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Not yet recruitingNCT07264413BRIGHTUpdated Oct 21, 2026

Bleeding Reduction in Grade II-III Haemorrhoids Through Embolization Treatment

An observational study in Hemorrhoid and Hemorrhoid Bleeding, sponsored by Cardiovascular and Interventional Radiological Society of Europe. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Cardiovascular and Interventional Radiological Society of Europe · Observational

Updated Oct 21, 2026Start date movedPrimary completion moved+1 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
250
Ages
18 Years and older
Sex
All
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Study summary

BRIGHT is a Europe-wide study that will follow up to 250 adults with bleeding symptoms from haemmorhoids (Grade II-III categories). It aims to understand how well a minimally invasive procedure called haemorrhoid artery embolization (HAE) works in everyday clinical practice, which is a technique that blocks the blood vessels feeding the haemorrhoids. As this technique does not require major surgery, HAE offers several benefits such as less trauma, quicker recovery, and the use of only local anaesthesia.

02

Conditions studied

  • Hemorrhoid
  • Hemorrhoid Bleeding

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Keywords

  • Haemorrhoids
  • Grade II-III haemorrhoids
  • Symptomatic haemorrhoids
  • Hemorrhoidal bleeding
  • Haemorrhoidal disease
  • Haemorrhoid artery embolization
  • HAE
  • Artery embolization
  • Transarterial embolization
  • Minimally invasive
  • Embolization coils
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In context

Hemorrhoids

238 studies on the registry are indexed under Hemorrhoids; 73 are open to participants now.

This study's planned enrollment of 250 is above the median of 151 across 49 observational studies indexed under Hemorrhoids.

Browse Hemorrhoids studies →

Lead sponsor

Cardiovascular and Interventional Radiological Society of Europe is the lead sponsor of 10 studies on the registry; 4 are open to participants now.

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

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Who can participate

The criteria were revised on the registry on Oct 21, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients with bleeding grade II-III haemorrhoids (French Bleeding Score ≥3) planned to be treated with HAE coil-only embolization who fit the eligibility criteria

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. Adult patients presenting bleeding Grade II-III haemorrhoids with French bleeding score ≥3 planned to be treated with HAE using embolization coils;
  2. Patients competent and willing to give written .

Exclusion criteria

Exclusion Criteria:

  1. Minors and other vulnerable populations who may not be able to give freely or for whom participation is not essential to the study (incapacitated and unconscious individuals, persons deprived of liberty, pregnant and breastfeeding women, etc.);
  2. Patients receiving HAE using a combination of coils and particles, particles only, or any other embolic agents;
  3. Patients who have had previous HAE or surgical haemorrhoidectomy at any time or other treatments for haemorrhoids within 1 year before the planned HAE (rubber band ligation and infra-red therapy allowed);
  4. Patients with known perianal sepsis, inflammatory bowel disease, peri-anal fistula, colorectal or pre-existing sphincter injury resulting in incontinence;
  5. Patients with an immunodeficiency;
  6. Known severe atheromatous disease with occlusion of target vessels preventing embolization;
  7. Absolute to contrast media;
  8. performance status > 2;
  9. \< 12 months;
  10. Patients with unstable angina;
  11. Patients currently taking nicorandil.
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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

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.

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Study design

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

Groups and cohorts

  • Adult patients with bleeding grade II-III haemorrhoids

    Adult patients with bleeding grade II-III haemorrhoids planned to be treated with Haemorrhoid artery embolization (HAE) using embolization coils

    Procedure: Haemorrhoid artery embolizsation (HAE)

Interventions

  • ProcedureHaemorrhoid artery embolizsation (HAE)

    Haemorrhoid artery embolization (HAE) is a minimally invasive procedure used to treat symptomatic haemorrhoids by reducing their blood supply. Under imaging guidance, typically fluoroscopy, a catheter is inserted through a small puncture in the groin or wrist and guided into the arteries that supply the haemorrhoidal tissue, known as the superior rectal arteries. Once the target vessels are identified, embolization coils-tiny metal coils designed to block blood flow-are placed inside these arteries. The coils create a controlled blockage, decreasing blood flow to the haemorrhoids, which helps shrink the swollen tissue and reduce bleeding. HAE is usually performed as an day-case procedure under local anaesthesia with mild sedation, and tends to result in less pain, quicker recovery, and lower complication rates compared to surgical approaches.

    Also known as: Embolization Coils

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What researchers measure

Primary outcomes

  1. Haemorrhoidal bleeding

    Evaluated using the French Bleeding Score.

    Time frame: 12 months

Secondary outcomes

  1. Haemorrhoidal bleeding

    Evaluation of haemorrhoidal bleeding at time points listed below compared to baseline using the French Bleeding Score.

    Time frame: 1, 3 and 24 months

  2. Patient-reported Pain using the Visual Analogue Scale

    The 10 cm Visual Analogue Scale (VAS) is a patient-reported outcome measure used to assess the intensity of a symptom such as pain, discomfort, or bleeding. It consists of a straight, 10-centimeter horizontal line with two anchored endpoints: 0 cm = no symptom, and 10 cm = worst imaginable symptom. Participants mark a point on the line that best represents the severity of their symptom at the time of assessment. This will be measured at 1 day, 1- and 3-months after the treatment.

    Time frame: 1 day, 1- and 3-months post treatment, compared to baseline

  3. Patient-reported Pain measured by Analgesic intake

    Analgesic intake refers to the use of any pain-relief medication taken to manage haemorrhoid-related discomfort after HAE. This includes over-the-counter or prescribed agents such as acetaminophen/paracetamol or NSAIDs. Participants will be recorded as having taken analgesics if they use any pain medication for haemorrhoid symptoms during the specified time frame.

    Time frame: 1 day, 1- and 3-months post treatment

  4. Frequency and severity of procedural complications and other adverse events

    The severity of complications and procedure-related adverse events will be graded according to the Clavian Dindo classification system.

    Time frame: Within 3 months after the HAE procedure

  5. Functional recovery

    Measured as the number of days until the patient is fit enough to return to work or other usual daily activities.

    Time frame: From the procedure date until the patient returns to work or usual daily activities (Number of days)

  6. Freedom from recurrence

    Defined as the proportion of patients with cured or improved symptoms as described in the HubBle Trial.

    Time frame: 1, 3, 12 and 24 months

  7. Clinical appearance of haemorrhoids

    Evaluated at proctoscopy at 12 months if done per SOC or following recurrence requiring further intervention.

    Time frame: 12 months

  8. Patient-reported symptoms

    Evaluated using the Haemorrhoids Severity Score at the specified time points below compared to baseline.

    Time frame: 3, 12 and 24 months

  9. Patient-reported continence

    Assessed using the Vaizey Incontinence Score at the specified time points below compared to baseline.

    Time frame: 3 months

  10. Patient-reported health-related quality-of-life

    Measured by EuroQol Five-Dimension, Five-Level Questionnaire (EuroQol EQ-5D-5L) at the specified time points below compared to baseline. It is a standardized, participant-reported measure of health-related quality of life that assesses five dimensions-mobility, self-care, usual activities, pain/discomfort, and anxiety/depression-each rated on five levels of severity: no problems, slight problems, moderate problems, severe problems, and extreme problems/unable to perform. Higher EQ-5D-5L index values indicate better overall health status, while lower scores reflect poorer health, greater symptom burden, or more functional impairment.

    Time frame: 1 day, 1-, 3-, 12- and 24-months

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Brown SR, Tiernan JP, Watson AJM, Biggs K, Shephard N, Wailoo AJ, Bradburn M, Alshreef A, Hind D; HubBLe Study team. Haemorrhoidal artery ligation versus rubber band ligation for the management of symptomatic second-degree and third-degree haemorrhoids (HubBLe): a multicentre, open-label, randomised controlled trial. Lancet. 2016 Jul 23;388(10042):356-364. doi: 10.1016/S0140-6736(16)30584-0. Epub 2016 May 25. PubMed 27236344 ↗
  • Vaizey CJ, Carapeti E, Cahill JA, Kamm MA. Prospective comparison of faecal incontinence grading systems. Gut. 1999 Jan;44(1):77-80. doi: 10.1136/gut.44.1.77. PubMed 9862829 ↗
  • Nystrom PO, Qvist N, Raahave D, Lindsey I, Mortensen N; Stapled or Open Pile Procedure (STOPP) trial study group. Randomized clinical trial of symptom control after stapled anopexy or diathermy excision for haemorrhoid prolapse. Br J Surg. 2010 Feb;97(2):167-76. doi: 10.1002/bjs.6804. PubMed 20035531 ↗
  • Fathallah N, Beaussier H, Chatellier G, Meyer J, Sapoval M, Moussa N, de Parades V. Proposal for a New Score: Hemorrhoidal Bleeding Score. Ann Coloproctol. 2021 Oct;37(5):311-317. doi: 10.3393/ac.2020.08.19. Epub 2020 Sep 18. PubMed 32972102 ↗
  • Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004 Aug;240(2):205-13. doi: 10.1097/01.sla.0000133083.54934.ae. PubMed 15273542 ↗

Individual participant data

Plan to share: No

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Updates

1 registry update since Sep 25, 2026
Start date
Aug 2026→Nov 2026
Oct 21, 2026
Primary completion
Apr 2030→Sep 2030
Oct 21, 2026
Eligibility
1 exclusion criterion edited
What changed in the criteria
Exclusion criteria
  • EditedPatients who have had previous HAE or surgical haemorrhoidectomy at any time or other treatments for haemorrhoids within 1 year before the planned HAE (rubber band ligation and infra-red therapy allowed);
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    Start date Aug 2026→Nov 2026
    Primary completion Apr 2030→Sep 2030
    Eligibility 1 exclusion criterion edited
    What changed in the criteria
    Exclusion criteria
    • EditedPatients who have had previous HAE or surgical haemorrhoidectomy at any time or other treatments for haemorrhoids within 1 year before the planned HAE (rubber band ligation and infra-red therapy allowed);
    + 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 ↗

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Registry details

Key details

Study ID
NCT07264413
Lead sponsor
Cardiovascular and Interventional Radiological Society of Europe
Responsible party
Sponsor
First posted
Dec 4, 2025
Start date
Nov 2026 (estimated)
Primary completion
Sep 2030 (estimated)
Completion
Dec 2030 (estimated)
Last update
Oct 21, 2026

Study contacts

Claire Poulet, PhD
Contact
bright@cirse.org
+41 79 385 16 78
Dhwani S. Korde, PhD
Contact
bright@cirse.org
+4367762942469
Clare Bent, Dr
study chair · Royal Bournemouth Hospital, University Hospitals Dorset NHS Foundation Trust
Christoph A. Binkert, Prof. Dr. med.
study chair · Medical Radiological Institute
Roberto Iezzi, Prof.
study chair · Fondazione Policlinico Agostino Gemelli, IRCCS Catholic University
Vincent Vidal, Prof.
study chair · Marseille University Hospital Timone

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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