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Active, not recruitingNCT06642051HIFIVEUpdated Feb 19, 2026

Safety of the Sonablate HIFU System for the Ablation of Incompetent Veins of the Periphery

An interventional study of High Intensity focused ultrasound in Chronic Venous Insufficiency, CVI, Venous Malformations and Venous Leg Ulcers, sponsored by Sonablate. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-19.

Sponsored by Sonablate · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn if the Sonablate High Intensity Focused Ultrasound device can be safely used to treat patients with Chronic Venous Incompetence (CVI) including those with venous malformations of the periphery meaning legs, abdomen, chest or back. Examples of CVI are varicose veins, vascular congestion, venous ulcer, venous clusters, venous anomalies, mixed malformation, Klippel-Trenaunay Syndrome, CLOVES, Syndrome, Blue Rubber bleb Nevus Syndrome. HIFU is a non-invasive treatment as opposed to current treatment options which include incisions, needle penetration, wire insertions or catheter insertions.

Read the detailed description

The Sonablate High Intensity Focused Ultrasound (HIFU) system is a non-invasive technology that uses focused ultrasound waves to ablate targeted tissue within the body without ionizing radiation or surgical excision. Through the precise delivery of ultrasonic waves, HIFU rapidly elevates the temperature in the targeted tissue, leading to the disruption of lipid membranes, denaturation of proteins, destruction of vascular endothelial cells and ultimately coagulative necrosis without damage to the overlying tissue. This device is cleared by the FDA for the ablation of prostate tissue.

This is a single arm, single institution, Phase one trial of 30 patients planned to last 18 months. The primary endpoint is to assess the 30-day safety profile and technical feasibility of using the Sonablate high-intensity focused ultrasound (HIFU) system for ablating incompetent veins of the periphery. This includes vascular malformations, varicose veins and incompetent superficial veins.

02

Conditions studied

  • Chronic Venous Insufficiency, CVI
  • Venous Malformations
  • Venous Leg Ulcers
  • Klippel-Trenaunay Syndrome
  • CLOVES Syndrome
  • Blue Rubber Bleb Nevus Syndrome

Keywords

  • High Intensity focused ultrasound
  • venous closure
  • endovenous ablation
03

In context

Klippel-Trenaunay-Weber Syndrome

8 studies on the registry are indexed under Klippel-Trenaunay-Weber Syndrome; 4 are open to participants now.

Browse Klippel-Trenaunay-Weber Syndrome studies →

Lead sponsor

Sonablate is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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. Adult patients of age 18 or older with clinical and imaging evidence of venous malformations and/or venous insufficiency of the periphery
  2. Lesions no deeper than 4.0cm from the skin surface
  3. Lesions appropriate for and patient amenable to HIFU therapy of targeted vascular lesion/structure as determined by the principal operator and investigator
  4. Ability to provide treatment consent for Sonablate HIFU energy delivery
  5. Ability and willingness to remain compliant with recommended post-op follow-up

Exclusion criteria

Exclusion Criteria:

  1. Patient unable or unwilling to provide consent
  2. Patient unable or unwilling to undergo HIFU energy delivery
  3. Patient with vascular lesions involving the central nervous system, face, head, and neck, genitalia, visceral or internal organs
  4. Patient with known vasculitis or other inflammatory vasculopathies
  5. Patients with active or prior history of DVT or PE
  6. Any lesion deemed unsafe by the treating surgeon or PI of the study for HIFU at the time of treatment based on clinical assessment, ultrasonographic features and/or probe positioning limitations
  7. Subject who has vascular tissue targets lying \<1cm from sensitive structures or large vessels
  8. Women who are pregnant or planning to become pregnant prior to procedure or within the 30-day study period, or nursing
  9. Vulnerable patients
  10. Subject with vessels >6 mm in diameter within the vascular tissue target
05

Study design

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

Study arms

  • Experimental
    Prospective observational

    Patients that have undergone high intensity focused ultrasound ablation of incompetent veins of the periphery

    Device: High Intensity focused ultrasound

Interventions

  • DeviceHigh Intensity focused ultrasound

    Sonablate High Intensity Focused Ultrasound system to ablate incompetent veins of the periphery

    Also known as: Venous ablation

06

What researchers measure

Primary outcomes

  1. Safety of Sonablate High-Intensity Focused Ultrasound probe for ablating incompetent veins of the periphery.

    Safety as measured by the magnitude and frequency of adverse events from HIFU. This includes any burns, scalds, blistering and hyperemic changes on physical exam intraoperatively, at 6h, 24h, 1w, and 4 weeks post-operatively; worsening limb pain and swelling due to DVT diagnosed with Duplex Ultrasound within 4 weeks post-operatively; sensory nerve injury via formal neurological examination at 6h, 1w, and 4 weeks post-operatively.

    Time frame: 30 days

Secondary outcomes

  1. Short-term efficacy and technical feasibility of using the Sonablate High-Intensity Focused Ultrasound probe for ablating incompetent veins of the periphery

    Real-time B mode ultrasound imaging of HIFU to vascular tissue to evaluate the ultrasonographic changes in the targeted vessels and immediately adjacent tissues. Intraoperative duplex ultrasound of the targeted veins to quantify vessel closure rates or thrombosis immediately after HIFU delivery. Post-operative duplex ultrasound or magnetic resonance imaging of the targeted veins during follow up at 1 week and 4 weeks to assess vessel closure rates or thrombosis of target veins.

    Time frame: 30 days

07

Study locations

1 site
08

References and documents

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2024 (actual). Primary completion is estimated for Sep 2027, 36 months after the start.

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

Registered
Sep 13, 2024
First posted
Oct 15, 2024
StartActual
Sep 11, 2024
Primary completionEst.
Sep 2027
CompletionEst.
Feb 2028
Last update
Feb 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 Feb 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06642051
Lead sponsor
Sonablate
Collaborators
Vascular Care CT, PLLC, Vascular Breakthroughs, LLC
Responsible party
Sponsor
First posted
Oct 15, 2024
Start date
Sep 11, 2024
Primary completion
Sep 2027 (estimated)
Completion
Feb 2028 (estimated)
Last update
Feb 19, 2026

Study contacts

Naiem Nassiri, MD, FSVS, RPVI
principal investigator · The Vascular Care Group

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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