Cyclic vs Static Manual Aspiration for Acute Large Vessel Occlusion Stroke
Official title: Plunger Stroke Trial: A Comparison of Cyclic Manual Direct Aspiration Thrombectomy (Plunger Technique) vs. Static Manual Direct Aspiration Thrombectomy for Treatment of Acute Large Vessel Occlusion Stroke With the Raptor Aspiration Catheter
Run by Vanderbilt University Medical Center · NCT07231380 · Data updated 2026-11-12
A randomized trial tests whether cyclic (plunger) suction or continuous suction works better to remove clots in adults with acute ischemic stroke from large vessel blockage.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 500 (estimated) |
| Sponsor | Vanderbilt University Medical Center Academic / other |
| Locations | 1 site (Nashville, Tennessee) |
| Status | Recruiting |
| Started | August 4, 2026 |
| Main results expected | June 1, 2027 |
| Study ends | June 1, 2027 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT07231380 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years or older with acute ischemic stroke due to terminal ICA or M1 occlusion eligible for thrombectomy and treatable within 24 hours.
✕Probably not a fit
Patients outside the occlusion locations studied or presenting beyond 24 hours may not benefit from the findings.
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 randomized trial compares two manual aspiration techniques using FDA-approved devices to treat acute ischemic stroke due to large vessel occlusion. Participants with occlusions in the terminal ICA or M1 MCA and within 24 hours of symptom onset will be assigned 1:1 to either the cyclic plunger technique or static suction. The primary outcome is first pass effect, defined as achieving a TICI 2c/3 after the first attempt, with secondary outcomes including overall recanalization, 90-day functional status, catheter navigation success, and procedural efficiency. Approximately 500 participants across 20 sites are planned, with Vanderbilt University Medical Center as the lead site and Vanderbilt as the sponsor.
Why it matters
Potential benefit: If successful, the trial could identify the more effective aspiration approach, potentially improving clot removal speed and patient outcomes after stroke.
How similar studies have gone: Previous data show both techniques are used in practice, but direct head-to-head comparisons have been limited;
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: \- Acute ischemic stroke due to occlusion of the terminal ICA or M1 segment of the MCA, Treatment can be initiated within 24 hours of symptom onset, Age 18 years or older Exclusion Criteria: * Evidence of acute intracranial hemorrhage prior to treatment, Failure to obtain informed consent
Where it's running
-
Vanderbilt University Medical Center
Nashville, Tennessee, United States Recruiting
Study contacts
- Study coordinator: Michael T Froehler
- Email: m.froehler@vumc.org
- Phone: 6154210300
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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.