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Pulmonary Embolism AcuteNCT06362928

Safety and Effectiveness of the Akura Thrombectomy System in the Treatment of Acute Pulmonary Embolism

A study testing ATC System in people with Pulmonary Embolism Acute, run by Akura Medical.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This study is a prospective, single-arm, non-randomized, interventional, multicenter feasibility study to evaluate the safety and effectiveness of percutaneous mechanical thrombectomy using the Akura Thrombectomy System in subjects with acute pulmonary embolism (PE). Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Pulmonary Embolism Acute
What is being tested?
ATC System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
11 Feb 2025to 17 Jun 2026
Phase
Interventional
Are there results?
None posted in the registry

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 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient is > 18 and < 90 years old
  • Clinical signs and symptoms consistent with acute PE
  • PE symptom duration ≤ 14 days
  • CTA evidence of proximal PE (filling defect in at least one main or lobar pulmonary artery as determined by the investigator)
  • CTA evidence of RV/LV ratio > 0.9 note: based on Investigator's interpretation of RV/LV ratio at baseline;
  • Systolic BP ≥ 90 mmHg note: initial SBP may be < 90 mmHg but ≥ 80 mmHg if the pressure recovers with volume resuscitation
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  • Stable heart rate (HR) < 130 BPM prior to procedure
  • Patient is deemed medically eligible for interventional procedure(s), per investigator guidelines and clinical judgment.
  • Subject or legally authorized representative (LAR) is willing and able to provide written informed consent prior to receiving any non-standard of care protocol specific procedures

Who cannot join

  • Prior PE < 180 days from index procedure
  • Thrombolytic use < 48 hours prior to baseline CTA
  • Pulmonary hypertension with peak pulmonary artery systolic pressure (PASP) >70 mmHg by right heart catheterization
  • Vasopressor requirement after fluids to keep pressure at ≥90 mmHg
  • FiO2 requirement >40% or >6 LPM to keep oxygen saturation >90%
  • Hematocrit <28% (Note: hematocrit required within 6 hrs. of index procedure)
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  • Platelets count <100,000/µL
  • eGFR <30 ml/min per 1.73 m2
  • International normalized ratio (INR) >3
  • Major trauma injury severity score (ISS) > 15
  • Presence of intracardiac lead in right ventricle or atrium placed within 6 months prior to screening assessment
  • Cardiovascular or pulmonary surgery within 7 days of index procedure
  • Actively progressing cancer treated by chemotherapeutics
  • Known bleeding diathesis or coagulation disorder
  • Left bundle branch block
  • History of severe or chronic pulmonary arterial hypertension
  • History of chronic left heart disease with left ventricular ejection fraction ≤ 30%
  • History of decompensated heart failure
  • History of underlying lung disease that is oxygen dependent
  • History of chest irradiation
  • History of heparin-induced thrombocytopenia (HIT)
  • Contraindication to systemic or therapeutic doses of anticoagulants
  • Known anaphylactic reaction to radiographic contrast agents that cannot be pretreated
  • Known residual iliac deep vein thrombosis (DVT), inferior vena cava (IVC) clot or clot in transit (right atrium and/or right ventricle).
  • CTA imaging or other evidence that suggest, in the opinion of the investigator, the Subject is not appropriate for aspiration thrombectomy intervention (e.g., inability to navigate to target location, predominantly chronic clot or non-clot embolus)
  • Life expectancy <90 days, as determined by investigator
  • Female who is pregnant or nursing
  • Current participation in another investigational drug or device treatment study Note: observational or registry studies may be permitted with Sponsor approval

About this study

This study is a prospective, single-arm, non-randomized, interventional, multicenter feasibility study to evaluate the safety and effectiveness of percutaneous mechanical thrombectomy using the Akura Thrombectomy System in subjects with acute pulmonary embolism (PE).

Being tested
ATC System

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ATC SystemDevice

    The ATC System is designed to mechanically remove emboli and restore blood flow through the pulmonary arteries in patients experiencing acute PE

Study groups in NCT06362928
Study groupRoleWhat they receive
Patients with Acute Pulmonary EmbolismExperimentalPatients undergoing mechanical thrombectomy for acute pulmonary embolism.
Receives: Device: ATC System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Effectiveness

    Change in RV/LV ratio post index procedure

    Measured: 48 hours

  2. Safety: Composite of Major Adverse Device-Related Events

    Device-related major bleeding at access, device-related death, clinical deterioration, pulmonary vascular injury or cardiac injury

    Measured: 48 hours post index procedure

Secondary outcomes (1)
  1. Safety: Composite of Major Adverse Events

    Assessment of major adverse events through 30 day follow-up

    Measured: 30 days post index procedure

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Apr 2024
  2. Study start11 Feb 2025
  3. Primary completion17 Jun 2026
  4. Study completion17 Jun 2026

Why it stopped: Study withdrawn by Sponsor for strategic reasons unrelated to subject safety or device performance. One subject underwent screening but did not meet eligibility criteria. No subjects were enrolled or treated.

Resources

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
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06362928
Sponsor's protocol ID
CP-60005
Status last verified
Aug 2026
First submitted
9 Apr 2024
Last updated
31 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing ATC System in people with Pulmonary Embolism Acute, run by Akura Medical.

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 9 inclusion and 28 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: withdrawn, as of the sponsor's last update on 31 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

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?

The study was withdrawn before enrolling participants, so there are no results.

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?

Effectiveness (time frame: 48 hours). 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 31 Aug 2026.

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