ClinicalTrials.gg
CompletedNCT06571760SPIRARE IUpdated May 19, 2026Results posted

Selective Pulmonary-artery Intervention to Reduce Acute Right-heart tEnsion-I

An interventional study of Vertex Pulmonary Embolectomy System in Pulmonary Embolism, sponsored by Neptune Medical. Completed at 2 sites in 2 countries. Open to participants aged 18 Years to 79 Years. Per ClinicalTrials.gov, last updated 2026-05-19.

Sponsored by Neptune Medical · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 79 Years
Sex
All
01

Study summary

This study study is a prospective, single-arm, multicenter study to evaluate the safety and effectiveness of the Vertex Pulmonary Embolectomy System in participants presenting with clinical signs and symptoms of pulmonary embolism.

Read the detailed description

The study is a prospective, single-arm, multicenter study to evaluate the safety and effectiveness of the Vertex Pulmonary Embolectomy System in participants presenting with clinical signs and symptoms of acute pulmonary embolism.

The Vertex Pulmonary Embolectomy System is intended for the non-surgical removal of emboli and thrombi from blood vessels as a means for treating pulmonary embolism.

02

Conditions studied

  • Pulmonary Embolism

Keywords

  • Embolism and Thrombosis
  • Pulmonary Embolism
  • Embolism
  • Cardiovascular Diseases
03

In context

Pulmonary Embolism

832 studies on the registry are indexed under Pulmonary Embolism; 171 are open to participants now.

This study's enrollment of 10 is below the median of 174 across 429 interventional studies indexed under Pulmonary Embolism.

Browse Pulmonary Embolism studies →

Lead sponsor

Neptune Medical is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age ≥ 18 years \< 80 years
  2. Acute onset of symptoms ≤ 14 days consistent with the presence of pulmonary embolism.
  3. CTA evidence (site determined) of proximal PE (filling defect in at least one main or interlobar pulmonary artery)
  4. RV/LV ratio of > 0.9 on CTA as assessed by investigator (site determined).
  5. Systolic blood pressure ≥ 90 mmHg (initial SBP may be ≥ 80 mmHg if the pressure recovers to ≥ 90 mmHg with fluids)
  6. Subject is willing and able to provide written prior to receiving any non-standard of care clinical investigation plan specific procedures
  7. Subject is willing and able to comply with all clinical investigation plan required follow-up visits

Exclusion criteria

Exclusion Criteria:

  1. Thrombolytic use within 30 days of baseline CTA
  2. Pulmonary hypertension with peak pulmonary artery pressure > 70 mmHg by right heart catheterization (site determined)
  3. Vasopressor requirement after fluids to keep pressure ≥ 90 mmHg
  4. Unstable heart rate > 130 beats per minute prior to procedure
  5. FiO2 requirement > 40% or > 6 LPM to keep oxygen saturation > 90%
  6. Hematocrit \< 28%
  7. \< 100,000/µL
  8. Serum baseline creatinine > 1.8 mg/dL
  9. (INR) > 3
  10. Major trauma injury severity score (ISS) > 15 within the past 14 days
  11. Presence of intracardiac lead in the right ventricle or right atrium placed \<180 days prior to the index procedure
  12. Cardiovascular or pulmonary surgery within last 30 days
  13. Actively progressing cancer requiring chemotherapy
  14. Known bleeding diathesis or coagulation disorder
  15. Left bundle branch block
  16. History of severe or chronic pulmonary arterial hypertension
  17. History of chronic left heart disease with ≤ 30%
  18. History of decompensated heart failure
  19. Patients on extracorporeal membrane oxygenation (ECMO)
  20. History of underlying lung disease that is oxygen dependent
  21. History of chest irradiation
  22. History of heparin-induced thrombocytopenia (HIT)
  23. to systemic or therapeutic doses of heparin or anticoagulants
  24. Known anaphylactic reaction to radiographic contrast agents that cannot be pretreated
  25. Imaging evidence or other evidence that suggests, in the opinion of the Investigator, the Subject is not appropriate for mechanical thrombectomy intervention
  26. of \< 365 days, as determined by Investigator
  27. Female who is pregnant or nursing
  28. Current participation in another drug or device treatment study
  29. Inability to lay flat for procedure
  30. Known presence of right-to-left cardiac shunt
  31. History of Hemorrhagic or Ischemic Stroke, including , within last 90 days
  32. Current or history of chronic thromboembolic pulmonary hypertension (CTEPH) or chronic thromboembolic disease (CTED) diagnosis
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Vertex Pulmonary Embolectomy System

    Patients presenting with clinical signs and symptoms of acute pulmonary embolism and who meet the study criteria will be treated with the Vertex Pulmonary Embolectomy System

    Device: Vertex Pulmonary Embolectomy System

Interventions

  • DeviceVertex Pulmonary Embolectomy System

    Use of Vertex Pulmonary Embolectomy System to treat pulmonary embolism.

06

What researchers measure

Primary outcomes

  1. Change in Right Ventricle/Left Ventricle (RV/LV) Ratio

    The RV/LV diameter ratio is defined as the ratio of the maximal right ventricle (RV) to left ventricle (LV) diameters measured on computed tomography (CT) pulmonary angiography images. Measurements are performed by an independent core laboratory using standardized axial CT images, with ventricular diameters measured at the widest point of each ventricle. Change in RV/LV ratio is calculated for each participant as the difference between the value obtained at baseline (pre-procedure) and the value obtained at 48 hours post-procedure or at hospital discharge, whichever occurs first. A reduction in RV/LV ratio indicates improvement in right ventricular dilatation.

    Time frame: From baseline to 48 hours or discharge

  2. Major Adverse Events (MAEs)

    A composite of: Device-related death within 48 hours Major bleeding within 48 hours Device-related AEs within 48 hours, including: * Clinical deterioration * Pulmonary vascular injury * Cardiac injury

    Time frame: Within 48 hours of procedure

07

Results

Posted May 19, 2026

Participant flow

Participant flow — Overall Study
MilestoneVertex Pulmonary Embolectomy System
Started10
Completed10
Not completed0

Outcome measures

PrimaryChange in Right Ventricle/Left Ventricle (RV/LV) Ratio

The RV/LV diameter ratio is defined as the ratio of the maximal right ventricle (RV) to left ventricle (LV) diameters measured on computed tomography (CT) pulmonary angiography images. Measurements are performed by an independent core laboratory using standardized axial CT images, with ventricular diameters measured at the widest point of each ventricle. Change in RV/LV ratio is calculated for each participant as the difference between the value obtained at baseline (pre-procedure) and the value obtained at 48 hours post-procedure or at hospital discharge, whichever occurs first. A reduction in RV/LV ratio indicates improvement in right ventricular dilatation.

Time frame:
From baseline to 48 hours or discharge
Reported as:
Mean · Ratio
Change in Right Ventricle/Left Ventricle (RV/LV) Ratio
RatioVertex Pulmonary Embolectomy System
Change in Right Ventricle/Left Ventricle (RV/LV) Ratio-0.4 ± 0.3
PrimaryMajor Adverse Events (MAEs)

A composite of: Device-related death within 48 hours Major bleeding within 48 hours Device-related AEs within 48 hours, including: * Clinical deterioration * Pulmonary vascular injury * Cardiac injury

Time frame:
Within 48 hours of procedure
Reported as:
Count of participants · Participants
Major Adverse Events (MAEs)
ParticipantsVertex Pulmonary Embolectomy System
Participants with ≥1 MAE0
Participants without any MAE10

Adverse events

Collected over From procedure through 30 days (± 3 days) post-procedure, including the primary safety window of 48 hours (± 8 hours). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Vertex Pulmonary Embolectomy System0/10 (0%)1/10 (10%)3/10 (30%)
Most frequent serious events
Most frequent serious events
EventVertex Pulmonary Embolectomy System
Drop in hemoglobinBlood and lymphatic system disorders1/10
Most frequent other events
Most frequent other events
EventVertex Pulmonary Embolectomy System
Kidney injuryRenal and urinary disorders1/10
Inguinal hematomaInjury, poisoning and procedural complications1/10
Drop in hemoglobinBlood and lymphatic system disorders1/10
PneumoniaInfections and infestations1/10

Baseline characteristics

Age, Continuous
Age, Continuous(years)Vertex Pulmonary Embolectomy System
Mean67.2 ± 6.5
Sex: Female, Male
Sex: Female, Male(Participants)Vertex Pulmonary Embolectomy System
Female6
Male4
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Vertex Pulmonary Embolectomy System
Hispanic or Latino0
Not Hispanic or Latino10
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Vertex Pulmonary Embolectomy System
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White10
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Vertex Pulmonary Embolectomy System
Austria5
Poland5
Modified Medical Research Council (mMRC) Dyspnea Scale
Modified Medical Research Council (mMRC) Dyspnea Scale(Participants)Vertex Pulmonary Embolectomy System
Grade 00
Grade 10
Grade 21
Grade 34
Grade 45
Injury severity score (ISS)
Injury severity score (ISS)(Participants)Vertex Pulmonary Embolectomy System
ISS <15 (study eligibility criterion)10
ISS ≥150
Serum Creatinine
Serum Creatinine(Participants)Vertex Pulmonary Embolectomy System
Serum baseline creatinine ≤ 1.8 mg/dL (eligibility criterion)10
Serum baseline creatinine > 1.8 mg/dL0

1 further baseline measures are reported on the registry.

08

Study locations

2 sites
  • AKH Vienna - Medical university of Vienna
    Vienna, 1090, Austria
  • Jagiellonian University
    Krakow, Poland
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — Will not be sharing IPD.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2024 to primary completion in Apr 2025, 7 months.

Results were first posted in May 2026, 1 year after primary completion.

Of 150 interventional studies with no phase under Pulmonary Embolism, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 51. This study's 7 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 23, 2024
First posted
Aug 26, 2024
StartActual
Sep 10, 2024
Primary completionActual
Apr 24, 2025
CompletionActual
May 21, 2025
Results first posted
May 19, 2026
Last update
May 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06571760
Lead sponsor
Neptune Medical
Responsible party
Sponsor
First posted
Aug 26, 2024
Start date
Sep 10, 2024
Primary completion
Apr 24, 2025
Completion
May 21, 2025
Results posted
May 19, 2026
Last update
May 19, 2026

Study contacts

Aadi Chachad
study director · Sponsor GmbH

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion