Skip to main content
OpenTrials
Not Yet Recruiting

NCT Number: NCT07753005

HISTOACRYL® Used for Embolization of Thoracoabdominal Artery Bleeding

This observational study will collect information from adult patients in Japan who are treated with Histoacryl® to stop bleeding from arteries in the chest or abdomen, in order to better understand how well the treatment works and how safe it is during routine medical care.

Not Yet Recruiting

Trial opening soon.

Get Notified

Key information

About this study

TAB includes arterial bleeding of various causes. Untreated bleeding can lead to hemorrhagic shock and organ failure. Transcatheterial arterial embolization is an established treatment option. NBCA is an effective liquid embolizing agent.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Active thoracoabdominal arterial bleeding diagnosed by endoscopy, catheter angiography, or computed tomography angiography (CTA).
  • Planned embolization treatment using Histoacryl® as the sole embolic agent for the target lesion.
  • No endoleak following thoracic endovascular aortic repair (TEVAR) or endovascular abdominal aortic repair (EVAR).
  • Patients with malignant tumors must have an expected survival of at least 1 month.
  • Written informed consent obtained from the patient or a legally authorized representative.

Exclusion criteria

  • Previous embolization in the target vascular territory.
  • Known allergy or hypersensitivity to n-butyl cyanoacrylate (NBCA), Lipiodol®, or related treatment components.
  • Use of adjunctive embolic agents in the same target location.
  • Planned surgical treatment after embolization as part of a predefined two-step treatment strategy.
  • Severe septicemia.
  • Participation in another clinical trial.
  • Target vessels unsuitable for safe Histoacryl® injection.
  • Empiric embolization without identification of a target bleeding location.
  • Pregnancy, with the exception of patients treated for postpartum hemorrhage.

Treatment and study plan

embolization therapy

Device

Embolization of Thoracoabdominal Artery Bleeding (TAB), excluding "Cardiac blood vessels other than Pulmonary artery", "Endoscopic esophageal varices embolization operations", and "Pulmonary artery malformation".

Primary outcomes

  1. Clinical Success at 1 Month After Histoacryl® Embolization

    Time frame: 30 ± 10 days after index embolization procedure

    Clinical success is defined as absence of bleeding from the target location after embolization with Histoacryl® without need for re-embolization or other re-interventions of the target lesion due to persistent or recurrent hemorrhage. Assessment performed on a per-patient basis.

Secondary outcomes

  1. Technical Success of Embolarization

    Time frame: Immediately after completion of the index procedure

    Technical success is defined as absence of angiographic evidence of bleeding from the target location at completion of the index embolization procedure. Assessment performed on a per-lesion basis.

  2. Clinical Success at 7 Days

    Time frame: 7 ± 2 days after embolarization

    Clinical success defined as absence of bleeding from the target location after embolization without need for re-embolization or other re-interventions due to persistent or recurrent hemorrhage.

  3. Clinical Success at 3 Months (Optional Follow-up)

    Time frame: 90 ± 15 days after embolization

    Clinical success as defined for the primary endpoint, assessed at optional long-term follow-up.

  4. Successful Device Delivery

    Time frame: During the index embolization procedure

    Successful delivery is defined as administration of Histoacryl® with intact microcatheter retrieval at the end of the embolization procedure.

  5. Immediate Clinical Improvement

    Time frame: Immediately after completion of embolization

    Immediate clinical improvement is achieved when at least one unstable baseline parameter (systolic blood pressure, respiratory rate, Glasgow Coma Scale, or diuresis when applicable) improves to a stable level and none deteriorates to an unstable level after the embolization procedure.

    Definition of Glasgow Scale (GCS):

    is a clinical diagnostic tool widely used since the 1970s to assess a patient's level of consciousness. Initially primarily utilized in patients with traumatic brain injuries, its utilization has extended to assess the level of consciousness. The GCS score takes into consideration three components: eye movements, verbal response (e.g., speech), and motor response (e.g. purposeful body movements).

  6. Freedom From Serious Adverse Events (SAEs)

    Time frame: 7 days, 30 days, and optional 90 days after embolization

    Proportion of patients without serious adverse events following embolization.

  7. Major Procedure-Related Complications

    Time frame: During the index procedure

    Occurrence of major relevant procedure-related complications including non-target embolization, allergic reaction, and catheter breakage or entrapment.

  8. Ischemic Complications at the Target Location

    Time frame: Index procedure through 90 days

    Occurrence of ischemic complications in the target location following embolization.

  9. Device-Related Serious Adverse Events

    Time frame: Index procedure through 90 days

    Occurrence of serious adverse events considered related to Histoacryl®

  10. All-Cause Mortality

    Time frame: Up to 90 days after embolization

    Death from any cause following embolization treatment.

  11. Bleeding-Related Mortality

    Time frame: Up to 90 days after embolization

    Death attributable to the target location bleeding event.

  12. Surgical Conversion

    Time frame: During the index hospitalization

    Need for surgical intervention because of persistent or recurrent bleeding not controlled by embolization.

  13. Length of Hospital Stay

    Time frame: From procedure date until hospital discharge (up to 30 days)

    Duration of hospitalization following the embolization procedure.

  14. Unplanned Rehospitalization

    Time frame: Up to 30 days after embolization

    Occurrence of rehospitalization that was not planned at the time of discharge.

Study contacts

Contact information is provided by the study sponsor or research team.

Marta Soteras, Dr.

CONTACT

[email protected]

+34 935 8662 ext. 00

Yumiko Okaniva, Dr.

CONTACT

[email protected]

+81 80 7657 3767 ext. 00

Sponsors and collaborators

Lead sponsor

Aesculap AG

Industry

Registry information

Official study title

Observational, Prospective, Multicenter Study on HISTOACRYL® Used for Embolization of Thoracoabdominal Artery Bleeding (TAB)

Acronym: HEAL

Important dates

Study start
2026
Primary completion
2028
Study completion
2028
First posted
Aug 7, 2026
Registry last updated
Aug 7, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.