Deep Vein ThrombosisNCT05003843
BOLT-DVT: Study of the Indigo® Aspiration System When Used in Patients With Deep Vein Thrombosis
A study testing Indigo Aspiration System in people with Deep Vein Thrombosis and DVT, run by Penumbra Inc. at 42 sites in United States.
Trial summary
The objective of this study is to demonstrate the safety and efficacy of the Indigo Aspiration system for percutaneous mechanical thrombectomy in a population presenting with obstruction due to deep vein thrombosis (DVT) who are eligible for treatment. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Deep Vein Thrombosis, DVT
- What is being tested?
- Indigo Aspiration System
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 229 participants
- Where
- 42 sitesUnited States
- Study dates
- 30 Sep 2021to Jan 2028
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Unilateral lower extremity DVT occlusion involving iliac and/or common femoral veins with up to 2 cm extension in the inferior vena cava (IVC) or femoral in combination with iliac veins, including patients with extension of clot into the contralateral common iliac vein Note: Patients with non-iliofemoral DVT in the contralateral limb, who do not require endovascular treatment, may be enrolled
- Acute thrombotic or thromboembolic occlusion with symptom duration of 14 days or less at presentation
- Frontline treatment with Indigo Aspiration System in the target venous segment per Investigator decision
- Patient is ≥18 years of age
- Informed consent is obtained per Institutional Review Board requirements
Who cannot join
- Contraindication to systemic or therapeutic doses of anticoagulants
- Contraindication to iodinated contrast venography that cannot be adequately premedicated
- Complete infrarenal IVC occlusion
- In the index leg: prior DVT
- Prior stent in target venous segment
- Treatment of index DVT with thrombolytics within 14 days prior to index procedure
Show all 15Show fewer
- Pulmonary embolism (PE) defined as either high (systolic blood pressure < 90 mmHg and/or patient on IV vasoactive medication to support blood pressure), or intermediate high-risk PE, as defined by the European Society Guideline on management of PE. Low risk PE and/or intermediate low risk PE can be enrolled.
- Known coagulation disorders both acquired (e.g., Heparin Induced Thrombocytopenia, etc.) or genetic (e.g., Factor V Leiden, etc.), thrombophilia, or hypercoagulable state
- Pregnant patients
- Life expectancy <1 year due to comorbidities
- Primary brain, metastatic cancer or marrow malignancies
- Current participation in another investigational drug or device study that may confound the results of this study. Studies requiring extended follow-up for products that were investigational but have since become commercially available are not considered investigational studies.
- Other medical, behavioral, or psychological conditions that, in the opinion of the Investigator, precludes the patient from appropriate consent, could limit the patient's ability to participate in the study, including compliance with follow-up requirements, or that could impact the scientific integrity of the study
- Pre-existing malpositioned stent(s) that obstructs the ostium of the index iliac vein and contacts the vena cava wall as demonstrated by venography prior to the index procedure
- Congenital anatomic anomalies of the IVC or iliac veins
Trial locations and contacts
42 sites in 1 country.
42 sites in 1 country
United States42 sites
Lovelace Heart
Albuquerque, New Mexico, 87102
University of Michigan
Ann Arbor, Michigan, 48109
St. Joseph Mercy Ann Arbor Hospital
Ann Arbor, Michigan, 48197
Protestant Memorial Medical Center, Inc
Belleville, Illinois, 62226
Kaleida University at Buffalo
Buffalo, New York, 14203
MUSC
Charleston, South Carolina, 29425
Northwestern Memorial
Chicago, Illinois, 60611
Rush University Medical Center
Chicago, Illinois, 60612
Christ Cincinnati
Cincinnati, Ohio, 45219
TriHealth
Cincinnati, Ohio, 45242
BUMC - Dallas (Scott & White)
Dallas, Texas, 75246
Duke University Medical Center
Durham, North Carolina, 27710
McLaren Greater Lansing
East Lansing, Michigan, 48910
Hackensack Medical Center
Hackensack, New Jersey, 07601
St. Vincent
Indianapolis, Indiana, 46260
Indiana University Health
Indianapolis, Indiana, 46290
Memorial Jacksonville
Jacksonville, Florida, 32216
Holston Valley Medical
Kingsport, Tennessee, 37660
Sharp Grossmont
La Mesa, California, 91942
Lafayette General/Cardiovascular Institute of the South
Lafayette, Louisiana, 70503
Radiology and Imaging Specialists
Lakeland, Florida, 33805
Lancaster General Hospital
Lancaster, Pennsylvania, 17602
University of Kentucky
Lexington, Kentucky, 40506
Long Beach Medical Center
Long Beach, California, 90806
UCLA
Los Angeles, California, 90095
Baptist of Miami
Miami, Florida, 33176
Mount Sinai Miami
Miami Beach, Florida, 33140
Weill Cornell Medicine
New York, New York, 10021
Mount Sinai NY
New York, New York, 10029
Lenox Hill Hospital
New York, New York, 10075
NYU
New York, New York, 11220
Christiana Care
Newark, Delaware, 19713
Sentara
Norfolk, Virginia, 23507
Nebraska Methodist
Omaha, Nebraska, 68118
UPenn
Philadelphia, Pennsylvania, 19104
NC Heart and Vascular Research
Raleigh, North Carolina, 27607
Sarasota Memorial
Sarasota, Florida, 34239
LSU Hospital Shreveport
Shreveport, Louisiana, 71103
Jewish Barnes Hospital
St Louis, Missouri, 63110
Stony Brook University
Stony Brook, New York, 11794
MedStar Washington
Washington D.C., District of Columbia, 20010
UMass Memorial Medical Center
Worcester, Massachusetts, 01655
About this study
Official title: BOLT-DVT: A Prospective, Multicenter Study of Patients With Deep Vein Thrombosis to Evaluate the Safety and Efficacy of the Indigo® Aspiration System
The objective of this study is to demonstrate the safety and efficacy of the Indigo Aspiration system for percutaneous mechanical thrombectomy in a population presenting with obstruction due to deep vein thrombosis (DVT) who are eligible for treatment.
- Conditions
- Deep Vein Thrombosis, DVT
- Being tested
- Indigo Aspiration System
- Medical subject headings
- Venous Thrombosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Indigo Aspiration SystemDevice
Indigo Aspiration System
| Study group | Role | What they receive |
|---|---|---|
| Single Arm | Other | Use of Indigo Aspiration System in patients with obstruction due to DVT Receives: Device: Indigo Aspiration System |
What is being measured
The primary outcome is the main question the study is designed to answer.
Composite of Major Adverse Events
Device related death, major bleeding, new symptomatic pulmonary embolism or re-thrombosis of the target venous segment and serious device related events
Measured: 48 Hours Post-Procedure
Change in Marder Score
Complete or near complete (75% or greater) reduction of venous thrombus from the target venous segment as measured by Marder Score pre- to post-procedure
The Marder Score ranges from 0 to 24, with higher scores being worse.
Measured: Index Procedure
Secondary outcomes (3)
Composite of Major Adverse Events
A composite of death, major bleeding, new symptomatic pulmonary embolism or re-thrombus of the target venous segment
Measured: 30 Days Post-Procedure
Device Related Adverse Events
Proportion of participants with device related adverse events
Measured: 24 Months
Villalta Scale
Villalta scores reported at baseline, 30 days, 180 days, 12 months, and 24 months
Villalta score ranges from 0 (no post thrombotic syndrome) to 33 (severe post thrombotic syndrome), with higher scores being worse.
Measured: 24 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Aug 2021
- Study start30 Sep 2021
- Primary completion18 Nov 2025
- Study completionJan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Deep Vein ThrombosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 229 participants (actual)
Sponsor and investigators
- Lead sponsor
- Penumbra Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05003843
- Sponsor's protocol ID
- 19458
- Status last verified
- May 2026
- First submitted
- 4 Aug 2021
- Last updated
- 8 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 8 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- BOLT-DVT: A Prospective, Multicenter Study of Patients With Deep Vein Thrombosis to Evaluate the Safety and Efficacy of the Indigo® Aspiration System
- ClinicalTrials.gov ID
- NCT05003843
- Acronym / sponsor ID
- 19458
- Conditions
- Deep Vein Thrombosis, DVT
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 229 participants (actual)
- Lead sponsor
- Penumbra Inc.Industry (pharma, biotech, devices)
- Study start
- 30 Sep 2021 (actual)
- Primary completion
- 18 Nov 2025 (actual)
- Study completion
- Jan 2028 (estimated)
- First posted
- 12 Aug 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this study is to demonstrate the safety and efficacy of the Indigo Aspiration system for percutaneous mechanical thrombectomy in a population presenting with obstruction due to deep vein thrombosis (DVT) who are eligible for treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Single Arm | Other | Device: Indigo Aspiration SystemUse of Indigo Aspiration System in patients with obstruction due to DVT |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Unilateral lower extremity DVT occlusion involving iliac and/or common femoral veins with up to 2 cm extension in the inferior vena cava (IVC) or femoral in combination with iliac veins, including patients with extension of clot into the contralateral common iliac vein Note: Patients with non-iliofemoral DVT in the contralateral limb, who do not require endovascular treatment, may be enrolled
- Acute thrombotic or thromboembolic occlusion with symptom duration of 14 days or less at presentation
- Frontline treatment with Indigo Aspiration System in the target venous segment per Investigator decision
- Patient is ≥18 years of age
- Informed consent is obtained per Institutional Review Board requirements
Key exclusion criteria (15 listed)
- Contraindication to systemic or therapeutic doses of anticoagulants
- Contraindication to iodinated contrast venography that cannot be adequately premedicated
- Complete infrarenal IVC occlusion
- In the index leg: prior DVT
- Prior stent in target venous segment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Indigo Aspiration SystemIndigo Aspiration System | Device | Single Arm |
Primary outcome
Composite of Major Adverse Events
Time frame: 48 Hours Post-Procedure
Device related death, major bleeding, new symptomatic pulmonary embolism or re-thrombosis of the target venous segment and serious device related events
Change in Marder Score
Time frame: Index Procedure
Complete or near complete (75% or greater) reduction of venous thrombus from the target venous segment as measured by Marder Score pre- to post-procedure The Marder Score ranges from 0 to 24, with higher scores being worse.
3 secondary outcomes
Composite of Major Adverse Events
Time frame: 30 Days Post-Procedure
Device Related Adverse Events
Time frame: 24 Months
Villalta Scale
Time frame: 24 Months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Sep 2026.
Related trials for Deep Vein Thrombosis
RecruitingPhase 3
Treatment and Secondary Prevention of Venous Thromboembolism (VTE) in Adult Participants With Solid and Hematologic Cancers
Venous Thromboembolism (VTE)
RecruitingPhase 3
REGN7508 in Adult Participants for Prevention of Cancer-Associated Thrombosis
Cancer-Associated Thrombosis (CAT)
RecruitingPhase 3
REGN7508 Versus Acetylsalicylic Acid (ASA) for Venous Thromboprophylaxis After Total Knee Arthroplasty in Adult Participants
Symptomatic Venous Thromboembolism (VTE)
Active, not recruiting
This Research Proposal Focuses on Evaluating the Effectiveness of a Nursing Care Protocol in Preventing Deep Vein Thrombosis (DVT) in Patients Undergoing On-pump Cardiac Surgery. The Study Will Include an Intervention Group That Receives the Nursing Protocol and a Control Group That Receives Routine
On-pump Cardiac Surgery - Prevention - Intervention - Experimental Group - Control Group - Incidence - Complications, DVT - Deep Vein Thrombosis
Recruiting
DEFIANCE: RCT of ClotTriever System Versus Anticoagulation In Deep Vein Thrombosis
Venous Thromboembolism, Deep Venous Thrombosis
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
42 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Indigo Aspiration System in people with Deep Vein Thrombosis and DVT, run by Penumbra Inc. at 42 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 8 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 42 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Composite of Major Adverse Events (time frame: 48 Hours Post-Procedure). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Sep 2026.