Trial Outcomes & Findings for FlowTriever2 Pulmonary Embolectomy Clinical Study (NCT NCT05560763)

NCT ID: NCT05560763

Last Updated: 2025-10-08

Results Overview

Incidence of adjudicated Serious Adverse Events (SAE), which is a composite of: * Mortality through 48 hours after the index procedure related to FlowTriever2 Catheter * Major bleeding through 48 hours after the index procedure related to FlowTriever2 Catheter * Intra-procedural device or procedure-related adverse events, including: * Clinical deterioration defined by hemodynamic or respiratory worsening * Pulmonary vascular injury related to FlowTriever2 Catheter * Cardiac injury related to FlowTriever2 Catheter

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

50 participants

Primary outcome timeframe

Device-related mortality and device-related major bleeding components assessed through 48 hours after index procedure. Intra-procedural device or procedure-related AE component assessed until index procedure completion (index procedure: approx. 50 mins).

Results posted on

2025-10-08

Participant Flow

All subjects presenting to the hospital/emergency department with a pulmonary embolism (PE) and meeting all eligibility requirements for enrollment in the FLARE-FT2 study.

Participant milestones

Participant milestones
Measure
All Subjects
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Overall Study
STARTED
50
Overall Study
Enrollment Population
42
Overall Study
Intent-to-Treat Population
42
Overall Study
Modified Intent-to-Treat Population
42
Overall Study
Full Analysis Set Population
42
Overall Study
Completed Cases Population
38
Overall Study
COMPLETED
46
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
All Subjects
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Overall Study
Withdrawal by Subject
4

Baseline Characteristics

This analysis is only applied to subjects that have a history of cancer (7).

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Subjects
n=50 Participants
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Age, Continuous
63 years
n=50 Participants
Sex: Female, Male
Female
20 Participants
n=50 Participants
Sex: Female, Male
Male
30 Participants
n=50 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=50 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
46 Participants
n=50 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=50 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=50 Participants
Race (NIH/OMB)
Asian
0 Participants
n=50 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=50 Participants
Race (NIH/OMB)
Black or African American
12 Participants
n=50 Participants
Race (NIH/OMB)
White
37 Participants
n=50 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=50 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=50 Participants
Height (m)
1.75 m
n=50 Participants
Weight (kg)
99.9 kg
n=50 Participants
BMI (kg/m^2)
33.2 kg/m^2
n=50 Participants
Tobacco Use
Current
12 Participants
n=50 Participants
Tobacco Use
Past
12 Participants
n=50 Participants
Tobacco Use
Never
26 Participants
n=50 Participants
Prior Pulmonary Embolism (PE)
Yes
8 Participants
n=50 Participants
Prior Pulmonary Embolism (PE)
No
42 Participants
n=50 Participants
Prior deep venous thrombosis (DVT)
Yes
14 Participants
n=50 Participants
Prior deep venous thrombosis (DVT)
No
36 Participants
n=50 Participants
History of pulmonary hypertension
Yes
2 Participants
n=50 Participants
History of pulmonary hypertension
No
48 Participants
n=50 Participants
History of systemic hypertension
Yes
28 Participants
n=50 Participants
History of systemic hypertension
No
22 Participants
n=50 Participants
History of coronary artery disease (CAD)
Yes
4 Participants
n=50 Participants
History of coronary artery disease (CAD)
No
46 Participants
n=50 Participants
History of congestive heart failure (CHF)
Yes
3 Participants
n=50 Participants
History of congestive heart failure (CHF)
No
47 Participants
n=50 Participants
History of coronary artery bypass graft (CABG)
Yes
0 Participants
n=50 Participants
History of coronary artery bypass graft (CABG)
No
50 Participants
n=50 Participants
History of chronic obstructive pulmonary disease (COPD)
Yes
4 Participants
n=50 Participants
History of chronic obstructive pulmonary disease (COPD)
No
46 Participants
n=50 Participants
History of myocardial infarction (MI)
Yes
2 Participants
n=50 Participants
History of myocardial infarction (MI)
No
48 Participants
n=50 Participants
Patent foramen ovale (PFO) / shunt
Yes
1 Participants
n=50 Participants
Patent foramen ovale (PFO) / shunt
No
49 Participants
n=50 Participants
Prior cerebrovascular accident (prior stroke/transient ischemic attack (TIA))
Yes
1 Participants
n=50 Participants
Prior cerebrovascular accident (prior stroke/transient ischemic attack (TIA))
No
49 Participants
n=50 Participants
Hypercoagulable state
Yes
0 Participants
n=50 Participants
Hypercoagulable state
No
50 Participants
n=50 Participants
History of cancer
Yes
7 Participants
n=50 Participants
History of cancer
No
43 Participants
n=50 Participants
Active Cancer
Yes
0 Participants
n=7 Participants • This analysis is only applied to subjects that have a history of cancer (7).
Active Cancer
No
7 Participants
n=7 Participants • This analysis is only applied to subjects that have a history of cancer (7).
History of renal disease (chronic renal insufficiency)
Yes
3 Participants
n=50 Participants
History of renal disease (chronic renal insufficiency)
No
47 Participants
n=50 Participants
On dialysis
Yes
0 Participants
n=3 Participants • This analysis is only applied to subjects that have a history of renal disease (chronic renal insufficiency) (3).
On dialysis
No
3 Participants
n=3 Participants • This analysis is only applied to subjects that have a history of renal disease (chronic renal insufficiency) (3).
Recent surgery (within 30 days)
Yes
6 Participants
n=50 Participants
Recent surgery (within 30 days)
No
44 Participants
n=50 Participants
Recent surgery type
Orthopedic
2 Participants
n=6 Participants • This analysis is only applied to subjects that have had recent surgery (within the last 30 days) (6).
Recent surgery type
Neurological
1 Participants
n=6 Participants • This analysis is only applied to subjects that have had recent surgery (within the last 30 days) (6).
Recent surgery type
Abdomen
1 Participants
n=6 Participants • This analysis is only applied to subjects that have had recent surgery (within the last 30 days) (6).
Recent surgery type
Other
2 Participants
n=6 Participants • This analysis is only applied to subjects that have had recent surgery (within the last 30 days) (6).
Recent trauma (within 30 days)
Yes
1 Participants
n=50 Participants
Recent trauma (within 30 days)
No
49 Participants
n=50 Participants
Thrombolytic contraindication
None
48 Participants
n=50 Participants
Thrombolytic contraindication
Relative
1 Participants
n=50 Participants
Thrombolytic contraindication
Absolute
1 Participants
n=50 Participants
Relative thrombolytic contraindication
Oral anticoagulation except for aspirin
1 Condition applies to subject
n=1 Participants • This analysis is only applied to subjects that have relative thrombolytic contraindication (1).
Relative thrombolytic contraindication
Therapeutic LMWH within 24 hours
1 Condition applies to subject
n=1 Participants • This analysis is only applied to subjects that have relative thrombolytic contraindication (1).
Absolute thrombolytic contraindication with recent intracranial/spinal surgery or head trauma
1 Participants
n=1 Participants • This analysis is only applied to subjects that have an absolute thrombolytic contraindication (1).
History of diabetes
Yes
14 Participants
n=50 Participants
History of diabetes
No
36 Participants
n=50 Participants
Diabetes type
Diabetes mellitus type 1
1 Participants
n=14 Participants • This analysis is only applied to subjects that have diabetes (14).
Diabetes type
Diabetes mellitus type 2
13 Participants
n=14 Participants • This analysis is only applied to subjects that have diabetes (14).
Current COVID-19 status
COVID-19 positive
1 Participants
n=50 Participants
Current COVID-19 status
COVID-19 negative
12 Participants
n=50 Participants
Current COVID-19 status
COVID-19 status unknown
37 Participants
n=50 Participants
Prior COVID-19 infection
Previously recovered
6 Participants
n=50 Participants
Prior COVID-19 infection
Prior infection unknown
33 Participants
n=50 Participants
Prior COVID-19 infection
Not applicable
11 Participants
n=50 Participants

PRIMARY outcome

Timeframe: Device-related mortality and device-related major bleeding components assessed through 48 hours after index procedure. Intra-procedural device or procedure-related AE component assessed until index procedure completion (index procedure: approx. 50 mins).

Incidence of adjudicated Serious Adverse Events (SAE), which is a composite of: * Mortality through 48 hours after the index procedure related to FlowTriever2 Catheter * Major bleeding through 48 hours after the index procedure related to FlowTriever2 Catheter * Intra-procedural device or procedure-related adverse events, including: * Clinical deterioration defined by hemodynamic or respiratory worsening * Pulmonary vascular injury related to FlowTriever2 Catheter * Cardiac injury related to FlowTriever2 Catheter

Outcome measures

Outcome measures
Measure
All Subjects
n=50 Participants
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Primary Safety Endpoint (Composite): Incidence of Adjudicated Serious Adverse Events (SAE)
Yes
0 Participants
Primary Safety Endpoint (Composite): Incidence of Adjudicated Serious Adverse Events (SAE)
No
50 Participants

PRIMARY outcome

Timeframe: Intraprocedural (at beginning and end of treatment procedure (index procedure: approximately 50 minutes))

Change in mean pulmonary arterial pressure measured via right heart catheterization at the beginning of the treatment procedure and at the end of the treatment procedure.

Outcome measures

Outcome measures
Measure
All Subjects
n=50 Participants
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Primary Effectiveness Endpoint: Change in Mean Pulmonary Arterial Pressure (mmHg)
-5.50 mmHg
Interval -29.0 to 15.0

SECONDARY outcome

Timeframe: 30 days post procedure (-5 / +15 days)

Number of adjudicated all-cause mortalities through the 30-day visit (visit window = 30 days from procedure -5 / +15 days)

Outcome measures

Outcome measures
Measure
All Subjects
n=50 Participants
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Secondary Safety Endpoint: Number of Patient Mortalities
Yes
0 Participants
Secondary Safety Endpoint: Number of Patient Mortalities
No
46 Participants
Secondary Safety Endpoint: Number of Patient Mortalities
Withdrawn
4 Participants

SECONDARY outcome

Timeframe: 30 days post procedure (-5 / +15 days)

Number of adjudicated device-related SAE through the 30-day visit (visit window = 30 days from procedure -5 / +15 days)

Outcome measures

Outcome measures
Measure
All Subjects
n=50 Participants
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Secondary Safety Endpoint: Number of Device-Related Serious Adverse Events
Yes
0 Participants
Secondary Safety Endpoint: Number of Device-Related Serious Adverse Events
No
46 Participants
Secondary Safety Endpoint: Number of Device-Related Serious Adverse Events
Withdrawn
4 Participants

SECONDARY outcome

Timeframe: 30 days post procedure (-5 / +15 days)

Number of adjudicated symptomatic recurrences of pulmonary embolism through the 30-day visit (visit window = 30 days from procedure -5 / +15 days)

Outcome measures

Outcome measures
Measure
All Subjects
n=50 Participants
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Secondary Safety Endpoint: Number of Symptomatic Recurrences of PE
Yes
0 Participants
Secondary Safety Endpoint: Number of Symptomatic Recurrences of PE
No
46 Participants
Secondary Safety Endpoint: Number of Symptomatic Recurrences of PE
Withdrawn
4 Participants

SECONDARY outcome

Timeframe: Intraprocedural (at beginning and end of treatment procedure (index procedure: approximately 50 minutes))

Change in systolic pulmonary arterial pressure measured via right heart catheterization at the beginning of the treatment procedure and at the end of the treatment procedure

Outcome measures

Outcome measures
Measure
All Subjects
n=50 Participants
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Secondary Effectiveness Endpoint: Change in Systolic Pulmonary Arterial Pressure (mmHg)
-8.00 mmHg
Interval -37.0 to 17.0

SECONDARY outcome

Timeframe: During Procedure (index procedure: approximately 50 minutes)

Number of patients who received adjunctive thrombolytic medication during the index procedure

Outcome measures

Outcome measures
Measure
All Subjects
n=50 Participants
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Secondary Effectiveness Endpoint: Number of Patients With Adjunctive Thrombolytic Use
Yes
0 Participants
Secondary Effectiveness Endpoint: Number of Patients With Adjunctive Thrombolytic Use
No
50 Participants

Adverse Events

All Subjects

Serious events: 10 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
All Subjects
n=50 participants at risk
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Injury, poisoning and procedural complications
Vascular access site haemorrhage
4.0%
2/50 • Number of events 2 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Injury, poisoning and procedural complications
Vascular access site haematoma
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Vascular disorders
Acute myocardial infarction
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Vascular disorders
Hypotension
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
General disorders
Pain
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Infections and infestations
Osteomyelitis
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Metabolism and nutrition disorders
Adrenal insufficiency
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.

Other adverse events

Other adverse events
Measure
All Subjects
n=50 participants at risk
All participants who were treated with the FlowTriever System and FlowTriever2 Catheter for mechanical thrombectomy of PE.
Vascular disorders
Deep Vein Thrombosis
4.0%
2/50 • Number of events 2 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Vascular disorders
Blood Loss Anaemia
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Vascular disorders
Hypertension
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Vascular disorders
Hypertensive emergency
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
4.0%
2/50 • Number of events 2 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Respiratory, thoracic and mediastinal disorders
COVID-19
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Respiratory, thoracic and mediastinal disorders
Haemoptysis
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Musculoskeletal and connective tissue disorders
Pain in extremity
4.0%
2/50 • Number of events 2 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Cardiac disorders
Atrial fibrillation
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Injury, poisoning and procedural complications
Fall
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Injury, poisoning and procedural complications
Post procedural haemorrhage
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.
Nervous system disorders
Headache
2.0%
1/50 • Number of events 1 • All AEs were followed by the Investigator until resolution or until the 30-day follow-up visit when the patient exited the study.
Collection of adverse events started after the time that the informed consent form was signed and the subject was enrolled. Adverse events were monitored throughout the study up until each patient's exit from the study.

Additional Information

Ashleigh Willson

Inari Medical

Phone: 925-330-3446

Results disclosure agreements

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