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NCT07302646: OPIAC

Optimizing Reduced-Flow, Low-Volume Contrast Protocols for Cerebral Angiography in Unruptured Aneurysms

Not yet recruiting NA Last updated 24 December 2025
What this trial tests

NA trial testing Standard (Reference) in Interventional Neuroradiology in 244 participants. Not yet recruiting.

Timeline
1 March 2026
Primary endpoint
1 March 2026
2 March 2028

Quick facts

Lead sponsorUniversity Hospital, Strasbourg, France
PhaseNA
StatusNot yet recruiting
Study typeINTERVENTIONAL
Allocationrandomized
Designfactorial
Maskingsingle
Primary purposesupportive care
Enrollment244
Start date1 March 2026
Primary completion1 March 2026
Estimated completion2 March 2028
Sites1 location across France

Drugs / interventions tested

Conditions studied

Sponsor

University Hospital, Strasbourg, France

Who can join

Adults 18 to 80, any sex, with Interventional Neuroradiology. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Over the past two decades, interventional neuroradiology (INR) has seen significant advances in terms of safety and radiation protection. However, the management of iodinated contrast media (ICM) administered to the patients remains problematic. There is currently no reference for applying the ALADA (As Low As Diagnostically Acceptable) principle to ICM. In this context, optimising injection parameters seems essential to limit patient risks while maintaining sufficient diagnostic quality. To achieve this, it is necessary to work on a standardised procedure: the most frequently performed being diagnostic cerebral angiography for initial assessment or follow-up of intracranial aneurysms (IA). The aim of this project is to demonstrate that the use of injection protocols with reduced flow rates and volumes would enable non-inferior results compared to the empirical protocol (used in our department) in terms of image quality for the assessment of ICA, while improving examination comfort for patients. A Randomised controlled non-inferiority study involving a four-arm factorial design to evaluate the impact of different ICM injection strategies in diagnostic cerebral angiography. Four groups will be compared: three experimental groups evaluating reductions in injection volumes and/or flow rates, and a control group following the standard protocol currently used in Strasbourg University Hospitals. Each subject will be randomly assigned to a group, and all images will be acquired using the same protocol. By following the standard care pathway and implementing safety procedures to ensure diagnostic quality, patients will not undergo any changes to their usual care and will not run any increased risk of diagnostic error.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other University Hospital, Strasbourg, France trials

Trials by the same sponsor.

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Data sources for this page

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