Percutaneous Embolectomy, Low Dose Thrombolysis or Heparin for Intermediate High Risk Pulmonary Embolism (STRATIFY II)
NCT06453876 · Status: NOT_YET_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 210
Last updated 2026-04-24
Summary
The STRATIFY II trial investigates the efficacy of three different approaches to reducing thrombus burdon in patients with acute intermediate high-risk pulmonary embolism: percutaneous embolectomy (the AlphaVAC(R), AngioDynamics or the Flow Triever® system, INARI medical), Low intravenous thrombolysis (Alteplase 10 mg) and heparin with the option to perform full-dose thrombolysis. As a co-primary secondary end point the trial assess the incremental efficacy of the embolectomy vs the catheter based low dose thrombolysis approach.
Thus the two main hypothesis being tested are:
1. Thrombus burden reduction after 48-96 h is increased with a catheter based (embolectomy or low-dose alteplase) compared to the a heparin with optional high dose thrombolysis approach (1st co-primary outcome)
2. Thrombus burden reduction after 48-96 h is increased with percutaneous embolectomy compared to low-dose alteplase (2nd co-primary outcome)
Conditions
Interventions
- DEVICE
-
Ultrasound assisted Thrombolysis
Please see Arms
- DEVICE
-
Percutaneous Embolectomy
Please see arms
- DRUG
-
Heparin
Active comparator
Sponsors & Collaborators
-
Zealand University Hospital
collaborator OTHER -
Copenhagen University Hospital at Herlev
collaborator OTHER -
Odense University Hospital
collaborator OTHER -
Aalborg University Hospital
collaborator OTHER -
Jesper Kjaergaard
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-01
- Primary Completion
- 2028-06-05
- Completion
- 2029-10-31
- FDA Drug
- Yes
- FDA Device
- Yes
Countries
- Denmark
Study Locations
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