1. Clinical trials of neurointervention : 2007–2018
- Author
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Sunil A Sheth, David S Liebeskind, Hamidreza Saber, Melek Somai, Sandra Narayanan, Ashutosh P Jadhav, and Gary B Rajah
- Subjects
Research Report ,medicine.medical_specialty ,Databases, Factual ,Disease ,Neurosurgical Procedures ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,Interquartile range ,Internal medicine ,Humans ,Medicine ,Registries ,030212 general & internal medicine ,Stroke ,Clinical Trials as Topic ,business.industry ,Arteriovenous malformation ,General Medicine ,medicine.disease ,Clinical trial ,Stenosis ,Venous thrombosis ,Research Design ,Surgery ,Neurology (clinical) ,Nervous System Diseases ,business ,Vascular Surgical Procedures ,030217 neurology & neurosurgery - Abstract
BackgroundClinicalTrials.gov is one of the largest trials’ registries in the world.ObjectiveTo leverage the ClinicalTrials.gov database to define the portfolio of clinical trials of neurointervention.MethodsWe restricted our extraction to interventional clinical trials submitted between 2007 and 2018, and included MeSH terms that are part of the nervous system (n=19 344) or cardiovascular disease (n=19 234) categories and included a list of neurointerventional terms. The characteristics of trials, geographic distribution, dissemination, and funding sources were explored using descriptive and regression models.ResultsA total of 206 neurointerventional clinical trials across 1691 medical centers were identified. Acute stroke was the most studied conditions (68, 33%), followed by aneurysms (63, 31%), carotid stenosis (48, 24%), intracranial atherosclerotic disease (7, 3.5%), cerebral venous thrombosis (6, 3%), arteriovenous malformation (4, 2%), idiopathic intracranial hypertension (3, 1.5%), and others (6, 3%). Overall, 59 (29%) trials were completed, 79 (37%) were active trials (28% recruiting), and 22 (11%) were terminated or suspended. Academic centers and industry were the most common primary funding source (63% and 29%, respectively), with no funding source reported in 16 (7.7%) trials. Among 77 completed or terminated trials, only 9 (11.7%) trials reported findings within 12 months. Median time to publication for trials funded by academia was 1.66 years (interquartile range (IQR) 0.7–2.1) versus 2.1 years (IQR 1.2–3.25) for industry-funded studies.ConclusionsA low dissemination rate for results and a high rate of study non-completion, as well as lack of geographic dispersion of trials appear to be major challenges in the field.
- Published
- 2019