PERSEUS WH: TAXUS PERSEUS Workhorse
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 |
---|---|---|
|
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
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
- 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
- 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
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.- S2037
- S2037-PIVOT-2006
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
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. |
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
More Information
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 |
andrey.nersesov@bsci.com |
- S2037
- S2037-PIVOT-2006