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NCT04604015: BUBL

RoBotic TCD Ultrasound BubbLe Study Compared to Transthoracic Echocardiography for Detection of Right to Left Shunt

Completed NA Results posted Last updated 24 January 2024
What this trial tests

NA trial testing NeuralBot Investigational System in Embolic Stroke of Undetermined Source in 154 participants. Completed in 2 November 2021.

Timeline
6 October 2020
Primary endpoint
20 October 2021
2 November 2021

Quick facts

Lead sponsorNovaSignal Corp.
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsequential
Maskingnone
Primary purposediagnostic
Enrollment154
Start date6 October 2020
Primary completion20 October 2021
Estimated completion2 November 2021
Sites7 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

NovaSignal Corp.

Who can join

18 and older, any sex, with Embolic Stroke of Undetermined Source or Transient Ischemic Attack. 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.

Percent Detection of Right to Left Shunt (RLS)/Patent Foramen Ovale (PFO) Using Robotic Assisted TCD (Study Device) Primary · 1 day

The primary outcome measure was the percent detection of Right to Left Shunt using the robotic assisted TCD (study device) and compare it to the percent detection of Right to Left Shunt using standard of care Transthoracic Echocardiography (TTE) for the same patient cohort. The detection of the Right to Left Shunt included site and independent Core Lab assessment of TTE.

NeuralBot Investigational System
GroupValue95% CI
NeuralBot Investigational System/TTE Std of Care74
NeuralBot Investigational System/TTE Std of Care47
TTE standard of care
GroupValue95% CI
NeuralBot Investigational System/TTE Std of Care24
NeuralBot Investigational System/TTE Std of Care97

Sponsor's own description

This study is a multi-center, prospective, single-arm, non-significant risk (NSR) device study in which up to 150 evaluable subjects with suspicion of embolic stroke of undetermined source (ESUS) will be evaluated with NB-IS TCD and standard of care TTE to screen for right to left shunt (RLS) or patent foramen ovale (PFO). Additionally, up to 150 evaluable subjects will be evaluated with NB-IS TCD and standard of care TEE.

Publications & conference data

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

  1. Robot-Assisted Transcranial Doppler Versus Transthoracic Echocardiography for Right to Left Shunt Detection.
    Rubin MN, Shah R, Devlin T, Youn TS, et al · · 2023 · cited 15× · PMID 37795589 · DOI 10.1161/strokeaha.123.043380
  2. Novel robotic TCD ultrasound with bubbles versus standard care to detect right to left shunt: Study methods.
    Rubin MN, Alexandrov AV, Douville C, Rinsky B, et al · · 2021 · cited 5× · PMID 34081363 · DOI 10.1111/jon.12890
  3. Enhancing the diagnostic efficacy of right-to-left shunt using robot-assisted transcranial Doppler: a quality improvement project.
    Shah R, Devlin C, Gao L, Ledford S, et al · · 2025 · cited 1× · PMID 40070666 · DOI 10.3389/fneur.2025.1512061
  4. Abstract Number ‐ 244: Feasibility of Detecting Carotid Stenosis Microemboli Using Autonomous Robotic TCD at a Large Stroke Center
    Izaguirre S, Chang I, Hamilton R. · · 2023
  5. ESOC 2023 Abstract Book
    · 2023
  6. ESOC 2022 – Late Breaking Science, Ongoing Trials & Young Stroke Physicians and Researchers
    · 2022

Verify or expand the search:

Other recruiting trials for Embolic Stroke of Undetermined Source

Currently open trials in the same condition.

Other NovaSignal Corp. trials

Trials by the same sponsor.

Verify against primary sources

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/NCT04604015.

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