- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02926742
Submassive Pulmonary Embolism Experience With EKOS (SPEEK)
October 5, 2016 updated by: Krishna Mannava, MD, FACS, RPVI
This single site study evaluates the efficacy of ultrasound accelerated thrombolysis using EKOS Endovascular Device with a standard infusion of thrombolytics for treatment of PE
Study Overview
Status
Unknown
Intervention / Treatment
Detailed Description
Previous clinical trials examining thrombolytics used to treat Acute Submassive PE, many times will use fixed dose and duration.
Little research has been conducted on the physiologic implication of resolution of symptoms.
It seems reasonable, that symptomatic relief results from some degree of hemodynamic normalization.
This study will seek to examine the extent to which the hemodynamic impairment is normalized from a thrombolytic treatment protocol with an endpoint of therapy determined as resolution of presenting symptoms.
Treatment plans will utilize the MBS (Modified Borg Scale) score to help evaluate and measure outcome-based care, quantifying shortness of breath.
Study Type
Observational
Enrollment (Anticipated)
50
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Lisa K Stevens, MSN
- Phone Number: 7406894426
- Email: lisas@fmchealth.org
Study Contact Backup
- Name: Krishna Mannava, MD
- Phone Number: 740-687-6910
- Email: drkmannava@fmchealth.org
Study Locations
-
-
Ohio
-
Lancaster, Ohio, United States, 43130
- Recruiting
- Fairfield Medical Center
-
Contact:
- Lisa K Stevens, MSN
- Phone Number: 740-689-4426
- Email: lisas@fmchealth.org
-
Contact:
- Krishna Mannava, MD
- Phone Number: 7406876910
- Email: kmannava@fmchealth.org
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Hospital setting.
Volunteers meeting the inclusion/ exclusion criteria who are patients of Fairfield Medical Center located in Lancaster, Oho
Description
Inclusion Criteria:
- Acute symptomatic PE confirmed by CT, with filling defect in at least one main or segmental pulmonary artery.
- RV dysfunction as evidenced by RV/LV ratio > 0.9 on echo
- Ability to give informed consent or Legally Authorized Representative (LAR) is able to give consent
- PE symptom duration < 21 days
- Age >18 years
- And, a MBS baseline measurement above 3 plus at least one of the following: O2 sat < 90% RA, or inability to maintain a HR <100, or inability to maintain a Systolic Bp > 100. Whichever measurement is chosen for inclusion criteria in addition to the MBS will also be used in determination of therapeutic endpoint (i.e. O2 Sat., HR<100 or BP >100)..
Exclusion Criteria:
- Stroke or transient ischemic attack (TIA), head trauma, or other active intracranial or intraspinal disease within one year
- Recent (within one month) or active bleeding from a major organ
- Hemoglobin (Hgb) < 8.0
- Platelets < 60 thousand/µL
- Major surgery within seven days
- Clinician deems high-risk for catastrophic bleeding
- History of heparin-induced thrombocytopenia (HIT)
- Pregnancy
- Catheter-based pharmacomechanical treatment for pulmonary embolism within 3 days of study enrollment
- Systolic blood pressure less than 80 mm Hg despite vasopressor or inotropic support
- Cardiac arrest (including pulseless electrical activity and asystole) requiring active cardiopulmonary resuscitation (CPR)
- Evidence of irreversible neurological compromise
- Life expectancy < 30 days
- Use of thrombolytics or glycoprotein IIb/IIIa antagonists within 3 days prior to inclusion in the study
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Reduction of RV dysfunction
Time Frame: 48 hours post catheter removal
|
Reduction of RV dysfunction as evidenced by a reduction in RVSP and or a reduction in RV/LV ratio measured by echo at baseline and again at 48 ±6 hours post EKOS catheter removal
|
48 hours post catheter removal
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Study Director: Lisa K Stevens, MSN, Fairfield Medical Center
- Principal Investigator: Krishna Mannava, MD, Fairfield Medical Center
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
February 1, 2014
Primary Completion (Anticipated)
February 1, 2017
Study Completion (Anticipated)
February 1, 2017
Study Registration Dates
First Submitted
October 5, 2016
First Submitted That Met QC Criteria
October 5, 2016
First Posted (Estimate)
October 6, 2016
Study Record Updates
Last Update Posted (Estimate)
October 6, 2016
Last Update Submitted That Met QC Criteria
October 5, 2016
Last Verified
October 1, 2016
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- FMCspeekEKOSstudy
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
IPD Plan Description
De-identified individual study participant data will be made available 6 months after study completion.
This data to include all primary and secondary outcome measures.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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