New catheter aims to treat dangerous blood clots in the lungs without ICU stay
NCT ID NCT06433011
First seen Jul 14, 2026 · Last updated Jul 15, 2026 · Updated 1 time
Summary
This trial tests a special catheter that delivers clot-dissolving medication directly into the lung arteries of people with intermediate-risk pulmonary embolism. The goal is to see if this targeted approach can safely treat the clot without needing intensive care or a continuous drug drip. About 500 participants will receive the treatment and be followed for 7 to 30 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a catheter that delivers clot-busting drugs directly into the pulmonary arteries
- What this could lead to
- If successful, this approach could offer a less invasive treatment for pulmonary embolism that avoids intensive care and reduces complications.
- What could go wrong
- This is an early-stage device trial with 500 participants, so results may not apply to all patients. Risks include bleeding, vessel damage, or the procedure not improving outcomes.
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 500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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Apr 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria 1. Willing and able to provide informed consent; 2. PE symptom duration ≤ 15 days; 3. Filling defect in at least one major lobar pulmonary artery as determined by CTA; 4. Patient is diagnosed with intermediate risk PE; 5. RV/LV diameter ratio ≥ 0.9 by CTA, as determined by investigative site; 6. Willing and able to comply with all study procedures and 7-day and 30-day telephone follow-up visit. Exclusion Criteria: 1. Previous history of stroke with residual hemiplegia; 2. Major surgery ≤ 10 days prior to inclusion in the study; 3. Platelet count \< 100,000/μL; 4. Pulmonary thrombectomy within the previous 4 days; 5. Uncontrolled hypertension defined as systolic blood pressure \>180 mm Hg and/or diastolic blood pressure \>110 mm Hg at the time of the procedure; 6. Administration of thrombolytic agents within the previous 4 days; 7. Absolute contraindication to anticoagulation; 8. Clinician deems high-risk for catastrophic bleeding; 9. Pregnancy; 10. Any vasopressor or inotropic support; 11. Cardiac arrest (including pulseless electrical activity (PEA) and asystole) requiring active cardiopulmonary resuscitation (CPR) during this hospitalization at treating institution and/or referring institution; 12. Planning to administer r-tPA by infusion after the r-tPA is administered by pulse sprays; 13. Currently participating in another study; 14. In the opinion of the investigator, the subject is not a suitable candidate for the study.
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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
23 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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Beth Israel Deaconess Medical Center
RECRUITINGBoston, Massachusetts, 02481, United States
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Boston Medical Center
RECRUITINGBoston, Massachusetts, 02135, United States
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Carondelet St. Joseph's Hospital
RECRUITINGTuscon, Arizona, 85711, United States
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Charleston Area Medical Center
RECRUITINGCharleston, West Virginia, 25304, United States
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Community Health
RECRUITINGIndianapolis, Indiana, 46256, United States
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Cooper Health
RECRUITINGCamden, New Jersey, 08103, United States
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Dartmouth Hitchcock
RECRUITINGLebanon, New Hampshire, 03756, United States
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Emory University
RECRUITINGAtlanta, Georgia, 30308, United States
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Honor Health
RECRUITINGScottsdale, Arizona, 85258, United States
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Jobst Vascular Institute - ProMedica Hospital
RECRUITINGToledo, Ohio, 43606, United States
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Lahey Hospital & Medical Center
RECRUITINGBurlington, Massachusetts, 01805, United States
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Miami Valley/Wright State University/Premier Health
RECRUITINGDayton, Ohio, 45435, United States
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Mount Sinai
RECRUITINGNew York, New York, 10029, United States
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North Mississippi Medical Center
RECRUITINGTupelo, Mississippi, 38801, United States
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Northwell Health
RECRUITINGManhasset, New York, 11030, United States
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Profound Research
RECRUITINGHobart, Indiana, 46342, United States
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Radiology and Imaging Specialists
RECRUITINGLakeland, Florida, 33801, United States
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Rush University Medical Center
RECRUITINGChicago, Illinois, 60612, United States
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Sentara
RECRUITINGNorfolk, Virginia, 23507, United States
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St. Joseph's
RECRUITINGLiverpool, New York, 13088, United States
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Temple University
RECRUITINGPhiladelphia, Pennsylvania, 19140, United States
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TriHealth
RECRUITINGCincinnati, Ohio, 45242, United States
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Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232, United States
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