diversion
  • Flow diverter
  • Occlusion
  • Flow modulation device
03

In context

Hemorrhagic Stroke

233 studies on the registry are indexed under Hemorrhagic Stroke; 93 are open to participants now.

This study's planned enrollment of 214 is above the median of 58 across 156 interventional studies indexed under Hemorrhagic Stroke.

Browse Hemorrhagic Stroke studies →

Lead sponsor

phenox Inc. is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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

  1. Subject is ≥ 18 years
  2. Subject has a mRS ≤2 before the index procedure
  3. Subject has an unruptured or recanalized intracranial aneurysm (IA). The subject may also have a previous ruptured aneurysm, provided rupture of this aneurysm has occurred more than 30 days from the index procedure. The IA must have the following characteristics below:

    1. Saccular or fusiform morphology
    2. Located in the internal carotid artery and its branches
    3. Aneurysm neck ≥4 mm or dome-to-neck ratio \<2
    4. Parent vessel diameter ≥2.0mm and ≤5.0mm both distal and proximal to the target IA
  4. Subject or subject's legally authorized representative (LAR) has provided written and has agreed to comply with study procedures.

Exclusion criteria

Exclusion Criteria:

  1. Previous flow diverter or stent within the parent vessel of the target aneurysm to be treated
  2. Any other known IA requiring treatment within 3 months post-procedure
  3. Subarachnoid hemorrhage in the past 30 days prior to the index procedure
  4. Has a true bifurcation aneurysm, defined as an aneurysm (saccular or non-saccular) located at the point of vessel bifurcation
  5. Anatomy unsuitable for endovascular procedure due to severe vessel tortuosity or stenosis, or stented ipsilateral carotid artery within 3 months prior to the index procedure
  6. Subject with a brain arteriovenous malformation (AVM) or other vascular malformation in the area of the target aneurysm
  7. Major surgery in the last 30 days, including endovascular procedures, or is planned in the next 90 days after enrollment date
  8. Unstable neurologic deficit (i.e., any worsening of clinical condition in the last 30 days)
  9. Known serious sensitivity to radiographic contrast agents that cannot be managed medically
  10. Known sensitivity to nickel, titanium metals or their alloys or any other device components
  11. Irreversible bleeding disorder and/or signs of active bleeding at subject presentation
  12. Known renal failure with a serum creatinine >2.5 mg/dl (or 220 μmol/l) not on dialysis
  13. to CT scan, MRI, or angiography
  14. Contraindication or known allergies to anticoagulants or antiplatelets (e.g. aspirin, heparin, clopidogrel, prasugrel, or ticagrelor)
  15. Known coagulopathy, or an admission >3.0 without oral anticoagulation therapy, or an admission count of \<100000
  16. Has acute life-threatening illness other than the neurological disease (i.e., acute kidney or heart failure) to be treated in this trial
  17. Unable to complete the required study follow-ups
  18. Evidence of active infection at the time of treatment (e.g., fever, elevated white blood cell count)
  19. Participating in another clinical trial that could affect participation or primary outcomes of this study
  20. Women currently pregnant or wish to become pregnant during the study or breast feeding.
Terms in these criteria, in plain language(5)

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

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
214 participants (estimated)

Study arms

  • Experimental
    Intervention/Treatment

    Device: Flow diversion using the p48 MW HPC Device: Flow diversion using the p64 MW HPC

    Device: Flow diversion

Interventions

  • DeviceFlow diversion

    The p48 MW HPC and p64 MW HPC Flow Modulation Device is indicated for use in the treatment of intracranial aneurysms (IAs) arising from a parent vessel with a diameter of ≥2.0mm and ≤5.0 mm.

06

What researchers measure

Primary outcomes

  1. Primary Efficacy and Performance Endpoint: Number of subjects with 100% occlusion of the target aneurysm without significant parent artery stenosis and no retreatment of the target aneurysm from the index procedure to the 12-month follow-up visit.

    The Primary Efficacy and Performance Endpoint is a composite of 100% target aneurysm occlusion (Raymond-Roy Class I) without significant stenosis (defined as ≤50% stenosis) of the parent artery based on independent core lab evaluation of the 12-month follow-up angiogram (DSA), and no subsequent treatment at the target aneurysm at the 12-month follow-up visit.

    Time frame: 12 months

  2. The Primary Safety Endpoint: Number of subjects with ischemic or hemorrhagic stroke or neurologic death from treatment to 12-months, as adjudicated by a Clinical Events Committee.

    The Primary Safety Endpoint is the incidence of major stroke (ischemic or hemorrhagic) in the territory supplied by the treated artery, defined as an increase in NIHSS score by 4 points, or neurologic death within 1 year after treatment.

    Time frame: From treatment - 12 months

Secondary outcomes

  1. Secondary Safety Endpoint #1: Number of subjects with a modified Rankin Scale (mRS) score > 2

    Morbi-mortality refers to the combined study of morbidity (the state of being diseased or unhealthy) and mortality (the state of being subject to death) that results in a modified Rankin Scale (mRS) score \> 2

    Time frame: 30 days post procedure and at the following timepoints: 6-month, 1 year, 3 years, and 5 years

  2. Secondary Safety Endpoint #2: Number of subjects with procedural and/or device-related serious adverse events (SAE)

    The number of subjects that have a reported event related to the procedure, the device (based on FDAs definition of a serious adverse event), or both will be analyzed by an independent Clinical Events Committee

    Time frame: 30 days post procedure and at the following timepoints: 6-months, 1 year, 3 years, and 5 years

  3. Secondary Safety Endpoint #3: Number of subjects with a neurologic event of interest defined as any death, neurological death, target aneurysm rupture or re-rupture, target aneurysm retreatment, or intracranial hemorrhage

    The number of subjects who have died by any cause, who have had their treated target aneurysm rupture or re-rupture, who have had their target aneurysm retreated, or who have had an intracranial hemorrhage, as adjudicated by an independent Clinical Events Committee

    Time frame: 30 days post procedure and at the following timepoints: 6-months and 12-months post procedure

Other outcomes

  1. Additional Analysis #1: Number of subjects with 100% occlusion (Raymond-Roy Class I) of the target aneurysm at follow-up visits

    The number of subjects with 100% occlusion (Raymond-Roy Class I) of the target aneurysm at follow-up visits will be analyzed

    Time frame: Post procedure: 6-months, 1 year, 3 years and at 5 years

  2. Additional Analysis #2: Number of subjects with retreatment of the target aneurysm

    The number of subjects with target aneurysm retreatment will be analyzed

    Time frame: Post Procedure: 6-months, 1 year, 3 years, and at 5 years

  3. Additional Analysis #3: Number of subjects with a target aneurysm recanalization/recurrence

    The number of subjects with target aneurysm recanalization or recurrence will be analyzed

    Time frame: Post procedure: 6-months, 1 year, 3 years, and at 5 years

  4. Additional Analysis #4: Number of subjects with significant (> 50% stenosis) parent artery stenosis, as assessed independent core laboratory post-procedure

    The number of subjects with significant (\> 50% stenosis) parent artery stenosis, as assessed post-procedure by independent core lab will be analyzed

    Time frame: Post procedure: 6-months, 1 year, 3 years, and at 5 years

  5. Additional Analysis #5: Number of subjects with technical device success defined as complete coverage of the target aneurysm with ≥1 FMD) per subject at the target site during the index procedure

    The number of subjects with complete coverage of the target aneurysm with ≥1 FMD per subject at the target site during the index procedure, as assessed by the independent core lab

    Time frame: Immediately after the Index Procedure

07

Study locations

25 of 25 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
1 site added
Show site
  • UT Southwestern Medical Center · Dallas, United States
Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    1 site added
    Show site
    • UT Southwestern Medical Center · Dallas, United States

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07143019
Lead sponsor
phenox Inc.
Collaborators
Phenox GmbH
Responsible party
Sponsor
First posted
Aug 27, 2025
Start date
Mar 16, 2026
Primary completion
Jul 2027 (estimated)
Completion
Jul 2032 (estimated)
Last update
Oct 13, 2026

Study contacts

Mairéad Cleary
Contact
mairead.cleary@wallabyphenox.com
+353 91 740 100
Nguyet T Labenski
Contact
nguyet.labenski@wallabyphenox.com
Demetrius Lopes, MD
principal investigator · Advocate Aurora Research Institute, LLC
Jared Knopman, MD
principal investigator · The Joan and Sanford I. Weill Medical College of Cornell University
Eytan Raz, MD
principal investigator · NYU Langone Health

Oversight

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

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