Aventus Thrombectomy System Pulmonary Embolism Clinical Study
Evaluate the Safety and Efficacy of the Aventus Thrombectomy System for Aspiration Thrombectomy in Subjects With Acute Pulmonary Embolism
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Marc Penna
- Phone Number: 978-760-0311
- Email: clinical@inquismedical.com
Study Locations
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Arizona
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Scottsdale, Arizona, United States, 85258
- Honor Health
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California
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Fairfield, California, United States, 94533
- NorthBay Medical Center
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Long Beach, California, United States, 90806
- MemorialCare
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Mountain View, California, United States, 94040
- El Camino Health
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Sacramento, California, United States, 95816
- Sutter Health
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Connecticut
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Hartford, Connecticut, United States, 06102
- Hartford Hospital
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-
District of Columbia
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Washington D.C., District of Columbia, United States, 20010
- Medstar
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-
Georgia
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Atlanta, Georgia, United States, 30322
- Emory University
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-
Illinois
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Chicago, Illinois, United States, 60611
- Northwestern University
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Elk Grove Village, Illinois, United States, 60007
- Alexian Brothers Medical Center
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-
Indiana
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Indianapolis, Indiana, United States, 46260
- Ascension St. Vincent
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-
Louisiana
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New Orleans, Louisiana, United States, 70121
- Ochsner Health
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-
Michigan
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Bay City, Michigan, United States, 48708
- McLaren Health Care
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Detroit, Michigan, United States, 48202
- Henry Ford Hospital
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Southfield, Michigan, United States, 48075
- Ascension Providence
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Minnesota
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Saint Cloud, Minnesota, United States, 56303
- CentraCare Heart and Vascular
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Hackensack University Medical Center
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Teaneck, New Jersey, United States, 07666
- Holy Name Medical Center
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New York
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New York, New York, United States, 10019
- Ichan School of Medicine at Mount Sinai
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Ohio
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Cleveland, Ohio, United States, 44106
- University Hospitals
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Columbus, Ohio, United States, 43214
- OhioHealth Research Institute
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Toledo, Ohio, United States, 43606
- ProMedica - Jobst Vascular
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Oklahoma
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Tulsa, Oklahoma, United States, 74006
- Ascension St. John
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Rhode Island
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Providence, Rhode Island, United States, 02906
- The Miriam Hospital
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Tennessee
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Nashville, Tennessee, United States, 37203
- Centennial Medical Center (HCA)
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Texas
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Austin, Texas, United States, 78705
- Ascension Seton
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 and ≤ 80 years
- Subject or legally authorized representative (LAR) is willing and able to provide written informed consent prior to receiving any non-standard of care protocol specific procedures
- Subject is willing and able to comply with all protocol required follow-up visits
- PE (pulmonary embolism) symptom(s) duration ≤ 14 days from index procedure
- PE diagnosis ≤ 48 hours prior to index procedure
- CTA (computed tomography angiography) evidence of proximal PE (filling defect in at least one main or lobar pulmonary artery based on Investigator determination)
- CTA evidence of dilated RV (right ventricle) with an RV/LV (left ventricle) ratio of ≥ 0.9 at baseline based on Investigator determination
- Systolic blood pressure (SBP) ≥ 90 mmHg without need for vasopressors (initial SBP may be ≥ 80 mmHg if the pressure recovers to ≥ 90 mmHg with intravenous fluids prior to index procedure)
- Stable heart rate < 130 BPM prior to index procedure
- Subject is deemed medically eligible for interventional procedure(s), per institutional guidelines and clinical judgment
Exclusion Criteria:
- Prior PE ≤ 180 days from index procedure
- Current hospitalization for other condition(s)
- Thrombolytic use ≤ 14 days of baseline CTA
- Pulmonary hypertension with peak pulmonary artery systolic pressure > 70 mmHg by right heart catheterization
- FiO2 requirement > 40% or > 6 LPM to keep oxygen saturation > 90%
- Hematocrit < 28% within 6 hours of index procedure
- Platelets < 100,000/μL
- Serum creatinine > 1.8 mg/dL
- International normalized ratio (INR) > 3
- Presence of intracardiac lead in the right ventricle or right atrium placed < 180 days prior to index procedure
- Cardiovascular or pulmonary surgery ≤ 7 days prior to index procedure
- Actively progressing cancer treated by chemotherapeutics
- 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 of 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 aspiration thrombectomy intervention such as the inability to navigate to target location, predominantly 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 that has not reached the primary endpoint or the Investigator feels would impact their ability to participate in this clinical trial
- Subject has known residual Iliac Deep Vein Thrombosis (DVT), Inferior Vena Cava (IVC) clot or clot in transit (right atrium and/or right ventricular)
- Subject on extracorporeal membrane oxygenation (ECMO)
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: Single Arm
Device: Aventus Thrombectomy System
|
Use of Aventus Thrombectomy System to treat pulmonary embolism
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in RV/LV Ratio
Time Frame: at 48hrs compared to baseline
|
Mean Change in RV (right ventricle)/LV(left ventricle) Ratio at 48hrs compared to baseline
|
at 48hrs compared to baseline
|
|
Device Related Major Adverse Event Rate
Time Frame: From Index Procedure to 48 hours
|
Composite of device related MAEs (major adverse events) including death, major bleed, clinical deterioration, pulmonary vascular injury, and cardiac injury
|
From Index Procedure to 48 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Wissam Jaber, MD, Emory University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
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 (Actual)
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
- CT-0001
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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