China Treatment Trial for Tumor in Sellar Region With Unruptured Intracranial Aneurysm

NCT07809178 — Active not recruiting, 608 participants, Cheng sen

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Treatment Strategies for Tumor in Sellar Region With Unruptured Intracranial Aneurysms in the Chinese Population

RegistryNCT07809178, acronym ChTTSRUIA
StatusActive not recruiting
Study typeObservational
Enrollment608 (Estimated)
SponsorCheng sen (Other); collaborators: Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, West China Hospital, Xijing Hospital, Shandong Provincial Hospital, The First Affiliated Hospital of Anhui Medical University, First Affiliated Hospital of Chongqing Medical University, Shengjing Hospital, Lanzhou University Second Hospital, The First Hospital of Jilin University, People's Hospital of Xinjiang Uygur Autonomous Region, Guangdong Provincial Hospital of Traditional Chinese Medicine, Huashan Hospital, Jinling Hospital, China
ConditionsUnruptured Intracranial Aneurysms, Pituitary Neuroendocrine Tumor, Craniopharyngioma, Meningioma, Germinoma, Rathke Cleft Cysts, Chordoma, Optic Pathway Glioma, Hypothalamic Neoplasms
InterventionsTumor resection followed by aneurysm treatment, Aneurysm treatment followed by tumor resection, Observation (Procedure, other)
Datesstart 2026-10-20, primary completion 2028-09-01 (estimated), completion 2031-09-01 (estimated), first posted 2026-09-09, last updated 2026-10-21
Locations1 site in China

Related Papers Related Patents Related Grants Related Experts
All trials for Unruptured Intracranial Aneurysms All trials for Pituitary Neuroendocrine Tumor All trials of Tumor resection followed by aneurysm treatment All trials of Aneurysm treatment followed by tumor resection

-Summary

The goal of this observational study is to learn about the treatment strategies for tumor in sellar region with unruptured intracranial aneurysms in the Chinese population. The main question it aims to answer is: For patients with tumor in sellar region combined with unruptured intracranial aneurysms, which condition should be treated first?

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+Detailed description

The goal of this observational study is to clarify the treatment strategies for tumor in sellar region with unruptured intracranial aneurysms in the Chinese population aged from 18 to 75. The main question it aims to answer is:

* What is the appropriate treatment strategy for patients diagnosed with tumor in sellar region with unruptured intracranial aneurysms?
* Should the tumor be resected first followed by aneurysm treatment, or should the aneurysm be treated prior to tumor resection? Alternatively, is tumor resection alone with regular observation of the aneurysm a viable option?
* What are the patient's intraoperative risks, postoperative complications, and prognosis?

Participants are required to:

* Provide detailed medical records.
* Complete laboratory tests and imaging examinations at scheduled time points and cooperate with neurosurgeons for follow-up visits after the relevant treatments.

This is an observational study. It solely collects patients' pre-operative, intra-operative, and post-operative follow-up information and does not influence the patient's treatment process or clinical decision-making.

+Arms and interventions

ArmTypeInterventionsDescription
Priority to TumorProcedure: Tumor resection followed by aneurysm treatmentTumor resection followed by aneurysm treatment
Priority to AneurysmProcedure: Aneurysm treatment followed by tumor resectionAneurysm treatment followed by tumor resection
Only TumorOther: ObservationTumor resection without aneurysm treatment but observation
  • Tumor resection followed by aneurysm treatment (Procedure): Tumor resection followed by aneurysm treatment
  • Aneurysm treatment followed by tumor resection (Procedure): Aneurysm treatment followed by tumor resection
  • Observation (Other): Tumor resection without aneurysm treatment but observation

+Outcome measures

Primary outcomes

  • Aneurysm progression [From enrollment to the end of treatment at 24 months]: The diameter of aneurysm neck, the diameter of aneurysm dome, the volume of aneurysm, aneurysm rupture status
  • Tumor related complication and progression [From enrollment to the end of treatment at 24 months]: The related complication and progression of tumor in sellar region: pituitary hormone level, visual acuity and visual field, hydrocephalus and tumor recurrence.

+Eligibility

Sex: All, ages: 18 Years to 75 Years

Inclusion Criteria:

1. Preoperative enhanced head MRI showing a suspected diagnosis of a sella region lesion, and preoperative head CTA/DSA confirming an unruptured intracranial aneurysm.
2. Patients with primary sella region tumor and unruptured intracranial aneurysms that have not previously accepted surgical treatment.
3. Patients with tumor in sellar region requiring craniotomy or endoscopic transnasal surgery and/or an aneurysm requiring craniotomy, endovascular treatment, or observation only.
4. The patients are in good general health, without severe underlying medical conditions, and capable of tolerating surgical treatment.
5. Patients or their legal guardians have signed an informed consent form and voluntarily agreed to participate in the clinical trial.

Exclusion Criteria:

1. Patients with recurrent sella region tumors.
2. Patients with previously treated intracranial aneurysm.
3. Pregnant or breastfeeding women.
4. Any other condition that, in the investigator's judgment, makes the patient unsuitable for trial participation.

+Locations (1)

FacilityCityCountryStatus
Beijing Tiantan Hospital affiliated to Capital Medical UniversityBeijing, ChinaChina

+Publications

  • Results publication: Almeida Silva JM, Campos RR, Souza RR, Sette Dos Santos ME, Aguiar GB. Spontaneous subarachnoid haemorrhage from rupture of an anterior communicating artery aneurysm in a patient with pituitary macroadenoma. Neurocirugia (Astur). 2014 Mar-Apr;25(2):81-5. doi: 10.1016/j.neucir.2013.03.005. Epub 2013 Jul 9. PMID 23845268
  • Results publication: Schwab KE, Gailloud P, Wyse G, Tamargo RJ. Limitations of magnetic resonance imaging and magnetic resonance angiography in the diagnosis of intracranial aneurysms. Neurosurgery. 2008 Jul;63(1):29-34; discussion 34-5. doi: 10.1227/01.NEU.0000335068.53190.46. PMID 18728566
  • Results publication: Oshino S, Nishino A, Suzuki T, Arita H, Tateishi A, Matsumoto K, Shimokawa T, Kinoshita M, Yoshimine T, Saitoh Y. Prevalence of cerebral aneurysm in patients with acromegaly. Pituitary. 2013 Jun;16(2):195-201. doi: 10.1007/s11102-012-0404-x. PMID 22752346
  • Results publication: de Sena Barbosa MG, Otavio da Silva V, Santos Ferreira LH, de Souza RLV, Pipek LZ, de Oliveira Almeida G, Figueiredo EG, Rabelo NN, Chaurasia B. Intracranial aneurysm coexisting with pituitary adenoma: a systematic review. Ann Med Surg (Lond). 2024 Oct 25;86(12):7232-7237. doi: 10.1097/MS9.0000000000002692. eCollection 2024 Dec. PMID 39649870
  • Results publication: Cai K, Jia Y, Jin L, Qiao N, Xiao Y, Wu W, Ru S, Liu F, Liu C, Cao L, Gui S. Adult craniopharyngioma concomitant with unruptured intracranial aneurysms: incidence, risk factors, and treatment strategies. J Neurosurg. 2024 Jun 14;141(6):1712-1722. doi: 10.3171/2024.3.JNS232258. Print 2024 Dec 1. PMID 38875730