ClinicalTrials.gg
RecruitingNCT07280247APEX-ReturnUpdated May 11, 2026

Acute Pulmonary Embolism Treatment With the AlphaVac Multipurpose Mechanical Aspiration System and the AlphaReturn Blood Management System: Evaluation of Safety and Effectiveness

An interventional study of AlphaReturn Blood Management System in Pulmonary Embolism Acute, sponsored by Angiodynamics, Inc.. Recruiting at 6 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-11.

Sponsored by Angiodynamics, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
39
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The investigation is intended to evaluate the safety and effectiveness of the AlphaReturn Blood Management System when used in conjunction with the cleared AlphaVac MMA F1885 System for the treatment of acute pulmonary embolism.

Read the detailed description

This is a prospective, multicenter, single-arm investigational device study evaluating safety and effectiveness.

02

Conditions studied

  • Pulmonary Embolism Acute

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Keywords

  • pulmonary embolism
  • alphareturn
03

In context

Pulmonary Embolism

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

This study's planned enrollment of 39 is below the median of 174 across 429 interventional studies indexed under Pulmonary Embolism.

Browse Pulmonary Embolism studies →

Lead sponsor

Angiodynamics, Inc. is the lead sponsor of 22 studies on the registry; 8 are 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

A potential subject will be included in the study if he/she meets all the following inclusion criteria:

  1. Provision of signed and dated form.
  2. Subject is 18 years of age and older.
  3. Subject presents clinical signs and symptoms consistent with acute intermediate-risk pulmonary embolism for less than or equal to 14 days.
  4. Subject has a diagnosis of pulmonary embolism detected from computed tomography angiography (CTA).
  5. Subject has a RV/LV ratio of 0.9 or higher.
  6. Subject has a systolic blood pressure (SBP) of 90mmHg or higher.
  7. Subject has a heart rate of 130 beats per minute (BPM) or less prior to the procedure.
  8. Subject is deemed medically eligible for interventional procedure(s) per institutional guidelines and/or clinical judgment.

Exclusion criteria

Exclusion Criteria:

A potential subject will be excluded from the study if he/she meets any of the following exclusion criteria:

  1. Subjects who are or may be pregnant as determined by a positive pregnancy test or who are breastfeeding.
  2. Subjects who have any to systemic or therapeutic doses of heparin or anticoagulants.
  3. Subjects who have used thrombolytics in the 30 days prior to the baseline CTA.
  4. Subjects who have pulmonary hypertension with peak pulmonary artery pressure (PAP) > 70 mmHg.
  5. Subjects who have FiO2 requirement > 44% or > 6 LPM to keep oxygen saturations > 90%.
  6. Subjects with hematocrit \< 28% within 6 hours of index procedure.
  7. Subjects with count \< 100,000/μL.
  8. Subjects with serum creatinine > 1.8 mg/dL.
  9. Subjects with (INR) > 3.
  10. Subjects who have undergone a major trauma within the past 14 days of the index procedure and have Injury Severity Score (ISS) > 15.
  11. Subjects with the presence of cancer requiring active chemotherapy.
  12. Subjects with known bleeding diathesis or coagulation disorder.
  13. Subjects who have had a cardiovascular or pulmonary surgery within the past 7 days of index procedure.
  14. Subjects with a history of severe or chronic pulmonary hypertension, uncompensated heart failure, chest irradiation, underlying lung disease that is oxygen dependent, heparin-induced thrombocytopenia (HIT) and/or chronic left heart disease with ≤ 30%.
  15. Subjects with known anaphylactic reaction to radiographic contrast agents that cannot be pretreated.
  16. Subject requires vasopressor after fluids to keep pressure ≥ 90mmHg.
  17. Subjects with left bundle branch block.
  18. Subjects who have intracardiac lead in the right ventricle or atrium.
  19. Evidence such as imaging or other that suggest the subject is not appropriate for this procedure.
  20. Subjects that have \< 90 days, in the opinion of the investigator at the time of enrollment.
  21. Subjects dependent on extracorporeal life support such as extracorporeal membrane oxygenation (ECMO).
  22. Participation in another study.
Terms in these criteria, in plain language(7)

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.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    AlphaVac MMA F1885 System and AlphaReturn Blood Management System

    Following mechanical thrombectomy using the AlphaVac MMA System, the treating physician will filter the aspirated blood using the AlphaReturn Blood Management System and reinfuse the filtered autologous blood back into the patient.

    Device: AlphaReturn Blood Management System

Interventions

  • DeviceAlphaReturn Blood Management System

    The AlphaReturn Blood Management System allows for autologous injection of aspirated blood from an AlphaVac MMA System thrombectomy procedure.

06

What researchers measure

Primary outcomes

  1. Rate of Device-Related Adverse Events (AEs)

    The number and proportion of subjects who experienced at least one device-related adverse event. This will be summarized, and the 95% confidence interval of the proportion will be presented. The incidence of device-related adverse events by type and seriousness through 30 days will also be summarized.

    Time frame: Through 30 days post-procedure

  2. Rate of Technical Success

    Successful autologous blood transfusion using the AlphaReturn Blood Management System

    Time frame: Periprocedural

Secondary outcomes

  1. Rate of Major Adverse Events (MAEs)

    The rate of MAEs within the first 48 hours after the index procedure. MAEs include device-related death, major bleeding, and device-related SAEs of clinical deterioration, pulmonary vascular injury, and cardiac injury.

    Time frame: Through 48 hours post-procedure

  2. Rate of Complications

    Rate of complications including device-related clinical deterioration, device-related cardiac injury, device-related pulmonary vascular injury, major bleeding, and device-related death within 48 hours of the index procedure.

    Time frame: Through 48 hours post-procedure

  3. Rate of Device-Related SAEs

    Rate of device-related Serious Adverse Events (SAEs) and death for any cause within 30 days post procedure.

    Time frame: Through 30 days post-procedure

  4. Rate of Symptomatic PE recurrence within 30 days

    Symptomatic PE recurrence within 30 days.

    Time frame: Through 30 days post-procedure

  5. Reduction in RV/LV Ratio

    Reduction in RV/LV ratio between baseline and 48 hours post procedure assessed by CTA.

    Time frame: Through 48 hours post-procedure

  6. Thrombolytics Use

    Use of thrombolytics during or within 48 hours of the procedure.

    Time frame: Through 48 hours post-procedure

  7. Length of Stay in Intensive Care Unit

    Length of stay in the Intensive Care Unit (ICU) within 30 days post-procedure.

    Time frame: Through 30 days post-procedure

  8. Length of Stay in Hospital

    Length of stay in the hospital within 30 days post-procedure.

    Time frame: Through 30 days post-procedure

07

Study locations

6 of 6 sites recruiting
08

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

Started Mar 2026 (actual). Primary completion is estimated for Dec 2026, 9 months after the start.

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 planned 9 months is below that.

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

Registered
Nov 25, 2025
First posted
Dec 12, 2025
StartActual
Mar 30, 2026
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
May 11, 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 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07280247
Responsible party
Sponsor
First posted
Dec 12, 2025
Start date
Mar 30, 2026
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
May 11, 2026

Study contacts

Elizabeth Manning
Contact
liz.manning@angiodynamics.com
339-237-2765

Oversight

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

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