Real-world performance and safety of the Penumbra System in acute ischemic stroke
Official title: i-RISE: International Acute Ischemic Stroke Study With the Penumbra System®
Run by Penumbra Inc. · NCT07107022 · Data updated 2026-11-12
This project will test how the Penumbra mechanical thrombectomy system performs and how safe it is in adults aged 18–75 who have acute ischemic stroke and are eligible for clot removal.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Penumbra Inc. Industry-sponsored |
| Locations | 12 sites (Nedlands, Western Australia and 11 other locations) |
| Status | Recruiting |
| Started | November 1, 2025 |
| Main results expected | January 2028 |
| Study ends | April 2028 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT07107022 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–75 with acute ischemic stroke who have pre-stroke mRS 0–1, meet imaging criteria (ASPECTS >6 for anterior circulation), and are eligible for frontline mechanical thrombectomy with the Penumbra System are the ideal candidates.
✕Probably not a fit
Patients with low ASPECTS (≤6), significant pre-existing disability, comorbidities limiting 90-day survival or follow-up, or those not eligible for mechanical thrombectomy are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a post-market, prospective, single-arm, multi-center observational study enrolling up to 200 participants at as many as 15 global sites to collect real-world performance and safety data on the Penumbra System used as frontline mechanical thrombectomy. Eligible adults (18–75 years) will have pre-stroke mRS 0–1 and be candidates for endovascular clot removal, with baseline imaging criteria (ASPECTS >6 for anterior circulation). Data will capture procedural outcomes, device performance metrics, adverse events, and clinical status through 90 days of follow-up. No randomized comparator is used; all procedures use the commercially available Penumbra devices in routine clinical practice.
Why it matters
Potential benefit: If successful, the study could strengthen real-world evidence that the Penumbra System is safe and effective in routine clinical use, helping clinicians and hospitals make informed treatment choices.
How similar studies have gone: Mechanical thrombectomy has proven benefit in randomized trials and multiple device registries, and prior post-market and registry data for Penumbra devices exist, so this study builds on an established treatment and device experience.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * I.1. Patient age 18-80 years * I.2. Pre-stroke mRS 0-1 * I.3. Patients experiencing acute ischemic stroke who are eligible for mechanical thrombectomy using the Penumbra System * I.4. Frontline treatment with Penumbra System * I.5. Signed informed consent per Institution Review Board/Ethics Committee Exclusion Criteria: * E.1. Alberta Stroke Program Early CT Score (ASPECTS) ≤6 (for anterior circulation strokes) * E.2. Any comorbid disease or condition expected to compromise survival or ability to complete follow-up assessments through 90 days * E.3. Currently participating in an investigational (drug, device, etc.) clinical trial that will influence the endovascular procedure or acute treatment of the patient. Patients in secondary prevention, observational, natural history, and/or * epidemiological studies are eligible. * E.4. Other medical, behavioral, or psychological conditions that in the opinion of the Investigator could limit the patient's ability to participate in the study, including compliance with follow-up requirements, or that could impact the scientific integrity of the study
Where it's running
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Sir Charles Gairdner Hospital
Nedlands, Western Australia, Australia Recruiting -
Kelowna General Hospital
Kelowna, British Columbia, Canada Recruiting -
Toronto Western Hospital
Toronto, Ontario, Canada Recruiting -
CHU de Bordeaux - Hôpital Pellegrin
Bordeaux, France Recruiting -
CHU de Brest - Hôpital de la Cavale Blanche
Brest, France Recruiting -
Hôpital Pierre-Paul Riquet
Toulouse, France Recruiting
Show 6 more locations
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TUM Klinikum rechts der Isar
München, Bavaria, Germany Recruiting -
Knappschaft Kliniken Vest Recklinghausen
Recklinghausen, Westphalia, Germany Recruiting -
Universitätsklinikum Augsburg
Augsburg, Germany Recruiting -
Universitätsklinikum Schleswig-Holstein (UKSH) Lübeck
Lübeck, Germany Recruiting -
Universitätsspital Basel
Basel, Basel-Landschaft, Switzerland Recruiting -
Inselspital Universitätsklinik für Neurologie
Bern, Switzerland Recruiting
Study contacts
- Principal investigator: Marios Nikos Psychogios, Prof MD — University Hospital of Basel, Switzerland
- Study coordinator: Celina Wang
- Email: cwang1@penumbrainc.com
- Phone: +49 175 1938 209
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Mobilisation After Endovascular Stroke Treatment
This study checks whether moving around 12 hours after endovascular stroke treatment is as safe as moving around 24 hours for people with an acute ischemic stroke.
-
Intra-arterial Thrombolysis After Endovascular Thrombectomy in AIS
This trial tests whether giving intra-arterial thrombolysis with tenecteplase or alteplase after endovascular thrombectomy helps improve recovery in adults with acute ischemic stroke.
-
Balloon guide catheter versus conventional guide catheter for clot removal in ischemic stroke
This study will test whether a balloon guide catheter or a conventional guide catheter works better for adults having a thrombectomy to treat an acute ischemic stroke.
-
IV infusions of human umbilical cord mesenchymal stem cells for acute ischemic stroke (Phase IIa)
This Phase IIa test will see if one or multiple IV infusions of human umbilical cord mesenchymal stem cells help adults with recent acute ischemic stroke recover better and are safe.
-
One-stop approach for rapid start of endovascular clot removal
This trial will test whether taking eligible adults with suspected large- or medium-vessel ischemic stroke straight to the angiography suite for imaging and treatment gets clot-removal therapy started faster and improves outcomes.
-
Galantamine for improving recovery after acute ischemic stroke
This trial will test whether adding galantamine to standard care helps adults with acute ischemic stroke who are treated within 72 hours recover better.
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.