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RecruitingNCT07474935TRUSTUpdated Mar 16, 2026

Targeting Real World Usage In Stroke Treatment

An observational study in Saccular and Fusiform Aneurysms, Pseudoaneurysm and Vascular Dissection, sponsored by Phenox GmbH. Recruiting at 13 sites in 5 countries. Per ClinicalTrials.gov, last updated 2026-03-16.

Primary conditionIntracranial AneurysmRegistry: AneurysmReclassifiedWhy we changed it
Registry
Aneurysm — the first condition term the registry derived for this study.
ClinicalTrials.gg
Intracranial Aneurysm
Why
  1. The study's listed conditions name Intracranial Aneurysm, a narrower term within Aneurysm.
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 Phenox GmbH · Observational

From the registry’s dates

  • Started Jan 2026; still recruiting 9 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
5,000
Sex
All
01

Study summary

TRUST Registry is an observational, prospective, long-term, post-market surveillance registry of subjects treated with WallabyPhenox flow modulation devices, stent systems, bifurcation aneurysm implants including their HPC variants (Hydrophilic Polymer Coating) where applicable as well as coil systems, and other adjunctive medical devices.

The overarching purpose of this registry is to carry out a proactive gathering, recording, and analysis of data on the safety, performance and usability of the devices as applied within the routine practice of the participating registry sites.

02

Conditions studied

  • Saccular and Fusiform Aneurysms
  • Pseudoaneurysm
  • Vascular Dissection
  • Perforation
  • Bifurcation Aneurysms
  • Stenosis
  • Neurovascular Abnormalties
  • Wide-neck Aneurysm
  • Intracranial Aneurysms

Keywords

  • TRUST Registry
  • Registry study
  • Flow Diverter
  • WallabyPhenox
  • p48 MW (HPC)
  • p64
  • Avenir Coil
  • p64 MW (HPC)
  • pEGASUS HPC
  • pCONUS 2 (HPC)
03

In context

Intracranial Aneurysm Reclassified

418 studies on the registry are indexed under Intracranial Aneurysm; 119 are open to participants now.

This study's planned enrollment of 5,000 is above the median of 200 across 191 observational studies indexed under Intracranial Aneurysm.

Browse Intracranial Aneurysm studies →

Lead sponsor

Phenox GmbH is the lead sponsor of 9 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The registry population comprising of patients suffering from cranial diseases as per indication of target registry devices (intracranial aneurysms, pseudo-aneurysms, neurovascular abnormalities, dissections, perforations, neurovascular abnormalities, and other indication), is deemed representative of the target population in terms of characteristics and standard care.

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

  • Subject treated or intended to be treated with at least one target registry device during the procedure (i.e., at least one attempt of introduction into the vasculature of the subject),
  • Non-opposition to data collection or provided by the subject or legal representative as per country-specific legislation.

Exclusion criteria

Exclusion Criteria:

  • Participation in an interventional study modifying standard care management for all relevant indications,
Terms in these criteria, in plain language(1)

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
5,000 participants (estimated)
Target follow-up
5 Years
Patient registry
Yes

Groups and cohorts

  • Treatment of Intracranial Aneurysm

    Patients undergoing treatment for intracranial aneurysms (IA) with market approved device(s) from WallabyPhenox implantable devices portfolio as per standard of care of participating hospitals. The cohort originates from one overarching registry protocol.

    Device: Aneurysm Treatment with a Neurovascular Flow Diverter · Device: Aneurysm Treatment with Neurovascular Stent System · Device: Aneurysm treatment with Bifurcation Aneurysm Implant · Device: Aneurysm treatment with Avenir Coil System

  • Treatment of Vascular Dissection

    Patients undergoing treatment for vascular dissection with market approved device(s) from WallabyPhenox implantable devices portfolio as per standard of care of participating hospitals. The cohort originates from one overarching registry protocol.

    Device: Dissection Treatment with a Neurovascular Flow Diverter · Device: Dissection Treatment with Neurovascular Stent System

  • Treatment of Vascular Perforation

    Patients undergoing treatment for vascular perforation with market approved device(s) from WallabyPhenox implantable devices portfolio as per standard of care of participating hospitals. The cohort originates from one overarching registry protocol.

    Device: Perforation Treatment with a Neurovascular Flow Diverter

  • Treatment of Neurovascular Abnormalities

    Patients undergoing treatment for neurovascular abnormalities with market approved device(s) from WallabyPhenox implantable devices portfolio as per standard of care of participating hospitals. The cohort originates from one overarching registry protocol.

    Device: Arteriovenous Fistula treatment with a Neurovascular Flow Diverter · Device: Arteriovenous fistula treatment with Avenir Coil System

  • Treatment of Atherosclerotic Vascular Stenosis of Intracranial Arteries

    Patients undergoing treatment for atherosclerotic vascular stenosis of intracranial arteries with market approved device(s) from WallabyPhenox implantable devices portfolio as per standard of care of participating hospitals. The cohort originates from one overarching registry protocol.

    Device: Atherosclerotic vascular stenosis Treatment with Neurovascular Stent System

Interventions

  • DeviceAneurysm Treatment with a Neurovascular Flow Diverter

    Treatment of aneurysms (saccular or fusiform) and pseudoaneurysms with a Neurovascular Flow Diverter. This includes p64, p64 MW, p64 MW HPC, p48 MW and p48 MW HPC.

  • DeviceDissection Treatment with a Neurovascular Flow Diverter

    Treatment of vascular dissections in the acute and chronic phases with a Neurovascular Flow Diverter. This includes p64, p64 MW, p64 MW HPC, p48 MW and p48 MW HPC.

  • DevicePerforation Treatment with a Neurovascular Flow Diverter

    Treatment of vascular perforations with a Neurovascular Flow Diverter. This includes p64, p64 MW, p64 MW HPC, p48 MW and p48 MW HPC.

  • DeviceArteriovenous Fistula treatment with a Neurovascular Flow Diverter

    Treatment of Arteriovenous fistula with a Neurovascular Flow Diverter. This includes p64, p64 MW, p64 MW HPC, p48 MW and p48 MW HPC.

  • DeviceAneurysm Treatment with Neurovascular Stent System

    Treatment of saccular and fusiform aneurysms as well as pseudoaneurysms with pEGASUS HPC. pEGASUS HPC is to be used in combination with coils.

  • DeviceAtherosclerotic vascular stenosis Treatment with Neurovascular Stent System

    Atherosclerotic vascular stenosis of intracranial arteries treated with pEGASUS HPC.

  • DeviceDissection Treatment with Neurovascular Stent System

    Treatment of vascular dissections in the acute and chronic phases with pEGASUS HPC.

  • DeviceAneurysm treatment with Bifurcation Aneurysm Implant

    Treatment of intracranial bifurcation aneurysms with pCONUS 2 or pCONUS 2 HPC.

  • DeviceAneurysm treatment with Avenir Coil System

    Treatment of intracranial aneurysms with the available variants of the Avenir Coil System.

  • DeviceArteriovenous fistula treatment with Avenir Coil System

    Treatment of arteriovenous fistula with the available variants of the Avenir Coil System.

06

What researchers measure

Primary outcomes

  1. Morbi-mortality

    Morbi-mortality will be defined by a modified Rankin Scale (mRS) ≥ 3 in patients with an mRS ≤ 2 prior to the procedure, or at least 1-point increase over the initial mRS score in subjects with an mRS \> 2 prior to the procedure. The scale runs from 0-6 and is presented as below: 0 - No symptoms. 1. \- No significant disability. Able to carry out all usual activities, despite some symptoms. 2. \- Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities. 3. \- Moderate disability. Requires some help, but able to walk unassisted. 4. \- Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted. 5. \- Severe disability. Requires constant nursing care and attention, bedridden, incontinent. 6. \- Dead

    Time frame: Morbi-mortality related to the device/procedure will be assessed at 365 days, in alignment with the standard of care of the participating sites.

Secondary outcomes

  1. Performance - Aneurysm Occlusion Rate

    Assessment of the performance of devices in the light of relevant state-of-the-art performance measures: Complete occlusion rate assessed by Core Lab with Raymond-Roy occlusion classification.

    Time frame: The performance outcomes is assessed at the end of the procedure and at 12 months (± 6 months) in alignment with the standard of care of participating sites.

  2. Performance - Incidence of Aneurysm Re-canalization/ Recurrence/ Regrowth

    Assessment of the performance of devices in the light of relevant state-of-the-art performance measures: Incidence of re-canalization/ recurrence/ regrowth compared to procedural outcome assessed by Core Lab.

    Time frame: The performance outcomes are collected at relevant time-points (e.g., 180 days, 365 days, annually up to 5 years post-procedure), in alignment with the standard of care of participating sites.

  3. Performance - Aneurysm Re-treatment Rate

    Assessment of the performance of devices in the light of relevant state-of-the-art performance measures: Re-treatment Rate as per investigator's reported data.

    Time frame: The performance outcomes are collected at relevant time-points (e.g., 180 days, 365 days, annually up to 5 years post-procedure), in alignment with the standard of care of participating sites.

  4. Performance - Vascular dissections sealing

    Assessment of the performance of devices in the light of relevant state-of-the-art performance measures: Complete sealing of the vascular dissection assessed by Core Lab.

    Time frame: The performance outcomes is assessed at the end of the procedure and at 12 months (± 6 months) in alignment with the standard of care of participating sites.

  5. Performance - Vascular perforation sealing

    Assessment of the performance of devices in the light of relevant state-of-the-art performance measures: Complete sealing of the vascular perforation assessed by Core Lab.

    Time frame: The performance outcomes is assessed at the end of the procedure and at 12 months (± 6 months) in alignment with the standard of care of participating sites.

  6. Performance - Arteriovenous fistula (AVF) Occlusion Status

    Assessment of the performance of devices in the light of relevant state-of-the-art performance measures: AVF Occlusion status assessed by Core Lab - binary evaluation.

    Time frame: The performance outcomes is assessed at the end of the procedure at early stage post procedure (5 ± 2 months) and at 12 months (± 6 months) in alignment with the standard of care of participating sites.

  7. Performance - Incidence of In-stent Stenosis

    Assessment of the performance of devices in the light of relevant state-of-the-art performance measures: Incidence of in-stent stenosis assessed by Core Lab for Neurovascular Flow Diverters and Neurovascular Stent Systems.

    Time frame: The performance outcomes is assessed at 12 months (± 6 months) in alignment with the standard of care of participating sites.

  8. Performance - Device Technical Success

    Device Technical success is assessed for each target registry device as per Investigator reported data and defined as successful delivery, positioning, and deployment of the device(s) at the intended target lesion(s).

    Time frame: Device Technical Success is assessed at the end of the procedure.

  9. Safety - Incidence of hemorrhagic, thromboembolic, neurological, or other procedural complications

    Occurrence of hemorrhagic, thromboembolic, neurological, or other procedural complication (including technical complications that are not device deficiencies) are evaluated as a secondary safety outcome.

    Time frame: Assessed at relevant time-points (e.g., periprocedural, 180 days, 365 days, annually up to 5 years post-procedure) in alignment with the standard of care of participating sites.

  10. Safety - Rate of Major Strokes and Neurological Death

    Rate of major strokes (ischemic or hemorrhagic) or neurological death related to treatment of the target indication are evaluated as a secondary safety outcome.

    Time frame: Depending on the standard of care of the participating sites, e.g. 180 days, 365 days or annually up to 5 years post-procedure.

  11. Safety - Incidence of Device deficiencies

    Reported Device deficiencies are evaluated as an additional secondary safety outcome.

    Time frame: Assessed periprocedural and at relevant time-points (e.g., 180 days, 365 days, annually up to 5 years post-procedure) in alignment with the standard of care of participating sites.

  12. Usability

    Device usability indicator defined upon key functionalities of each device, as well as understanding and handling by the user are evaluated as a Secondary Usability Outcome. Device key functionalities will be assessed with a 5 grade scale as below: * Excellent * Good * Acceptable * Unsatisfactory * Unable to complete

    Time frame: During the procedure

  13. Performance - Average residual stenosis

    Assessment of the performance of devices in the light of relevant state-of-the-art performance measures: Average residual stenosis assessed by Core Lab by Warfarin-Aspirin Symptomatic Intracranial Disease (WASID) method.

    Time frame: The performance outcomes is assessed at 12 months (± 6 months) in alignment with the standard of care of participating sites.

07

Study locations

2 of 13 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07474935
Lead sponsor
Phenox GmbH
Responsible party
Sponsor
First posted
Mar 16, 2026
Start date
Jan 29, 2026
Primary completion
Jan 2036 (estimated)
Completion
Jan 2041 (estimated)
Last update
Mar 16, 2026

Oversight

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

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