CHICAGO--(BUSINESS WIRE)--Mar. 24, 2012-- According to new clinical data presented today at ACC.12 –– the 61st Annual Scientific Session & Expo of the American College of Cardiology (ACC)...
The latest data on this novel heart stent, which received approval from the
Highlights of the two-year data include low rates of target lesion failure (TLF), target lesion revascularization (TLR) and definite/probable stent thrombosis (def/prob ST).
“What’s particularly striking about the two-year outcomes from the Resolute clinical program is the device’s consistently strong performance and low event rates in such a wide variety and high number of patients,” explained Dr. Mauri, a national co-principal investigator of RESOLUTE US like Dr. Yeung and
RESOLUTE US
RESOLUTE US enrolled 1,402 patients across 128 U.S.-based clinical trial sites. The two-year results among 1,359 patients include low rates of TLF (7.3%), clinically-driven TLR (4.3%), and def/prob ST (0.2%).
These powerful clinical results were achieved despite 34 percent of the patients having diabetes mellitus, which typically drives higher event rates. Among the 474 patients with diabetes in RESOLUTE US, the Resolute DES showed consistently low two-year rates of TLF (8.9%) and clinically-driven TLR (5.7%) and no def/prob ST (0.0%).
Pooled Analyses
The global RESOLUTE clinical program consisted of a large randomized controlled trial and a series of confirmatory single-arm studies involving nearly 250 sites in 32 countries. In total, the program enrolled 5,130 patients who received a Resolute DES; about one third (n=1,535) of these patients had diabetes, a proportion that mirrors the U.S. patient mix for percutaneous coronary intervention (PCI).
For the pooled analyses related to safety and diabetes presented today at ACC.12, two-year data on more than 5,000 patients from the RESOLUTE program who received a Resolute DES were included. Individual trials, while powered for many composite endpoints, are often underpowered to show real differences for low-frequency but clinically important adverse events such as ST.
The two-year update to RESOLUTE Pooled Safety showed very low rates of clinically-driven TLR (4.7%) and def/prob ST (0.9%), despite 46 percent of the patients in the RESOLUTE program being considered complex1.
The two-year update to RESOLUTE Pooled Diabetes, which presents clinical outcomes in patients with and without diabetes who received a Resolute DES, shows consistently low event rates out to two years despite the higher-risk nature of the diabetes patient population. For example, the update presents clinically-driven TLR and def/prob ST rates for the standard-risk diabetes patients, a cohort pre-specified for analysis by the
Dataset | Patients with Diabetes | Patients without Diabetes | ||||||
RESOLUTE Pooled | ||||||||
Standard-Risk Cohort (N=2,781) | (N=878) | (N=1,903) | ||||||
-- clinically-driven TLR | 4.8% | 3.4% | ||||||
-- def/prob ST | 0.3% | 0.4% |
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1Complex patient definition: bifurcation, bypass grafts, ISR, AMI <72 hr, LVEF <30%, unprotected LM, >2 vessels stented, renal insufficiency or failure (creatinine >140 µmol/L), lesion length >27 mm, >1 lesion per vessel, lesion with thrombus or TO (preprocedure TIMI = 0). Only R-AC and R-INT included complex patients.
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