Chronic Limb-Threatening IschemiaNCT06311773
Pivotal Trial of the Boomerang Catheter for pDVA
A study testing Boomerang Catheter in people with Chronic Limb-Threatening Ischemia, run by Aveera Medical, Inc. at 25 sites in United States.
Trial summary
The purpose of this study is to establish the safety and effectiveness of the Boomerang Catheter for percutaneous Deep Venous Arterialization (pDVA) to treat no-option Chronic Limb-Threatening Ischemia. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Limb-Threatening Ischemia
- What is being tested?
- Boomerang Catheter
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 120 participants
- Where
- 25 sitesUnited States
- Study dates
- 16 Apr 2024to 31 Mar 2030
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patient is age ≥ 18 years
- Patient has confirmed clinical diagnosis of Rutherford Category (RC) 5 or 6 Chronic Limb-Threatening Ischemia (CLTI) with previous angiogram or hemodynamic evidence (e.g., ABI ≤ 0.39, TP / TcPO2 < 30 mm Hg) demonstrating severely diminished arterial perfusion of the index limb.
- Assessment by the PI and an Independent Review Committee (IRC) determines that patient has no option for conventional distal bypass, surgical or endovascular therapy for limb salvage.
- Inflow artery criteria:
- Imaging confirmation of patent inflow artery (< 50% stenosis) from Aortic bifurcation to tibial trifurcation.
- Target conduit vein criteria:
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- Duplex ultrasound confirms that vein is free from thrombus, contiguous from the intended anastomosis site through the lateral plantar vein, and ≥ 2.0mm lumen-lumen diameter (with tourniquet applied) throughout.
- Patient may be scheduled for a planned minor amputation (toe, ray, or trans-metatarsal) within 30 days after index procedure.
- Prior stent(s) to inflow arteries (i.e., Iliac, SFA, Popliteal) are allowed.
- Patient is willing and able to provide written informed consent.
- Patient meets institutional criteria for procedure clearance and is able to comply with study requirements per PI judgement.
- Diabetic patients have adequate glycemic control per investigator judgement.
- Female patients of childbearing potential have a negative pregnancy test within 7 days prior to index procedure (urine)
- Patient is enrolled in a wound care network and has an adequate support network to ensure compliance with medication regimen and follow-up study visits.
- PI determines that the primary wound is stable (e.g., not rapidly deteriorating or showing signs of healing).
Who cannot join
- Life expectancy < 12 months.
- Patient has a lower extremity vascular disease that may inhibit the procedure and/or jeopardize wound healing (e.g., vasculitis, Buerger's disease, significant edema in the target limb, deep venous thrombus in the target vein, hyperpigmentation, or medial ulceration above the ankle).
- Patient is dialysis dependent.
- Significant acute or chronic kidney disease with a serum creatinine of > 2.5 mg/dl in patients not undergoing dialysis.
- Prior peripheral arterial bypass procedure on index limb within 30 days.
- Previous major amputation of the target limb or absence of adequate viable tissue for below-ankle (e.g., mid-foot) amputation.
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- Patient is non-ambulatory due to above-ankle amputation of contralateral limb.
- The patient is currently participating in another investigational drug or device study that has not completed the primary endpoint and that clinically interferes with the endpoints of this study per PI judgement.
- Patient has known hypersensitivity or contraindication to materials used during the procedure (cobalt, chromium, nickel, platinum, tungsten, acrylic and fluoro polymers) or a known contrast sensitivity that cannot be adequately pre-medicated.
- Patient cannot be adequately treated with study medications due to known contraindication to aspirin, ADP antagonists such clopidogrel, prasugrel or ticagrelor, or anticoagulants such as heparin or bivalirudin.
- Patient has had a stroke within the previous 3 months with residual Rankin score of ≥ 2.
- NYHA Class IV heart failure which may compromise patient's ability to safely undergo a percutaneous procedure, per PI judgment.
Trial locations and contacts
25 sites in 1 country. Contact the study team or a site near you to ask about taking part.
25 sites in 1 country
United States25 sites
St. Luke's University Hospital
Bethlehem, Pennsylvania, 18015
Massachusetts General Hospital
Boston, Massachusetts, 02114
VIC Vascular Institute
Chattanooga, Tennessee, 37421
Rush University Medical Center
Chicago, Illinois, 60612
UT Southwestern Medical Center
Dallas, Texas, 75235
Vascular Institute at AMI
Galloway, New Jersey, 08205
Cardiovascular Institute of the South
Houma, Louisiana, 70360
Baylor College of Medicine
Houston, Texas, 77030
HOPE Vascular and Podiatry
Houston, Texas, 77054
First Coast Cardiovascular Institute
Jacksonville, Florida, 32256
Northwell Health - Lake Success
Lake Success, New York, 11042
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Sunrise Vascular
Murphy, North Carolina, 28906
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Weill Cornell Medical Center
New York, New York, 10065
Penn Medicine
Philadelphia, Pennsylvania, 19104
Arrowhead Regional Medical Center
San Bernardino, California, 92324
University of Washington Medicine
Seattle, Washington, 98133
Spartanburg Regional Medical Center
Spartanburg, South Carolina, 29303
Olive View-UCLA Medical Center
Sylmar, California, 91342
Advanced Vascular Centers
Tigard, Oregon, 97223
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Torrance, California, 90502
American Endovascular and Amputation Prevention
West Orange, New Jersey, 07052
PIH Whittier Hospital
Whittier, California, 90602
EndoVascular Consultants
Wilmington, Delaware, 19805
About this study
Official title: Pivotal Multicenter Trial of the Boomerang® Catheter for Percutaneous Deep Vein Arterialization (pDVA)
The purpose of this study is to establish the safety and effectiveness of the Boomerang Catheter for percutaneous Deep Venous Arterialization (pDVA) to treat no-option Chronic Limb-Threatening Ischemia.
- Conditions
- Chronic Limb-Threatening Ischemia
- Being tested
- Boomerang Catheter
- Medical subject headings
- Chronic Limb-Threatening Ischemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Boomerang CatheterDevice
The study device used for this procedure makes an anastomosis between a tibial vein and a tibial artery to direct blood flow around blocked arteries.
| Study group | Role | What they receive |
|---|---|---|
| Treated with Boomerang Catheter | Experimental | Not described Receives: Device: Boomerang Catheter |
What is being measured
The primary outcome is the main question the study is designed to answer.
Amputation Free Survival (AFS)
Freedom from above-ankle amputation of the index limb or death (any cause) at 6 months, compared to a literature derived performance goal.
Measured: 6-months
Secondary outcomes (8)
Technical success
Successful deployment of the Boomerang Catheter to the anastomosis site, creation of an anastomosis, and confirmation of fistula flow using angiography or Doppler ultrasound immediately post catheter activation.
Measured: During index procedure
Procedural success
confirmation of retrograde fistula flow in the target tibial vein conduit at index procedure completion.
Measured: Immediately post index procedure
Limb salvage
Freedom from above-ankle amputation of the index limb.
Measured: 3 years post index procedure
Primary patency
Time from fistula creation to the first intervention to maintain or reestablish flow through the fistula or to fistula occlusion.
Measured: 1 year post index procedure
Primary assisted patency
Time from fistula creation to the first occlusion of the fistula.
Measured: 1 year post index procedure
Secondary patency
Time from fistula creation to abandonment (e.g., decision to decline intervention due to occlusion) of the fistula.
Measured: 1 year post index procedure
Target wound healing
Complete or in-process healing of the patient's target wound(s).
Measured: 1, 3, 6, 9-months, and 1-year
Complete wound healing
Complete healing of all the patient's ischemic wound(s) in the index limb.
Measured: 1, 3, 6, 9-months, and 1-year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Mar 2024
- Study start16 Apr 2024
- Primary completion31 Mar 2027 (estimated)
- Study completion31 Mar 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Limb-Threatening IschemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 120 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Aveera Medical, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06311773
- Sponsor's protocol ID
- Protocol # 24-01
- Status last verified
- Jul 2026
- First submitted
- 8 Mar 2024
- Last updated
- 24 Jul 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Pivotal Multicenter Trial of the Boomerang® Catheter for Percutaneous Deep Vein Arterialization (pDVA)
- ClinicalTrials.gov ID
- NCT06311773
- Acronym / sponsor ID
- Protocol # 24-01
- Conditions
- Chronic Limb-Threatening Ischemia
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 120 participants (estimated)
- Lead sponsor
- Aveera Medical, Inc.Industry (pharma, biotech, devices)
- Study start
- 16 Apr 2024 (actual)
- Primary completion
- 31 Mar 2027 (estimated)
- Study completion
- 31 Mar 2030 (estimated)
- First posted
- 15 Mar 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to establish the safety and effectiveness of the Boomerang Catheter for percutaneous Deep Venous Arterialization (pDVA) to treat no-option Chronic Limb-Threatening Ischemia.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Treated with Boomerang Catheter | Experimental | Device: Boomerang Catheter |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Patient is age ≥ 18 years
- Patient has confirmed clinical diagnosis of Rutherford Category (RC) 5 or 6 Chronic Limb-Threatening Ischemia (CLTI) with previous angiogram or hemodynamic evidence (e.g., ABI ≤ 0.39, TP / TcPO2 < 30 mm Hg) demonstrating severely diminished arterial perfusion of the index limb.
- Assessment by the PI and an Independent Review Committee (IRC) determines that patient has no option for conventional distal bypass, surgical or endovascular therapy for limb salvage.
- Inflow artery criteria:
- Target conduit vein criteria:
Key exclusion criteria (12 listed)
- Life expectancy < 12 months.
- Patient has a lower extremity vascular disease that may inhibit the procedure and/or jeopardize wound healing (e.g., vasculitis, Buerger's disease, significant edema in the target limb, deep venous thrombus in the target vein, hyperpigmentation, or medial ulceration above the ankle).
- Patient is dialysis dependent.
- Significant acute or chronic kidney disease with a serum creatinine of > 2.5 mg/dl in patients not undergoing dialysis.
- Prior peripheral arterial bypass procedure on index limb within 30 days.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Boomerang CatheterThe study device used for this procedure makes an anastomosis between a tibial vein and a tibial artery to direct blood flow around blocked arteries. | Device | Treated with Boomerang Catheter |
Primary outcome
Amputation Free Survival (AFS)
Time frame: 6-months
Freedom from above-ankle amputation of the index limb or death (any cause) at 6 months, compared to a literature derived performance goal.
8 secondary outcomes
Technical success
Time frame: During index procedure
Procedural success
Time frame: Immediately post index procedure
Limb salvage
Time frame: 3 years post index procedure
Primary patency
Time frame: 1 year post index procedure
Primary assisted patency
Time frame: 1 year post index procedure
Secondary patency
Time frame: 1 year post index procedure
Target wound healing
Time frame: 1, 3, 6, 9-months, and 1-year
Complete wound healing
Time frame: 1, 3, 6, 9-months, and 1-year
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jul 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
The record lists no contact. Use the official record to reach the sponsor.
25 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Boomerang Catheter in people with Chronic Limb-Threatening Ischemia, run by Aveera Medical, Inc. at 25 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 15 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: enrolling by invitation, as of the sponsor's last update on 24 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 25 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Amputation Free Survival (AFS) (time frame: 6-months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jul 2026.