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Corticosteroid

Perivascular Dexamethasone for Iliofemoral Thrombosis (DEXTERITY-SCI Trial)

Phase 2
Recruiting
Research Sponsored by Mercator MedSystems, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Successful recanalization of the target vein with at least one patent inflow vein (femoral or profunda)
Hemodynamically significant DVT (>50% area obstruction) spanning at least (a) the iliofemoral and common femoral veins or (b) the common femoral vein with extension into the femoral vein and/or profunda vein. Extent of thrombus in the popliteal and calf veins is allowed
Must not have
Active bleeding, recent (< 3 mo) GI bleeding, severe liver dysfunction, bleeding diathesis
Non-ambulatory status prior to DVT occurrence
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 months

Summary

This trial is testing whether a local anti-inflammatory drug can help prevent re-thrombosis and improve symptoms for up to 24 months after a DVT recanalization procedure.

Who is the study for?
Adults aged 18-89 with recent (14-60 days) iliofemoral DVT needing stenting, able to take oral meds and adhere to anticoagulant regimen. Must not have active cancer, severe health issues, or be pregnant/breastfeeding. BMI must be under 40, and they should agree to contraception if applicable.
What is being tested?
The trial tests whether injecting dexamethasone around deep veins after DVT recanalization reduces re-thrombosis risk and improves symptoms over two years compared to a sham procedure using the Bullfrog® Micro-Infusion Device.
What are the potential side effects?
Possible side effects include local reactions at the infusion site, increased bleeding risk due to anti-inflammatory action of dexamethasone, potential for immune system suppression leading to higher infection rates.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My targeted vein was successfully reopened and has at least one working inflow vein.
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I have a significant blood clot in my leg that blocks more than half of the blood flow.
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I can take pills and will follow the blood thinner plan.
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I am prescribed a blood thinner for at least 14 days, followed by another for a year.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I do not have active bleeding, recent severe GI issues, or serious liver problems.
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I was not able to walk before my deep vein thrombosis happened.
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I have a blood clot in my main vein that extends at least one centimeter above where my leg veins meet.
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My blood clot is longer than 50 cm and needs drug treatment.
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I understand what the clinical trial involves and its importance.
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My high blood pressure is under control and below 140 mmHg.
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My targeted vein segment cannot be reopened.
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My doctor expects I have less than 2 years to live due to my cancer.
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Your blood tests show low levels of hemoglobin or platelets, or your kidneys are not working well.
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I have had a bleeding stroke or bleeding in my brain/spine.
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I cannot undergo certain vein treatments due to severe shortness of breath or a sudden illness.
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My leg circulation is severely compromised.
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I have not had recent major surgery or eye problems.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~6 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 6 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Clinically relevant primary patency
Freedom from major adverse event (MAE)

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: TreatmentExperimental Treatment1 Intervention
Group II: ControlPlacebo Group1 Intervention

Find a Location

Who is running the clinical trial?

Vascular Care ConnecticutUNKNOWN
1 Previous Clinical Trials
80 Total Patients Enrolled
University of South FloridaOTHER
425 Previous Clinical Trials
190,415 Total Patients Enrolled
OhioHealth Research InstituteUNKNOWN
2 Previous Clinical Trials
98 Total Patients Enrolled

Media Library

Perivascular dexamethasone (Corticosteroid) Clinical Trial Eligibility Overview. Trial Name: NCT04858776 — Phase 2
Iliofemoral Thrombosis Research Study Groups: Treatment, Control
Iliofemoral Thrombosis Clinical Trial 2023: Perivascular dexamethasone Highlights & Side Effects. Trial Name: NCT04858776 — Phase 2
Perivascular dexamethasone (Corticosteroid) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04858776 — Phase 2
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