The PERSEVERE Study

NCT ID: NCT06588634

Last Updated: 2025-11-10

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

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-16

Study Completion Date

2027-08-31

Brief Summary

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Randomized Controlled Trial of High-Risk Pulmonary Embolism Comparing FlowTriever System vs. Standard of Care

Detailed Description

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Conditions

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Pulmonary Embolism Pulmonary Thromboembolism

Keywords

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PE Pulmonary Embolism FlowTriever CDT Catheter Directed Thrombolysis Anticoagulation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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FlowTriever

Group Type ACTIVE_COMPARATOR

FlowTriever System

Intervention Type DEVICE

Mechanical thrombectomy for pulmonary embolism

Standard of Care

Group Type ACTIVE_COMPARATOR

Standard of Care

Intervention Type PROCEDURE

Standard of care treatment for pulmonary embolism

Interventions

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FlowTriever System

Mechanical thrombectomy for pulmonary embolism

Intervention Type DEVICE

Standard of Care

Standard of care treatment for pulmonary embolism

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Age at enrollment ≥18 years
2. Objective evidence of a proximal filling defect in at least one main or lobar pulmonary artery
3. High-risk class of acute PE
4. RV dysfunction, as defined RV/LV ratio ≥1.0
5. Willing and able to provide informed consent, or if unable, through a Legal Authorized Representative, with permitting research without prior consent as a third option (for Europe and UK sites only), provided compliance with IRB/EC approvals and adherence to regulatory, ethical and national standards

Exclusion Criteria

1. Prolonged cardiac arrest with loss of consciousness associated with neurological deficit.
2. Imaging evidence or other evidence that suggests, in the opinion of the Investigator, the patient is not appropriate for catheter-based intervention
3. Known pre-existing CTEPH, or CT signs of chronic PE that may point to pre-existing CTEPH
4. Recent stroke (\<14 days)
5. Recent cranial or spinal surgery (\<14 days)
6. Life-threatening active bleeding or hemorrhage into a critical area
7. Known intracranial tumor
8. End-stage medical condition with life expectancy \<3 months (irrespective of the severity of acute PE), as determined by the Investigator
9. Known sensitivity to radiographic contrast agents that, in the Investigator's opinion, cannot be adequately pre-treated
10. Inability to anticoagulate the patient, or known to have heparin-induced thrombocytopenia (HIT)
11. Current participation in another drug or device study that may interfere with the conduct of this trial
12. Ventricular arrhythmias refractory to treatment at the time of enrollment
13. Subject has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the subject (e.g., compromise the well-being or that could prevent, limit, or confound the protocol-specified assessments), including a contraindication to use of FlowTriever System per local approved labeling
14. Subject is part of a vulnerable population (e.g., currently pregnant, breastfeeding or incarcerated) per local definitions
15. Subject was previously enrolled in this study
16. Subject has received prior thrombolytic (systemic or catheter-directed) therapy for any reason or thrombectomy (surgical or catheter-based) therapy for index PE, within 30 days prior to randomization
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Inari Medical

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nicolas Meneveau, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier Universitaire Hôpital Jean Minjoz, Besançon, France

Stavros Konstantinides, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Germany

John M Moriarty, MD

Role: PRINCIPAL_INVESTIGATOR

Westwood Imaging Center & Interventional Radiology Clinic - UCLA, CA, USA

Jay Giri, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Penn Medicine, Philadelphia, PA, USA

Locations

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Yale University

New Haven, Connecticut, United States

Site Status RECRUITING

Sarasota Memorial Hospital

Sarasota, Florida, United States

Site Status RECRUITING

Emory University

Atlanta, Georgia, United States

Site Status RECRUITING

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status RECRUITING

Northwell Health

Bay Shore, New York, United States

Site Status RECRUITING

SUNY, The University at Buffalo

Buffalo, New York, United States

Site Status RECRUITING

UPHS Penn Health System

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

HCA Tristar/Centennial

Nashville, Tennessee, United States

Site Status RECRUITING

HCA Medical City Heart & Spine

Dallas, Texas, United States

Site Status RECRUITING

HCA Methodist Health San Antonio

San Antonio, Texas, United States

Site Status RECRUITING

Besançon University Hospital

Besançon, , France

Site Status RECRUITING

Hopital Arnaud de Villeneuve, Montpellier

Montpellier, , France

Site Status RECRUITING

CHU Nîmes Caremeau

Nîmes, , France

Site Status RECRUITING

Hôpital Européen Georges-Pompidou, Paris

Paris, , France

Site Status RECRUITING

Klinikum Chemnitz

Chemnitz, , Germany

Site Status RECRUITING

Universitätsklinikum Carl Gustav Carus an der TU Dresden

Dresden, , Germany

Site Status RECRUITING

Universitätsmedizin Mainz

Mainz, , Germany

Site Status RECRUITING

Munich LMU

München, , Germany

Site Status RECRUITING

Universitätsklinik Regensburg

Regensburg, , Germany

Site Status RECRUITING

Hospital Universitari Vall d'Hebron, Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario La Paz Madrid

Madrid, , Spain

Site Status RECRUITING

University Hospital Basel

Basel, , Switzerland

Site Status RECRUITING

Royal Free Hospital London

London, , United Kingdom

Site Status RECRUITING

Countries

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United States France Germany Spain Switzerland United Kingdom

Central Contacts

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Tine Devolder

Role: CONTACT

Phone: +32 476 53 88 05

Email: [email protected]

Jen Foss

Role: CONTACT

Phone: 978-587-6598

Email: [email protected]

Facility Contacts

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Christopher Moore, MD

Role: primary

Juan Camacho, MD

Role: primary

Wissam Jaber, MD

Role: primary

Gabriel Hernandez, MD

Role: primary

Wally Omar, MD

Role: primary

David Zlotnick, MD

Role: primary

Taisei Kobayashi, MD

Role: primary

Russell Rosenberg, MD

Role: backup

Mithun Chakravarthy, MD

Role: primary

Samuel Horr, MD

Role: primary

Srinivas Yallapragada, MD

Role: primary

Chandra Kunavarapu, MD

Role: primary

Nicolas Meneveau, MD, PhD

Role: primary

Francoise Roubille, MD

Role: primary

Benoit Lattuca, MD, PhD

Role: primary

Olivier Sanchez, MD, PhD

Role: primary

Karim Ibrahim, MD

Role: primary

Ralf-Thorsten Hoffmann, MD

Role: primary

Stavros Konstantinides, MD, PhD

Role: primary

Konstantin Stark, MD

Role: primary

Stefan Stadler, MD

Role: primary

Juan Carlos Ruiz, MD, PhD

Role: primary

Raul Moreno, MD, PhD

Role: primary

Gregor Leibundgut, MD

Role: primary

Tushar Kotecha, MBChB, PhD

Role: primary

Other Identifiers

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24-002

Identifier Type: -

Identifier Source: org_study_id