NCT07219758

Brief Summary

The goal of this clinical investigation is to learn if the Recana Thrombectomy Catheter System can treat chronic venous obstruction and occlusion in participants with symptomatic post-thrombotic venous inflow/outflow obstruction. The main questions the clinical investigation aims to answer are:

  1. 1.primary safety endpoint: procedural events defined as the rates of all adverse events occurring up to 30 days post-index procedure
  2. 2.primary efficacy endpoint: greater than or equal to 50 percent (%) lumen diameter achieved during the index procedure, which is measured using intravascular ultrasound (IVUS) at the time of the procedure (perioperative/periprocedural)

Trial Health

77
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
14mo left

Started Oct 2025

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress33%
Oct 2025Jul 2027

First Submitted

Initial submission to the registry

October 17, 2025

Completed
1 day until next milestone

Study Start

First participant enrolled

October 18, 2025

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 22, 2025

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2027

Last Updated

May 6, 2026

Status Verified

May 1, 2026

Enrollment Period

1.7 years

First QC Date

October 17, 2025

Last Update Submit

May 1, 2026

Conditions

Keywords

chronic venous diseasechronic venous insufficiencyCEAP classification of C3 or greaterflow-limiting venous outflow obstructionpost-thrombotic syndrome (PTS)venous inflow/outflow obstruction

Outcome Measures

Primary Outcomes (2)

  • Primary Safety Endpoint - Rates of all Adverse Events through 30-days post-index procedure

    The primary safety objective is procedural events defined as the rates of all adverse events occurring up to 30 days post-index procedure

    30-days post-procedure

  • Primary Efficacy Endpoint - Percent Lumen Gain in the Treated Vessel measured at time of procedure

    The primary efficacy assessment is greater than or equal to 50 percent (%) lumen diameter achieved during the index procedure, which is measured using intravascular ultrasound (IVUS) at the time of the procedure (perioperative/periprocedural)

    Perioperative/Periprocedural

Other Outcomes (7)

  • Assessment of patency (using DUS) in the treated vessel

    30-days post-procedure

  • Assessment of primary patency (defined as absence of occlusion and CD-TLR [clinically-driven target lesion revascularization]) in the vessel segment at all timepoints

    30-days, 90-days, 180-days and 365-days post-procedure

  • Assessment of secondary patency (defined as absence of occlusion and CD-TLR [clinically-driven target lesion revascularization]) in the stented vessel segment at all timepoints

    30-days, 90-days, 180-days and 365-days post-procedure

  • +4 more other outcomes

Study Arms (1)

Open-label

EXPERIMENTAL

prospective, non-randomized treatment with the Recana Thrombectomy Catheter System

Device: Recana Thrombectomy Catheter System

Interventions

recanalization and debulking of obstructions and occlusions within stented and non-stented segments in veins

Open-label

Eligibility Criteria

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

You may qualify if:

  • Provision of signed and dated informed consent form;
  • Participant is 18 years of age and older;
  • Neurologically stable;
  • Ambulatory;
  • Symptomatic chronic venous disease (CVD), with edema (CEAP classification of C3 or greater) or pain;
  • Flow-limiting venous outflow obstruction (\>50%) within the intended target sites, defined by (a) a common femoral vein continuous waveform without respiratory variation on duplex ultrasound, or, (b) complete occlusion of any part of the iliofemoral tract as diagnosed on baseline duplex or axial imaging per local protocol; and
  • Target treatment IVC/Common Iliac confluence to the deep veins above the knee.

You may not qualify if:

  • Comorbidity risks which may limit longevity (\<2 years life expectancy), would preclude open surgery, or would significantly increase risk for venous thrombo-embolism (VTE);
  • Invasive abdominal, pelvic or peripheral vascular surgery within 90 days of the procedure;
  • History of stroke within the last 6 months;
  • Known hypercoagulable states that, in the opinion of the Investigator, cannot be medically managed throughout the study period (i.e., known thrombophilia) including Heparin-induced thrombocytopenia (HIT) and antiphospholipid syndrome (APS);
  • Interventional procedure in the deep venous system (including stent placement) in the target limb or outflow vessels within 6 weeks prior to consent;
  • Acute deep venous thrombosis (DVT) in the index limb (not previously observed in the thrombus bearing segment) within 3 months prior to consent;
  • Inadequate inflow in the opinion of the investigator, that cannot be improved to the target vessel;
  • Flow-limiting venous outflow obstruction central to the target/treatment vessel that cannot be treated;
  • Pregnant and/or breastfeeding;
  • Patients with cognitive impairments who are unable to be consented;
  • Patient is enrolled in another clinical study that, in the opinion of the Investigator, may conflict with this study or compromise study results;
  • COPD or similar conditions (lung cancer, pulmonary hypertension, prior major lung surgery, emphysema, O2 dependency) that may, in the opinion of the investigator result in higher pulmonary risk;
  • Patients considered to belong to a vulnerable population; and
  • Inability to secure venous access and cross lesion.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

St. Thomas' Hospital

London, SE1 7EH, United Kingdom

RECRUITING

MeSH Terms

Conditions

Postthrombotic Syndrome

Condition Hierarchy (Ancestors)

Venous ThrombosisThrombosisEmbolism and ThrombosisVascular DiseasesCardiovascular DiseasesVenous Insufficiency

Study Officials

  • Stephen Black, MD

    Guy's and St Thomas' NHS Foundation Trust

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Clinical Affairs Team

CONTACT

Study Design

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

Study Record Dates

First Submitted

October 17, 2025

First Posted

October 22, 2025

Study Start

October 18, 2025

Primary Completion (Estimated)

July 1, 2027

Study Completion (Estimated)

July 1, 2027

Last Updated

May 6, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations