Evaluating the Safety and Efficacy of the Indigo® Aspiration System in Acute Pulmonary Embolism

NCT ID: NCT03218566

Last Updated: 2020-08-03

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

119 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-22

Study Completion Date

2019-04-05

Brief Summary

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To determine the safety and efficacy of the Indigo Aspiration System for aspiration mechanical thrombectomy in patients with acute pulmonary embolism (PE)

Detailed Description

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Conditions

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Pulmonary Embolism

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Single Arm

Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism

Group Type OTHER

Indigo Aspiration System

Intervention Type DEVICE

use of mechanical thrombectomy to treat pulmonary embolism

Interventions

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Indigo Aspiration System

use of mechanical thrombectomy to treat pulmonary embolism

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Clinical signs and symptoms consistent with acute PE with duration of 14 days or less. Evidence of PE must be from CTA.
* Systolic BP ≥ 90 mmHg with evidence of dilated RV with an RV/LV ratio \> 0.9
* Patient is 18 years of age or older

Exclusion Criteria

* tPA use within 14 days prior to baseline CTA
* Systolic BP \< 90mmHg for 15min or the requirement of inotropic support to maintain systolic BP ≥ 90 mmHg
* Pulmonary hypertension with peak PA \> 70 mmHg by right heart catheterization
* History of severe or chronic pulmonary hypertension
* Fi02 requirement \> 40% or \>6 LPM to keep oxygen saturations \>90%
* Hematocrit \< 28%
* Platelets \< 100,000µL
* Serum creatinine \> 1.8 mg/dL
* INR \> 3
* aPTT (or PTT) \> 50 seconds on no anticoagulation
* History of heparin-induced thrombocytopenia (HIT)
* Contraindication to systemic or therapeutic doses of anticoagulants
* Major trauma \< 14 days
* Presence of intracardiac lead
* Cardiovascular or pulmonary surgery within last 7 days
* Cancer requiring active chemotherapy
* Known serious, uncontrolled sensitivity to radiographic agents
* Life expectancy \< 90 days
* Female who is pregnant
* Intracardiac Thrombus
* Patients on ECMO
* Current participation in another investigational study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Penumbra Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Akhilesh Sista, MD

Role: PRINCIPAL_INVESTIGATOR

NYU-Langone School of Medicine

Locations

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Banner University Medical Center - Tucson

Tucson, Arizona, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

UCLA Medical Center

Los Angeles, California, United States

Site Status

St. Joseph Health Hospital

Orange, California, United States

Site Status

Christiana Care

Newark, Delaware, United States

Site Status

Baptist Hospital of Miami

Miami, Florida, United States

Site Status

AdventHealth Tampa

Tampa, Florida, United States

Site Status

Grady Health System

Atlanta, Georgia, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Our Lady of the Lake Hospital Inc.

Baton Rouge, Louisiana, United States

Site Status

Detroit Medical Center

Detroit, Michigan, United States

Site Status

University of Minnesota Medical Center

Minneapolis, Minnesota, United States

Site Status

Mercy Hospital South

St Louis, Missouri, United States

Site Status

New York University (NYU) Langone Medical Center

New York, New York, United States

Site Status

Mount Sinai

New York, New York, United States

Site Status

North Carolina Heart and Vascular Research (NCHVR)

Raleigh, North Carolina, United States

Site Status

University of Pennsylvania Medical Center (UPMC)

Pittsburgh, Pennsylvania, United States

Site Status

Sanford Health

Sioux Falls, South Dakota, United States

Site Status

Sentara Vascular Specialists

Norfolk, Virginia, United States

Site Status

Charleston Area Medical Center (CAMC)

Charleston, West Virginia, United States

Site Status

Countries

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United States

References

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Jorge JV, Barreiros CA, Silva D, Cale R, Ribeiro JM. Extracorporeal mechanical support and aspiration thrombectomy in treatment of massive pulmonary embolism: a case report. Rev Bras Ter Intensiva. 2022 Oct-Dec;34(4):524-528. doi: 10.5935/0103-507X.20220342-pt. Epub 2023 Mar 3.

Reference Type DERIVED
PMID: 36888834 (View on PubMed)

Sista AK, Horowitz JM, Tapson VF, Rosenberg M, Elder MD, Schiro BJ, Dohad S, Amoroso NE, Dexter DJ, Loh CT, Leung DA, Bieneman BK, Perkowski PE, Chuang ML, Benenati JF; EXTRACT-PE Investigators. Indigo Aspiration System for Treatment of Pulmonary Embolism: Results of the EXTRACT-PE Trial. JACC Cardiovasc Interv. 2021 Feb 8;14(3):319-329. doi: 10.1016/j.jcin.2020.09.053. Epub 2021 Jan 13.

Reference Type DERIVED
PMID: 33454291 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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11373

Identifier Type: -

Identifier Source: org_study_id

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