Clinical trial Recruiting at 25 sites Observational Ages 18 and up

Continuous Dual Aspiration with the Zoom System for Acute Ischemic Stroke

Official title: Clinical Evaluation of Continuous Dual Aspiration Technique With Zoom System for Stroke (ADAPT 2.0)

Run by Imperative Care, Inc. · NCT07491952 · Data updated 2026-11-12

This trial will try using the Zoom aspiration system with a continuous dual aspiration technique to remove clots in adults with acute ischemic stroke.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment750 (estimated)
SponsorImperative Care, Inc.
Industry-sponsored
Locations25 sites (Huntsville, Alabama and 24 other locations)
StatusRecruiting
StartedMarch 24, 2026
Main results expectedMarch 31, 2030
Study endsJune 1, 2030
Registry record updatedNovember 6, 2026
Trial IDNCT07491952 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with acute ischemic stroke due to a single occlusion who have pre-stroke mRS 0–2 and are treated first-line with the Zoom System using CDAT are the intended participants.

Probably not a fit

Patients with intracranial hemorrhage, tandem or multiple occlusions, known pregnancy, life expectancy under six months, or those deemed unsuitable by the investigator are excluded and unlikely to benefit from this approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational registry collects data on adults treated with the Zoom System using a Continuous Dual Aspiration Technique (CDAT) as first-line thrombectomy for acute ischemic stroke. Sites will record procedural details, angiographic reperfusion, safety events, and clinical outcomes, with informed consent obtained before or within 72 hours after the procedure. Eligible patients are adults (≥18) with pre-stroke mRS 0–2 and no qualifying intracranial hemorrhage, while those with tandem or multiple occlusions, pregnancy, limited life expectancy, or judged unsuitable by the investigator are excluded. The multicenter design at three U.S. hospitals documents real-world device performance rather than randomizing treatments.

Why it matters

Potential benefit: If successful, the technique could increase complete reperfusion rates and shorten procedure times, which may lead to better functional recovery for patients.

How similar studies have gone: Previous ADAPT-style aspiration-first techniques have demonstrated favorable reperfusion outcomes, but continuous dual aspiration with the Zoom System is a newer approach with limited published data.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Subject is ≥ 18 years of age
2. Subject or legally authorized representative has provided written informed consent prior to any study-specific procedures and no later than 72 hours after the index procedure
3. Pre-stroke mRS 0-2
4. Subject is undergoing or has undergone an aspiration thrombectomy using the Zoom System with Continuous Dual Aspiration Technique (CDAT) as the first line device within its intended use

Exclusion Criteria:

1. Subjects with a life expectancy of less than 6 months
2. Female subject who is known to be pregnant at time of admission
3. Any intracranial hemorrhage in the qualifying head CT or MRI
4. Presence of tandem internal carotid artery occlusion, multiple occlusion locations (e.g., cavernous ICA and M1, separate M2 occlusions, etc.), or occlusions in multiple territories (e.g., MCA and ACA, bilateral, etc.).
5. In the opinion of the Investigator, the patient is not a suitable candidate for intervention with the Zoom System
6. Subject is currently enrolled in or planned to be enrolled in any concurrent interventional study that may impact the safety or performance data collected in this study

Where it's running

  • Huntsville Hospital
    Huntsville, Alabama, United States
    Recruiting
  • John Muir Health
    Walnut Creek, California, United States
    Recruiting
  • University of South Florida
    Tampa, Florida, United States
    Recruiting
  • Wellstar Kennestone Hospital
    Marietta, Georgia, United States
    Recruiting
  • Ochsner Clinic Foundation (Lafayette)
    Lafayette, Louisiana, United States
    Recruiting
  • Ochsner Clinic Foundation
    New Orleans, Louisiana, United States
    Recruiting
Show 19 more locations
  • University of Maryland
    Baltimore, Maryland, United States
    Recruiting
  • Allina Health
    Minneapolis, Minnesota, United States
    Recruiting
  • Albany Medical College
    Albany, New York, United States
    Recruiting
  • University at Buffalo Neurosurgery
    Buffalo, New York, United States
    Recruiting
  • Icahn School of Medicine at Mount Sinai
    New York, New York, United States
    Recruiting
  • Weill Cornell Medicine
    New York, New York, United States
    Recruiting
  • SUNY Upstate Medical Center
    Syracuse, New York, United States
    Recruiting
  • Montefiore Medical Center
    The Bronx, New York, United States
    Recruiting
  • TriHealth Good Samaritan Hospital
    Cincinnati, Ohio, United States
    Recruiting
  • University of Oklahoma, Health Science Center
    Oklahoma City, Oklahoma, United States
    Recruiting
  • Prisma Health - Upstate
    Greenville, South Carolina, United States
    Recruiting
  • Fort Sanders Regional Medical Center
    Knoxville, Tennessee, United States
    Recruiting
  • Semmes Murphey Foundation
    Memphis, Tennessee, United States
    Recruiting
  • HCA Houston Healthcare Kingwood
    Kingwood, Texas, United States
    Recruiting
  • Methodist Healthcare System of San Antonio
    San Antonio, Texas, United States
    Recruiting
  • University of Texas Science Health Center at San Antonio
    San Antonio, Texas, United States
    Recruiting
  • University of Utah
    Salt Lake City, Utah, United States
    Recruiting
  • Inova Fairfax Medical Campus
    Falls Church, Virginia, United States
    Recruiting
  • Providence Sacred Heart Medical Center and Children's Hospital
    Spokane, Washington, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.