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

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DEVICEFlowTriever System

Mechanical thrombectomy for pulmonary embolism

PROCEDUREStandard of Care

Standard of care treatment for pulmonary embolism


Locations(25)

Yale University

New Haven, Connecticut, United States

Orlando Health Regional Medical Center

Orlando, Florida, United States

Sarasota Memorial Hospital

Sarasota, Florida, United States

Emory University

Atlanta, Georgia, United States

University of Mississippi Medical Center

Jackson, Mississippi, United States

Northwell Health

Bay Shore, New York, United States

SUNY, The University at Buffalo

Buffalo, New York, United States

UPHS Penn Health System

Philadelphia, Pennsylvania, United States

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

HCA Tristar/Centennial

Nashville, Tennessee, United States

HCA Medical City Heart & Spine

Dallas, Texas, United States

HCA Methodist Health San Antonio

San Antonio, Texas, United States

Besançon University Hospital

Besançon, France

Hopital Arnaud de Villeneuve, Montpellier

Montpellier, France

CHU Nîmes Caremeau

Nîmes, France

Hôpital Européen Georges-Pompidou, Paris

Paris, France

Klinikum Chemnitz

Chemnitz, Germany

Universitätsklinikum Carl Gustav Carus an der TU Dresden

Dresden, Germany

Universitätsmedizin Mainz

Mainz, Germany

Munich LMU

München, Germany

Universitätsklinik Regensburg

Regensburg, Germany

Hospital Universitari Vall d'Hebron, Barcelona

Barcelona, Spain

Hospital Universitario La Paz Madrid

Madrid, Spain

University Hospital Basel

Basel, Switzerland

Royal Free Hospital London

London, United Kingdom

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT06588634


Related Trials