ClinicalTrials.gg
RecruitingNCT07350499CLEAR-ITUpdated Oct 22, 2026

Aspiration Thrombectomy Using the Symphony or Prodigy System

An observational study in Arterial Thromboembolism, Venous Thromboembolism and Pulmonary Embolism, sponsored by Imperative Care, Inc.. Recruiting at 13 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by Imperative Care, Inc. · Observational

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Updated Oct 22, 20266 sites added1 site removedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
750
Ages
18 Years and older
Sex
All
01

Study summary

The study is designed to evaluate the short-term and long-term clinical performance and safety of the Symphony and Prodigy thrombectomy systems used in endovascular procedures across the peripheral or pulmonary vasculature.

02

Conditions studied

  • Arterial Thromboembolism
  • Venous Thromboembolism
  • Pulmonary Embolism

Keywords

  • Pulmonary Embolism
  • Thrombus
  • Thromboembolism
  • Aspiration
  • Aspiration thrombectomy
  • Anticoagulation
  • Peripheral vasculature
03

In context

Venous Thromboembolism

712 studies on the registry are indexed under Venous Thromboembolism; 146 are open to participants now.

This study's planned enrollment of 750 is close to the median of 700 across 282 observational studies indexed under Venous Thromboembolism.

Browse Venous Thromboembolism studies →

Lead sponsor

Imperative Care, Inc. 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 and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study will enroll subjects aged 18 years and older who are undergoing endovascular procedures in the peripheral or pulmonary vasculature systems where, in the opinion of the treating physician, Imperative Care devices are appropriate for use within their cleared indications. All subjects must meet the general eligibility criteria and provide written informed consent prior to any study-specific data collection.

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. Subject is ≥ 18 years of age
  2. Subject is willing and able to comply with the follow-up schedule specified in this protocol
  3. Subject is willing and able to provide written prior to any study-related data collection
  4. Subject has a planned procedure, involving the use of Imperative Care vascular devices within their intended use

Exclusion criteria

Exclusion Criteria:

  1. Subjects with any per the applicable Instructions for Use
  2. Subject with of less than 1 year
  3. In the opinion of the Investigator, the patient is not a suitable candidate for intervention with Imperative Care devices
  4. Subject who may be unable to complete study follow-up
  5. Peripheral Venous Cohort ONLY: Presence of thrombus extending more than 2 cm into the IVC on imaging
Terms in these criteria, in plain language(3)

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.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
750 participants (estimated)
Patient registry
No

Groups and cohorts

  • Peripheral Arterial

    Subjects in this cohort will undergo aspiration thrombectomy to remove thrombus from the peripheral arterial vasculature

    Device: Prodigy Thrombectomy System

  • Peripheral Venous

    Subjects in this cohort will undergo aspiration thrombectomy to remove thrombus from the peripheral venous vasculature

    Device: Symphony Thrombectomy System

  • Pulmonary Embolism

    Subjects in this cohort will undergo aspiration thrombectomy to remove thrombus from the pulmonary vasculature

    Device: Symphony Thrombectomy System

Interventions

  • DeviceProdigy Thrombectomy System

    Removal of thrombus/emboli from blood vessels in the peripheral vasculature

  • DeviceSymphony Thrombectomy System

    Removal of thrombus/emboli from blood vessels in the peripheral vasculature

  • DeviceSymphony Thrombectomy System

    Removal of thrombus/emboli from the pulmonary vasculature

06

What researchers measure

Primary outcomes

  1. Peripheral Arterial Cohort

    Freedom from major (above-ankle) unanticipated amputation of the index limb

    Time frame: 30 days

  2. Peripheral Venous Cohort

    Treated limb improvement at 30 days, defined as no unplanned intervention for breakthrough re-thrombosis and improvement in Villalta score relative to baseline.

    Time frame: 30 days

  3. Pulmonary Embolism (PE) Cohort

    Normal right ventricular function at 30 days follow-up, defined as tricuspid annular plane systolic excursion (TAPSE) \>1.7cm , measured on transthoracic echocardiography (TTE) and independently adjudicated.

    Time frame: 30 Days

Secondary outcomes

  1. Peripheral Arterial Cohort

    Freedom from major (above-ankle) amputation of the index limb

    Time frame: 90 Days

  2. Peripheral Arterial Cohort

    Freedom from major (above-ankle) amputation of the index limb

    Time frame: 180 Days

  3. Peripheral Arterial Cohort

    Major adverse cardiovascular events (MACE) rate

    Time frame: 30 Days

  4. Peripheral Arterial Cohort

    Major adverse cardiovascular events (MACE) rate

    Time frame: 90 Days

  5. Peripheral Arterial Cohort

    Major adverse cardiovascular events (MACE) rate

    Time frame: 180 Days

  6. Peripheral Arterial Cohort

    Target vessel patency assessed using change in ankle-brachial index

    Time frame: 30 Days

  7. Peripheral Arterial Cohort

    Target vessel patency assessed using change in ankle-brachial index

    Time frame: 90 Days

  8. Peripheral Arterial Cohort

    Target vessel patency assessed using change in ankle-brachial index

    Time frame: 180 Days

  9. Peripheral Arterial Cohort

    Target vessel patency assessed using change in Rutherford claudication grade

    Time frame: 30 Days

  10. Peripheral Arterial Cohort

    Target vessel patency assessed using change in Rutherford claudication grade

    Time frame: 90 Days

  11. Peripheral Arterial Cohort

    Target vessel patency assessed using change in Rutherford claudication grade

    Time frame: 180 Days

  12. Peripheral Arterial Cohort

    Rate of re-intervention for index limb due to re-thrombosis in patients who are compliant with prescribed medical management

    Time frame: 30 Days

  13. Peripheral Arterial Cohort

    Rate of re-intervention for index limb due to re-thrombosis in patients who are compliant with prescribed medical management

    Time frame: 90 Days

  14. Peripheral Arterial Cohort

    Rate of re-intervention for index limb due to re-thrombosis in patients who are compliant with prescribed medical management

    Time frame: 180 Days

  15. Peripheral Arterial Cohort

    Quality of life assessment using Vascular Quality of Life Questionnaire-6 (VASCUQOL-6)

    Time frame: 90 Days

  16. Peripheral Arterial Cohort

    Quality of life assessment using Vascular Quality of Life Questionnaire-6 (VASCUQOL-6)

    Time frame: 180 Days

  17. Peripheral Arterial Cohort

    All-cause mortality

    Time frame: 30 Days

  18. Peripheral Arterial Cohort

    All-cause mortality

    Time frame: 90 Days

  19. Peripheral Arterial Cohort

    All-cause mortality

    Time frame: 180 Days

  20. Peripheral Venous Cohort

    Technical success defined as complete or near complete (\>75%) reduction in Marder score from baseline to immediately after the use of the device and prior to any use of adjunctive device, as independently adjudicated

    Time frame: Intraprocedural

  21. Peripheral Venous Cohort

    Rate of Major Adverse Events (MAEs) as adjudicated by an independent medical monitor and defined as the occurrence of any of the following: * Major bleeding * Device-related mortality * Device-related Serious Adverse Events (SAE)

    Time frame: 48 hours

  22. Peripheral Venous Cohort

    Treated limb improvement at 90 days, defined as no unplanned intervention for re-thrombosis in patients who are compliant with prescribed medical management and improvement in Villalta score relative to baseline

    Time frame: 90

  23. Peripheral Venous Cohort

    Treated limb improvement at 180 days, defined as no unplanned intervention for re-thrombosis in patients who are compliant with prescribed medical management and improvement in Villalta score relative to baseline

    Time frame: 180

  24. Peripheral Venous Cohort

    Proportion of patients demonstrating decrease in Villalta score (A decrease in Villalta score reflects an improvement per the following scale: 0-4 - no disease; 5-9: mild disease; 10-14: moderate disease; 15 or \> : severe disease)

    Time frame: 30 Days

  25. Peripheral Venous Cohort

    Proportion of patients demonstrating decrease in Villalta score

    Time frame: 90 Days

  26. Peripheral Venous Cohort

    Proportion of patients demonstrating decrease in Villalta score

    Time frame: 180 Days

  27. Peripheral Venous Cohort

    Unplanned intervention for imaging-confirmed re-thrombosis of the treated venous segment in patients who are compliant with prescribed medical management post index procedure.

    Time frame: 30 Days

  28. Peripheral Venous Cohort

    Unplanned intervention for imaging-confirmed re-thrombosis of the treated venous segment in patients who are compliant with prescribed medical management post index procedure.

    Time frame: 60 Days

  29. Peripheral Venous Cohort

    Unplanned intervention for imaging-confirmed re-thrombosis of the treated venous segment in patients who are compliant with prescribed medical management post index procedure.

    Time frame: 180 Days

  30. Peripheral Venous Cohort

    Quality of life and symptom severity assessment using the Venous Insufficiency Epidemiological and Economic Study (VEINES -QOL); higher scores indicate better quality of life/fewer symptoms

    Time frame: 180 Days

  31. Peripheral Venous Cohort

    All-cause mortality

    Time frame: 30 Days

  32. Peripheral Venous Cohort

    All-cause mortality

    Time frame: 90 Days

  33. Peripheral Venous Cohort

    All-cause mortality

    Time frame: 180 Days

  34. Pulmonary Embolism Cohort

    Change in pulmonary artery pressure

    Time frame: Intraprocedural

  35. Pulmonary Embolism Cohort

    Normal tricuspid annular plane systolic excursion (TAPSE) - independently adjudicated

    Time frame: 48 hours

  36. Pulmonary Embolism Cohort

    Right ventricle fractional area change (FAC) on TTE pre-procedure, 48 hours - independently adjudicated

    Time frame: 48 hours

  37. Pulmonary Embolism Cohort

    Right ventricle fractional area change (FAC) on TTE pre-procedure, 30 days - independently adjudicated

    Time frame: 30 Days

  38. Pulmonary Embolism Cohort

    Tricuspid annular peak systolic velocity (S') pre-procedure, 48 hours - independently adjudicated

    Time frame: 48 hours

  39. Pulmonary Embolism Cohort

    Tricuspid annular peak systolic velocity (S') pre-procedure, 30 days - independently adjudicated

    Time frame: 30 Days

  40. Pulmonary Embolism Cohort

    Rate of Major Adverse Events (MAEs) as adjudicated by an independent medical monitor and defined as the occurrence of any of the following: * Major bleeding * Device-related mortality * Device-related Serious Adverse Events (SAE)

    Time frame: 48 hours

  41. Pulmonary Embolism Cohort

    Right ventricle to left ventricle (RV/LV) ratio reduction from baseline

    Time frame: 30 days

  42. Pulmonary Embolism Cohort

    Proportion of patients with improved or unchanged New York Hearth Association (NYHA) functional class

    Time frame: 90 Days

  43. Pulmonary Embolism Cohort

    Proportion of patients with improved or unchanged New York Hearth Association (NYHA) functional class

    Time frame: 180 Days

  44. Pulmonary Embolism Cohort

    Pulmonary Embolism recurrence

    Time frame: 30 Days

  45. Pulmonary Embolism Cohort

    Pulmonary Embolism recurrence

    Time frame: 90 Days

  46. Pulmonary Embolism Cohort

    Pulmonary Embolism recurrence

    Time frame: 180 Days

  47. Pulmonary Embolism Cohort

    Quality of life assessed by the Pulmonary Embolism Quality of Life (PEmb-QoL) questionnaire

    Time frame: 30 Days

  48. Pulmonary Embolism Cohort

    Quality of life assessed by the Pulmonary Embolism Quality of Life (PEmb-QoL) questionnaire

    Time frame: 90 Days

  49. Pulmonary Embolism Cohort

    Quality of life assessed by the Pulmonary Embolism Quality of Life (PEmb-QoL) questionnaire

    Time frame: 180 Days

  50. Pulmonary Embolism Cohort

    All-cause mortality

    Time frame: 30 Days

  51. Pulmonary Embolism Cohort

    All-cause mortality

    Time frame: 90 Days

  52. Pulmonary Embolism Cohort

    All-cause mortality

    Time frame: 180 Days

07

Study locations

13 of 13 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

3 registry updates since Sep 25, 2026
Sites
6 sites added, 1 site removed
Show 6 added (6 United States)
  • HCA Florida Memorial Hospital · Jacksonville, United States
  • Henry Ford Hospital · Detroit, United States
  • BayCare Health System- Morton Plant Hospital · Clearwater, United States
  • BayCare Health System - St. Joseph Hospital · Tampa, United States
  • NC Heart and Vascular Research · Raleigh, United States
  • Medical City Fort Worth Hospital · Fort Worth, United States
Show 1 removed
  • BayCare Health - St. Joseph Hospital · Tampa, United States
across 3 updates, Sep 25, 2026 – Oct 22, 2026
Show all 3 updates
  1. Oct 22, 2026
    1 site added
    Show site
    • Medical City Fort Worth Hospital · Fort Worth, United States
    + 1 other change: verification date
  2. Oct 13, 2026
    3 sites added, 1 site removed
    Show 3 added (3 United States)
    • BayCare Health System- Morton Plant Hospital · Clearwater, United States
    • BayCare Health System - St. Joseph Hospital · Tampa, United States
    • NC Heart and Vascular Research · Raleigh, United States
    Show 1 removed
    • BayCare Health - St. Joseph Hospital · Tampa, United States
  3. Sep 25, 2026
    2 sites added
    Show 2 added (2 United States)
    • HCA Florida Memorial Hospital · Jacksonville, United States
    • Henry Ford Hospital · Detroit, United States

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07350499
Lead sponsor
Imperative Care, Inc.
Responsible party
Sponsor
First posted
Jan 20, 2026
Start date
Feb 13, 2026
Primary completion
Mar 2030 (estimated)
Completion
Sep 2030 (estimated)
Last update
Oct 22, 2026

Study contacts

Sylvie Akiel-Fu, MPH
Contact
safu@imperativecare.com
917-375-4735
Steven Abramowitz, MD
principal investigator · Medstar Health Research Institute
Maya Serhal, MD
principal investigator · Massachusetts General Hospital

Oversight

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

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