NCT02186223

Brief Summary

The primary objective of this multicenter, prospective, single arm clinical trial is to evaluate the safety and effectiveness of the Angel® Catheter in subjects at high risk of PE, and with recognized contraindications to standard pharmacological therapy (anticoagulation).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
172

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2015

Geographic Reach
1 country

21 active sites

Status
completed

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

First Submitted

Initial submission to the registry

July 7, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 10, 2014

Completed
6 months until next milestone

Study Start

First participant enrolled

January 1, 2015

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2015

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

April 4, 2017

Completed
Last Updated

April 4, 2017

Status Verified

February 1, 2017

Enrollment Period

11 months

First QC Date

July 7, 2014

Results QC Date

December 14, 2016

Last Update Submit

February 17, 2017

Conditions

Keywords

Pulmonary EmbolismPEDVTDeep Vein ThrombosisVTEVenous Thromboembolismprophylaxisthromboprophylaxiscontraindications to thromboprophylaxisprophylacticpreventionInferior vena cava filterIVC filterfilterprevention of pulmonary embolismtraumacritically-ill

Outcome Measures

Primary Outcomes (1)

  • Freedom From Clinically Significant PE or Fatal PE During Treatment Period

    1. Clinically Significant PE: Subjects will be assessed daily for signs and symptoms of PE. If present and no alternative diagnosis is suspected, at least one of four defined diagnostic examinations will performed to confirm or rule out PE. 2. Fatal PE: Defined as unexpected death within 24 hours of onset of the acute event with a verified initial symptomatic DVT or PE where there is no other reasonable cause of death.

    Assessed daily from Baseline through Study Exit which occurs 3 days post-Angel Catheter Removal OR at hospital discharge, whichever is first (maximum of 33 assessment days with an anticipated average of 7 days)

Secondary Outcomes (5)

  • Incidence of Acute Proximal Deep Vein Thrombosis

    Assessed daily from Baseline through Study Exit which occurs 3 days post-Angel Catheter Removal OR at hospital discharge, whichever occurs first (maximum of 33 assessment days with an anticipated average of 7 days)

  • Incidence of Catheter Related Thrombosis

    Assessed daily from Baseline through Study Exit which occurs 3 days post-Angel Catheter Removal OR at hospital discharge, whichever occurs first (maximum of 33 assessment days with an anticipated average of 7 days)

  • Incidence of Catheter Related Blood Stream Infections

    Assessed daily from Baseline through Study Exit which occurs 3 days post-Angel Catheter Removal OR at hospital discharge, whichever occurs first (maximum of 33 assessment days with an anticipated average of 7 days)

  • Incidence of Major Bleeding Event

    Assessed daily from Baseline through Study Exit which occurs 3 days post-Angel Catheter Removal OR at hospital discharge, whichever occurs first (maximum of 33 assessment days with an anticipated average of 7 days)

  • Incidence of PEs Averted

    During the pre-removal cavogram (An average of 6.8 days after device insertion)

Study Arms (1)

The Angel® Catheter

EXPERIMENTAL

All eligible subjects will receive an Angel® Catheter.

Device: The Angel® Catheter

Interventions

The Angel® Catheter is a temporary device that combines the functions of an inferior vena cava (IVC) filter and a 3-lumen central venous catheter (CVC). The device can be placed at the bedside into the inferior vena cava via the femoral vein for the prevention of Pulmonary Embolism (PE) and for access to the central venous system. The device is intended for short-term (less than 30 days) vascular access via the femoral vein.

The Angel® Catheter

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject or legally authorized representative is willing and able to provide written informed consent,
  • Subject is 18 years or older,
  • Subject is expected to remain in a critical care setting for at least 72 hours,
  • Subject has recognized contraindications to standard pharmacological thromboprophylaxis including:
  • Active bleeding or at high risk for bleeding OR
  • Hypersensitivity to pharmacological thromboprophylaxis OR
  • History of severe heparin induced thrombocytopenia OR
  • Severe thrombocytopenia
  • Subject has a confirmed acute proximal lower extremities DVT or a confirmed acute PE with recognized contraindication to anticoagulation
  • Subject requires a temporary interruption (\>24 hours) of pharmacological thromboprophylaxis for a surgical or medical procedure

You may not qualify if:

  • Subject is pregnant
  • Subject is in treatment with an investigational drug or device within 30 days prior to enrollment
  • Subject has a pre-existing IVC filter in place
  • BMI = \> 45
  • Subject has functioning pelvic renal allograft on the only side available for device insertion
  • Subject has undergone a surgical procedure involving the femoral vein or pelvic veins through which the device must be inserted
  • Anatomic inability to place the Angel® Catheter
  • Subject has known hypersensitivity to any of the components of the Angel® Catheter, specifically Nitinol (nickel and/or titanium)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (21)

Cedars-Sinai Medical Center

Los Angeles, California, 90048, United States

Location

UC San Diego Medical Center

San Diego, California, 92103, United States

Location

Medical Center of the Rockies

Loveland, Colorado, 80538, United States

Location

Delray Medical Center

Delray Beach, Florida, 33483, United States

Location

Broward Health Medical Center

Fort Lauderdale, Florida, 33316, United States

Location

UF Health Shands Cancer Hospital

Gainesville, Florida, 32608, United States

Location

Jackson Memorial Hospital

Miami, Florida, 33136, United States

Location

St. Mary's Medical Center

West Palm Beach, Florida, 33407, United States

Location

University of Maryland Medical Center

Baltimore, Maryland, 21201, United States

Location

Mercy Hospital St. Louis

St Louis, Missouri, 63141, United States

Location

Cooper University Hospital

Camden, New Jersey, 08103, United States

Location

University of New Mexico Health

Albuquerque, New Mexico, 87106, United States

Location

Mount Sinai Hospital

New York, New York, 10029, United States

Location

Wake Forest Baptist Health

Winston-Salem, North Carolina, 27157, United States

Location

St. Luke's University Health Network

Bethlehem, Pennsylvania, 18015, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Regional One Health

Memphis, Tennessee, 38103, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

John Peter Smith Health Network

Fort Worth, Texas, 76104, United States

Location

Ben Taub Hospital

Houston, Texas, 77030, United States

Location

University of Texas Health Science Center

San Antonio, Texas, 78229, United States

Location

MeSH Terms

Conditions

Pulmonary EmbolismVenous ThrombosisVenous ThromboembolismWounds and InjuriesCritical Illness

Condition Hierarchy (Ancestors)

Lung DiseasesRespiratory Tract DiseasesEmbolismEmbolism and ThrombosisVascular DiseasesCardiovascular DiseasesThrombosisThromboembolismDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Chief Medical Officer
Organization
Bio2 Medical, Inc.

Study Officials

  • Victor Tapson, MD

    Cedars Sinai

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 7, 2014

First Posted

July 10, 2014

Study Start

January 1, 2015

Primary Completion

December 1, 2015

Study Completion

December 1, 2015

Last Updated

April 4, 2017

Results First Posted

April 4, 2017

Record last verified: 2017-02

Data Sharing

IPD Sharing
Will not share

Locations