Acute Pulmonary Embolism Treatment With the AlphaVac Multipurpose Mechanical Aspiration System and the AlphaReturn Blood Management System: Evaluation of Safety and Effectiveness
APEX-Return
1 other identifier
interventional
39
1 country
4
Brief Summary
The investigation is intended to evaluate the safety and effectiveness of the AlphaReturn Blood Management System when used in conjunction with the cleared AlphaVac MMA F1885 System for the treatment of acute pulmonary embolism.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Mar 2026
Shorter than P25 for not_applicable
4 active sites
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
First Submitted
Initial submission to the registry
November 25, 2025
CompletedFirst Posted
Study publicly available on registry
December 12, 2025
CompletedStudy Start
First participant enrolled
March 30, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2026
April 22, 2026
April 1, 2026
8 months
November 25, 2025
April 17, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Rate of Device-Related Adverse Events (AEs)
The number and proportion of subjects who experienced at least one device-related adverse event. This will be summarized, and the 95% confidence interval of the proportion will be presented. The incidence of device-related adverse events by type and seriousness through 30 days will also be summarized.
Through 30 days post-procedure
Rate of Technical Success
Successful autologous blood transfusion using the AlphaReturn Blood Management System
Periprocedural
Secondary Outcomes (8)
Rate of Major Adverse Events (MAEs)
Through 48 hours post-procedure
Rate of Complications
Through 48 hours post-procedure
Rate of Device-Related SAEs
Through 30 days post-procedure
Rate of Symptomatic PE recurrence within 30 days
Through 30 days post-procedure
Reduction in RV/LV Ratio
Through 48 hours post-procedure
- +3 more secondary outcomes
Study Arms (1)
AlphaVac MMA F1885 System and AlphaReturn Blood Management System
EXPERIMENTALFollowing mechanical thrombectomy using the AlphaVac MMA System, the treating physician will filter the aspirated blood using the AlphaReturn Blood Management System and reinfuse the filtered autologous blood back into the patient.
Interventions
The AlphaReturn Blood Management System allows for autologous injection of aspirated blood from an AlphaVac MMA System thrombectomy procedure.
Eligibility Criteria
You may qualify if:
- Provision of signed and dated informed consent form.
- Subject is 18 years of age and older.
- Subject presents clinical signs and symptoms consistent with acute intermediate-risk pulmonary embolism for less than or equal to 14 days.
- Subject has a diagnosis of pulmonary embolism detected from computed tomography angiography (CTA).
- Subject has a RV/LV ratio of 0.9 or higher.
- Subject has a systolic blood pressure (SBP) of 90mmHg or higher.
- Subject has a heart rate of 130 beats per minute (BPM) or less prior to the procedure.
- Subject is deemed medically eligible for interventional procedure(s) per institutional guidelines and/or clinical judgment.
You may not qualify if:
- Subjects who are or may be pregnant as determined by a positive pregnancy test or who are breastfeeding.
- Subjects who have any contraindication to systemic or therapeutic doses of heparin or anticoagulants.
- Subjects who have used thrombolytics in the 30 days prior to the baseline CTA.
- Subjects who have pulmonary hypertension with peak pulmonary artery pressure (PAP) \> 70 mmHg.
- Subjects who have FiO2 requirement \> 44% or \> 6 LPM to keep oxygen saturations \> 90%.
- Subjects with hematocrit \< 28% within 6 hours of index procedure.
- Subjects with platelets count \< 100,000/μL.
- Subjects with serum creatinine \> 1.8 mg/dL.
- Subjects with International Normalized Ratio (INR) \> 3.
- Subjects who have undergone a major trauma within the past 14 days of the index procedure and have Injury Severity Score (ISS) \> 15.
- Subjects with the presence of cancer requiring active chemotherapy.
- Subjects with known bleeding diathesis or coagulation disorder.
- Subjects who have had a cardiovascular or pulmonary surgery within the past 7 days of index procedure.
- Subjects with a history of severe or chronic pulmonary hypertension, uncompensated heart failure, chest irradiation, underlying lung disease that is oxygen dependent, heparin-induced thrombocytopenia (HIT) and/or chronic left heart disease with left ventricular ejection fraction ≤ 30%.
- Subjects with known anaphylactic reaction to radiographic contrast agents that cannot be pretreated.
- +7 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
CentraCare Heart and Vascular Center
Saint Cloud, Minnesota, 56303, United States
University at Buffalo
Buffalo, New York, 14203, United States
Jacobi Medical Center
The Bronx, New York, 10461, United States
Kettering Health
Kettering, Ohio, 45429, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
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
November 25, 2025
First Posted
December 12, 2025
Study Start
March 30, 2026
Primary Completion (Estimated)
December 1, 2026
Study Completion (Estimated)
December 1, 2026
Last Updated
April 22, 2026
Record last verified: 2026-04