Stent Implantation Versus Medical Therapy for Idiopathic IntracraniaL Hypertension (SIMPLE)

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-60
SponsorBeijing Tiantan Hospital

About this trial

The aim of this study is to assess the efficacy of stent implantation versus medical therapy on idiopathic intracranial hypertension with venous sinus stenosis.

Eligibility criteria

Qualifiers

Subject Eligibility Criteria

Diagnosis of IIH by modified Dandy criteria about for more than 2 months

Lumbar puncture opening pressure ≥250 mmH₂O within 6 weeks before enrollment

Normal cerebrospinal fluid (CSF) composition

Disqualifiers

Subject Exclusion Criteria

Previous surgery for IIH, including optic nerve sheath fenestration (ONSF), CSF shunting, decompressive craniectomy or venous sinus stenting

Progressive or rapid visual loss needed urgent surgical intervention; if delay>24-48 h consider interim lumbar drain (for rapid visual loss only).Surgical options to consider: CSF diversion or optic nerve sheath fenestration

Visual loss due to other etiologies (eg, retinal drusen, retinal and optic neuropathy, cataracts, etc)

Trial design

Treatments tested in this trial

  • Stent Implantation
  • Acetazolamide-based medical therapy
  • Weight loss

Treatment groups

74 Participants
are divided into 2 treatment groups

Sponsors and collaborators