FLowTriever for Acute Massive Pulmonary Embolism (FLAME) (FLAME)
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT04795167 |
Recruitment Status :
Completed
First Posted : March 12, 2021
Last Update Posted : January 18, 2023
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Condition or disease |
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PE - Pulmonary Embolism PE - Pulmonary Thromboembolism |
Study Type : | Observational |
Actual Enrollment : | 115 participants |
Observational Model: | Cohort |
Time Perspective: | Prospective |
Official Title: | FLowTriever for Acute Massive Pulmonary Embolism (FLAME) |
Actual Study Start Date : | March 16, 2021 |
Actual Primary Completion Date : | December 19, 2022 |
Actual Study Completion Date : | December 19, 2022 |

Group/Cohort |
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FlowTriever Arm |
Context Arm |
Prior Therapy Arm |
- Composite incidence of all-cause mortality, clinical deterioration, bailout, and major bleeding [ Time Frame: From the time of primary treatment for high-risk pulmonary embolism through hospital discharge or 45 days, which ever comes first. ]Endpoint events will be assessed from the time of treatment of the high-risk pulmonary embolism through hospital discharge for the high-risk PE, or through 45 days post treatment for high-risk pulmonary embolism, whichever comes first..

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
Age >=18 years Treatment team determines pulmonary embolism is the cause of shock, and the PE is high-risk per the protocol definitions
Exclusion Criteria:
- Out of hospital cardiac arrest with Glasgow Coma Scale of ≤8
- Witnessed cardiac arrest with ongoing CPR >30 minutes
- Contraindication to anticoagulants, i.e. heparin or alternative
- Hematocrit <28%
- Platelets <25,000/μL
- INR >8
- Intracardiac thrombus and/or intracardiac clot in transit
- Known anaphylactic sensitivity to radiographic agents that cannot be pre-treated
- History of pulmonary hypertension with systolic pulmonary arterial pressure >70 mmHg
- Presence of chronic medical conditions with estimated < 90 days life expectancy per physician discretion (should not consider the current pulmonary embolism and its treatment)
- Current participation in another drug or device treatment study that, in the Investigator's opinion, would interfere with participation in this study
- Patient is known to be COVID-19 positive at hospital admission (patient has active COVID-19)

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04795167
United States, Georgia | |
Emory University | |
Atlanta, Georgia, United States, 30308 | |
United States, Michigan | |
Beaumont Royal Oak | |
Royal Oak, Michigan, United States, 48073 | |
Ascension Providence Hospital | |
Southfield, Michigan, United States, 48075 | |
United States, New York | |
Gates Vascular Institute / SUNY Buffalo | |
Buffalo, New York, United States, 14203 | |
Lenox Hill Hospital / Northwell Health | |
New York, New York, United States, 10075 | |
United States, Ohio | |
OhioHealth Riverside | |
Columbus, Ohio, United States, 43214 | |
United States, Pennsylvania | |
Penn Presbyterian/Hospital of the University of Pennsylvania | |
Philadelphia, Pennsylvania, United States, 19104 | |
Allegheny General Hospital | |
Pittsburgh, Pennsylvania, United States, 15212 | |
UPMC | |
Pittsburgh, Pennsylvania, United States, 15213 | |
Lankenau Medical Center / Pulmonology Associates | |
Wynnewood, Pennsylvania, United States, 19076 | |
United States, Virginia | |
Inova Fairfax | |
Falls Church, Virginia, United States, 22042 |
Principal Investigator: | Mitchell Silver, MD | OhioHealth Riverside | |
Principal Investigator: | James Horowitz, MD | NYU Langone Medical Center |
Responsible Party: | Inari Medical |
ClinicalTrials.gov Identifier: | NCT04795167 |
Other Study ID Numbers: |
20-001 |
First Posted: | March 12, 2021 Key Record Dates |
Last Update Posted: | January 18, 2023 |
Last Verified: | January 2023 |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
PE pulmonary embolism thromboembolism thrombectomy |
FlowTriever massive pulmonary embolism high risk pulmonary embolism |
Pulmonary Embolism Embolism Thromboembolism Embolism and Thrombosis |
Vascular Diseases Cardiovascular Diseases Lung Diseases Respiratory Tract Diseases |