PERSEUS WH: TAXUS PERSEUS Workhorse

Sponsor
Boston Scientific Corporation (Industry)
Overall Status
Completed
CT.gov ID
NCT00484315
Collaborator
(none)
1,264
90
2
75
14
0.2

Study Details

Study Description

Brief Summary

The purpose of the TAXUS PERSEUS Workhorse trial is to evaluate the safety and efficacy of the next-generation Boston Scientific TAXUS paclitaxel-eluting coronary stent system (TAXUS® ElementTM) for the treatment of de novo atherosclerotic lesions of up to 28 mm in length in native coronary arteries of 2.75 mm to 4.0 mm diameter.

Condition or Disease Intervention/Treatment Phase
  • Device: Percutaneous coronary intervention (PCI) with paclitaxel-eluting stent (TAXUS Element) implantation
  • Device: Percutaneous coronary intervention (PCI) with paclitaxel-eluting stent (TAXUS Express) placement
Phase 3

Detailed Description

This is a prospective, 3:1 randomization, multi-center trial to assess the TAXUS® Element™ Paclitaxel-Eluting Coronary Stent System for the treatment of de novo atherosclerotic lesions of up to 28 mm in length in native coronary arteries ≥ 2.75 mm and ≤ 4.0 mm in diameter, compared to a control group of TAXUS Express2 Paclitaxel-Eluting Coronary Stent System .

One thousand two hundred sixty-four (1264) subjects will be treated with either the TAXUS® Element™ stent or the TAXUS® Express2 ™stent at a maximum of 100 clinical sites. Randomization to treatment group will be unbalanced 3:1 towards the test group to gain maximum clinical experience with the new TAXUS® Element™ platform. Follow-up at 30 days, 9 months and 12 months will be completed in all subjects enrolled in the study. Angiographic follow-up at 9 months will be completed in a subset of three hundred thirty (330) subjects enrolled in the study. Subjects will be randomly allocated to the angiographic subset at participating sites through the Interactive Voice Response System (IVRS).

Eligible subjects will have annual follow-up until 5 years post-index procedure.

Study Design

Study Type:
Interventional
Actual Enrollment :
1264 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Primary Purpose:
Treatment
Official Title:
A Prospective Evaluation in a Randomized Trial of the Safety and Efficacy of the Use of the TAXUS Element Paclitaxel-Eluting Coronary Stent System for the Treatment of De Novo Coronary Artery Lesions
Study Start Date :
Jul 1, 2007
Actual Primary Completion Date :
Sep 1, 2009
Actual Study Completion Date :
Oct 1, 2013

Arms and Interventions

Arm Intervention/Treatment
Experimental: TAXUS Element

Device: Percutaneous coronary intervention (PCI) with paclitaxel-eluting stent (TAXUS Element) implantation
TAXUS Element stent placement

Active Comparator: TAXUS Express

Device: Percutaneous coronary intervention (PCI) with paclitaxel-eluting stent (TAXUS Express) placement
TAXUS Express Stent Implant

Outcome Measures

Primary Outcome Measures

  1. Target Lesion Failure (TLF) at 12 Months Post-index Procedure. TLF is Defined as Any Ischemia-driven Revascularization of the Target Lesion, Myocardial Infarction (Q-wave and Non-Q-wave), or Death Related to the Target Vessel. [12 months post-index procedure]

    The number of participants who experience a TLF through 365 days post-procedure out of the participants who have either had a TLF within 365 days post-procedure or who were TLF-free with last follow-up at least 335 days post-procedure.

Secondary Outcome Measures

  1. In-segment Percent Diameter Stenosis at 9 Months Post-index Procedure [9 months post-index procedure]

    The minimum lumen diameter in the analysis segment at 9-months post-index procedure, divided by the reference vessel diameter at baseline. The analysis segment ("in-segment") is defined as the proximal edge, stented area, and the distal edge, where each edge segment contains up to 5mm immediately outside the stent.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Clinical Inclusion Criteria:
  • Subject is ≥ 18 years old

  • Eligible for percutaneous coronary intervention (PCI)

  • Documented stable angina pectoris (Canadian Cardiovascular Society [CCS] Classification 1, 2, 3, or 4) or unstable angina pectoris (Braunwald Class IB-C, IIB-C, or IIIB-C), or documented silent ischemia

  • Acceptable candidate for coronary artery bypass grafting (CABG)

  • Left ventricular ejection fraction (LVEF) is ≥ 30%

  • Subject (or legal guardian) understands the study requirements and the treatment procedures and provides written Informed Consent before any study-specific tests or procedures are performed

  • Subject willing to comply with all specified follow-up evaluations

Clinical Exclusion Criteria:
  • Contraindication to aspirin (ASA), or to both clopidogrel and ticlopidine

  • Known hypersensitivity to paclitaxel

  • Known allergy to stainless steel

  • Known allergy to platinum

  • Previous treatment of the target vessel with any anti-restenotic drug-coated or drug-eluting coronary stent

  • Previous treatment of the target vessel with a bare metal stent (BMS) within 9 months of the index procedure

  • Previous treatment of any non-target vessel with any anti-restenotic drug-coated or drug-eluting coronary stent within 9 months of the index procedure

  • Previous treatment with intravascular brachytherapy in the target vessel

  • Planned PCI or CABG post-index procedure

  • Planned or actual target vessel treatment with an unapproved device, directional or rotational coronary atherectomy, laser, cutting balloon or transluminal extraction catheter immediately prior to stent placement

  • Myocardial infarction (MI) within 72 hours prior to index procedure

  • Cerebrovascular accident (CVA) within the past 6 months

  • Cardiogenic shock

  • Acute or chronic renal dysfunction

  • Prior anaphylactic reaction to contrast agents

  • Leukopenia

  • Thrombocytopenia

  • Thrombocytosis

  • Active peptic ulcer or active gastrointestinal (GI) bleeding

  • Current treatment, or past-treatment within 12-months of the index procedure, with paclitaxel or other chemotherapeutic agents

  • Anticipated treatment with paclitaxel or oral rapamycin during any period in the 9-months after the index procedure

  • Known intention to procreate within 9 months after the index procedure

  • Positive pregnancy test within 7 days before the index procedure, or lactating

  • Life expectancy of less than 24 months due to other medical conditions

  • Co-morbid condition(s) that could limit subject's ability to comply with study follow-up requirements or impact study scientific integrity

  • Currently participating in another investigational drug or device study

Angiographic Inclusion Criteria:
  • Target Lesion

  • Target lesion located in native coronary artery

  • Target lesion must be de novo

  • Target lesion diameter stenosis ≥ 50%

  • Reference vessel diameter (RVD) ≥ 2.75 mm to ≤ 4.0 mm

  • Cumulative target lesion length ≤ 28 mm (area to be treated may be composed of multiple lesions but must be completely coverable by one study stent)

  • Target lesion is successfully pre-dilated

  • One non-target lesion may be treated in a non-target vessel as follows:

  • Non-target lesion in non-target vessel must be treated with commercially available TAXUS stent if use of drug eluting stent required

  • Treatment must be deemed a clinical angiographic success, without requiring use of unplanned additional stents(s)

  • Treatment must be completed prior to treatment of target vessel

Angiographic Exclusion Criteria

  • Target lesion located in left main artery, whether protected or unprotected

  • Target lesion is a chronic total occlusion (TIMI flow ≤ 1)

  • Target lesion is restenotic

  • Target lesion is located in a saphenous vein graft or mammary artery graft

  • Target lesion is accessed via saphenous vein graft or mammary artery graft

  • Target lesion is < 5 mm from bare metal stent (BMS)

  • Target lesion < 5 mm from ostium

  • Target lesion < 5 mm from side branch vessel ≥ 2.0 mm in diameter (Exceptions: subject may be enrolled if side branch is 100% occluded or if side branch is protected with a patent graft)

  • Untreated lesions with ≥ 50% diameter stenosis or thought to impair flow remaining in target vessel at a location with ≥ 2.0mm RVD

  • Target lesion and/or target vessel proximal to target lesion moderately or severely calcified

  • Target lesion and/or target vessel proximal to target lesion severely tortuous

  • Target lesion located within or distal to a > 60° bend in target vessel

  • Target vessel with angiographic presence of probable or definite thrombus

  • Unprotected left main coronary artery disease

  • Protected left main coronary artery disease with target lesion in Left Anterior Descending artery (LAD) or Left Circumflex artery (LCx). Subject may be enrolled if only lesion is target lesion in Right Coronary Artery (RCA)

Contacts and Locations

Locations

Site City State Country Postal Code
1 Baptist Medical Center Princeton Birmingham Alabama United States 35211
2 Medical Center East Birmingham Alabama United States 35235-3401
3 Bakersfield Memorial Hospital Bakersfield California United States 93301
4 Alvarado Hospital La Jolla California United States 92037
5 Scripps Clinic La Jolla California United States 92037
6 Scripps Memorial Hospital La Jolla California United States 92037
7 University of California, Davis Medical Center Sacramento California United States 95817
8 Mercy General Hospital Sacramento California United States 95819
9 South Denver Cardiology Associates, PC Littleton Colorado United States 80120
10 Christiana Hospital Newark Delaware United States 19718-0002
11 Washington Hospital Center Washington District of Columbia United States 20010-3017
12 Mediquest Research at Munroe Regional Medical Center Ocala Florida United States 34471
13 Florida Hospital Orlando Florida United States 32803
14 Sarasota Memorial Hospital Sarasota Florida United States 34239-2940
15 Tallahassee Memorial Hospital Tallahassee Florida United States 32308
16 Piedmont Hospital Atlanta Georgia United States 30309
17 St. Joseph's Hospital of Atlanta Atlanta Georgia United States 30342
18 Medical Center of Central Georgia Macon Georgia United States 31208
19 Kaiser Foundation Hospitals Honolulu Hawaii United States 96817
20 Evanston Northwestern Evanston Illinois United States 60201
21 St. Anthony's Medical Center Rockford Illinois United States 61107
22 St. John's Hospital Springfield Illinois United States 62701
23 Northern Indiana Research Alliance / Lutheran Hospital of Indiana Fort Wayne Indiana United States 46804-4140
24 Krannert Institute of Cardiology Indianapolis Indiana United States 46202
25 St. Vincent's Hospital Indianapolis Indiana United States 46290
26 Trinity Terrace Park Davenport Iowa United States 52803
27 Iowa Heart Center Des Moines Iowa United States 50134
28 Maine Medical Center Portland Maine United States 04102-3134
29 Union Memorial Hospital Baltimore Maryland United States 21218-2829
30 Washington Adventist Hospital Takoma Park Maryland United States 20912-6367
31 Tufts Medical Center Boston Massachusetts United States 02111
32 Beth Israel Deaconess Medical Center Boston Massachusetts United States 02115
33 Cape Cod Research Institute Hyannis Massachusetts United States 02601
34 Genesys Regional Medical Center Grand Blanc Michigan United States 48439
35 Cardiac and Vascular Research Center of Northern Michigan Petoskey Michigan United States 49770
36 Lakeland Hospitals at St. Joseph St. Joseph Michigan United States 49085-2112
37 St. Mary's Duluth Clinic Regional Heart Center Duluth Minnesota United States 55805
38 Abbott Northwestern Hospital Minneapolis Minnesota United States 55407-1195
39 Mercy Hospital Minneapolis Minnesota United States 55433
40 North Mississippi Medical Center Tupelo Mississippi United States 38801
41 St. Anthony's Medical Center St. Louis Missouri United States 63128-2106
42 Nebraska Heart Hospital Lincoln Nebraska United States 68526
43 Dartmouth Hitchcock Medical Center Lebanon New Hampshire United States 03756
44 Heart Hospital of New Mexico Albuquerque New Mexico United States 87102
45 St. Joseph's Hospital Health Center Liverpool New York United States 13088
46 Lenox Hill Hospital New York New York United States 10021
47 Columbia University Medical Center New York New York United States 10032
48 Carolinas Medical Center Charlotte North Carolina United States 28203-5866
49 LeBauer Cardiovascular Research Foundation Greensboro North Carolina United States 27401
50 Wake Medical Center Raleigh North Carolina United States 27610
51 Forsyth Medical Center Winston-Salem North Carolina United States 27103
52 Wake Forest University School of Medicine Winston-Salem North Carolina United States 27157-0001
53 The Christ Hospital Cincinnati Ohio United States 45219
54 Ohio State University Medical Center Columbus Ohio United States 43210
55 Riverside Methodist Hospital Columbus Ohio United States 43214-3907
56 St. Vincent Mercy Medical Center Toledo Ohio United States 43608
57 Oklahoma Foundation for Cardiovascular Research Oklahoma City Oklahoma United States 73120
58 Providence St. Vincent Medical Center Portland Oregon United States 97225
59 Lehigh Valley Hospital Allentown Pennsylvania United States 18103
60 Main Line Health Heart Center Bryn Mawr Pennsylvania United States 19010
61 Lancaster General Hospital Lancaster Pennsylvania United States 17604
62 St. Mary Medical Center Langhorne Pennsylvania United States 19047
63 University of Pennsylvania Medical Center Philadelphia Pennsylvania United States 19104
64 Sisters of Charity Providence Hospital Columbia South Carolina United States 29204-1018
65 University Medical Center-Greenville Memorial Hospital Greenville South Carolina United States 29605
66 Wellmont Holston Valley Medical Center Kingsport Tennessee United States 37660-3831
67 Vanderbilt University Medical Center Nashville Tennessee United States 37232-7235
68 Baylor Heart & Vascular Hospital Dallas Texas United States 75226
69 Methodist DeBakey Heart Center Houston Texas United States 77030-2767
70 TexSAn Heart Hospital San Antonio Texas United States 78229
71 Trinity Mother Frances Health System Tyler Texas United States 75701
72 Fletcher Allen Health Care Burlington Vermont United States 05401
73 Inova Fairfax Hospital Falls Church Virginia United States 22042
74 Lynchburg General Hospital Lynchburg Virginia United States 24501
75 Sentara Norfolk General Hospital Norfolk Virginia United States 23507-1904
76 Swedish Medical Center Seattle Washington United States 98122
77 Deaconess Medical Center Spokane Washington United States 99204
78 Sacred Heart Medical Center Spokane Washington United States 99204
79 St. Mary's Medical Center Huntington West Virginia United States 25701
80 University of Wisconsin Madison Wisconsin United States 53792
81 Aurora St. Luke's Medical Center Milwaukee Wisconsin United States 53215
82 CaRE Foundation, Inc. Wausau Wisconsin United States 54401
83 Royal Adelaide Hospital, Adelaide, SA, Australia Adelaide South Australia Australia 5000
84 Monash Medical Centre Clayton Victoria Australia 3168
85 St. Vincents Public, Fitzroy Victoria Australia 3065
86 Auckland City Hospital Auckland New Zealand 1023
87 Christchurch Hospital Christchurch New Zealand 8001
88 Waikato Hospital Hamilton New Zealand 3240
89 Wellington Hospital Wellington New Zealand
90 National Heart Centre Singapore Singapore 168752

Sponsors and Collaborators

  • Boston Scientific Corporation

Investigators

  • Principal Investigator: Dean J Kereiakes, MD, The Christ Hospital
  • Principal Investigator: Louis A Cannon, MD, Cardiac and Vascular Research Center of Northern Michigan

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Boston Scientific Corporation
ClinicalTrials.gov Identifier:
NCT00484315
Other Study ID Numbers:
  • S2037
  • S2037-PIVOT-2006
First Posted:
Jun 8, 2007
Last Update Posted:
May 8, 2014
Last Verified:
Apr 1, 2014
Keywords provided by Boston Scientific Corporation
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Enrollment of 1264 subjects was planned; 1262 (942 TAXUS Element and 320 TAXUS Express) were enrolled and randomized at 90 centers by October 1, 2008. A total of 330 subjects were randomly assigned to protocol-mandated 9-month angiographic follow-up (angiographic subset).
Pre-assignment Detail
Arm/Group Title TAXUS Element TAXUS Express
Arm/Group Description Participants randomized to treatment with TAXUS Element paclitaxel-eluting stent (investigational device) Participants randomized to treatment with TAXUS Express paclitaxel-eluting stent (control device)
Period Title: 12-Month Clinical Follow-up
STARTED 942 320
COMPLETED 914 311
NOT COMPLETED 28 9
Period Title: 12-Month Clinical Follow-up
STARTED 256 74
COMPLETED 228 61
NOT COMPLETED 28 13

Baseline Characteristics

Arm/Group Title TAXUS Element TAXUS Express Total
Arm/Group Description Participants randomized to treatment with TAXUS Element paclitaxel-eluting stent (investigational device) Participants randomized to treatment with TAXUS Express paclitaxel-eluting stent (control device) Total of all reporting groups
Overall Participants 942 320 1262
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
Between 18 and 65 years
540
57.3%
163
50.9%
703
55.7%
>=65 years
402
42.7%
157
49.1%
559
44.3%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
62.2
(9.6)
63.5
(9.5)
62.5
(9.6)
Sex: Female, Male (Count of Participants)
Female
275
29.2%
100
31.3%
375
29.7%
Male
667
70.8%
220
68.8%
887
70.3%
Race/Ethnicity, Customized (participants) [Number]
Hispanic or Latino
10
1.1%
6
1.9%
16
1.3%
Caucasian
872
92.6%
296
92.5%
1168
92.6%
Asian
15
1.6%
6
1.9%
21
1.7%
Black of African heritage
37
3.9%
13
4.1%
50
4%
Native Hawaiian or other Pacific Islander
4
0.4%
1
0.3%
5
0.4%
American Indian or Alaska native
3
0.3%
0
0%
3
0.2%
Other
4
0.4%
0
0%
4
0.3%
Region of Enrollment (participants) [Number]
United States
859
91.2%
290
90.6%
1149
91%
Singapore
6
0.6%
2
0.6%
8
0.6%
Australia
60
6.4%
22
6.9%
82
6.5%
New Zealand
17
1.8%
6
1.9%
23
1.8%
Cardiac History (participants) [Number]
Previous Percutaneous Coronary Intervention (PCI)
216
22.9%
80
25%
296
23.5%
Previous Coronary Artery Bypass Graft (CABG)
42
4.5%
20
6.3%
62
4.9%
Previous Myocardial Infarction (MI)
195
20.7%
60
18.8%
255
20.2%
Congestive Heart Failure
56
5.9%
24
7.5%
80
6.3%
Stable Angina
629
66.8%
213
66.6%
842
66.7%
Unstable Angina
195
20.7%
68
21.3%
263
20.8%
Silent Ischemia
117
12.4%
39
12.2%
156
12.4%
Cardiac History: Ejection Fraction (ejection fraction percent) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [ejection fraction percent]
58.0
(9.3)
57.8
(9.8)
57.9
(9.4)
Cardiac Risk Factors (participants) [Number]
Smoking, Ever
611
64.9%
216
67.5%
827
65.5%
Medically Treated Diabetes
232
24.6%
80
25%
312
24.7%
Hyperlipidemia Requiring Medication
717
76.1%
243
75.9%
960
76.1%
Hypertension Requiring Medication
709
75.3%
256
80%
965
76.5%
Family History of Coronary Artery Disease
589
62.5%
196
61.3%
785
62.2%
Comorbidities (participants) [Number]
History of Peripheral Vascular Disease
99
10.5%
36
11.3%
135
10.7%
History of Transient Ischemic Attack
30
3.2%
14
4.4%
44
3.5%
History of Cerebrovascular Accident
30
3.2%
12
3.8%
42
3.3%
History of Renal Disease
45
4.8%
11
3.4%
56
4.4%
History of Gastrointestinal Bleeding
9
1%
7
2.2%
16
1.3%
Lesion Characteristic: Target Lesion Vessel (participants) [Number]
Left Anterior Descending Artery
406
43.1%
140
43.8%
546
43.3%
Left Circumflex Artery
217
23%
69
21.6%
286
22.7%
Right Coronary Artery
319
33.9%
111
34.7%
430
34.1%
Lesion Characteristic: Lesion Location (participants) [Number]
Ostial
25
2.7%
8
2.5%
33
2.6%
Proximal
368
39.1%
128
40%
496
39.3%
Mid
485
51.5%
154
48.1%
639
50.6%
Distal
64
6.8%
30
9.4%
94
7.4%
Lesion Characteristics (millimeter) [Mean (Standard Deviation) ]
Reference Vessel Diameter
2.8
(0.5)
2.8
(0.5)
2.8
(0.5)
Minimum Lumen Diameter
0.8
(0.3)
0.8
(0.4)
0.8
(0.3)
Lesion Length
14.2
(6.1)
14.1
(5.8)
14.2
(6.0)
Sidebranch Stenosis
24.4
(28.1)
25.7
(28.8)
24.7
(28.3)
Lesion Characteristic: Percent Diameter Stenosis (percent) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [percent]
72.1
(10.9)
71.7
(10.9)
72.0
(10.9)
Lesion Characteristics (participants) [Number]
Eccentric Lesion
487
51.7%
161
50.3%
648
51.3%
> 45 Degree Bend
61
6.5%
22
6.9%
83
6.6%
> 90 Degree Bend
2
0.2%
1
0.3%
3
0.2%
Tortuosity, any
59
6.3%
14
4.4%
73
5.8%
Calcification, any
228
24.2%
86
26.9%
314
24.9%
Total Occlusion
6
0.6%
2
0.6%
8
0.6%
Bifurcation
343
36.4%
129
40.3%
472
37.4%
Lesion Characteristics: American College of Cardiology (ACC)/American Heart Association (AHA) Class (participants) [Number]
Type A
79
8.4%
28
8.8%
107
8.5%
Type B1
233
24.7%
85
26.6%
318
25.2%
Type B2
384
40.8%
130
40.6%
514
40.7%
Type C
246
26.1%
77
24.1%
323
25.6%
Lesion Characteristic - Pre-Procedure Thrombolysis In Myocardial Infarction (TIMI) Flow (participants) [Number]
TIMI 0
2
0.2%
2
0.6%
4
0.3%
TIMI 1
4
0.4%
0
0%
4
0.3%
TIMI 2
34
3.6%
4
1.3%
38
3%
TIMI 3
902
95.8%
314
98.1%
1216
96.4%

Outcome Measures

1. Primary Outcome
Title Target Lesion Failure (TLF) at 12 Months Post-index Procedure. TLF is Defined as Any Ischemia-driven Revascularization of the Target Lesion, Myocardial Infarction (Q-wave and Non-Q-wave), or Death Related to the Target Vessel.
Description The number of participants who experience a TLF through 365 days post-procedure out of the participants who have either had a TLF within 365 days post-procedure or who were TLF-free with last follow-up at least 335 days post-procedure.
Time Frame 12 months post-index procedure

Outcome Measure Data

Analysis Population Description
The primary analysis set for the non-inferiority testing of the primary endpoint, 12-month TLF, is the per protocol analysis set. All randomized participants who had the randomly assigned study stent implanted in the target coronary artery are included.
Arm/Group Title TAXUS Element TAXUS Express
Arm/Group Description Paclitaxel-eluting stent (PES) implanted using standard percutaneous coronary intervention (PCI) technique Paclitaxel-eluting stent (PES) implanted using standard percutaneous coronary intervention (PCI) technique
Measure Participants 915 309
Number [participants]
51
5.4%
19
5.9%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection TAXUS Element, TAXUS Express
Comments Bayesian modeling was used to determine if the 12-month TLF rate for the TAXUS Element stent was non-inferior to the 12-month TLF rate in the TAXUS Express2 control. The null hypothesis was that the TAXUS Element TLF rate is at least 4.1% greater than the TAXUS Express TLF rate. The alternative hypothesis was that the TAXUS Element TLF rate is less than 4.1% greater than the TAXUS Express TLF rate.
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority of the TAXUS Element stent was to be accepted if the Bayesian posterior probability that the difference in 12-month TLF between TAXUS Element and TAXUS Express was < 4.1%, given the data, was at least 95%. The sample size of 1264 subjects (resulting in 1200 after accounting for 5% attrition) was determined through simulations based on Bayesian modeling.
Statistical Test of Hypothesis p-Value 0.9996
Comments The p-value is the posterior probability that the difference in 12-month TLF between TAXUS Element and TAXUS Express was < 4.1%, given the data observed.
Method Bayesian modeling
Comments
Method of Estimation Estimation Parameter Median Difference (Final Values)
Estimated Value -0.570
Confidence Interval (1-Sided) 95%
to 1.85
Parameter Dispersion Type: Standard Deviation
Value: 0.0155
Estimation Comments Values are based on the posterior distribution of the difference in TLF rates between TAXUS Element and TAXUS Express. The upper limit is the 1-Sided 95% posterior credible interval, based off the 95th percentile of the posterior distribution.
2. Secondary Outcome
Title In-segment Percent Diameter Stenosis at 9 Months Post-index Procedure
Description The minimum lumen diameter in the analysis segment at 9-months post-index procedure, divided by the reference vessel diameter at baseline. The analysis segment ("in-segment") is defined as the proximal edge, stented area, and the distal edge, where each edge segment contains up to 5mm immediately outside the stent.
Time Frame 9 months post-index procedure

Outcome Measure Data

Analysis Population Description
All patients from the per protocol analysis set who were randomized to the angiographic subset and completed their angiographic follow-up were analyzed for the secondary endpoint.
Arm/Group Title TAXUS Element TAXUS Express
Arm/Group Description Paclitaxel-eluting stent (PES) implanted using standard percutaneous coronary intervention (PCI) technique Paclitaxel-eluting stent (PES) implanted using standard percutaneous coronary intervention (PCI) technique
Measure Participants 228 60
Mean (Standard Deviation) [percent diameter stenosis]
26.1
(17.71)
26.28
(17.6)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection TAXUS Element, TAXUS Express
Comments Natural log (ln) transformation was used to improve normality of the secondary endpoint distribution. Bayesian modeling was used to determine if the mean ln(9-month percent diameter stenosis) for the TAXUS Element stent was non-inferior to the mean ln(9-month %DS) for TAXUS Express. Null hypothesis was that the TAXUS Element mean was at least 0.20 greater than the TAXUS Express mean. Alternative hypothesis was that the TAXUS Element mean is less than 0.20 greater than the TAXUS Express TLF mean.
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority of the TAXUS Element stent was to be accepted if the Bayesian posterior probability that the difference in mean ln(9-month percent diameter stenosis) between TAXUS Element and TAXUS Express was < 0.20, given the data, was at least 95%. The sample size of 330 subjects (resulting in 280 after accounting for 15% attrition) was determined through simulations based on Bayesian modeling.
Statistical Test of Hypothesis p-Value 0.9970
Comments P-value is posterior probability that the difference in mean ln(9-month percent diameter stenosis) between TAXUS Element and TAXUS Express was < 0.20, given the data observed. Non-inferiority was concluded, as this probability is greater than 95%.
Method Bayesian modeling
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.0294
Confidence Interval (1-Sided) 95%
to 0.1078
Parameter Dispersion Type: Standard Deviation
Value: 0.08253
Estimation Comments Based on posterior distribution of the difference in mean ln(9-month percent diameter stenosis) between TAXUS Element and TAXUS Express. Upper limit is 1-Sided 95% posterior credible interval, based off the 95th percentile of posterior distribution.

Adverse Events

Time Frame Site reported serious and non-serious adverse events were collected through 365 days.
Adverse Event Reporting Description
Arm/Group Title TAXUS Element TAXUS Express
Arm/Group Description Participants randomized to treatment with TAXUS Element paclitaxel-eluting stent (investigational device) Participants randomized to treatment with TAXUS Express paclitaxel-eluting stent (control device)
All Cause Mortality
TAXUS Element TAXUS Express
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
TAXUS Element TAXUS Express
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 334/942 (35.5%) 110/320 (34.4%)
Blood and lymphatic system disorders
Anaemia 9/942 (1%) 9 5/320 (1.6%) 5
Leukocytosis 0/942 (0%) 0 1/320 (0.3%) 1
Microcytic anaemia 1/942 (0.1%) 1 1/320 (0.3%) 1
Cardiac disorders
Acute coronary syndrome 0/942 (0%) 0 1/320 (0.3%) 1
Angina pectoris 73/942 (7.7%) 84 27/320 (8.4%) 28
Angina unstable 18/942 (1.9%) 19 6/320 (1.9%) 7
Arteriospasm coronary 1/942 (0.1%) 1 0/320 (0%) 0
Atrial fibrillation 14/942 (1.5%) 16 2/320 (0.6%) 2
Atrial flutter 1/942 (0.1%) 1 2/320 (0.6%) 2
Atrial tachycardia 2/942 (0.2%) 2 0/320 (0%) 0
Atrioventricular block complete 1/942 (0.1%) 1 0/320 (0%) 0
Bradycardia 4/942 (0.4%) 4 2/320 (0.6%) 2
Bundle branch block right 0/942 (0%) 0 1/320 (0.3%) 1
Cardiac arrest 4/942 (0.4%) 5 1/320 (0.3%) 1
Cardiac disorder 2/942 (0.2%) 2 0/320 (0%) 0
Cardiac failure congestive 7/942 (0.7%) 8 5/320 (1.6%) 9
Cardiac tamponade 1/942 (0.1%) 1 0/320 (0%) 0
Coronary artery disease 9/942 (1%) 9 3/320 (0.9%) 3
Coronary artery dissection 10/942 (1.1%) 10 10/320 (3.1%) 10
Coronary artery embolism 0/942 (0%) 0 1/320 (0.3%) 1
Coronary artery occlusion 1/942 (0.1%) 1 0/320 (0%) 0
Coronary artery stenosis 18/942 (1.9%) 19 5/320 (1.6%) 5
Coronary artery thrombosis 1/942 (0.1%) 1 1/320 (0.3%) 1
Dressler's syndrome 1/942 (0.1%) 1 0/320 (0%) 0
Intracardiac thrombus 1/942 (0.1%) 1 0/320 (0%) 0
Myocardial infarction 24/942 (2.5%) 24 5/320 (1.6%) 5
Myocardial ischaemia 1/942 (0.1%) 1 1/320 (0.3%) 1
Pericardial effusion 1/942 (0.1%) 1 0/320 (0%) 0
Pericardial haemorrhage 0/942 (0%) 0 1/320 (0.3%) 1
Pericarditis 3/942 (0.3%) 3 0/320 (0%) 0
Sick sinus syndrome 6/942 (0.6%) 6 1/320 (0.3%) 1
Sinus bradycardia 2/942 (0.2%) 2 0/320 (0%) 0
Sinus tachycardia 1/942 (0.1%) 1 0/320 (0%) 0
Supraventricular tachycardia 2/942 (0.2%) 2 0/320 (0%) 0
Tachycardia 1/942 (0.1%) 1 0/320 (0%) 0
Ventricular arrhythmia 1/942 (0.1%) 1 0/320 (0%) 0
Ventricular asystole 1/942 (0.1%) 1 0/320 (0%) 0
Ventricular extrasystoles 1/942 (0.1%) 1 0/320 (0%) 0
Ventricular fibrillation 1/942 (0.1%) 1 0/320 (0%) 0
Ventricular tachycardia 3/942 (0.3%) 5 0/320 (0%) 0
Ear and labyrinth disorders
Vertigo 0/942 (0%) 0 1/320 (0.3%) 1
Endocrine disorders
Thyroid mass 1/942 (0.1%) 1 0/320 (0%) 0
Eye disorders
Cataract 0/942 (0%) 0 1/320 (0.3%) 1
Retinal detachment 1/942 (0.1%) 1 0/320 (0%) 0
Gastrointestinal disorders
Abdominal distension 1/942 (0.1%) 1 0/320 (0%) 0
Abdominal pain 2/942 (0.2%) 2 0/320 (0%) 0
Abdominal pain lower 1/942 (0.1%) 1 0/320 (0%) 0
Abdominal pain upper 1/942 (0.1%) 1 0/320 (0%) 0
Anal fistula 1/942 (0.1%) 1 0/320 (0%) 0
Chronic gastrointestinal bleeding 1/942 (0.1%) 2 0/320 (0%) 0
Colitis 0/942 (0%) 0 1/320 (0.3%) 1
Crohn's disease 1/942 (0.1%) 1 0/320 (0%) 0
Diverticulum 0/942 (0%) 0 1/320 (0.3%) 1
Diverticulum intestinal haemorrhagic 1/942 (0.1%) 1 0/320 (0%) 0
Erosive duodenitis 1/942 (0.1%) 1 0/320 (0%) 0
Gastric ulcer 0/942 (0%) 0 1/320 (0.3%) 1
Gastritis 2/942 (0.2%) 2 1/320 (0.3%) 1
Gastritis erosive 2/942 (0.2%) 2 0/320 (0%) 0
Gastrointestinal haemorrhage 5/942 (0.5%) 6 0/320 (0%) 0
Gastrooesophageal reflux disease 0/942 (0%) 0 1/320 (0.3%) 1
Haemorrhoidal haemorrhage 1/942 (0.1%) 1 0/320 (0%) 0
Hiatus hernia 2/942 (0.2%) 2 0/320 (0%) 0
Intestinal obstruction 1/942 (0.1%) 1 0/320 (0%) 0
Intra-abdominal haematoma 0/942 (0%) 0 1/320 (0.3%) 1
Lower gastrointestinal haemorrhage 1/942 (0.1%) 1 0/320 (0%) 0
Melaena 0/942 (0%) 0 1/320 (0.3%) 1
Pancreatitis acute 1/942 (0.1%) 1 0/320 (0%) 0
Rectal haemorrhage 3/942 (0.3%) 3 1/320 (0.3%) 1
Retroperitoneal haematoma 2/942 (0.2%) 2 0/320 (0%) 0
Retroperitoneal haemorrhage 2/942 (0.2%) 2 0/320 (0%) 0
Small intestinal obstruction 3/942 (0.3%) 3 0/320 (0%) 0
Splenic artery aneurysm 1/942 (0.1%) 1 0/320 (0%) 0
Umbilical hernia, obstructive 1/942 (0.1%) 1 0/320 (0%) 0
Upper gastrointestinal haemorrhage 1/942 (0.1%) 1 1/320 (0.3%) 1
General disorders
Adverse drug reaction 2/942 (0.2%) 2 0/320 (0%) 0
Catheter site haematoma 4/942 (0.4%) 4 3/320 (0.9%) 3
Catheter site haemorrhage 4/942 (0.4%) 4 2/320 (0.6%) 2
Catheter site related reaction 0/942 (0%) 0 1/320 (0.3%) 1
Chest discomfort 1/942 (0.1%) 1 0/320 (0%) 0
Chills 0/942 (0%) 0 1/320 (0.3%) 1
Death 1/942 (0.1%) 1 0/320 (0%) 0
Non-cardiac chest pain 53/942 (5.6%) 61 15/320 (4.7%) 18
Pain 3/942 (0.3%) 3 0/320 (0%) 0
Pyrexia 2/942 (0.2%) 2 0/320 (0%) 0
Hepatobiliary disorders
Cholecystitis 0/942 (0%) 0 2/320 (0.6%) 2
Cholecystitis acute 1/942 (0.1%) 1 1/320 (0.3%) 1
Cholelithiasis 1/942 (0.1%) 1 1/320 (0.3%) 1
Immune system disorders
Anaphylactic reaction 1/942 (0.1%) 1 0/320 (0%) 0
Anaphylactoid reaction 1/942 (0.1%) 1 0/320 (0%) 0
Drug hypersensitivity 1/942 (0.1%) 1 0/320 (0%) 0
Infections and infestations
Acinetobacter bacteraemia 0/942 (0%) 0 1/320 (0.3%) 1
Beta haemolytic streptococcal infection 0/942 (0%) 0 1/320 (0.3%) 1
Bronchitis 3/942 (0.3%) 3 0/320 (0%) 0
Cellulitis 3/942 (0.3%) 3 4/320 (1.3%) 6
Device related infection 1/942 (0.1%) 1 0/320 (0%) 0
Empyema 1/942 (0.1%) 1 0/320 (0%) 0
Endocarditis 0/942 (0%) 0 1/320 (0.3%) 1
Gastroenteritis 3/942 (0.3%) 3 0/320 (0%) 0
Gastroenteritis viral 2/942 (0.2%) 2 0/320 (0%) 0
Lobar pneumonia 0/942 (0%) 0 1/320 (0.3%) 1
Orchitis 1/942 (0.1%) 1 0/320 (0%) 0
Osteomyelitis 0/942 (0%) 0 3/320 (0.9%) 4
Perirectal abscess 1/942 (0.1%) 1 0/320 (0%) 0
Pneumonia 9/942 (1%) 9 2/320 (0.6%) 2
Pneumonia bacterial 1/942 (0.1%) 1 0/320 (0%) 0
Postoperative wound infection 2/942 (0.2%) 2 0/320 (0%) 0
Sepsis 1/942 (0.1%) 1 0/320 (0%) 0
Staphylococcal infection 1/942 (0.1%) 1 0/320 (0%) 0
Tooth abscess 1/942 (0.1%) 1 0/320 (0%) 0
Urinary tract infection 2/942 (0.2%) 2 1/320 (0.3%) 1
Viral infection 1/942 (0.1%) 1 0/320 (0%) 0
Wound infection 1/942 (0.1%) 1 0/320 (0%) 0
Injury, poisoning and procedural complications
Abdominal wound dehiscence 0/942 (0%) 0 1/320 (0.3%) 1
Anaemia postoperative 0/942 (0%) 0 1/320 (0.3%) 1
Anastomotic ulcer 1/942 (0.1%) 1 0/320 (0%) 0
Back injury 1/942 (0.1%) 1 0/320 (0%) 0
Cardiac procedure complication 2/942 (0.2%) 2 3/320 (0.9%) 3
Contrast media reaction 1/942 (0.1%) 1 0/320 (0%) 0
Contusion 1/942 (0.1%) 1 0/320 (0%) 0
Facial bones fracture 3/942 (0.3%) 3 0/320 (0%) 0
Fall 1/942 (0.1%) 1 0/320 (0%) 0
Foot fracture 1/942 (0.1%) 1 0/320 (0%) 0
Hand fracture 1/942 (0.1%) 1 0/320 (0%) 0
Hip fracture 1/942 (0.1%) 1 0/320 (0%) 0
Joint injury 1/942 (0.1%) 1 0/320 (0%) 0
Laceration 1/942 (0.1%) 1 0/320 (0%) 0
Ligament rupture 1/942 (0.1%) 1 0/320 (0%) 0
Limb injury 2/942 (0.2%) 2 0/320 (0%) 0
Lumbar vertebral fracture 1/942 (0.1%) 1 0/320 (0%) 0
Meniscus lesion 1/942 (0.1%) 1 0/320 (0%) 0
Multiple fractures 1/942 (0.1%) 1 0/320 (0%) 0
Post procedural bile leak 0/942 (0%) 0 1/320 (0.3%) 1
Renal injury 0/942 (0%) 0 1/320 (0.3%) 1
Road traffic accident 1/942 (0.1%) 1 0/320 (0%) 0
Skin laceration 2/942 (0.2%) 2 0/320 (0%) 0
Subdural haematoma 1/942 (0.1%) 2 0/320 (0%) 0
Tendon rupture 2/942 (0.2%) 2 0/320 (0%) 0
Thoracic vertebral fracture 1/942 (0.1%) 1 0/320 (0%) 0
Wound 1/942 (0.1%) 1 0/320 (0%) 0
Wound complication 0/942 (0%) 0 1/320 (0.3%) 1
Investigations
Blood creatine phosphokinase MB increased 1/942 (0.1%) 1 0/320 (0%) 0
Blood creatine phosphokinase increased 2/942 (0.2%) 2 0/320 (0%) 0
Blood pressure increased 1/942 (0.1%) 1 0/320 (0%) 0
Cardiac enzymes increased 3/942 (0.3%) 3 2/320 (0.6%) 2
Ejection fraction decreased 1/942 (0.1%) 1 0/320 (0%) 0
International normalised ratio increased 1/942 (0.1%) 1 1/320 (0.3%) 1
Troponin I increased 1/942 (0.1%) 1 0/320 (0%) 0
Troponin increased 0/942 (0%) 0 1/320 (0.3%) 1
White blood cell count increased 1/942 (0.1%) 1 0/320 (0%) 0
Metabolism and nutrition disorders
Dehydration 2/942 (0.2%) 2 0/320 (0%) 0
Diabetes mellitus inadequate control 1/942 (0.1%) 2 1/320 (0.3%) 1
Diabetic foot 1/942 (0.1%) 2 0/320 (0%) 0
Gout 1/942 (0.1%) 1 0/320 (0%) 0
Hyperglycaemia 0/942 (0%) 0 1/320 (0.3%) 1
Hyperkalaemia 1/942 (0.1%) 1 0/320 (0%) 0
Hypoglycaemia 1/942 (0.1%) 1 1/320 (0.3%) 1
Hypokalaemia 0/942 (0%) 0 1/320 (0.3%) 1
Obesity 1/942 (0.1%) 1 0/320 (0%) 0
Musculoskeletal and connective tissue disorders
Arthralgia 2/942 (0.2%) 2 0/320 (0%) 0
Arthritis 1/942 (0.1%) 1 0/320 (0%) 0
Arthropathy 1/942 (0.1%) 1 0/320 (0%) 0
Back pain 2/942 (0.2%) 2 1/320 (0.3%) 1
Dupuytren's contracture 1/942 (0.1%) 1 0/320 (0%) 0
Lumbar spinal stenosis 1/942 (0.1%) 1 0/320 (0%) 0
Mobility decreased 0/942 (0%) 0 1/320 (0.3%) 1
Muscle spasms 1/942 (0.1%) 1 0/320 (0%) 0
Muscular weakness 1/942 (0.1%) 1 0/320 (0%) 0
Musculoskeletal chest pain 1/942 (0.1%) 1 0/320 (0%) 0
Musculoskeletal pain 1/942 (0.1%) 1 0/320 (0%) 0
Osteoarthritis 3/942 (0.3%) 3 0/320 (0%) 0
Pain in extremity 2/942 (0.2%) 2 0/320 (0%) 0
Pain in jaw 0/942 (0%) 0 1/320 (0.3%) 1
Rotator cuff syndrome 2/942 (0.2%) 3 0/320 (0%) 0
Sensation of heaviness 1/942 (0.1%) 1 0/320 (0%) 0
Spinal column stenosis 2/942 (0.2%) 2 0/320 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign salivary gland neoplasm 1/942 (0.1%) 1 0/320 (0%) 0
Bladder cancer 2/942 (0.2%) 2 0/320 (0%) 0
Brain cancer metastatic 0/942 (0%) 0 1/320 (0.3%) 1
Brain neoplasm benign 0/942 (0%) 0 1/320 (0.3%) 1
Breast cancer 3/942 (0.3%) 3 1/320 (0.3%) 1
Colon cancer 0/942 (0%) 0 1/320 (0.3%) 1
Lymphoma 0/942 (0%) 0 1/320 (0.3%) 1
Metastases to lung 1/942 (0.1%) 1 0/320 (0%) 0
Metastatic carcinoma of the bladder 1/942 (0.1%) 1 0/320 (0%) 0
Papillary thyroid cancer 1/942 (0.1%) 1 0/320 (0%) 0
Rectosigmoid cancer 1/942 (0.1%) 1 0/320 (0%) 0
Renal neoplasm 1/942 (0.1%) 1 0/320 (0%) 0
Skin cancer 0/942 (0%) 0 1/320 (0.3%) 1
Tongue neoplasm malignant stage unspecified 1/942 (0.1%) 1 0/320 (0%) 0
Transitional cell carcinoma 1/942 (0.1%) 1 0/320 (0%) 0
Nervous system disorders
Carotid artery stenosis 4/942 (0.4%) 5 2/320 (0.6%) 3
Cerebrovascular accident 0/942 (0%) 0 1/320 (0.3%) 1
Convulsion 1/942 (0.1%) 1 0/320 (0%) 0
Dizziness 2/942 (0.2%) 2 0/320 (0%) 0
Embolic stroke 0/942 (0%) 0 1/320 (0.3%) 1
Haemorrhage intracranial 0/942 (0%) 0 1/320 (0.3%) 1
Headache 1/942 (0.1%) 1 0/320 (0%) 0
Hydrocephalus 1/942 (0.1%) 1 0/320 (0%) 0
Loss of consciousness 1/942 (0.1%) 1 0/320 (0%) 0
Nerve compression 1/942 (0.1%) 1 0/320 (0%) 0
Presyncope 1/942 (0.1%) 1 1/320 (0.3%) 1
Subarachnoid haemorrhage 1/942 (0.1%) 1 1/320 (0.3%) 1
Syncope 3/942 (0.3%) 3 0/320 (0%) 0
Syncope vasovagal 2/942 (0.2%) 2 0/320 (0%) 0
Transient ischaemic attack 0/942 (0%) 0 3/320 (0.9%) 4
Psychiatric disorders
Mental status changes 4/942 (0.4%) 4 1/320 (0.3%) 1
Renal and urinary disorders
Haematuria 4/942 (0.4%) 4 0/320 (0%) 0
Nephrolithiasis 2/942 (0.2%) 2 1/320 (0.3%) 1
Nephropathy toxic 0/942 (0%) 0 1/320 (0.3%) 1
Renal artery stenosis 1/942 (0.1%) 1 2/320 (0.6%) 2
Renal failure 2/942 (0.2%) 2 0/320 (0%) 0
Renal failure acute 4/942 (0.4%) 4 2/320 (0.6%) 2
Urinary retention 2/942 (0.2%) 2 0/320 (0%) 0
Reproductive system and breast disorders
Benign prostatic hyperplasia 1/942 (0.1%) 1 0/320 (0%) 0
Prostatitis 0/942 (0%) 0 1/320 (0.3%) 1
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure 1/942 (0.1%) 1 0/320 (0%) 0
Chronic obstructive pulmonary disease 5/942 (0.5%) 5 1/320 (0.3%) 1
Dyspnoea 7/942 (0.7%) 7 3/320 (0.9%) 3
Dyspnoea exertional 0/942 (0%) 0 1/320 (0.3%) 1
Epistaxis 1/942 (0.1%) 2 2/320 (0.6%) 3
Laryngeal mass 1/942 (0.1%) 1 0/320 (0%) 0
Pleural effusion 1/942 (0.1%) 2 0/320 (0%) 0
Pleuritic pain 0/942 (0%) 0 1/320 (0.3%) 1
Pneumonia aspiration 1/942 (0.1%) 1 0/320 (0%) 0
Pneumonitis 0/942 (0%) 0 1/320 (0.3%) 1
Pneumothorax 1/942 (0.1%) 1 0/320 (0%) 0
Pulmonary embolism 2/942 (0.2%) 2 3/320 (0.9%) 3
Pulmonary fibrosis 0/942 (0%) 0 1/320 (0.3%) 1
Respiratory arrest 0/942 (0%) 0 1/320 (0.3%) 1
Respiratory distress 1/942 (0.1%) 1 0/320 (0%) 0
Respiratory failure 2/942 (0.2%) 3 2/320 (0.6%) 2
Skin and subcutaneous tissue disorders
Hyperhidrosis 0/942 (0%) 0 1/320 (0.3%) 1
Skin ulcer 0/942 (0%) 0 1/320 (0.3%) 1
Surgical and medical procedures
Spinal decompression 1/942 (0.1%) 1 0/320 (0%) 0
Vascular disorders
Aortic aneurysm 2/942 (0.2%) 3 0/320 (0%) 0
Aortic stenosis 1/942 (0.1%) 1 0/320 (0%) 0
Arterial thrombosis limb 1/942 (0.1%) 1 0/320 (0%) 0
Coronary artery stenosis 1/942 (0.1%) 1 1/320 (0.3%) 1
Deep vein thrombosis 4/942 (0.4%) 4 1/320 (0.3%) 1
Femoral arterial stenosis 1/942 (0.1%) 1 0/320 (0%) 0
Haematoma 3/942 (0.3%) 3 0/320 (0%) 0
Hypertension 4/942 (0.4%) 4 0/320 (0%) 0
Hypotension 4/942 (0.4%) 4 1/320 (0.3%) 1
Intermittent claudication 10/942 (1.1%) 11 0/320 (0%) 0
Myocardial infarction 1/942 (0.1%) 1 0/320 (0%) 0
Orthostatic hypotension 0/942 (0%) 0 1/320 (0.3%) 1
Peripheral artery dissection 1/942 (0.1%) 1 0/320 (0%) 0
Peripheral vascular disorder 4/942 (0.4%) 5 4/320 (1.3%) 4
Phlebitis 0/942 (0%) 0 1/320 (0.3%) 1
Phlebitis superficial 0/942 (0%) 0 1/320 (0.3%) 1
Subclavian artery stenosis 1/942 (0.1%) 1 0/320 (0%) 0
Thrombophlebitis superficial 1/942 (0.1%) 1 0/320 (0%) 0
Vascular pseudoaneurysm 7/942 (0.7%) 7 2/320 (0.6%) 2
Other (Not Including Serious) Adverse Events
TAXUS Element TAXUS Express
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 277/942 (29.4%) 97/320 (30.3%)
Cardiac disorders
Angina pectoris 98/942 (10.4%) 114 40/320 (12.5%) 44
General disorders
Catheter site haematoma 46/942 (4.9%) 47 19/320 (5.9%) 22
Catheter site haemorrhage 28/942 (3%) 28 16/320 (5%) 18
Non-cardiac chest pain 120/942 (12.7%) 150 32/320 (10%) 36
Musculoskeletal and connective tissue disorders
Back pain 55/942 (5.8%) 56 18/320 (5.6%) 19

Limitations/Caveats

The comparator control for PERSEUS Workhorse study was chosen based on commercially available stent (TAXUS Express) at the time of study enrollment. Thus, the comparator group does not represent the most recently available paclitaxel-eluting stent.

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Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The Principal Investigator shall have the right to publish the results, provided that before publishing, the PI shall submit copies of any proposed publication or presentation to Sponsor for review at least sixty (60) days in advance of submission for publication or presentation to a publisher or other third party. Sponsor reserves the right to delete any confidential information or other proprietary information of Sponsor from the proposed publication or presentation.

Results Point of Contact

Name/Title Andrey Nersesov, Clinical Project Manager
Organization Boston Scientific
Phone 508-683-4988
Email andrey.nersesov@bsci.com
Responsible Party:
Boston Scientific Corporation
ClinicalTrials.gov Identifier:
NCT00484315
Other Study ID Numbers:
  • S2037
  • S2037-PIVOT-2006
First Posted:
Jun 8, 2007
Last Update Posted:
May 8, 2014
Last Verified:
Apr 1, 2014