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NCT02186561: PREMIER

Prospective Study on Embolization of Intracranial Aneurysms With Pipeline™ Embolization Device

Completed NA Results posted Last updated 27 December 2019
What this trial tests

NA trial testing Pipeline™ Embolization Device/ Pipeline™Flex Embolization Device in Intracranial Aneurysm in 197 participants. Completed in 13 December 2018.

Timeline
24 July 2014
Primary endpoint
18 November 2016
13 December 2018

Quick facts

Lead sponsorMedtronic Neurovascular Clinical Affairs
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment197
Start date24 July 2014
Primary completion18 November 2016
Estimated completion13 December 2018
Sites23 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Medtronic Neurovascular Clinical Affairs — full company profile →

Who can join

Adults 22 to 80, any sex, with Intracranial Aneurysm. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Percentage of Participants With the Occurrence of Major Stroke in the Territory Supplied by the Treated Artery or Neurological Death at 12-Months Post Procedure Primary · Up to 12 Months Post Procedure

The primary safety endpoint was defined as a stroke which results in focal neurological deficit for 24 hrs or more and increases the NIH Stroke Scale of the subject by ≥ 4 along with an imaging correlate. Missing data for subjects who failed to complete the 12- month post-procedure evaluation without any evidence of a major stroke in the territory supplied by the treated artery or neurological death were imputed in the analysis using multiple imputation. Multiple imputation provides a mechanism for deriving estimates for a population where not all of the patients have an endpoint determination

GroupValue95% CI
PREMIER2.17
The Percentage of Participants With Complete Aneurysm Occlusion (Defined as Raymond Roy Grade 1) Without Significant Parent Artery Stenosis (≤ 50%) or Retreatment of the Target Aneurysm at 12-Months Post-Procedure Primary · Up to 12 Months Post Procedure

The definitions for the three components of the primary effectiveness endpoint were: 1) retreatment, defined as all retreatment procedures occurring between the index procedure and 1 Year post-procedure; 2) complete aneurysm occlusion based on Core Laboratory review of 1-year images and 3) significant parent artery stenosis, based on Core Laboratory review of 1-year images. The Raymond-Roy Grading scale is used for judging intracranial aneurysm (IA) endosaccular embolization success. Grade I is completion occlusion with no flow of contrast seen in the aneurysm sac, Grade II is partial occlusio

GroupValue95% CI
PREMIER76.71
The Number of Participants With a Major Stroke in the Territory Supplied by the Treated Artery or Neurological Death at 30-days Post Procedure Due to Procedural Complications Secondary · Up to 30 days, Post Procedure

Major Stroke is defined as a stroke which results in focal neurological deficit for 24 hrs or more and increases the NIH Stroke Scale of the subject by ≥ 4 along with an imaging correlate. Neurological death is any subject death due to neurologic reasons.

GroupValue95% CI
PREMIER0
The Number of Participants Who Experienced Delayed Intracerebral Hemorrhage > 30 Days Post-Procedure Secondary · > 30 days, Post Procedure

For the purpose of this protocol, delayed intracerebral hemorrhage was defined as hemorrhage within the fixed vault of the cranium (skull) occurring greater than 30 days post-procedure.

GroupValue95% CI
PREMIER1
The Number of Participants With Successfully Deployed Investigational Device Secondary · Index Procedure

The secondary outcome measures provides the number of participants successfully implanted with the Investigational device during the study index procedure at the target site.

GroupValue95% CI
PREMIER140

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were collected from the point of consent through year 3. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

CEC Adjudicated Adverse Events Through 1-Year
Serious: 39/141 (28%)
Deaths: 1/141
CEC Adjudicated Adverse Events Through 2-Year
Serious: 49/141 (35%)
Deaths: 1/141
CEC Adjudicated Adverse Events Through 3-Year
Serious: 60/141 (43%)
Deaths: 2/141

Serious adverse events (81 terms)

ReactionSystemCEC Adjudicated Adverse Ev…CEC Adjudicated Adverse Ev…CEC Adjudicated Adverse Ev…
Aneurysm repairSurgical and medical procedures
HeadacheNervous system disorders
Cerebral HaemorrhageNervous system disorders
Coronary Artery DiseaseCardiac disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Chest painGeneral disorders
ConvulsionNervous system disorders
Ischaemic strokeNervous system disorders
MigraineNervous system disorders
Transient ischaemic attackNervous system disorders
Hypertensive CrisisVascular disorders
Adverse drug reactionGeneral disorders
CholecystitisHepatobiliary disorders
InfluenzaInfections and infestations
Vascular pseudoaneurysmInjury, poisoning and procedural complications
DepressionPsychiatric disorders
Suicide AttemptPsychiatric disorders
Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Atrial flutterCardiac disorders
Cardiac failure congestiveCardiac disorders
Ventricular tachycardiaCardiac disorders
Vision BlurredEye disorders
Abdominal painGastrointestinal disorders
NauseaGastrointestinal disorders
Other adverse events (92 terms — click to expand)

ReactionSystemCEC Adjudicated Adverse Ev…CEC Adjudicated Adverse Ev…CEC Adjudicated Adverse Ev…
HeadacheNervous system disorders
EcchymosisSkin and subcutaneous tissue disorders
VasospasmVascular disorders
Visual impairmentEye disorders
Catheter site haematomaGeneral disorders
Catheter site haemorrhageGeneral disorders
DizzinessNervous system disorders
Vision blurredEye disorders
ParaesthesiaNervous system disorders
Catheter site painGeneral disorders
Arterial stenosisVascular disorders
Vitreous floatersEye disorders
AphasiaNervous system disorders
SyncopeNervous system disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
DiplopiaEye disorders
NauseaGastrointestinal disorders
Balance disorderNervous system disorders
Haemorrhagic DiathesisBlood and lymphatic system disorders
VertigoEar and labyrinth disorders
BlepharospasmEye disorders
Eye painEye disorders
PhotophobiaEye disorders
PhotopsiaEye disorders
Cerebral infarctionNervous system disorders
ConvulsionNervous system disorders
HypoaesthesiaNervous system disorders
MigraineNervous system disorders
Neuropathy peripheralNervous system disorders
AlopeciaSkin and subcutaneous tissue disorders
Lymphoid tissue hyperplasiaBlood and lymphatic system disorders
Vertigo positionalEar and labyrinth disorders
Amaurosis FugaxEye disorders
Conjunctival HaemorrhageEye disorders
Vitreous detachmentEye disorders
DysphagiaGastrointestinal disorders
Gastrointestinal inflammationGastrointestinal disorders
Hiatus herniaGastrointestinal disorders
Adverse drug reactionGeneral disorders
FatigueGeneral disorders

Most-reported serious reactions: Aneurysm repair, Headache, Cerebral Haemorrhage, Coronary Artery Disease, Gastrointestinal haemorrhage, Chest pain, Convulsion, Ischaemic stroke.

Data from ClinicalTrials.gov NCT02186561 adverse events section.

Sponsor's own description

The purpose of this study is to assess the safety and effectiveness of the Pipeline™ device in the treatment of unruptured, wide-neck intracranial aneurysms.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Prospective study on embolization of intracranial aneurysms with the pipeline device: the PREMIER study 1 year results.
    Hanel RA, Kallmes DF, Lopes DK, Nelson PK, et al · · 2020 · cited 230× · PMID 31308197 · DOI 10.1136/neurintsurg-2019-015091
  2. Prospective study on embolization of intracranial aneurysms with the pipeline device (PREMIER study): 3-year results with the application of a flow diverter specific occlusion classification.
    Hanel RA, Cortez GM, Lopes DK, Nelson PK, et al · · 2023 · cited 69× · PMID 35292570 · DOI 10.1136/neurintsurg-2021-018501
  3. Expanding Indications for Flow Diverters: Distal Aneurysms, Bifurcation Aneurysms, Small Aneurysms, Previously Coiled Aneurysms and Clipped Aneurysms, and Carotid Cavernous Fistulas.
    Limbucci N, Leone G, Renieri L, Nappini S, et al · · 2020 · cited 42× · PMID 31838532 · DOI 10.1093/neuros/nyz334
  4. Braids and beyond: a comprehensive study on pipeline device braid stability from PREMIER data.
    Rodriguez-Erazú F, Cortez GM, Lopes DK, Gutierrez-Aguirre SF, et al · · 2025 · cited 1× · PMID 39357888 · DOI 10.1136/jnis-2024-022350

Verify or expand the search:

Other recruiting trials for Intracranial Aneurysm

Currently open trials in the same condition.

Other Medtronic Neurovascular Clinical Affairs trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02186561.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing