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RecruitingNCT06588634ClinicalTrials.gov record

The PERSEVERE Study

Pulmonary Embolism · Pulmonary Thromboembolism

THE QUICK READ

What this study involves

The registry says this study is recruiting. Individual locations may have different availability.

Study type
Interventional
Phase
Not applicable
Age range
18 years - Not specified
Sex eligible
All sexes
Healthy volunteers
Not accepted
Participants
200 Estimated

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

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

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

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

Understand screening

Treatment, groups and participation

The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.

Assignment
Random assignment
Masking
No masking
FlowTriever

Not reported in this registry record.

Device: FlowTriever System

Standard of Care

Not reported in this registry record.

Procedure: Standard of Care

FlowTriever System DEVICE

Mechanical thrombectomy for pulmonary embolism

Standard of Care PROCEDURE

Standard of care treatment for pulmonary embolism

Prepare your questions

What researchers are measuring

Outcome measures describe what is being studied. They are not proof that a treatment works.

Primary measures

Composite clinical endpoint of the following adjudicated events:

Time frame: The earlier of initial hospital discharge or 7 days after randomization

1. All-cause mortality
2. Cardiac arrest
3. Bailout to an alternative therapeutic strategy
4. Major bleeding
5. ECMO life support

Secondary measures

All-cause mortality

Time frame: At the earlier of initial hospital discharge or 7 days post randomization and at 3-month visit

Not reported in this registry record.

Cardiac arrest

Time frame: At the earlier of initial hospital discharge or 7 days post randomization

Not reported in this registry record.

Bailout to an alternative therapeutic strategy

Time frame: At the earlier of initial hospital discharge or 7 days post randomization

Not reported in this registry record.

Major bleeding

Time frame: At the earlier of initial hospital discharge or 7 days post randomization and at 3-month visit

Not reported in this registry record.

ECMO life support

Time frame: 7 days post-randomization

Not reported in this registry record.

PE-related mortality

Time frame: 3 months

Not reported in this registry record.

All-cause and PE-related readmissions

Time frame: 30 days and 90 days

Not reported in this registry record.

Days alive outside hospital

Time frame: 90 days

Not reported in this registry record.

PE-related quality of life, by PEmb-QoL

Time frame: 3 months

Not reported in this registry record.

General health-related quality of life, by EQ-5D-5L

Time frame: 3 months

Not reported in this registry record.

Post-PE Impairment diagnosis

Time frame: 3 months

Not reported in this registry record.

Change in the RV/LV diastolic diameter ratio (RV/LV) as measured by echocardiography from baseline

Time frame: 72 hours

Not reported in this registry record.

No results are flagged as posted.

Review the complete result tables and limitations in the official record.

Open official results ↗

Research locations (34)

The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.

34 locations

Yale UniversityNew Haven, Connecticut, United StatesRecruiting
Christopher Moore, MDCONTACT
View location on map ↗
AdventHealth OrlandoOrlando, Florida, United StatesRecruiting
Barry Weinstock, MDCONTACT
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Orlando Health Regional Medical CenterOrlando, Florida, United StatesRecruiting
Joel Garcia-Fernandez, MDCONTACT
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Sarasota Memorial HospitalSarasota, Florida, United StatesRecruiting
Clinton Wrigley, MDCONTACT
View location on map ↗
Emory UniversityAtlanta, Georgia, United StatesRecruiting
Wissam Jaber, MDCONTACT
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University of Mississippi Medical CenterJackson, Mississippi, United StatesRecruiting
Gabriel Hernandez, MDCONTACT
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Robert Wood Johnson Medical SchoolNew Brunswick, New Jersey, United StatesRecruiting
Natalie Millet, MDCONTACT
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Northwell HealthBay Shore, New York, United StatesRecruiting
Kareem Niazi, MDCONTACT
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SUNY, The University at BuffaloBuffalo, New York, United StatesRecruiting
David Zlotnick, MDCONTACT
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Summa AkronAkron, Ohio, United StatesRecruiting
Mark Rea, MDCONTACT
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UPHS Penn Health SystemPhiladelphia, Pennsylvania, United StatesRecruiting
Taisei Kobayashi, MDCONTACT
Russell Rosenberg, MDCONTACT
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UPMCPittsburgh, Pennsylvania, United StatesRecruiting
Catalin Toma, MDCONTACT
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Allegheny General HospitalPittsburgh, Pennsylvania, United StatesRecruiting
Mithun Chakravarthy, MDCONTACT
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HCA Tristar/CentennialNashville, Tennessee, United StatesRecruiting
Samuel Horr, MDCONTACT
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HCA Medical City Heart & SpineDallas, Texas, United StatesRecruiting
Srinivas Yallapragada, MDCONTACT
View location on map ↗
HCA Methodist Health San AntonioSan Antonio, Texas, United StatesRecruiting
Chandra Kunavarapu, MDCONTACT
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Besançon University HospitalBesançon, FranceRecruiting
Nicolas Meneveau, MD, PhDCONTACT
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CHU Grenoble AlpesLa Tronche, FranceRecruiting
Nicolas Piliero, MDCONTACT
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Hopital Arnaud de Villeneuve, MontpellierMontpellier, FranceRecruiting
Francoise Roubille, MDCONTACT
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CHU Nîmes CaremeauNîmes, FranceRecruiting
Benoit Lattuca, MD, PhDCONTACT
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Hôpital Européen Georges-Pompidou, ParisParis, FranceRecruiting
Olivier Sanchez, MD, PhDCONTACT
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CHU de Toulouse - Hôpital de RangueilToulouse, FranceRecruiting
Clément Delmas, MDCONTACT
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Universitätsklinikum Schleswig-Holstein, Campus KielKiel, Schleswig-Holstein, GermanyRecruiting
Derk Frank, MDCONTACT
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Charité Campus Virchow ClinicBerlin, GermanyRecruiting
Carsten Skurk, MDCONTACT
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Klinikum ChemnitzChemnitz, GermanyRecruiting
Karim Ibrahim, MDCONTACT
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Universitätsklinikum Carl Gustav Carus an der TU DresdenDresden, GermanyRecruiting
Ralf-Thorsten Hoffmann, MDCONTACT
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Universitätsmedizin MainzMainz, GermanyRecruiting
Tommaso Gori, MDCONTACT
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Munich LMUMünchen, GermanyRecruiting
Konstantin Stark, MDCONTACT
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Universitätsklinik RegensburgRegensburg, GermanyRecruiting
Alexander Dietl, MDCONTACT
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Hospital Universitari Vall d'Hebron, BarcelonaBarcelona, SpainRecruiting
Juan Carlos Ruiz, MD, PhDCONTACT
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Hospital Universitario La Paz MadridMadrid, SpainRecruiting
Raul Moreno, MD, PhDCONTACT
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University Hospital Zurich - UnispitalZurich, Canton of Zurich, SwitzerlandRecruiting
Stefano Barco, MDCONTACT
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University Hospital BaselBasel, SwitzerlandRecruiting
Gregor Leibundgut, MDCONTACT
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Royal Free Hospital LondonLondon, United KingdomRecruiting
Gerry Coghlan, MDCONTACT
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Study team and timeline

Lead sponsor
Inari Medical
Study start
Dec 16, 2024 Actual
Primary completion
2027-11 Estimated
Study completion
2028-02 Estimated
First posted
Sep 19, 2024 Actual
Last updated
Nov 10, 2026 Actual

Official study contacts

Official study title

The PERSEVERE Study

A HUMAN NEXT STEP

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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.

Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026