FDA Approves Abbott's XIENCE(TM) V Drug Eluting Stent
2008年7月3日 - 6:19AM
PRニュース・ワイアー (英語)
XIENCE V, Only Drug Eluting Stent to Demonstrate Superiority Over
Market-Leading Stent in Clinical Trials, Now Available in United
States for Treatment of Coronary Artery Disease ABBOTT PARK, Ill.,
July 2 /PRNewswire-FirstCall/ -- Abbott today announced that the
U.S. Food and Drug Administration (FDA) approved the XIENCE(TM) V
Everolimus Eluting Coronary Stent System for the treatment of
coronary artery disease. XIENCE V is the only drug eluting stent to
have demonstrated superiority over Boston Scientific's TAXUS(R)
paclitaxel-eluting coronary stent system in two randomized
head-to-head clinical trials. XIENCE V will be launched in the
United States immediately. "XIENCE V represents an important
treatment advance for the estimated 13 million people in the United
States suffering from coronary artery disease, and we believe
XIENCE V will quickly become the new standard for drug eluting
stents given its outstanding clinical results," said John M. Capek,
Ph.D., executive vice president, Medical Devices, Abbott.
"Physicians in the United States have been waiting for years to
treat their patients with a technology that delivers on the promise
of drug eluting stents through both ease of use and excellent
clinical performance, and XIENCE V is that technology." The XIENCE
V drug coated stent is used to treat coronary artery disease by
propping open a narrowed or blocked artery and releasing the drug,
everolimus, in a controlled manner to prevent the artery from
becoming blocked again following a stent procedure. Coronary artery
disease occurs when plaque build- up narrows the arteries and
reduces blood flow to the heart, which can lead to chest pain or a
heart attack. "XIENCE V was designed to improve safety and efficacy
compared to earlier generation stents. The long-term clinical data
from two studies performed in both the United States and Europe
have now confirmed that XIENCE V is a true next-generation drug
eluting stent with clinically important benefits for patients,"
said Gregg W. Stone, M.D., Columbia University Medical Center;
chairman, Cardiovascular Research Foundation, New York; and
principal investigator of the SPIRIT III U.S. pivotal clinical
trial for XIENCE V. Clinical Data Supporting XIENCE V The robust
clinical program for XIENCE V includes long-term data from a total
of 1,362 patients enrolled in the SPIRIT FIRST, SPIRIT II and
SPIRIT III trials, as well as continued access and post-approval
programs that will enroll more than 14,000 XIENCE V patients. The
FDA approved XIENCE V based, in large part, on superior results
from the 1,002 patient SPIRIT III U.S. pivotal clinical trial, in
which XIENCE V demonstrated statistical superiority to TAXUS on the
study's primary endpoint of in-segment late loss (vessel
renarrowing) at eight months, with a statistically significant 50
percent reduction (mean, 0.14 mm for XIENCE V vs. 0.28 mm for
TAXUS). XIENCE V also demonstrated statistical non-inferiority to
TAXUS in the co-primary endpoint of target vessel failure (TVF,
cardiac events related to the stented vessel) at nine months, with
an observed 20 percent reduction (7.2 percent for XIENCE V vs. 9.0
percent for TAXUS). TVF is a composite clinical measure of safety
and efficacy outcomes defined as cardiac death, heart attack
(myocardial infarction or MI) or target vessel revascularization
(TVR). In May 2008, Abbott presented two-year data from the SPIRIT
III trial demonstrating that XIENCE V continues to deliver positive
clinical benefits for patients. At two years, the XIENCE V
demonstrated the following key results: -- A 45 percent reduction
in the risk of major adverse cardiac events (MACE) compared to
TAXUS (7.3 percent for XIENCE V vs. 12.8 percent for TAXUS,
p-value=0.004)*. MACE is an important composite clinical measure of
safety and efficacy outcomes for patients, defined as cardiac
death, heart attack (MI) or ischemia-driven target lesion
revascularization (TLR, repeat procedures driven by lack of blood
supply). -- A 32 percent reduction in the risk of TVF compared to
TAXUS (10.7 percent for XIENCE V vs. 15.4 percent for TAXUS,
p-value=0.04)*. -- Low rates of stent thrombosis between one and
two years, defined as very late stent thrombosis, per Academic
Research Consortium (ARC) definition of definite/probable stent
thrombosis (0.3 percent for XIENCE V and 1.0 percent for TAXUS) and
per the SPIRIT III protocol (0.2 percent for XIENCE V and 1.0
percent for TAXUS). The ARC definition of late stent thrombosis was
developed to eliminate variability in the definitions across
various drug eluting stent trials. "Today's approval of XIENCE V is
a reflection of Abbott's ongoing commitment to bring
innovation-driven, leading-edge medical technologies to the people
who need them," added Capek. "With one of the largest, most
seasoned vascular sales forces in the United States and with the
ability to supply more than half the worldwide market, we will
begin shipping units of XIENCE V immediately to meet physician
demand for this much awaited, next- generation technology." More
About XIENCE V XIENCE V is built upon Abbott's market-leading bare
metal stent, the MULTI-LINK VISION(R) Coronary Stent System. The
VISION platform is designed to facilitate ease of delivery, making
it easier for physicians to maneuver the stent and treat the
diseased portion of the artery. The XIENCE V drug coated stent will
be available on both over-the-wire (OTW) and rapid exchange (RX)
delivery systems. Rapid exchange is the most widely used type of
delivery system because it provides physicians additional
flexibility to work as single operators during stent procedures.
XIENCE V was launched in Europe and other international markets in
October 2006. XIENCE V is an investigational device in Japan and is
currently under review for approval by Japan's Ministry of Health,
Labour and Welfare (MHLW) and the Pharmaceuticals and Medical
Devices Agency (PMDA). Abbott also supplies a private-label version
of XIENCE V to Boston Scientific called the PROMUS(TM)
Everolimus-Eluting Coronary Stent System. PROMUS is designed and
manufactured by Abbott and supplied to Boston Scientific as part of
a distribution agreement between the two companies. Everolimus,
developed by Novartis Pharma AG, is a proliferation signal
inhibitor, or mTOR inhibitor, licensed to Abbott by Novartis for
use on its drug eluting stents. Everolimus has been shown to
inhibit in-stent neointimal growth in the coronary vessels
following stent implantation, due to its antiproliferative
properties. Additional information about XIENCE V, including
important safety and effectiveness information, is available online
at http://www.xiencev.com/. About Abbott Vascular Abbott Vascular,
a division of Abbott, is one of the world's leading vascular care
businesses. Abbott Vascular is uniquely focused on advancing the
treatment of vascular disease and improving patient care by
combining the latest medical device innovations with world-class
pharmaceuticals, investing in research and development and
advancing medicine through training and education. Headquartered in
Northern California, Abbott Vascular offers a comprehensive
portfolio of vessel closure, endovascular and coronary products.
About Abbott Abbott is a global, broad-based health care company
devoted to the discovery, development, manufacture and marketing of
pharmaceuticals and medical products, including nutritionals,
devices and diagnostics. The company employs more than 68,000
people and markets its products in more than 130 countries.
Abbott's news releases and other information are available on the
company's Web site at http://www.abbott.com/. *Event rates are
based on Kaplan-Meier estimates; p-values are for descriptive
purposes only. EDITORS NOTE: Additional background information,
including broadcast- quality video, animation and images, are
available to members of the media through the XIENCE V media kit at
http://www.xiencemediakit.com/. DATASOURCE: Abbott CONTACT: Media,
Kelly Morrison, +1-847-937-3802, or Jonathon Hamilton,
+1-408-390-5074, or Financial, John Thomas, +1-847-938-2655, or
Larry Peepo, +1-847-935-6722, all of Abbott Web site:
http://www.abbott.com/ http://www.xiencev.com/
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