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 type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 750 (estimated) |
| Sponsor | Imperative Care, Inc. Industry-sponsored |
| Locations | 25 sites (Huntsville, Alabama and 24 other locations) |
| Status | Recruiting |
| Started | March 24, 2026 |
| Main results expected | March 31, 2030 |
| Study ends | June 1, 2030 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07491952 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
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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
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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
- Principal investigator: David Fiorella, MD — Stony Brook University Hospital
- Study coordinator: Pojai Phattanagosai
- Email: pphattanagosai@Imperativecare.com
- Phone: 650-740-7703
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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.