Long Term Effects of Treating Submassive Pulmonary Embolism With Ultra-sound Accelerated Thrombolysis
SPEAR
Submassive Pulmonary Embolism Treatment With Ultrasound-Accelerated Thrombolysis
2 other identifiers
observational
25
1 country
1
Brief Summary
Patients with Submassive Pulmonary Embolism treated with ultra-sound therapy will have an improved right ventricular function 72 hours post treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started May 2013
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2013
CompletedFirst Submitted
Initial submission to the registry
July 10, 2013
CompletedFirst Posted
Study publicly available on registry
July 15, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2019
CompletedJuly 18, 2023
July 1, 2023
5.8 years
July 10, 2013
July 14, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Right Ventricular:Left Ventricular ratio
Treatment will show improved Right Ventricular:Left Ventricular ratio at 72 hours post.
baseline to 72 hours post
Secondary Outcomes (1)
recurrent pulmonary embolism
30 days post procedure
Study Arms (1)
pulmonary embolism
patients with submassive pulmonary embolism
Interventions
Ultra Sound energy along with tPA to treat submassive pulmonary embolism
Eligibility Criteria
All patient presenting to the Emergency Department with submassive pulmonary hypertension over the age of 18.
You may qualify if:
- Patients with acute (\< or = 14 days)symptomatic pulmonary embolism by CT Angiogram of the thorax with embolus involving at least one main or lower lobe pulmonary artery and RV:LV ratio \> 0.9
You may not qualify if:
- age \> 80
- Recent thrombolytic therapy (with in 4 days)
- Active bleeding or know bleeding diathesis
- Known coagulopathy (including treatment with vitamin K antagonists) INR \> 3 and/or PTT \> 50
- Thrombocytopenia (PLT cound \< 100,000)
- History of any intracranial or intraspinal surgery, trauma or bleed
- Intracranial neoplasms, AVM, or aneurysm
- Recent (\< 1 month) GI bleed
- Recent (\< 3 months) internal eye surgery or hemorrhagic retinopathy
- Recent (\< 7 days) major surgery, trauma, or obstetrical delivery
- Renal insufficiency with eGFR \< 45 ml/min
- Known allergy, hypersensitivity, or thrombocytopenia from heparin or tPA
- Hemodynamic instability defined as need for cardiopulmonay resuscitation, Systolic BP \> 90 mm Hg for \> 15 min or need for pressor agents to maintain BP \> 90.
- Severe Hypertension (sustained systolic \> 180 mm Hg or diastolic \> 90 mm Hg.
- Pregnant patients
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Corewell Health Westlead
- EKOS Corporationcollaborator
Study Sites (1)
Spectrum Health Hospitals
Grand Rapids, Michigan, 49503, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Michael Knox, MD
Spectrum Health Hosptials and ARS
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Medical Doctor
Study Record Dates
First Submitted
July 10, 2013
First Posted
July 15, 2013
Study Start
May 1, 2013
Primary Completion
February 1, 2019
Study Completion
February 1, 2019
Last Updated
July 18, 2023
Record last verified: 2023-07