FlowTriever2 Pulmonary Embolectomy Clinical Study (FLARE-FT2)
FlowTriever Pulmonary Embolectomy Clinical Study - FlowTriever2
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Rae Besser
- Phone Number: 612-205-6795
- Email: raeanne.besser@inarimedical.com
Study Contact Backup
- Name: Evan Augustine
- Phone Number: 763-291-6209
- Email: evan.augustine@inarimedical.com
Study Locations
-
-
Arizona
-
Tucson, Arizona, United States, 85711
- Carondelet St. Joseph's Hospital
-
-
Connecticut
-
New Haven, Connecticut, United States, 06511
- Yale University
-
-
Georgia
-
Savannah, Georgia, United States, 31404
- Memorial Health University Medical Center
-
-
Kentucky
-
Louisville, Kentucky, United States, 40207
- Baptist Health
-
-
New Jersey
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Camden, New Jersey, United States, 08103
- Virtua Health
-
-
Oklahoma
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Tulsa, Oklahoma, United States, 74104
- Oklahoma Heart Institute
-
-
Tennessee
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Knoxville, Tennessee, United States, 37920
- University of Tennessee Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Clinical signs and symptoms consistent with acute PE
- PE symptom duration ≤ 14 days
- CTA evidence of proximal PE (filling defect in at least one main or lobar pulmonary artery)
- RV/LV ratio of ≥ 0.9 (NOTE: Enrollment qualification assessment based on Investigator's interpretation of RV/LV ratio)
- Systolic blood pressure ≥ 90 mmHg (initial SBP may be ≥ 80 mmHg if the pressure recovers to ≥ 90 mmHg with fluids)
- Stable heart rate < 130 BPM prior to procedure
- Patient is deemed medically eligible for interventional procedure(s), per institutional guidelines and/or clinical judgment.
- FlowTriever2 Catheter enters the vasculature
Exclusion Criteria:
- Thrombolytic use within 30 days of baseline CTA
- Pulmonary hypertension with peak pulmonary artery pressure > 70 mmHg by right heart catheterization
- Vasopressor requirement after fluids to keep pressure ≥ 90 mmHg
- FiO2 requirement > 40% or > 6 LPM to keep oxygen saturation > 90%
- Hematocrit < 28% (NOTE: hematocrit required within 6 hours of index procedure)
- Platelets < 100,000/μL
- Serum creatinine > 1.8 mg/dL
- INR > 3
- Major trauma Injury Severity Score (ISS) > 15
- Presence of intracardiac lead in the right ventricle or right atrium placed within 6 months
- Cardiovascular or pulmonary surgery within last 7 days
- Actively progressing cancer
- Known bleeding diathesis or coagulation disorder
- Left bundle branch block
- History of severe or chronic pulmonary arterial hypertension
- History of chronic left heart disease with left ventricular ejection fraction ≤ 30%
- History of uncompensated heart failure
- History of underlying lung disease that is oxygen dependent
- History of chest irradiation
- History of heparin-induced thrombocytopenia (HIT) Any contraindication to systemic or therapeutic doses heparin or anticoagulants
- Known anaphylactic reaction to radiographic contrast agents that cannot be pretreated
- Imaging evidence or other evidence that suggests, in the opinion of the Investigator, the Subject is not appropriate for mechanical thrombectomy intervention (e.g., inability to navigate to target location, predominately chronic clot, or non-clot embolus)
- Life expectancy of < 90 days, as determined by Investigator
- Female who is pregnant or nursing
- Current participation in another investigational drug or device treatment study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: All Subjects
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter.
|
The FlowTriever2 Catheter is utilized for the treatment of Pulmonary Embolism via mechanical thrombectomy of thrombus in the pulmonary arteries.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Primary Safety Endpoint (Composite): Incidence of Adjudicated Serious Adverse Events (SAE)
Time Frame: Device-related mortality and device-related major bleeding components assessed through 48 hours after index procedure. Intra-procedural device or procedure-related AE component assessed until index procedure completion (index procedure: approx. 50 mins).
|
Incidence of adjudicated Serious Adverse Events (SAE), which is a composite of:
|
Device-related mortality and device-related major bleeding components assessed through 48 hours after index procedure. Intra-procedural device or procedure-related AE component assessed until index procedure completion (index procedure: approx. 50 mins).
|
|
Primary Effectiveness Endpoint: Change in Mean Pulmonary Arterial Pressure (mmHg)
Time Frame: Intraprocedural (at beginning and end of treatment procedure (index procedure: approximately 50 minutes))
|
Change in mean pulmonary arterial pressure measured via right heart catheterization at the beginning of the treatment procedure and at the end of the treatment procedure.
|
Intraprocedural (at beginning and end of treatment procedure (index procedure: approximately 50 minutes))
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Secondary Safety Endpoint: Number of Patient Mortalities
Time Frame: 30 days post procedure (-5 / +15 days)
|
Number of adjudicated all-cause mortalities through the 30-day visit (visit window = 30 days from procedure -5 / +15 days)
|
30 days post procedure (-5 / +15 days)
|
|
Secondary Safety Endpoint: Number of Device-Related Serious Adverse Events
Time Frame: 30 days post procedure (-5 / +15 days)
|
Number of adjudicated device-related SAE through the 30-day visit (visit window = 30 days from procedure -5 / +15 days)
|
30 days post procedure (-5 / +15 days)
|
|
Secondary Safety Endpoint: Number of Symptomatic Recurrences of PE
Time Frame: 30 days post procedure (-5 / +15 days)
|
Number of adjudicated symptomatic recurrences of pulmonary embolism through the 30-day visit (visit window = 30 days from procedure -5 / +15 days)
|
30 days post procedure (-5 / +15 days)
|
|
Secondary Effectiveness Endpoint: Change in Systolic Pulmonary Arterial Pressure (mmHg)
Time Frame: Intraprocedural (at beginning and end of treatment procedure (index procedure: approximately 50 minutes))
|
Change in systolic pulmonary arterial pressure measured via right heart catheterization at the beginning of the treatment procedure and at the end of the treatment procedure
|
Intraprocedural (at beginning and end of treatment procedure (index procedure: approximately 50 minutes))
|
|
Secondary Effectiveness Endpoint: Number of Patients With Adjunctive Thrombolytic Use
Time Frame: During Procedure (index procedure: approximately 50 minutes)
|
Number of patients who received adjunctive thrombolytic medication during the index procedure
|
During Procedure (index procedure: approximately 50 minutes)
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 21-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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