ClinicalTrials.gg
RecruitingNCT07258069HARMONYUpdated Oct 27, 2026

Study On Histoacryl Used For Embolization Of Middle Meningeal Artery (MMA) In Chronic Subdural Hematoma (CSDH)

An observational study in Subdural Hematoma and Subdural Hematoma, Chronic, sponsored by Aesculap AG. Recruiting at 6 sites in Japan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Primary conditionHematoma, Subdural, ChronicRegistry: Hematoma, SubduralReclassifiedWhy we changed it
Registry
Hematoma, Subdural — the first condition term the registry derived for this study.
ClinicalTrials.gg
Hematoma, Subdural, Chronic
Why
  1. The study's listed conditions name Hematoma, Subdural, Chronic, a narrower term within Hematoma, Subdural.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Aesculap AG (part of B. Braun) · Observational

From the registry’s dates

  • Started Apr 2026; still recruiting 7 months later.
Updated Oct 27, 2026Title changedSite recruiting status changed+1 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
178
Ages
18 Years and older
Sex
All
01

Study summary

The aim of the study is to proof the effectiveness of Histoacryl® on preventing recurrence or progression of subdural hematoma after embolization of the middle meningeal artery.

02

Conditions studied

  • Subdural Hematoma
  • Subdural Hematoma, Chronic

Browse trials for

03

In context

Hematoma, Subdural, Chronic Reclassified

112 studies on the registry are indexed under Hematoma, Subdural, Chronic; 49 are open to participants now.

This study's planned enrollment of 178 is below the median of 210 across 20 observational studies indexed under Hematoma, Subdural, Chronic.

Browse Hematoma, Subdural, Chronic studies →

Lead sponsor

Aesculap AG is the lead sponsor of 105 studies on the registry; 20 are open to participants now.

Compared within Hematoma, Subdural, Chronic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Hematoma, Subdural. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

A description of the population from which the groups or cohorts will be selected (for example, primary care clinic, community sample, residents of a certain town).

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

  • 18 years old or older
  • Confirmed diagnosis of chronic subdural hematoma (CSDH) or recurrent subdural hematoma (SDH)
  • Completed documented
  • Willingness and presumed capability to participate in follow-up visits for up to 6 months (180±30 days)

Exclusion criteria

Exclusion Criteria:

  • Extensive cerebral infarction, brain tumor, or space-occupying lesion requiring treatment
  • Need craniotomy
  • Any sign of anatomical variations that could make MMA embolization unsafe (e.g., prominent MMA-opthalmic artery anastomoses)
  • Coagulation dysfunction with >1.8 and/or count \<80x109 /L
  • Allergic reactions to essential medicines to do angiography
  • Women who are pregnant, lactating, or who are of childbearing age and plan on becoming pregnant during the study
  • Participation in another clinical trial
Terms in these criteria, in plain language(3)

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.

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

Observational model
Cohort
Time perspective
Prospective
Enrollment
178 participants (estimated)
Patient registry
No

Interventions

  • DeviceHistoacryl®

    Histoacryl® is used by direct needle puncture, transcatheter approach, or transendoscopic approach in vascular embolization for the described purposes.

06

What researchers measure

Primary outcomes

  1. Recurrence or progression of subdural hematoma

    Recurrence will be described as maximum thickness of SDH exceeding 10 mm, recurrence of symptoms or the patient requiring reoperation, meaning a second burr-hole drainage due to SDH. \*\*Progression will be described as maximum thickness of SDH increasing over 3 mm compared to the baseline.

    Time frame: within 3 months

Secondary outcomes

  1. Efficacy (1. Time)

    Time period from symptoms to embolization

    Time frame: V1, preoperatively (baseline visit)

  2. Efficacy (2. Time)

    Time period from burr-hole drainage to embolization

    Time frame: V2, surgery (index procedure)

  3. Efficacy (3. Time)

    Time period from embolization to recurrence

    Time frame: 6 months

  4. Efficacy (4. Hematoma thickness)

    Change in hematoma thickness

    Time frame: at V4: 3 months and V5: 6 months compared to baseline

  5. Efficacy (5. Change in midlind shift)

    Change in midline shift compared to baseline

    Time frame: at V4: 3 months and V5: 6 months

  6. Efficacy (6. Cognitive assessment)

    Mini-Mental State Examination (MMSE) from 0 (severe cognitive impairment) to 30 (no cognitive impairment)

    Time frame: V1: preoperatively, V3: discharge, V4: 3 months and V5: 6 months

  7. Quality of life, EQ-5D-5L

    assessed by EQ-5D scale from 0 (worst health) to 100 (best health)

    Time frame: V1: preoperatively, V3: discharge, V4: 3 months and V5: 6 months

07

Study locations

3 of 6 sites recruiting
  • Kokura Memorial Hospital
    Fukuoka, Kitakyushu-city 〒802-8555, Japan
    Not yet recruiting
    • Taketo Hatano, Dr. · Contact093-511-2000
  • Ohara HealthCare Foundation Kurashiki Central Hospital
    Okayama, Kurashiki 〒710-8602, Japan
    Not yet recruiting
    • Masanori Kinosada, Dr. · Contact086-422-0210
  • Shimizu Hospital
    Kyoto, Nishikyo-ku 〒615-8237, Japan
    Recruiting
    • Nobuyuki Sakai, Dr. · Contact075-381-5161
  • National Hospital Organization Osaka National Hospital
    Osaka-Fu, Osaka-shi 〒540-0006, Japan
    Recruiting
    • Toshiyuki Fujinaka, Dr. · Contact06-6942-1331
  • Kyoto University Hospital
    Kyoto, Sakyo-ku 〒606-8507, Japan
    Recruiting
    • Chiaki Sakai, Dr. · Contact0570-030
  • National Cerebral and Cardiovascular Center
    Osaka, Suita 〒564-8565, Japan
    Not yet recruiting
    • Masakazu Okawa, Dr. · Contact0570-012-545
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
1 site removed. 2 sites changed recruiting status (2 now recruiting)
Show 2 sites
  • National Hospital Organization Osaka National Hospital · Osaka-Fu, JapanNot yet recruiting→Recruiting
  • Kyoto University Hospital · Kyoto, JapanNot yet recruiting→Recruiting
Show 1 removed
  • Kobe City Medical Center General Hospital · Kobe, Japan
Oct 9, 2026
Title
Study On Histoacryl Used For Embolization Of Middle Meningeal Artery (MMA) In Chronic Subdural Hematoma (CSDH) (HARMONY)
Oct 27, 2026
Show all 2 updates
  1. Oct 27, 2026
    Title Study On Histoacryl Used For Embolization Of Middle Meningeal Artery (MMA) In Chronic Subdural Hematoma (CSDH) (HARMONY)
  2. Oct 9, 2026
    1 site removed. 2 sites changed recruiting status (2 now recruiting)
    Show 2 sites
    • National Hospital Organization Osaka National Hospital · Osaka-Fu, JapanNot yet recruiting→Recruiting
    • Kyoto University Hospital · Kyoto, JapanNot yet recruiting→Recruiting
    Show 1 removed
    • Kobe City Medical Center General Hospital · Kobe, Japan
    + 1 other change: verification date

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
NCT07258069
Lead sponsor
Aesculap AG
Responsible party
Sponsor
First posted
Dec 2, 2025
Start date
Apr 10, 2026
Primary completion
Dec 2026 (estimated)
Completion
Aug 2027 (estimated)
Last update
Oct 27, 2026

Study contacts

Marta Soteras, Dr.
Contact
studies@aesculap.de
+34 935 8662 ext. 00
Yumiko Okaniva, Dr.
Contact
gen.jp@bbraun.jp
+81 3814 ext. 2525

Oversight

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

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