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Not yet recruitingNCT07576998PHILFIRSTUpdated May 8, 2026

PHIL™ Middle Meningeal Artery Embolization for First-Line Treatment of Chronic Subdural Hematoma IDE Trial

An interventional study of PHIL™ (Precipitating Hydrophobic Injectable Liquid) and Surgical evacuation in Chronic Subdural Hematomas, sponsored by Microvention-Terumo, Inc.. Not yet recruiting. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-05-08.

Sponsored by Microvention-Terumo, Inc. (part of Terumo Corporation) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
475
Allocation
Randomized
Ages
22 Years and older
Sex
All
01

Study summary

This is a prospective, randomized, controlled, open-label, blinded endpoint (PROBE) clinical investigation in which patients with non-emergent chronic subdural hematoma (cSDH) requiring treatment will be randomized (1:1) to either initial surgical evacuation (Control Arm) or initial MMAE with PHIL™ (investigational arm).

02

Conditions studied

  • Chronic Subdural Hematomas
03

In context

Hematoma, Subdural, Chronic

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

This study's planned enrollment of 475 is above the median of 185 across 86 interventional studies indexed under Hematoma, Subdural, Chronic.

Browse Hematoma, Subdural, Chronic studies →

Lead sponsor

Microvention-Terumo, Inc. is the lead sponsor of 32 studies on the registry; 7 are open to participants now.

First submitted after Microvention-Terumo, Inc. became part of Terumo Corporation.

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

04

Who can participate

Ages eligible
22 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

  • Age 22 years or older
  • Diagnosis of chronic subdural hematoma
  • Subject, or their legally authorized representative provides a signed and dated Form
  • Pre-morbid mRS 0-1
  • cSDH measures ≥ 10 mm in greatest thickness
  • cSDH exerts mass effect upon the subjacent brain
  • Imaging characteristics indicative of chronicity
  • Negative urine pregnancy test for female subjects of
  • Subject is able and willing to comply with all study protocol requirements, including return to the site for all follow-up visits
  • Subject presents with one or more of the following neurological symptoms: headache/head pressure, cognitive decline, speech difficulty or aphasia, gait impairment or imbalance, focal neurological deficit (weakness, paresthesia or sensory deficit involving of one or more extremities or facial droop), and/or seizure

Exclusion criteria

Exclusion Criteria:

  • Prior ipsilateral craniotomy or burr hole evacuation of cSDH
  • Prior embolization of either MMA
  • Requires (in the opinion of the treating surgeon) full or mini-craniotomy at time of randomization
  • Emergent subdural hematoma evacuation needed
  • cSDH with a focal location
  • cSDH developed due to underlying condition
  • of \<1 year
  • Presents with an intracranial mass other than subdural hematoma
  • Presents with a meningioma with mass effect and/or ≥1 cm or currently undergoing radiation therapy for carcinoma or sarcoma of the head or neck region
  • Serum creatinine level > 3.0 mg/dL at time of enrollment and not on dialysis
  • Life-threatening allergy to radiographic contrast (unless treatment for allergy is tolerated or can be managed medically)
  • Currently enrolled in another study protocol that could potentially confound the interpretation of the study endpoints/outcomes
  • Known dangerous anatomic variations leading to increased procedural risk or unsafe access for MMAE
  • for the use of PHIL™ liquid embolic system
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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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.

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.

05

Study design

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

Study arms

  • Active comparator
    Surgical management

    Control arm

    Procedure: Surgical evacuation

  • Experimental
    PHIL embolic

    Treatment arm

    Device: PHIL™ (Precipitating Hydrophobic Injectable Liquid)

Interventions

  • DevicePHIL™ (Precipitating Hydrophobic Injectable Liquid)

    Embolization of MMA with PHIL.

  • ProcedureSurgical evacuation

    Surgical evacuation of cSDH.

06

What researchers measure

Primary outcomes

  1. Primary Safety Endpoint

    Incidence of mRS 0-2.

    Time frame: 90 days post procedure

  2. Primary Effectiveness Endpoint

    Incidence of clinically indicated (as adjudicated by CEC) surgical evacuation of the target cSDH among subjects in the PHIL™ MMAE arm.

    Time frame: 90 days post procedure

Secondary outcomes

  1. Death or major disabling stroke.

    Time frame: 30-, 90-, and 180-days post-index procedure

  2. The composite of: recurrent or residual chronic subdural hematoma on the target side measuring ≥ 10 mm; retreatment; or major disabling stroke, myocardial infarction, or death from neurologic causes.

    Time frame: 180 days post procedure

  3. Resolution of cSDH without retreatment.

    Time frame: 90- and 180-days post procedure

  4. Neurological death

    Time frame: 90- and 180-days post procedure

  5. Change in EQ-5D-5L from baseline

    Time frame: 90- and 180-days post procedure

  6. cSDH-related hospital re-admissions and re-admission days

    Time frame: 90- and 180-days post procedure

  7. Index hospitalization length of stay

    Time frame: post procedure

  8. Neurological Events of Interest: minor stroke, major stroke, cSDH expansion, acute cSDH, mRS deterioration of 2 points or greater

    Time frame: 90 days and 180 days post procedure

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07576998
Responsible party
Sponsor
First posted
May 8, 2026
Start date
Dec 31, 2026 (estimated)
Primary completion
May 31, 2030 (estimated)
Completion
May 31, 2031 (estimated)
Last update
May 8, 2026

Study contacts

Jennifer Tran
Contact
jennifer.tran@terumo.com
949-678-1949
Amy Bowles
Contact
amy.bowles@microvention.com
714-482-8074
David Fiorella
principal investigator · Stony Brook University

Oversight

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

Not currently enrolling

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

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