Clinical trial Recruiting at 12 sites Observational Ages 18 to 80

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.

More Acute Ischemic Stroke AIS trials

Quick facts

Study typeObservational
Ages18 Years to 80 Years
SexAll
Enrollment200 (estimated)
SponsorPenumbra Inc.
Industry-sponsored
Locations12 sites (Nedlands, Western Australia and 11 other locations)
StatusRecruiting
StartedNovember 1, 2025
Main results expectedJanuary 2028
Study endsApril 2028
Registry record updatedOctober 20, 2026
Trial IDNCT07107022 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.