THUNDER: Acute Ischemic Stroke Study with the Penumbra System® Including Thunderbolt™ Aspiration Tubing

NCT ID: NCT05437055

Last Updated: 2025-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

216 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-11

Study Completion Date

2024-12-10

Brief Summary

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The objective of this study is to demonstrate the safety and efficacy of the Penumbra System including Thunderbolt Aspiration Tubing (Thunderbolt) in a population presenting with acute ischemic stroke (AIS) secondary to intracranial large vessel occlusion (LVO) who are eligible for mechanical thrombectomy.

Detailed Description

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Conditions

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Acute Ischemic Stroke Large Vessel Occlusion

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

Use of Penumbra System including Thunderbolt in patients with acute ischemic stroke secondary to intracranial large vessel occlusion who are eligible for mechanical thrombectomy

Group Type EXPERIMENTAL

Mechanical Thrombectomy (Penumbra System with Thunderbolt)

Intervention Type DEVICE

Subject will receive Penumbra System with Thunderbolt

Interventions

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Mechanical Thrombectomy (Penumbra System with Thunderbolt)

Subject will receive Penumbra System with Thunderbolt

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Patient age 18 - 80 years
2. Treatment within 8 hours of symptom onset
3. Pre-stroke mRS 0-2
4. Patient experiencing acute ischemic stroke secondary to intracranial large vessel occlusion in the internal carotid, middle cerebral (M1 or M2), basilar, or vertebral artery
5. If patient is eligible for thrombolytic therapy, it was administered as soon as possible, and no later than 3 hours from stroke symptom onset
6. Planned frontline treatment with Penumbra System including Thunderbolt modulated aspiration
7. Informed consent obtained per Institution Review Board/Ethics Committee requirements

Exclusion Criteria

1. Stenosis, excessive tortuosity, or any occlusion in a proximal vessel requiring treatment or preventing access to the thrombus
2. Alberta Stroke Program Early CT Score (ASPECTS) ≤6 or core infarct volume \>50 mL on MRI or CT-based imaging (for anterior circulation strokes)
3. Pregnant patient
4. Life expectancy \< 90 days due to comorbidities
5. Current participation in an interventional drug or device study that may confound the results of this study. Studies requiring extended follow-up for products that were investigational but have since become commercially available are not considered investigational studies
6. Other medical, behavioral, or psychological conditions that in the opinion of the Investigator could limit the patient's ability to participate in the study, including compliance with follow-up requirements, or that could impact the scientific integrity of the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 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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Donald Frei, M.D.

Role: PRINCIPAL_INVESTIGATOR

HCA HealthONE, LLC (Swedish Medical Center)

David Fiorella, M.D.

Role: PRINCIPAL_INVESTIGATOR

The Research Foundation for The State University of New York (Stony Brook University)

Locations

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Abrazo West Campus

Goodyear, Arizona, United States

Site Status

Sharp Grossmont

San Diego, California, United States

Site Status

HRI - Swedish

Englewood, Colorado, United States

Site Status

Yale New Haven

New Haven, Connecticut, United States

Site Status

Christiana Care

Newark, Delaware, United States

Site Status

Jackson Memorial (U. of Miami)

Miami, Florida, United States

Site Status

St. Joseph - BayCare

Tampa, Florida, United States

Site Status

Piedmont Hospital Atlanta

Atlanta, Georgia, United States

Site Status

Wellstar Kennestone Hospital

Marietta, Georgia, United States

Site Status

North Shore U.

Evanston, Illinois, United States

Site Status

Edward Elmhurst Health

Naperville, Illinois, United States

Site Status

Indiana U. Health

Indianapolis, Indiana, United States

Site Status

KUMC

Kansas City, Kansas, United States

Site Status

Massachusetts General

Boston, Massachusetts, United States

Site Status

UMass Memorial Medical Center

Worcester, Massachusetts, United States

Site Status

Abbott Northwestern

Minneapolis, Minnesota, United States

Site Status

St. Dominic

Jackson, Mississippi, United States

Site Status

Nebraska Medical

Omaha, Nebraska, United States

Site Status

Albany Medical Center

Albany, New York, United States

Site Status

University of Buffalo

Buffalo, New York, United States

Site Status

Stonybrook U.

Stony Brook, New York, United States

Site Status

New Hanover Regional

Wilmington, North Carolina, United States

Site Status

Geisinger Medical Center

Danville, Pennsylvania, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Wellspan York

York, Pennsylvania, United States

Site Status

MUSC

Charleston, South Carolina, United States

Site Status

Fort Sanders

Knoxville, Tennessee, United States

Site Status

Methodist U.

Memphis, Tennessee, United States

Site Status

UT Houston

Houston, Texas, United States

Site Status

Christus Trinity Medical Center

Tyler, Texas, United States

Site Status

Riverside Regional Medical Center

Newport News, Virginia, United States

Site Status

Valley Medical Center

Renton, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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21340

Identifier Type: -

Identifier Source: org_study_id

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