Comparing ClotTriever vs. aspiration thrombectomy for acute iliofemoral DVT
Official title: Comparison Of Different Mechanical Thrombectomy Devices in Endovascular Treatment of Acute Iliofemoral Venous Thrombosis (The COMET Study)
Run by RenJi Hospital · NCT07622212 · Data updated 2026-11-12
This study tests whether the ClotTriever System clears clot better than aspiration thrombectomy in adults with acute iliofemoral deep vein thrombosis.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 180 (estimated) |
| Sponsor | RenJi Hospital Academic / other |
| Locations | 1 site (Shanghai) |
| Status | Recruiting |
| Started | January 1, 2024 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2028 |
| Registry record updated | June 3, 2026 |
| Trial ID | NCT07622212 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults 18–85 with acute iliofemoral DVT involving the iliac and common femoral veins and treated within 14 days of symptom onset.
✕Probably not a fit
Patients with prior ipsilateral post-thrombotic syndrome, contralateral acute DVT, severe allergies to contrast or heparin, or contraindications to endovascular therapy may see limited or no benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter, prospective observational study compares two mechanical thrombectomy approaches in adults with acute iliofemoral DVT. Participants receive either the ClotTriever System or an aspiration/rheolytic thrombectomy technique as part of endovascular treatment. The goal is to see if the ClotTriever improves thrombus removal, lowers the risk of post-thrombotic syndrome, and enhances long-term outcomes after treatment. Data will be collected across participating hospitals to observe real-world effectiveness and safety. The study does not assign treatments but observes current clinical practice at participating centers.
Why it matters
Potential benefit: If successful, the ClotTriever approach could offer more complete clot removal and potentially reduce long-term complications like post-thrombotic syndrome.
How similar studies have gone: Previous work has explored PMT devices, but head-to-head comparisons in acute iliofemoral DVT remain limited; this study adds direct, real-world comparative data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Aged between 18 and 85 years; 2. Diagnosed with acute iliofemoral venous thrombosis, with thrombosis involving at least the iliac vein and common femoral vein; 3. Time from symptom onset to endovascular treatment ≤ 14 days; 4. Patients undergo endovascular treatment with percutaneous mechanical thrombectomy; 5. Patients sign the informed consent form. Exclusion Criteria: 1. Presence of PTS in the limb to be treated in this procedure, or a history of symptomatic DVT in the same limb within the past 2 years; 2. Concurrent symptomatic acute DVT involving the iliac vein and/or common femoral vein in the contralateral limb; 3. Known allergy to heparin, low molecular weight heparin, contrast agents, etc. 4. Concomitant severe pulmonary embolism with hemodynamic changes, such as hypoxia, hypotension, etc. 5. Inability to tolerate endovascular treatment due to conditions such as acute systemic illness, severe dyspnea, etc. 6. Concomitant severe renal insufficiency with creatinine clearance \< 30 ml/min; 7. Concomitant active bleeding, severe hepatic insufficiency, bleeding tendency, etc. 8. Concomitant severe anemia (hemoglobin \< 8.0 mg/dL) or platelet count \< 80,000/mL; 9. History of subarachnoid hemorrhage, intracranial hemorrhage, intracranial vascular malformation, or intracranial aneurysm; 10. Pregnant women; 11. Presence of other diseases (e.g., advanced malignancy, cardiac insufficiency, etc.) with an expected life expectancy \< 24 months 12. Participation in any drug or medical device clinical trial that may interfere with this study within the past 1 month; 13. Patients unwilling to participate in this trial.
Where it's running
-
Renji hospital
Shanghai, China Recruiting
Study contacts
- Study coordinator: Qihong Ni
- Email: niqihong1989@163.com
- Phone: +8615801900772
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.