Trial Outcomes & Findings for Evaluating the Safety and Efficacy of the Indigo® Aspiration System in Acute Pulmonary Embolism (NCT NCT03218566)

NCT ID: NCT03218566

Last Updated: 2020-08-03

Results Overview

Change in RV/LV ratio per CTA

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

119 participants

Primary outcome timeframe

from baseline to 48 hours

Results posted on

2020-08-03

Participant Flow

Participant milestones

Participant milestones
Measure
Indigo Aspiration System
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Overall Study
STARTED
119
Overall Study
COMPLETED
110
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

BMI specific to female population.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single Arm
n=119 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Age, Categorical
<=18 years
0 Participants
n=119 Participants
Age, Categorical
Between 18 and 65 years
73 Participants
n=119 Participants
Age, Categorical
>=65 years
46 Participants
n=119 Participants
Age, Continuous
59.8 Years
STANDARD_DEVIATION 14.98 • n=119 Participants
Sex: Female, Male
Female
53 Participants
n=119 Participants
Sex: Female, Male
Male
66 Participants
n=119 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants
n=119 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
103 Participants
n=119 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
7 Participants
n=119 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=119 Participants
Race (NIH/OMB)
Asian
3 Participants
n=119 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=119 Participants
Race (NIH/OMB)
Black or African American
37 Participants
n=119 Participants
Race (NIH/OMB)
White
72 Participants
n=119 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=119 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
n=119 Participants
Region of Enrollment
United States
119 participants
n=119 Participants
BMI-Females
36.7 kg/m^2
STANDARD_DEVIATION 10.39 • n=53 Participants • BMI specific to female population.
BMI-Males
31.7 kg/m^2
STANDARD_DEVIATION 6.60 • n=66 Participants • BMI specific to male population.

PRIMARY outcome

Timeframe: from baseline to 48 hours

Population: The intent-to-treat population calculating the change between the baseline and the 48 hours RV/LV diameter ratio

Change in RV/LV ratio per CTA

Outcome measures

Outcome measures
Measure
Single Arm
n=113 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Right Ventricle/Left Ventricle (RV:LV) Ratio
0.43 Change in RV/LV Diameter Ratio
Standard Deviation 0.26

PRIMARY outcome

Timeframe: within 48 hours

A composite of: device-related death, major bleeding, device-related SAEs (a composite of clinical deterioration, pulmonary vascular injury, cardiac injury)

Outcome measures

Outcome measures
Measure
Single Arm
n=119 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Major Adverse Event Rate
2 Participants

SECONDARY outcome

Timeframe: within 48 hours

Outcome measures

Outcome measures
Measure
Single Arm
n=119 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Device-related Death Rate
1 Participants

SECONDARY outcome

Timeframe: within 48 hours

Outcome measures

Outcome measures
Measure
Single Arm
n=119 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Major Bleeding Rate
2 Participants

SECONDARY outcome

Timeframe: within 48 hours

Outcome measures

Outcome measures
Measure
Single Arm
n=119 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Clinical Deterioration Rate
2 Participants

SECONDARY outcome

Timeframe: within 48 hours

Outcome measures

Outcome measures
Measure
Single Arm
n=119 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Pulmonary Vascular Injury Rate
2 Participants

SECONDARY outcome

Timeframe: within 48 hours

Outcome measures

Outcome measures
Measure
Single Arm
n=119 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Cardiac Injury Rate
0 Participants

SECONDARY outcome

Timeframe: within 30 days

Outcome measures

Outcome measures
Measure
Single Arm
n=119 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Any-cause Mortality
3 Participants

SECONDARY outcome

Timeframe: within 30 days

Outcome measures

Outcome measures
Measure
Single Arm
n=119 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Device-related SAE Rate
2 Participants

SECONDARY outcome

Timeframe: within 30 days

Outcome measures

Outcome measures
Measure
Single Arm
n=119 Participants
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Symptomatic PE Recurrence Rate
0 Participants

Adverse Events

Single Arm

Serious events: 13 serious events
Other events: 56 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Single Arm
n=119 participants at risk
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Cardiac disorders
Cardio-respiratory Arrest
0.84%
1/119 • Within 30 days post-procedure
Cardiac disorders
Cardiomyopathy
0.84%
1/119 • Within 30 days post-procedure
Cardiac disorders
Ventricular Tachycardia
0.84%
1/119 • Within 30 days post-procedure
Gastrointestinal disorders
Gastrointestinal Haemorrhage
0.84%
1/119 • Within 30 days post-procedure
Infections and infestations
Cellulitis
0.84%
1/119 • Within 30 days post-procedure
Infections and infestations
Sepsis
0.84%
1/119 • Within 30 days post-procedure
Injury, poisoning and procedural complications
Vascular Access Site Haemorrhage
0.84%
1/119 • Within 30 days post-procedure
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian Cancer Metastatic
0.84%
1/119 • Within 30 days post-procedure
Nervous system disorders
Cerebral infarction
0.84%
1/119 • Within 30 days post-procedure
Nervous system disorders
Stroke in Evolution
0.84%
1/119 • Within 30 days post-procedure
Renal and urinary disorders
Nephrolithiasis
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Pulmonary Hypertension
0.84%
1/119 • Within 30 days post-procedure
Vascular disorders
Deep Vein Thrombosis
0.84%
1/119 • Within 30 days post-procedure

Other adverse events

Other adverse events
Measure
Single Arm
n=119 participants at risk
Single Arm - Use of Indigo Aspiration System (mechanical thrombectomy) to treat pulmonary embolism Indigo Aspiration System: use of mechanical thrombectomy to treat pulmonary embolism
Blood and lymphatic system disorders
Anaemia
4.2%
5/119 • Within 30 days post-procedure
Cardiac disorders
Arrhythmia
0.84%
1/119 • Within 30 days post-procedure
Cardiac disorders
Atrial Fibrillation
1.7%
2/119 • Within 30 days post-procedure
Cardiac disorders
Atrial Flutter
0.84%
1/119 • Within 30 days post-procedure
Cardiac disorders
Extrasystoles
0.84%
1/119 • Within 30 days post-procedure
Cardiac disorders
Supraventricular Tachycardia
0.84%
1/119 • Within 30 days post-procedure
Cardiac disorders
Tachyarrhythmia
0.84%
1/119 • Within 30 days post-procedure
Gastrointestinal disorders
Abnormal Faeces
0.84%
1/119 • Within 30 days post-procedure
Gastrointestinal disorders
Constipation
2.5%
3/119 • Within 30 days post-procedure
Gastrointestinal disorders
Crohn's Disease
0.84%
1/119 • Within 30 days post-procedure
Gastrointestinal disorders
Gastrointestinal Haemorrhage
0.84%
1/119 • Within 30 days post-procedure
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
0.84%
1/119 • Within 30 days post-procedure
Gastrointestinal disorders
Oesophagitis
0.84%
1/119 • Within 30 days post-procedure
General disorders
Asthenia
0.84%
1/119 • Within 30 days post-procedure
General disorders
Chest Pain
3.4%
4/119 • Within 30 days post-procedure
General disorders
Fatigue
1.7%
2/119 • Within 30 days post-procedure
General disorders
Hernia
0.84%
1/119 • Within 30 days post-procedure
General disorders
Oedema Peripheral
0.84%
1/119 • Within 30 days post-procedure
General disorders
Vessel Puncture Site Pain
0.84%
1/119 • Within 30 days post-procedure
Infections and infestations
Bronchitis
0.84%
1/119 • Within 30 days post-procedure
Infections and infestations
Fungal Infection
0.84%
1/119 • Within 30 days post-procedure
Infections and infestations
Pneumonia
0.84%
1/119 • Within 30 days post-procedure
Infections and infestations
Upper Respiratory Tract Infection
0.84%
1/119 • Within 30 days post-procedure
Infections and infestations
Urinary Tract Infection
0.84%
1/119 • Within 30 days post-procedure
Injury, poisoning and procedural complications
Alcohol Poisoning
2.5%
3/119 • Within 30 days post-procedure
Injury, poisoning and procedural complications
Contusion
0.84%
1/119 • Within 30 days post-procedure
Injury, poisoning and procedural complications
Craniocerebral injury
0.84%
1/119 • Within 30 days post-procedure
Injury, poisoning and procedural complications
Head Injury
0.84%
1/119 • Within 30 days post-procedure
Injury, poisoning and procedural complications
Road Traffic Accident
0.84%
1/119 • Within 30 days post-procedure
Injury, poisoning and procedural complications
Vascular Access Site Hemorrhage
1.7%
2/119 • Within 30 days post-procedure
Injury, poisoning and procedural complications
Vascular Pseudoaneurysm
0.84%
1/119 • Within 30 days post-procedure
Metabolism and nutrition disorders
Diabetes Mellitus
0.84%
1/119 • Within 30 days post-procedure
Metabolism and nutrition disorders
Gout
0.84%
1/119 • Within 30 days post-procedure
Metabolism and nutrition disorders
Hyperkalaemia
0.84%
1/119 • Within 30 days post-procedure
Metabolism and nutrition disorders
Hypernatraemia
0.84%
1/119 • Within 30 days post-procedure
Metabolism and nutrition disorders
Hypokalaemia
0.84%
1/119 • Within 30 days post-procedure
Metabolism and nutrition disorders
Hyponatraemia
0.84%
1/119 • Within 30 days post-procedure
Musculoskeletal and connective tissue disorders
Back Pain
0.84%
1/119 • Within 30 days post-procedure
Musculoskeletal and connective tissue disorders
Chest wall haematoma
0.84%
1/119 • Within 30 days post-procedure
Musculoskeletal and connective tissue disorders
Groin Pain
0.84%
1/119 • Within 30 days post-procedure
Musculoskeletal and connective tissue disorders
Limb Discomfort
0.84%
1/119 • Within 30 days post-procedure
Musculoskeletal and connective tissue disorders
Pain in Extremity
3.4%
4/119 • Within 30 days post-procedure
Nervous system disorders
Dizziness
1.7%
2/119 • Within 30 days post-procedure
Nervous system disorders
Headache
2.5%
3/119 • Within 30 days post-procedure
Nervous system disorders
Presyncope
0.84%
1/119 • Within 30 days post-procedure
Nervous system disorders
Syncope
0.84%
1/119 • Within 30 days post-procedure
Nervous system disorders
Unresponsive To Stimuli
0.84%
1/119 • Within 30 days post-procedure
Renal and urinary disorders
Acute Kidney Injury
2.5%
3/119 • Within 30 days post-procedure
Renal and urinary disorders
Haematuria
0.84%
1/119 • Within 30 days post-procedure
Renal and urinary disorders
Urinary Retention
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Atelectasis
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Cough
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Epistaxis
1.7%
2/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Haemoptysis
4.2%
5/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Hypercapnia
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.7%
2/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
3.4%
4/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Pneumonia Aspiration
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Pulmonary Infarction
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Pulmonary Mass
0.84%
1/119 • Within 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Sputum Discoloured
0.84%
1/119 • Within 30 days post-procedure

Additional Information

Erin Archard, Sr. Clinical Study Manager

Penumbra, Inc.

Phone: +1 510 995 9801

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60