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NCT04244370: MONARCH

Caterpillar™ Arterial Embolization Device Post-Market Study

Completed NA Results posted Last updated 25 July 2023
What this trial tests

NA trial testing Caterpillar™ Arterial Embolization Device in Embolization, Therapeutic in 50 participants. Completed in 12 August 2022.

Timeline
30 April 2020
Primary endpoint
13 August 2021
12 August 2022

Quick facts

Lead sponsorC. R. Bard
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment50
Start date30 April 2020
Primary completion13 August 2021
Estimated completion12 August 2022
Sites11 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

C. R. Bard — full company profile →

Who can join

18 and older, any sex, with Embolization, Therapeutic. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Technical Success Primary · During the Index Procedure

Successful occlusion of the target embolization site(s) as confirmed by the Investigator via angiographic assessment during the Index Procedure. Technical success will be reported for each target embolization site.

GroupValue95% CI
Caterpillar™ Arterial Embolization Device55
Freedom From Device-Related SAEs Primary · 30 (-7/+21) Days post Index Procedure

Freedom from device-related serious adverse events (SAE) through 30-day follow-up.

GroupValue95% CI
Caterpillar™ Arterial Embolization Device50
Time Point of Occlusion Secondary · During Index Procedure

The percentage of target embolization site(s) with occlusion at ≤1, ≤2, ≤3, ≤4, ≤5, ≤10 and \>10 minutes post-treatment.

≤1 minute
GroupValue95% CI
Caterpillar™ Arterial Embolization Device15
≤ 2 minutes
GroupValue95% CI
Caterpillar™ Arterial Embolization Device10
≤ 3 minutes
GroupValue95% CI
Caterpillar™ Arterial Embolization Device7
≤ 4 minutes
GroupValue95% CI
Caterpillar™ Arterial Embolization Device1
≤ 5 minutes
GroupValue95% CI
Caterpillar™ Arterial Embolization Device11
≤ 10 minutes
GroupValue95% CI
Caterpillar™ Arterial Embolization Device5
> 10 minutes
GroupValue95% CI
Caterpillar™ Arterial Embolization Device6
Freedom From Recanalization Secondary · 30 (-7/+21) days, 6 months (±30 days) and 12 months (±30 days) Post Index Procedure

Freedom from clinically relevant recanalization of the target embolization site(s) through 30-days, 6 and 12-months follow-up as confirmed by the Investigator. Clinically relevant recanalization is defined as recanalization through the study device that requires a re-intervention.

30-Day Follow-up
GroupValue95% CI
Caterpillar™ Arterial Embolization Device56
6-Month Follow-up
GroupValue95% CI
Caterpillar™ Arterial Embolization Device43
12-Month Follow-up
GroupValue95% CI
Caterpillar™ Arterial Embolization Device31
Freedom From Acute Migration Secondary · During Index Procedure

Freedom from clinically relevant acute migration of the study device(s) as confirmed by the Investigator via angiographic assessment during the Index Procedure. Clinically relevant migration is defined as migration of the study device from the target embolization site that requires intervention.

GroupValue95% CI
Caterpillar™ Arterial Embolization Device62
Freedom From Non-Acute Migration Secondary · 30 (-7/+21) days, 6 months (±30 days) and 12 months (±30 days) Post Index Procedure

Freedom from clinically relevant migration of the study device(s) through 30 day, 6 month and 12 month follow-up was reported by the Investigators. Clinically relevant migration is defined as migration of the study device from the target embolization site that requires intervention.

30-Day Follow-up
GroupValue95% CI
Caterpillar™ Arterial Embolization Device62
6-Month Follow-up
GroupValue95% CI
Caterpillar™ Arterial Embolization Device47
12-Month Follow-up
GroupValue95% CI
Caterpillar™ Arterial Embolization Device34
Freedom From Device and/or Procedure-Related Adverse Events Secondary · 30 (-7/+21) days, 6 months (±30 days) and 12 months (±30 days) Post Index Procedure

Freedom from device and/or procedure-related adverse events (AE) through 30-days, 6 and 12-months follow-up.

30-Day Follow-up
GroupValue95% CI
Caterpillar™ Arterial Embolization Device42
6-Month Follow-up
GroupValue95% CI
Caterpillar™ Arterial Embolization Device31
12-Month Follow-up
GroupValue95% CI
Caterpillar™ Arterial Embolization Device23
Accuracy of Delivery Secondary · During Index Procedure

Accurate delivery of the study device to the target embolization site as assessed by the Investigator.

GroupValue95% CI
Caterpillar™ Arterial Embolization Device61
Ease of Trackability/Deliverability Secondary · During Index Procedure

Ease of study device trackability and deliverability as assessed by the Investigator.

GroupValue95% CI
Caterpillar™ Arterial Embolization Device61
Ease of Detachment Secondary · During Index Procedure

Ease of study device detachment as assessed by the Investigator.

GroupValue95% CI
Caterpillar™ Arterial Embolization Device62
Acceptability of Visibility Under Fluoroscopy Secondary · During Index Procedure

Acceptability of study device visibility under fluoroscopy as assessed by the Investigator.

GroupValue95% CI
Caterpillar™ Arterial Embolization Device59

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Caterpillar™ Arterial Embolization Device
Serious: 11/50 (22%)
Deaths: 5/50

Serious adverse events (15 terms)

ReactionSystemCaterpillar™ Arterial Embo…
SepsisInfections and infestations
Obstruction GastricGastrointestinal disorders
Acute Kidney InjuryRenal and urinary disorders
PancytopeniaBlood and lymphatic system disorders
AscitesGastrointestinal disorders
Gastrointestinal HaemorrhageGastrointestinal disorders
Hepatic CirrhosisHepatobiliary disorders
CellulitisInfections and infestations
Procedural PainInjury, poisoning and procedural complications
Breast Cancer MetastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Colorectal Cancer MetastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatocellular CarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Respiratory FailureRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
HypokalaemiaMetabolism and nutrition disorders
Other adverse events (2 terms — click to expand)

ReactionSystemCaterpillar™ Arterial Embo…
Abdominal PainGastrointestinal disorders
Urinary Tract InfectionInfections and infestations

Most-reported serious reactions: Sepsis, Obstruction Gastric, Acute Kidney Injury, Pancytopenia, Ascites, Gastrointestinal Haemorrhage, Hepatic Cirrhosis, Cellulitis.

Data from ClinicalTrials.gov NCT04244370 adverse events section.

Sponsor's own description

The primary objective of this study is to evaluate the performance and safety of the Caterpillar™ Arterial Embolization Device when used for arterial embolization in the peripheral vasculature in a real world, on-label application.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other recruiting trials for Embolization, Therapeutic

Currently open trials in the same condition.

Other C. R. Bard trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04244370.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing