The PERSEVERE Study
Pulmonary Embolism · Pulmonary Thromboembolism
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
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
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.
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
AdventHealth OrlandoOrlando, Florida, United StatesRecruiting
Orlando Health Regional Medical CenterOrlando, Florida, United StatesRecruiting
Sarasota Memorial HospitalSarasota, Florida, United StatesRecruiting
Emory UniversityAtlanta, Georgia, United StatesRecruiting
University of Mississippi Medical CenterJackson, Mississippi, United StatesRecruiting
Robert Wood Johnson Medical SchoolNew Brunswick, New Jersey, United StatesRecruiting
Northwell HealthBay Shore, New York, United StatesRecruiting
SUNY, The University at BuffaloBuffalo, New York, United StatesRecruiting
Summa AkronAkron, Ohio, United StatesRecruiting
UPHS Penn Health SystemPhiladelphia, Pennsylvania, United StatesRecruiting
UPMCPittsburgh, Pennsylvania, United StatesRecruiting
Allegheny General HospitalPittsburgh, Pennsylvania, United StatesRecruiting
HCA Tristar/CentennialNashville, Tennessee, United StatesRecruiting
HCA Medical City Heart & SpineDallas, Texas, United StatesRecruiting
HCA Methodist Health San AntonioSan Antonio, Texas, United StatesRecruiting
Besançon University HospitalBesançon, FranceRecruiting
CHU Grenoble AlpesLa Tronche, FranceRecruiting
Hopital Arnaud de Villeneuve, MontpellierMontpellier, FranceRecruiting
CHU Nîmes CaremeauNîmes, FranceRecruiting
Hôpital Européen Georges-Pompidou, ParisParis, FranceRecruiting
CHU de Toulouse - Hôpital de RangueilToulouse, FranceRecruiting
Universitätsklinikum Schleswig-Holstein, Campus KielKiel, Schleswig-Holstein, GermanyRecruiting
Charité Campus Virchow ClinicBerlin, GermanyRecruiting
Klinikum ChemnitzChemnitz, GermanyRecruiting
Universitätsklinikum Carl Gustav Carus an der TU DresdenDresden, GermanyRecruiting
Universitätsmedizin MainzMainz, GermanyRecruiting
Munich LMUMünchen, GermanyRecruiting
Universitätsklinik RegensburgRegensburg, GermanyRecruiting
Hospital Universitari Vall d'Hebron, BarcelonaBarcelona, SpainRecruiting
Hospital Universitario La Paz MadridMadrid, SpainRecruiting
University Hospital Zurich - UnispitalZurich, Canton of Zurich, SwitzerlandRecruiting
University Hospital BaselBasel, SwitzerlandRecruiting
Royal Free Hospital LondonLondon, United KingdomRecruiting
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
Ask Wellness Clinical Research
Your message goes to WCR, including when this study is run by another organization. WCR may offer general guidance but may not operate this trial, have access to its team or be able to enroll you.
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
