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Acute Pulmonary Embolism Treatment With the AlphaVac Multipurpose Mechanical Aspiration System and the AlphaReturn Blood Management System: Evaluation of Safety and Effectiveness

Acute Pulmonary Embolism Treatment With the AlphaVac Multipurpose Mechanical Aspiration System and the AlphaReturn Blood Management System: Evaluation of Safety and Effectiveness (APEX-Return)

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07280247
Acronym
APEX-Return
Enrollment
39
Registered
2025-12-12
Start date
2026-03-30
Completion date
2026-12-01
Last updated
2026-05-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pulmonary Embolism Acute

Keywords

pulmonary embolism, alphareturn

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.

Detailed description

This is a prospective, multicenter, single-arm investigational device study evaluating safety and effectiveness.

Interventions

DEVICEAlphaReturn Blood Management System

The AlphaReturn Blood Management System allows for autologous injection of aspirated blood from an AlphaVac MMA System thrombectomy procedure.

Sponsors

Angiodynamics, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

A potential subject will be included in the study if he/she meets all the following inclusion criteria: 1. Provision of signed and dated informed consent form. 2. Subject is 18 years of age and older. 3. Subject presents clinical signs and symptoms consistent with acute intermediate-risk pulmonary embolism for less than or equal to 14 days. 4. Subject has a diagnosis of pulmonary embolism detected from computed tomography angiography (CTA). 5. Subject has a RV/LV ratio of 0.9 or higher. 6. Subject has a systolic blood pressure (SBP) of 90mmHg or higher. 7. Subject has a heart rate of 130 beats per minute (BPM) or less prior to the procedure. 8. Subject is deemed medically eligible for interventional procedure(s) per institutional guidelines and/or clinical judgment.

Exclusion criteria

A potential subject will be excluded from the study if he/she meets any of the following

Design outcomes

Primary

MeasureTime frameDescription
Rate of Device-Related Adverse Events (AEs)Through 30 days post-procedureThe 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.
Rate of Technical SuccessPeriproceduralSuccessful autologous blood transfusion using the AlphaReturn Blood Management System

Secondary

MeasureTime frameDescription
Rate of Major Adverse Events (MAEs)Through 48 hours post-procedureThe rate of MAEs within the first 48 hours after the index procedure. MAEs include device-related death, major bleeding, and device-related SAEs of clinical deterioration, pulmonary vascular injury, and cardiac injury.
Rate of ComplicationsThrough 48 hours post-procedureRate of complications including device-related clinical deterioration, device-related cardiac injury, device-related pulmonary vascular injury, major bleeding, and device-related death within 48 hours of the index procedure.
Rate of Device-Related SAEsThrough 30 days post-procedureRate of device-related Serious Adverse Events (SAEs) and death for any cause within 30 days post procedure.
Rate of Symptomatic PE recurrence within 30 daysThrough 30 days post-procedureSymptomatic PE recurrence within 30 days.
Reduction in RV/LV RatioThrough 48 hours post-procedureReduction in RV/LV ratio between baseline and 48 hours post procedure assessed by CTA.
Thrombolytics UseThrough 48 hours post-procedureUse of thrombolytics during or within 48 hours of the procedure.
Length of Stay in Intensive Care UnitThrough 30 days post-procedureLength of stay in the Intensive Care Unit (ICU) within 30 days post-procedure.
Length of Stay in HospitalThrough 30 days post-procedureLength of stay in the hospital within 30 days post-procedure.

Countries

United States

Contacts

CONTACTElizabeth Manning
liz.manning@angiodynamics.com339-237-2765

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 12, 2026