The PEERLESS II Study

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorInari Medical

About this trial

This study is a prospective, multicenter, randomized controlled trial of the FlowTriever System plus anticoagulation compared to anticoagulation alone for intermediate-risk acute PE.

Eligibility criteria

Qualifiers

Age at enrollment ≥ 18 years

Objective evidence of a proximal filling defect in at least one main or lobar pulmonary artery, as confirmed by CTPA, pulmonary angiography, or other imaging modality

RV dysfunction, as defined as one or more of the following: RV/LV ratio ≥ 0.9 or RV dilation or hypokinesis

Symptom onset within 14 days of confirmed PE diagnosis

Disqualifiers

Unable to be anticoagulated with heparin, enoxaparin or other parenteral antithrombin

Presentation with hemodynamic instability* that meets the high-risk PE definition in the 2019 ESC Guidelines1, including ANY of the following

Cardiac arrest OR

Systolic BP < 90 mmHg or vasopressors required to achieve a BP ≥ 90 mmHg despite adequate filling status, AND end-organ hypoperfusion OR

Trial design

Treatments tested in this trial

  • FlowTriever System
  • Anticoagulation Agents

Treatment groups

1,200 Participants
are divided into 2 treatment groups

Sponsors and collaborators