Inari Medical announces first patient enrolment in PEERLESS II randomised controlled trial

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PEERLESS
FlowTriever thrombectomy device

Inari Medical has announced the first patient enrolment in PEERLESS II. This prospective, global, multicentre randomised controlled trial (RCT) compares the outcomes of intermediate-risk acute pulmonary embolism (PE) patients treated with the FlowTriever system against those treated with traditional anticoagulation therapy alone.

The first patient was enrolled by William H Matthai Jr (Penn Presbyterian Medical Center at the University of Pennsylvania, Philadelphia, USA), a press release details.

“PEERLESS II is challenging the most commonly administered first-line therapy for PE around the world,” said Matthai. “Despite advances in mechanical thrombectomy, anticoagulation alone remains the standard of care. This trial aims to generate definitive evidence to influence PE treatment guidelines worldwide.”

According to Inari Medical, PEERLESS II is the largest study of its kind and will include up to 1,200 randomised patients at up to 100 global centres. The study is running alongside the currently enrolling PEERLESS RCT, which is comparing FlowTriever to catheter-directed thrombolysis. Both trials aim to generate the high-quality clinical evidence needed to move the field forward and establish FlowTriever as the optimal therapy for intermediate-risk PE patients.

“PE is a leading cause of cardiovascular death and this first patient enrolment represents an important milestone in the evolution of care for this disease,” added global principal investigator Jay Giri (Hospital of the University of Pennsylvania, Philadelphia, USA). “The rigorous trial design, including meaningful patient-centric endpoints and independent adjudication of all safety events, lays the groundwork for this landmark study to impact future PE treatment decisions. Thank you to the PEERLESS II steering committee and clinical staff for helping us get the first patient enrolled.”

“Inari is actively enrolling three RCTs: PEERLESS, PEERLESS II and DEFIANCE, demonstrating our relentless commitment to guideline-changing research aimed at ultimately improving patient outcomes,” said Thomas Tu, Inari’s chief medical officer. “With the commitment of our dedicated investigators, we look forward to expedited enrollment to get us closer to changing the standard of care.”


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