New trial aims to stop deadly blood clots with quick catheter action
NCT ID NCT06672081
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether using a catheter to break up or remove blood clots early, along with standard care, can save more lives in people with a massive pulmonary embolism. About 210 participants will be randomly assigned to receive either catheter treatment within 60 minutes plus usual care, or usual care alone. The goal is to see if the catheter approach reduces death, cardiac arrest, or persistent shock.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- catheter-directed treatment (aspiration thrombectomy, local fibrinolytic therapy, or ultrasound-assisted fibrinolysis)
- What this could lead to
- If successful, this approach could become a standard early intervention for high-risk pulmonary embolism, potentially reducing deaths and serious complications.
- What could go wrong
- This is a relatively small, early-stage trial (210 participants) and the procedure carries risks like bleeding or vessel damage. Results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 210 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Pulmonary embolism as confirmed by CT angiogram with high mortality risk as defined by ESC guidelines: a) One of the following: i. Cardiac arrest or ii. obstructive shock (systolic BP \<90 mmHg or vasopressors required to achieve a BP ≥90 mmHg despite an adequate filling status), in combination with end-organ hypoperfusion (cold, clammy skin, oliguria or serum lactate ≥2 mmol/L) and b) Signs of right-ventricular dysfunction on transthoracic echocardiogram or CT scan 2. Age ≥18 years Exclusion Criteria: 1. Contraindications for catheter-based treatment 2. Contraindications to systemic fibrinolytic treatment or anticoagulation\* 1. Active, potentially life-threatening bleeding 2. Surgery within 24h before screening 3. Cranial or spinal surgery within 14d before screening 4. Stroke within 14d before screening 5. Intracranial tumor 6. Any condition not listed here but estimated as clinically relevant as judged by the treating investigator 3. Pregnancy * Patients with contraindications to systemic fibrinolysis or anticoagulation can be enrolled in a third study arm (registry) and undergo catheter-directed therapy.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
18 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Asklepios Klinik St. Georg
RECRUITINGHamburg, 20099, Germany
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Bundeswehrkrankenhaus Ulm, Abteilung I - Innere Medizin, Schwerpunkt Kardiologie
RECRUITINGUlm, 89081, Germany
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HELIOS Klinikum Erfurt
RECRUITINGErfurt, 99089, Germany
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Heart Center Leipzig at University of Leipzig, Department of Internal Medicine/Cardiology
RECRUITINGLeipzig, 04289, Germany
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Helios Kliniken Wuppertal
RECRUITINGWuppertal, 42117, Germany
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Klinik für Innere Medizin 8 Schwerpunkt Kardiologie Universitätsklinik der Paracelsus Medizinischen Privatuniversität Klinikum Nürnberg I Campus Süd
RECRUITINGNuremberg, 90471, Germany
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Oberlausitzklinikum Bautzen, Medizinische Klinik I
RECRUITINGBautzen, 02625, Germany
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Rems-Murr-Kliniken
RECRUITINGWinnenden, 71364, Germany
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SLK-Kliniken Heilbronn
RECRUITINGHeilbronn, 74078, Germany
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Schwarzwald-Baar-Klinikum
RECRUITINGVillingen-Schwenningen, 78052, Germany
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Universitätsklinik Düsseldorf, Klinik für Kardiologie, Pneumologie und Angiologie
RECRUITINGDüsseldorf, 40225, Germany
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Universitätsklinikum Bonn
RECRUITINGBonn, 53127, Germany
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Universitätsklinikum Frankfurt, Med. Klinik III - Kardiologie, Angiologie
RECRUITINGFrankfurt am Main, 60590, Germany
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Universitätsklinikum Freiburg
RECRUITINGBad Krozingen, 79189, Germany
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Universitätsklinikum Halle
RECRUITINGHalle, 06120, Germany
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Universitätsklinikum Leipzig
RECRUITINGLeipzig, 04103, Germany
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Universitätsklinikum Mannheim
RECRUITINGMannheim, 68167, Germany
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Westpfalz-Klinikum GmbH, Klinik für Innere Medizin 2
RECRUITINGKaiserslautern, 67655, Germany
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