FOR HCPs

The STRIDE Clinical Trial:
A HEAD-TO-HEAD STUDY
COMPARING THE eShunt®
SYSTEM AND VP SHUNTS

The STRIDE Clinical Trial:
A HEAD-TO-HEAD STUDY COMPARING THE eShunt® SYSTEM AND VP SHUNTS

The STRIDE clinical trial is evaluating the safety and efficacy of the investigational eShunt System—an endovascular approach to normal pressure hydocephalus (NPH) treatment

Caution: The eShunt System is an ivestigational device. Limited by United States law to investigational use only. The safety and effectiveness of the eShunt System have not been established.

The STRIDE clinical trial is evaluating the safety and efficacy of the investigational eShunt System—an endovascular approach to normal pressure hydocephalus (NPH) treatment

Caution: The eShunt System is an investigational device. Limited by United States law to investigational use only. The safety and effectiveness of the eShunt System have not been established.

 

STUDY DESIGN
PATIENT ELIGIBILITY
THE eShunt® SYSTEM

Study Design

The STRIDE clinical trial is the largest, randomized, controlled trial in the treatment of NPH comparing the new, investigational endovascular eShunt® System vs the standard of care VP shunt.

Estimated Enrollment

Total of 200 treated participants

1:1 Randomized Study Groups

eShunt® System Group: 100 patients to receive endovascular treatment with the eShunt® System

  • 1 overnight hospital stay required

VP Shunt Group: 100 patients to receive traditional VP shunt procedure/device

  • Length of hospital stay to be determined by treating physician
Study Duration

1 year of follow-up post procedure with up to 5 years of focused care

Primary Efficacy Endpoint

Improvement in gait impairment at 6 months compared to baseline.

  • Improvement defined as a reduction in time to complete the TUG test, which requires patients to stand up, walk 10 feet, turn around, walk 10 feet, and sit back down

Primary Safety Endpoint

Comparison of the total number of adverse events observed within the first 6 months following treatment.

TUG, Timed Up and Go; VP, ventriculoperitoneal

Patient Eligibility

Your patients with NPH may be right and ready for the STRIDE clinical trial.

STRIDE Eligibility Requirements At a Glance

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History
  • Aged ≥60 years
  • History or evidence of gait impairment for ≥3 months
  • Clinical presentation consistent with NPH, including ≥2 of the 3 key symptoms
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Testing
  • Results from additional testing, including lumbar drain and MoCA
  • Confirmation of anatomy suitable for the eShunt procedure with imaging (CT and MRI)
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Consent
  • Patient or caregiver is able and willing to provide written informed consent, attend all scheduled
    visits, and comply with study procedures
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Key exclusion criteria
  • Inability to walk 33 feet (10 meters) with or without an assistive device
  • Diagnosed with obstructive hydrocephalus
  • Prior or existing shunts, endoscopic third ventriculostomy, or any previous surgical intervention for hydrocephalus

*CT, computed tomography; MoCA, Montreal Cognitive Assessment; MRI, magnetic resonance imaging.

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Treatment with the eShunt System does not preclude future use of VP shunt, if needed

The eShunt System

The endovascular eShunt System is an investigational CSF shunt for people with NPH that does not require brain surgery.

The eShunt System is the only endovascular shunt and the first new treatment option developed for NPH since VP shunts were introduced more than 60 years ago.

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Traditional VP Shunts

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The Endovascular eShunt System

Studies have shown VP shunts to be effective, despite the high complication rates reported during and after surgery¹

A new, investigational device with the potential to reduce patient and caregiver burden due to challenges seen with VP shunts*

*Refer to the eShunt® System Instructions for Use for list of potential risks.

Requires invasive, open brain surgery²

Uses a minimally invasive, endovascular approach with femoral venous access

Drains excess CSF by routing it to another location in the body to be absorbed²

Designed to drain excess CSF in the brain by mimicking the body's natural drainage process

Brain Surgery Icon

Traditional VP Shunts

Studies have shown VP shunts to be effective, despite the high complication rates reported during and after surgery¹

Requires invasive, open brain surgery²

Drains excess CSF by routing it to another location in the body to be absorbed²

Comet Icon

The Endovascular eShunt System

A new, investigational device with the potential to reduce patient and caregiver burden due to challenges seen with VP shunts*

*Refer to the eShunt® System Instructions for Use for list of potential risks.

Uses a minimally invasive, endovascular approach with femoral venous access

Designed to drain excess CSF in the brain by mimicking the body's natural drainage process

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The FDA recently designated the eShunt System as a Breakthrough Device because of
its potential to provide improved treatment for NPH³†

FDA, Food and Drug Administration.
†Breakthrough designation does not imply approval or guaranteed safety and effectiveness.

The FDA recently designated the eShunt System as a Breakthrough Device because of its potential to provide improved treatment for NPH³†

FDA, Food and Drug Administration.
†Breakthrough designation does not imply approval or guaranteed safety and effectiveness.

Thank you for considering the STRIDE clinical trial
with the endovascular eShunt System for your
patients ≥60 years of age with NPH

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REFERENCES: 1. Nadel JL, Wilkinson DA, Linzey JR, Maher CO, Kotagal V, Heth JA. Neurosurgery. 2020;84(6):843–850. 2. Hydrocephalus Associate website. Shunt systems. Accessed October 16, 2024. https://www.hydroassoc.org/shunt-systems/ 3. National Institute of Health website. Breakthrough device designation requests. Accessed October 7, 2024. https://www.fda.gov/medical-devices/how-study-and-market-your-device/breakthrough-devices-program

REFERENCES: 1. Nadel JL, Wilkinson DA, Linzey JR, Maher CO, Kotagal V, Heth JA. Neurosurgery. 2020;84(6):843–850. 2. Hydrocephalus Associate website. Shunt systems. Accessed October 16, 2024. https://www.hydroassoc.org/shunt-systems/ 3. National Institute of Health website. Breakthrough device designation requests. Accessed October 7, 2024. https://www.fda.gov/medical-devices/how-study-and-market-your-device/breakthrough-devices-program