ClinicalTrials.gg
RecruitingNCT07247864ANGEL-BEACONUpdated Sep 2, 2026

Balloon Guide Catheter Combined With Filter Protection for Carotid Artery Stenting

An interventional study of Balloon Guide Catheter and Distal Filter Protection Device in Carotid Artery Stenosis, sponsored by Beijing Anzhen Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by Beijing Anzhen Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
296
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 70 studies in Carotid Stenosis with a site in China — 32 open to participants now, 36 under way, 1 of them phase 3. Carotid Stenosis · China.

Planned enrollment
12th of 36
296 · median 177
Started
2025
with 7 others
No phase
25 of 70
12 open now
Primary completion
2027-09
later than 23 of 35 live
Registered
63rd of 70
by date
Lead sponsor
2 of 70
Beijing Anzhen Hospital

Among the 70 studies in Carotid Stenosis with a site in China, this one is the 12th largest by planned enrollment of the 36 interventional ones that give a count, is one of 8 that started in 2025, is one of 25 with no phase, reaches primary completion later than 23 of the 35 other live ones, and was the 63rd registered.

Carotid Stenosis

364 studies on the registry are indexed under Carotid Stenosis; 85 are open to participants now.

Browse Carotid Stenosis studies →

Open to participants now

32 of the 70 studies in Carotid Stenosis with a site in China are open now. Recruiting first, the newest first:

26 more — sign in →

All 32 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 60 Carotid Stenosis studies recruiting now, 38 (63%) set no upper age limit and none (0%) stop at 75 or younger; 4 take children under 18; 4 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 70 studies in Carotid Stenosis with a site in China, or all of them as a file.
02

Study summary

This multicenter, randomized, controlled trial evaluates a combined embolic protection strategy during carotid artery stenting (CAS). Carotid artery stenosis is a major cause of stroke. While stenting is an effective treatment, the procedure itself carries a risk of dislodging plaque debris, which can travel to the brain and cause new strokes or silent brain infarctions.

Currently, a distal filter (protection device) is standardly used to catch debris. However, it may not capture all particles. This study investigates whether adding a Balloon Guide Catheter (BGC)-which temporarily stops blood flow and allows for aspiration-to the standard filter protection is more effective than using the filter alone.

Patients with symptomatic (≥50% stenosis) or asymptomatic (≥70% stenosis) carotid artery stenosis who are scheduled for stenting will be randomly assigned to one of two groups:

  1. Combined Protection Group: Receiving CAS using a Balloon Guide Catheter combined with a distal filter.
  2. Standard Protection Group: Receiving CAS using a distal filter alone. The primary goal is to determine if the combined approach reduces the number of new ischemic lesions detected on brain MRI within 72 hours post-procedure. The study will also assess clinical stroke events over a 90-day follow-up period.
Read the detailed description

Pre-specified subgroup analyses will be conducted based on baseline symptom status (symptomatic vs. asymptomatic carotid artery stenosis) and stent design (open-cell vs. closed-cell).

03

Conditions studied

  • Carotid Artery Stenosis

Browse trials for

Keywords

  • Carotid artery stenosis
  • Carotid Artery Stenting
  • Balloon Guide Catheter
  • Embolic Protection Device
  • New Ischemic Lesions
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. Age 18 years or older;
  2. Symptomatic extracranial carotid artery stenosis (occurrence of or non-disabling stroke in the ipsilateral carotid territory within the previous 6 months, with stenosis of 50% or greater) or asymptomatic extracranial carotid artery stenosis (stenosis of 70% or greater) meeting the indications for interventional treatment (stenosis degree measured by the NASCET method);
  3. Pre-treatment modified Rankin Scale (mRS) score of 0 to 1;
  4. Planned for stent treatment by the clinical care team;
  5. obtained from the patient or their legally authorized representative.

Exclusion criteria

Exclusion Criteria:

  1. Occlusion or severe stenosis (70% or greater) of the intracranial segment of the ipsilateral internal carotid artery system;
  2. Occlusion or severe stenosis (70% or greater) of the contralateral common carotid artery or internal carotid artery;
  3. History of stenting in the head and neck vessels within 3 months;
  4. Coexisting other cerebrovascular diseases, such as intracranial aneurysms greater than 5 mm or cerebrovascular malformations;
  5. Onset of stroke within 7 days;
  6. Large old infarctions from previous stroke that may confound the evaluation of endpoints;
  7. to magnetic resonance imaging (MRI);
  8. Definite risk of cardiogenic embolism (e.g., atrial fibrillation, atrial flutter, intracardiac thrombus) or clear indications for anticoagulation therapy;
  9. Absolute or relative contraindications to antiplatelet therapy;
  10. Pregnant or lactating women;
  11. Allergy or to contrast media or stent materials (e.g., Nitinol);
  12. less than 1 year;
  13. Pre-existing neurological or psychiatric disorders (e.g., severe dementia) that would confound neurological assessments;
  14. Severe renal insufficiency ( less than 30 mL/min).
Terms in these criteria, in plain language(6)

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
296 participants (estimated)

Study arms

  • Experimental
    Combined Protection Group (BGC + Filter)

    Patients in this group will undergo carotid artery stenting (CAS) using a Balloon Guide Catheter (BGC) for proximal protection combined with a distal filter protection device.

    Device: Balloon Guide Catheter · Device: Distal Filter Protection Device

  • Active comparator
    Standard Protection Group (Filter Alone)

    Patients in this group will undergo carotid artery stenting (CAS) using a standard guiding catheter and a distal filter protection device alone.

    Device: Distal Filter Protection Device

Interventions

  • DeviceBalloon Guide Catheter

    A catheter with a balloon at the distal tip, used to temporarily arrest flow and aspirate debris during the stenting procedure.

    Also known as: BGC

  • DeviceDistal Filter Protection Device

    A mesh-type device deployed distally to the stenosis to capture embolic debris during the procedure.

    Also known as: Embolic Protection Device, EPD

06

What researchers measure

Primary outcomes

  1. Number of New Ischemic Lesions on Diffusion-Weighted Imaging (DWI)

    Assessed by brain MRI (DWI sequences) performed within 72 hours post-procedure. The outcome is defined as the total number of new high-signal intensity lesions observed on the post-procedural DWI compared to pre-procedural baseline (if available) or recognized as new procedural emboli.

    Time frame: Post-procedure 72 hours (plus or minus 12 hours)

Secondary outcomes

  1. Procedural Success Rate

    Defined as the successful deployment and retrieval of the stent and protection devices (Balloon Guide Catheter and/or Distal Filter) without technical failure.

    Time frame: Intra-operative

  2. Total Volume of New Ischemic Lesions on DWI

    The total volume (in milliliters) of new ischemic lesions measured on DWI MRI.

    Time frame: Post-procedure 72 hours (± 12 hours)

  3. Incidence of New Symptomatic Ischemic Stroke

    Occurrence of a new ischemic stroke presenting with clinical symptoms.

    Time frame: Post-procedure 72 hours (± 12 hours)

  4. Rate of Early Neurological Deterioration (NIHSS Worsening)

    Defined as an increase in the National Institutes of Health Stroke Scale (NIHSS) score of \> 2 points compared to baseline.

    Time frame: Post-procedure 72 hours (± 12 hours)

  5. All-Cause Mortality at 30 Days

    Time frame: 30 days (± 5 days)

  6. Rate of Excellent Functional Outcome (mRS 0-1) at 30 Days

    Proportion of patients with a Modified Rankin Scale (mRS) score of 0 to 1

    Time frame: 30 days (± 5 days)

  7. Rate of Functional Independence (mRS 0-2) at 30 Days

    Proportion of patients with a Modified Rankin Scale (mRS) score of 0 to 2.

    Time frame: 30 days (± 5 days)

  8. Quality of Life Assessment using EuroQol Five Dimensions Questionnaire (EQ-5D-5L) at 30 Days

    The EQ-5D-5L descriptive system comprises 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels. The responses are converted into a single utility index score (ranging from less than 0 to 1, where 1 indicates full health and 0 indicates dead). Higher scores indicate better health-related quality of life.

    Time frame: 30 days (± 5 days)

  9. Rate of Excellent Functional Outcome (mRS 0-1) at 90 Days

    Proportion of patients with a Modified Rankin Scale (mRS) score of 0 to 1.

    Time frame: 90 days (± 7 days)

  10. Rate of Functional Independence (mRS 0-2) at 90 Days

    Proportion of patients with a Modified Rankin Scale (mRS) score of 0 to 2.

    Time frame: 90 days (± 7 days)

  11. Quality of Life Assessment using EuroQol Five Dimensions Questionnaire (EQ-5D-5L) at 90 Days

    The EQ-5D-5L descriptive system comprises 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels. The responses are converted into a single utility index score (ranging from less than 0 to 1, where 1 indicates full health and 0 indicates dead). Higher scores indicate better health-related quality of life.

    Time frame: 90 days (± 7 days)

  12. Incidence of Symptomatic Intracranial Hemorrhage

    Time frame: Post-procedure 72 hours (± 12 hours)

  13. Incidence of Any Intracranial Hemorrhage

    Time frame: Post-procedure 72 hours (± 12 hours)

  14. Incidence of Adverse Events (AEs)

    Number of participants with adverse events.

    Time frame: Through study completion, up to 90 days

  15. Incidence of Serious Adverse Events (SAEs)

    Number of participants with serious adverse events.

    Time frame: Through study completion, up to 90 days

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2025 (actual). Primary completion is estimated for Sep 2027, 20 months after the start.

Of 50 non-industry interventional studies with no phase under Carotid Stenosis, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 50. This study's planned 20 months is below that.

Counting every sponsor, half of 61 studies reached it within 27 months; a quarter within 19 and three quarters within 50.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 18, 2025
First posted
Nov 25, 2025
StartActual
Dec 3, 2025
Primary completionEst.
Sep 1, 2027
CompletionEst.
Dec 1, 2027
Last update
Sep 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07247864
Responsible party
Xiaochuan Huo (Director, Beijing Anzhen Hospital) — Principal investigator
First posted
Nov 25, 2025
Start date
Dec 3, 2025
Primary completion
Sep 1, 2027 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Sep 2, 2026

Study contacts

Xiaochuan Huo, Doctor, Doctor
Contact
hxc810909@163.com
+86 13716292262
Xin Tong, Doctor
Contact
tomice123@foxmail.com
+86 17810651085

Oversight

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

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