RecruitingNot ApplicableNCT06588634
The PERSEVERE Study
Sponsor
Inari Medical
Enrollment
200 participants
Start Date
Dec 16, 2024
Study Type
INTERVENTIONAL
Conditions
Summary
Randomized Controlled Trial of High-Risk Pulmonary Embolism Comparing FlowTriever System vs. Standard of Care
Eligibility
Min Age: 18 Years
Inclusion Criteria5
- Age at enrollment ≥18 years
- Objective evidence of a proximal filling defect in at least one main or lobar pulmonary artery
- High-risk class of acute PE
- RV dysfunction, as defined RV/LV ratio ≥1.0
- Willing and able to provide informed consent, or if unable, through a Legal Authorized Representative, with permitting research without prior consent as a third option (for Europe and UK sites only), provided compliance with IRB/EC approvals and adherence to regulatory, ethical and national standards
Exclusion Criteria16
- Prolonged cardiac arrest with loss of consciousness associated with neurological deficit.
- Imaging evidence or other evidence that suggests, in the opinion of the Investigator, the patient is not appropriate for catheter-based intervention
- Known pre-existing CTEPH, or CT signs of chronic PE that may point to pre-existing CTEPH
- Recent stroke (\<14 days)
- Recent cranial or spinal surgery (\<14 days)
- Life-threatening active bleeding or hemorrhage into a critical area
- Known intracranial tumor
- End-stage medical condition with life expectancy \<3 months (irrespective of the severity of acute PE), as determined by the Investigator
- Known sensitivity to radiographic contrast agents that, in the Investigator's opinion, cannot be adequately pre-treated
- Inability to anticoagulate the patient, or known to have heparin-induced thrombocytopenia (HIT)
- Current participation in another drug or device study that may interfere with the conduct of this trial
- Ventricular arrhythmias refractory to treatment at the time of enrollment
- Subject has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the subject (e.g., compromise the well-being or that could prevent, limit, or confound the protocol-specified assessments), including a contraindication to use of FlowTriever System per local approved labeling
- Subject is part of a vulnerable population (e.g., currently pregnant, breastfeeding or incarcerated) per local definitions
- Subject was previously enrolled in this study
- Subject has received prior thrombolytic (systemic or catheter-directed) therapy for any reason or thrombectomy (surgical or catheter-based) therapy for index PE, within 30 days prior to randomization
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Interventions
DEVICEFlowTriever System
Mechanical thrombectomy for pulmonary embolism
PROCEDUREStandard of Care
Standard of care treatment for pulmonary embolism
Locations(25)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06588634
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