The Protrieve PROTECTOR Study (PROTECTOR)
PROTECTOR: Evaluating the Safety and Effectiveness of the Protrieve Sheath in Preventing Clinically Significant Intraprocedural Pulmonary Embolism by Providing Embolic Protection in the IVC During Thrombectomy Procedures to Treat DVT
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: James Allen
- Phone Number: 6512798587
- Email: james.allen2@stryker.com
Study Contact Backup
- Name: Chris Ottaviano
- Phone Number: 6096344571
- Email: chris.ottaviano@stryker.com
Study Locations
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California
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Newport Beach, California, United States, 92663
- Hoag Hospital
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Connecticut
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New Haven, Connecticut, United States, 06510
- Yale University
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Florida
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Miami, Florida, United States, 33176
- Baptist Health South Florida
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Indiana
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Indianapolis, Indiana, United States, 46204
- IU Health Methodist Hospital
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Maryland
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Baltimore, Maryland, United States, 21218
- MedStar Union Memorial Hospital
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Beth Israel Deaconess Medical Center
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Nevada
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Las Vegas, Nevada, United States, 89102
- University Medical Center Southern Nevada
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New Jersey
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Englewood, New Jersey, United States, 07631
- Englewood Hospital
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New York
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New York, New York, United States, 10016
- NYU Langone Medical Center
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Hospital of the University of Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15212
- Allegheny General Hospital
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Tennessee
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Nashville, Tennessee, United States, 37203
- Vanderbilt University Medical Center
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Texas
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Galveston, Texas, United States, 77555
- University of Texas Medical Branch
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Houston, Texas, United States, 77030
- University of Texas MD Anderson Cancer Center
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West Virginia
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Morgantown, West Virginia, United States, 26506
- West Virginia University Hospital
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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 years
Planned intervention for DVT presenting with one or more of the following characteristics indicative of elevated risk for PE:
- Bilateral iliofemoral DVT
- Clot extending into or located in the IVC
- In-stent thrombosis
- Presence of thrombosed IVC filter
- Other features that the investigator deems put the subject at elevated risk for thromboembolism
- Willing and able to provide informed consent
Exclusion Criteria:
- Current symptomatic PE
- Known anatomic inability to place Protrieve device via jugular vein access site
- Presence of clot extending to the IVC-Right Atrial junction or in the SVC
- Subject is pregnant
- Severe allergy to iodinated contrast agents that cannot be mitigated
- INR > 1.7 if not currently on anticoagulation therapy, platelets < 50,000/μl which cannot be corrected prior to enrollment, or Hemoglobin < 8.0 g/dL
- Severe renal impairment in patients who are not yet on dialysis that in the Investigator's discretion would pose risk to the patient with the use of marketed contrast agents
- Subject is participating in another study that may interfere with this study
- Subject has any condition for which, in the opinion of the Investigator, participation would not be in the best interest of the subject
- Subject has previously completed or withdrawn from this study
- Limb-threatening circulatory compromise (e.g., phlegmasia)
- Uncontrolled severe hypertension on repeated readings (systolic > 180mmHg or diastolic > 105mmHg)
- Severe allergy, hypersensitivity to, or thrombocytopenia from heparin
- Inability to provide therapeutic anticoagulation per Investigator discretion
- Known hypercoagulable states that, in the opinion of the Investigator, cannot be medically managed throughout the study period
- Inability to be a candidate for intervention due to medical or technical reasons based on physician judgement
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- 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 |
|---|---|
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Experimental: Protrieve Sheath
The Protrieve Sheath is intended for embolic protection in the inferior vena cava (IVC) to prevent clinically significant intraprocedural pulmonary embolism during mechanical thrombectomy procedures in patients with high risk of embolization.
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Percutaneous mechanical thrombectomy (PMT) is the endovascular removal of thrombus by catheter-based mechanical or aspiration methods.
The term PMT generally describes interventional procedures performed without the use of lytic agents and frequently involves instrumentation in extensive amounts of fresh thrombus.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Primary Effectiveness Measure:
Time Frame: 24 Hours (+-12 Hours)
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a. Clinically significant PE
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24 Hours (+-12 Hours)
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Primary Safety Measure:
Time Frame: 24 Hours (+-12 Hours)
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24 Hours (+-12 Hours)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Capture of Thromboembolic Material
Time Frame: 24 Hours (+-12 Hours)
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a. Capture and removal of thromboembolic material in the Protrieve funnel, as assessed by proportion of study cases where any material was either entrapped in the funnel or removed via Protrieve
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24 Hours (+-12 Hours)
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Device Success
Time Frame: 24 Hours (+-12 Hours)
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b. Device success, defined as successful delivery, deployment, and retrieval of the Protrieve device without complications
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24 Hours (+-12 Hours)
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Venous Access Routes
Time Frame: 24 Hours (+-12 Hours)
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c. Thrombectomy via supplementary venous access routes
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24 Hours (+-12 Hours)
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Estimated Percentage of the Protrieve Funnel Obstructed
Time Frame: 24 Hours (+-12 Hours)
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d.
Estimated percentage of the Protrieve funnel obstructed by clot, as observed by visual inspection or imaging
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24 Hours (+-12 Hours)
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Blood Transfusions
Time Frame: 24 Hours (+-12 Hours)
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e. Blood transfusions associated with Protrieve Sheath access site bleeding
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24 Hours (+-12 Hours)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Ripal Gandhi, MD, Baptist Hospital
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 (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
- 23-003
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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