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Venous Thrombosis Deep (Limbs)FASTNCT07708376

A Registry of the FLOWRUNNER Aspiration System for Patients With Symptomatic Venous Thrombosis

An observational study of Venous Thrombosis Deep (Limbs) and Venous Thrombosis, run by FlowPhysix, Inc..

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The objective of this study is to evaluate how well and how safe the FLOWRUNNER Aspiration System works for treating blood clots in the arms or legs in real-life medical settings. Read more about this study

Who is it for?
Ages 18 years and older
How many people
218 participants
Where
No sites listed yet
Study dates
31 Aug 2026to 30 Nov 2030
How long will I take part?
24 Months
Phase
Observational
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

Study population: Adults (≥ 18 years) undergoing venous thrombectomy with the FLOWRUNNER Aspiration System for acute or sub-acute symptomatic upper- or lower-extremity venous thrombosis.

Who may be able to join

None listed.

Who cannot join

  • Evidence of a chronic or previously undiagnosed extensive clot on the pre-procedure venogram that makes endovascular thrombectomy inappropriate. Indicators of chronic clot include significant venous narrowing, the presence of diffuse collateral vessels, partial recanalization, Inferior Vena Cava (IVC) hyperplasia, or other congenital anatomic anomalies of the IVC, iliac veins, or subclavian veins.
  • No available upper- or lower-extremity venous access site suitable for the procedure due to absence of appropriate access, severe anatomical obstruction, scarring, or prior surgical alteration that prevents safe catheter insertion or any condition that, in the investigator's judgement, makes upper- or lower-extremity venous access technically infeasible or unsafe.
  • Pregnant or breastfeeding at the time of enrollment.
  • High-risk for pulmonary embolism (PE), defined as those presenting with:
  • Hemodynamic instability (e.g., sustained hypotension, shock, or cardiac arrest)
  • Requirement for thrombolytic therapy or surgical embolectomy
Show all 35Show fewer
  • Any condition that, in the investigator's judgment, would pose an unacceptable risk for participation in the study
  • Presents with cardiogenic shock or is hemodynamically unstable.
  • Any prior or current cancer diagnosis that, in the investigator's judgment, would pose an unacceptable risk or confound study outcomes including but not limited to:
  • Tumor-associated venous thrombosis, defined as: venous thrombosis occurring in the context of active malignancy or cancer-related hypercoagulability
  • Presence of metastatic disease or ongoing chemotherapy
  • Known antiphospholipid syndrome or other high-risk coagulation disorders, including:
  • Confirmed diagnosis of antiphospholipid antibody syndrome
  • Severe inherited or acquired thrombophilia (e.g., protein C or S deficiency, antithrombin deficiency)
  • Any coagulation disorder that, in the investigator's judgment, would pose an unacceptable risk for thrombectomy or confound study outcomes
  • Estimated life expectancy of less than 12 months, based on the investigator's clinical judgement, available medical history, and prognostic indicators.
  • Chronic non-ambulatory status, defined as:
  • Persistent inability to walk or perform basic mobility activities due to underlying medical conditions
  • Conditions such as advanced neurological disease, severe musculoskeletal impairment, or long-term paralysis
  • Contraindicated for intravascular therapy including:
  • Active bleeding
  • Severe anemia with hemoglobin (Hb) < 8 g/dL
  • High risk of bleeding
  • History of heparin allergy/hypersensitivity or heparin-induced thrombocytopenia
  • Hypersensitivity to contrast agents
  • Contraindication to oral/intravenous anticoagulation
  • Hypercoagulable risk
  • Any other condition that cannot be effectively managed
  • Renal dysfunction (eGFR < 30 mL/min/1.73m2, not yet on dialysis).
  • Cerebral or myocardial infarction in the last 3 months.
  • Any condition that, in the investigator's judgment, would pose unacceptable risk or interfere with study participation, including:
  • Severe allergy to contrast media
  • Active systemic infection
  • Uncontrolled coagulopathy
  • Phlegmasia

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: Prospective, Multicenter, Registry of the FLOWRUNNER Aspiration System for Safety and Effectiveness in the Removal of Symptomatic Venous Thrombosis (FAST)

The objective of this study is to evaluate how well and how safe the FLOWRUNNER Aspiration System works for treating blood clots in the arms or legs in real-life medical settings.

Read the detailed description

The study is a registry to collect data from standard of care mechanical thrombectomy procedure using FLOWRUNNER Aspiration System. The FLOWRUNNER Aspiration System is a single use catheter based system indicated for the removal of fresh, soft emboli (a soft clot) and thrombi (a stationary clot) from vessels of the peripheral (in the arms and legs) and venous (blood vessels responsible for carrying deoxygenated blood back to your heart and lungs) system.

Being tested
Mechanical Thrombectomy - Standard of Care procedure for venous thrombosis
Keywords
Removal of Symptomatic Venous Thrombosis, Symptomatic Venous Thrombosis, Thrombosis, Thrombectomy, Blood Clot
Medical subject headings
Venous Thrombosis, Thrombosis

What participants receive

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

  • Mechanical Thrombectomy - Standard of Care procedure for venous thrombosisOther

    Participant will receive mechanical thrombectomy for venous thrombosis as standard of care. This study is an observational registry to collect data on the standard of care non investigational intervention.

Study groups in NCT07708376
Study groupRoleWhat they receive
Symptomatic upper- or lower-extremity venous thrombosisThe study is an observational registry to collect data on the standard of care treatment of venous thrombosis. There is no investigational intervention. All participants will receive mechanical thrombectomy as standard of care.
Receives: Other: Mechanical Thrombectomy - Standard of Care procedure for venous thrombosis

What is being measured

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

  1. Procedure Success

    The number of patients that had a response to treatment after the standard of care mechanical thrombectomy procedure with the study device, defined as removal of thrombus (a large amount of the blood clot from the vein or artery) during the study procedure.

    Measured: Immediately Post Procedure

  2. Safety Events will measure any risks that may occur during or after the study procedure

    The number of patients that have serious problems after the standard of care mechanical thrombectomy procedure that could be life threatening or cause major harm.

    Measured: Within 30 days of the study procedure

  3. Procedure Results

    The number of patients that have restoration of flow in the treated vein as measured by X-ray.

    Measured: Immediately after the study procedure

Secondary outcomes (4)
  1. Vein Patency

    The number of patients that have vein patency as measured by duplex ultrasound or other imaging.

    Measured: Baseline, 1 Month, 6 Months, 12 Months, 24 Months after the study procedure.

  2. Vein Disability Score

    The number of patients that have improvement in Vein Disability Score which is a clinical assessment by the physician to score how chronic venous disease affects a patient's mobility and daily functionality. A score of 0 means no symptoms and a score of 3 means severe disability.

    The total score per follow up visit will be compared to baseline.

    Measured: Baseline, 1 Month, 6 Months, 12 Months, 24 Months after the study procedure

  3. Villalta Score

    The number of patients that have improvement in Villalta Score which is a clinical assessment by the physician to score patient reported symptoms from a score of 0 to 3 based on severity. A score of 0 indicates absence of symptoms and a score of 3 indicates severe symptoms. The total score is the sum of all individual scores. 0-4 is no symptoms to >15 is severe symptoms.

    Clinical signs will be scored by the physician or nurse after physical examination of the affected arm/leg.

    Measured: Baseline, 1 Month, 6 Months, 12 Months, 24 Months after the study procedure

  4. Quality of Life

    The number of patients that have an improvement of Quality of Life as measured by the EuroQol Questionnaire. It evaluates 5 dimensions of health, with 5 levels of severity for each. A score of 1 for each question is good health, a score of 5 for each question is poor health.

    Measured: Baseline, 1 Month, 6 Months, 12 Months, 24 Months after the study procedure.

Timeline

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

  1. First posted16 Jul 2026
  2. Study start31 Aug 2026 (estimated)
  3. Primary completion15 Sep 2028 (estimated)
  4. Study completion30 Nov 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
218 participants (estimated)
Target duration
24 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT07708376
Sponsor's protocol ID
CLPF079-01
Acronym
FAST
Status last verified
Jul 2026
First submitted
8 Jul 2026
Last updated
16 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Undecided

Publications

  • Rabe E, Hoffmann U, Schimke A, Heinken A, Langer F, Noppeney T, Pittrow D, Klotsche J, Gerlach HE, Bauersachs R; INSIGHTS-SVT Study Collaborators. Determinants of Late Venous Thromboembolic Events After Acute Isolated Superficial Vein Thrombosis in Daily Practice: 12 Month Results of the INSIGHTS-SVT Study. Eur J Vasc Endovasc Surg. 2023 Nov;66(5):697-704. doi: 10.1016/j.ejvs.2023.08.031. Epub 2023 Aug 12.

    PubMed 37573936
  • Bauersachs R, Gerlach HE, Heinken A, Hoffmann U, Langer F, Noppeney T, Pittrow D, Klotsche J, Rabe E. Management and Outcomes of Patients with Isolated Superficial Vein Thrombosis under Real Life Conditions (INSIGHTS-SVT). Eur J Vasc Endovasc Surg. 2021 Aug;62(2):241-249. doi: 10.1016/j.ejvs.2021.04.015. Epub 2021 Jun 29.

    PubMed 34210599
  • Toma C, Jaber WA, Weinberg MD, Bunte MC, Khandhar S, Stegman B, Gondi S, Chambers J, Amin R, Leung DA, Kado H, Brown MA, Sarosi MG, Bhat AP, Castle J, Savin M, Siskin G, Rosenberg M, Fanola C, Horowitz JM, Pollak JS. Acute outcomes for the full US cohort of the FLASH mechanical thrombectomy registry in pulmonary embolism. EuroIntervention. 2023 Feb 20;18(14):1201-1212. doi: 10.4244/EIJ-D-22-00732.

    PubMed 36349702
  • Bisharat MB, Ichinose EJ, Veerina KK, Khetarpaul V, Azene EM, Plotnik AN, Hnath J, Trestman E, Harlin SA, Bhat A, Li S, Long GW, O'Connor D, Winokur RS, Zia S, Dexter DJ. One-Year Clinical Outcomes Following Mechanical Thrombectomy for Deep Vein Thrombosis: A CLOUT Registry Analysis. J Soc Cardiovasc Angiogr Interv. 2024 Feb 15;3(3Part A):101307. doi: 10.1016/j.jscai.2024.101307. eCollection 2024 Mar.

    PubMed 39131784
  • Dexter D, Kado H, Shaikh A, Schor J, Annambhotla S, Zybulewski A, Paulisin J, Bisharat M, Mouawad NJ, Bunte MC, Maldonado T, Skripochnik E, Raskin A, Gandhi S, Ichinose E, Beasley R, Mojibian H. Safety and Effectiveness of Mechanical Thrombectomy From the Fully Enrolled Multicenter, Prospective CLOUT Registry. J Soc Cardiovasc Angiogr Interv. 2023 Feb 23;2(2):100585. doi: 10.1016/j.jscai.2023.100585. eCollection 2023 Mar-Apr.

    PubMed 39129803
  • Kahn SR. Measurement properties of the Villalta scale to define and classify the severity of the post-thrombotic syndrome. J Thromb Haemost. 2009 May;7(5):884-8. doi: 10.1111/j.1538-7836.2009.03339.x. Epub 2009 Mar 6.

    PubMed 19320818
  • Mittleider D, Gibson CM, Dexter D. Outcomes From Mechanical Thrombectomy for Deep Vein Thrombosis: Insights From the PINC AI Healthcare Database. J Soc Cardiovasc Angiogr Interv. 2024 Jul 25;3(8):102149. doi: 10.1016/j.jscai.2024.102149. eCollection 2024 Aug.

    PubMed 39166156
  • Avgerinos ED, Hager ES, Naddaf A, Dillavou E, Singh M, Chaer RA. Outcomes and predictors of failure of thrombolysis for iliofemoral deep venous thrombosis. J Vasc Surg Venous Lymphat Disord. 2015 Jan;3(1):35-41. doi: 10.1016/j.jvsv.2014.07.007. Epub 2014 Aug 22.

    PubMed 26993678
  • Robertson B, Neville E, Muck A, Broering M, Kulwicki A, Kuhn B, Recht M, Muck P. Technical success and short-term results from mechanical thrombectomy for lower extremity iliofemoral deep vein thrombosis using a computer aided mechanical aspiration thrombectomy device. J Vasc Surg Venous Lymphat Disord. 2022 May;10(3):594-601. doi: 10.1016/j.jvsv.2021.11.002. Epub 2021 Nov 23.

    PubMed 34823046
  • Lopez R, DeMartino R, Fleming M, Bjarnason H, Neisen M. Aspiration thrombectomy for acute iliofemoral or central deep venous thrombosis. J Vasc Surg Venous Lymphat Disord. 2019 Mar;7(2):162-168. doi: 10.1016/j.jvsv.2018.09.015. Epub 2019 Jan 10.

    PubMed 30639411
  • Enden T, Haig Y, Klow NE, Slagsvold CE, Sandvik L, Ghanima W, Hafsahl G, Holme PA, Holmen LO, Njaastad AM, Sandbaek G, Sandset PM; CaVenT Study Group. Long-term outcome after additional catheter-directed thrombolysis versus standard treatment for acute iliofemoral deep vein thrombosis (the CaVenT study): a randomised controlled trial. Lancet. 2012 Jan 7;379(9810):31-8. doi: 10.1016/S0140-6736(11)61753-4. Epub 2011 Dec 13.

    PubMed 22172244
  • Haig Y, Enden T, Grotta O, Klow NE, Slagsvold CE, Ghanima W, Sandvik L, Hafsahl G, Holme PA, Holmen LO, Njaaastad AM, Sandbaek G, Sandset PM; CaVenT Study Group. Post-thrombotic syndrome after catheter-directed thrombolysis for deep vein thrombosis (CaVenT): 5-year follow-up results of an open-label, randomised controlled trial. Lancet Haematol. 2016 Feb;3(2):e64-71. doi: 10.1016/S2352-3026(15)00248-3. Epub 2016 Jan 6.

    PubMed 26853645
  • Vedantham S, Goldhaber SZ, Julian JA, Kahn SR, Jaff MR, Cohen DJ, Magnuson E, Razavi MK, Comerota AJ, Gornik HL, Murphy TP, Lewis L, Duncan JR, Nieters P, Derfler MC, Filion M, Gu CS, Kee S, Schneider J, Saad N, Blinder M, Moll S, Sacks D, Lin J, Rundback J, Garcia M, Razdan R, VanderWoude E, Marques V, Kearon C; ATTRACT Trial Investigators. Pharmacomechanical Catheter-Directed Thrombolysis for Deep-Vein Thrombosis. N Engl J Med. 2017 Dec 7;377(23):2240-2252. doi: 10.1056/NEJMoa1615066.

    PubMed 29211671
  • Kearon C, Akl EA, Ornelas J, Blaivas A, Jimenez D, Bounameaux H, Huisman M, King CS, Morris TA, Sood N, Stevens SM, Vintch JRE, Wells P, Woller SC, Moores L. Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report. Chest. 2016 Feb;149(2):315-352. doi: 10.1016/j.chest.2015.11.026. Epub 2016 Jan 7.

    PubMed 26867832
  • Kohi MP, Kohlbrenner R, Kolli KP, Lehrman E, Taylor AG, Fidelman N. Catheter directed interventions for acute deep vein thrombosis. Cardiovasc Diagn Ther. 2016 Dec;6(6):599-611. doi: 10.21037/cdt.2016.11.20.

    PubMed 28123980

Questions about this trial

What is this clinical trial studying?

An observational study of Venous Thrombosis Deep (Limbs) and Venous Thrombosis, run by FlowPhysix, Inc..

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 0 inclusion and 35 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: opening soon, as of the sponsor's last update on 16 Jul 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?

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?

Contact Prasad Nalluri (210-355-9512, prasad.nalluri@flowphysix.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Procedure Success (time frame: Immediately Post Procedure). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07708376, which also lists 21 linked publications.

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 16 Jul 2026.

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