The Lancet Publishes Two-Year Results of Abbott's Fully Bioabsorbable Drug Eluting Stent
2009年3月13日 - 7:30AM
PRニュース・ワイアー (英語)
Data Demonstrate Bioabsorbable Stent Is Absorbed Within Two Years,
Leaving Behind Blood Vessels that Appear to Move and Function
Similar to Untreated Vessels ABBOTT PARK, Ill., March 12
/PRNewswire-FirstCall/ -- A comprehensive analysis published today
in The Lancet, one of the world's leading medical journals, from
the ABSORB clinical trial demonstrated that Abbott's bioabsorbable
drug eluting stent, currently in development, successfully treated
coronary artery disease and was absorbed into the walls of treated
arteries within two years. The two-year data also demonstrated that
after the bioabsorbable device was absorbed, the treated blood
vessels appeared to move and function similar to unstented
arteries. Preliminary findings from the 30-patient ABSORB trial
were presented in October 2008 at the Transcatheter Cardiovascular
Therapeutics annual meeting in Washington, D.C. "Abbott's
bioabsorbable drug eluting stent leaves behind a vessel that
expands and contracts in a manner similar to a vessel that has
never been stented, which could be an advantage over permanent
metal-based stent implants," said Patrick W. Serruys, M.D., Ph.D.,
professor of interventional cardiology at the Thoraxcentre, Erasmus
University Hospital, Rotterdam, the Netherlands; lead author of The
Lancet publication; and co-principal investigator of the first
phase of the ABSORB trial. "This bioabsorbable device has the
potential to provide optimal vessel scaffolding and drug delivery
capability over the crucial first several months after a stenting
procedure while avoiding the long-term restrictions of metallic
stents." The ABSORB trial is the world's first clinical trial
evaluating a fully bioabsorbable drug eluting coronary stent, and
advanced imaging methods were used to assess patient outcomes. As
published in The Lancet, the first phase of the ABSORB trial
demonstrated the following key results: -- A zero percent rate of
stent thrombosis (blood clot formation) for all patients out to two
years of follow up. -- No new major adverse cardiac events (MACE)
between six months and two years. At two years, the bioabsorbable
device demonstrated a MACE rate of 3.6 percent (one patient). MACE
is defined as any event that resulted in re-treatment of the
treated artery lesion, heart attack or cardiac death. --
Bioabsorption of the stent at two years after implantation, as
confirmed by an assessment of the stent struts using optical
coherence tomography (OCT). -- Restoration of vasomotion (ability
of the blood vessel to contract and expand) was observed at two
years, with the drug acetylcholine used in nine patients showing
vasodilation in the previously stented area, and the drug methergin
used in seven patients showing vasoconstriction in the previously
stented area. -- Reduction in plaque area in treated arteries,
corresponding to an increase in blood flow between six months and
two years, as confirmed by intravascular ultrasound (IVUS) and
virtual histology. "Abbott's bioabsorbable stent may be a major
breakthrough in the treatment of narrowed coronary arteries. The
two-year ABSORB trial results show that the bioabsorbable device
did its job of relieving coronary obstructions and preventing
re-narrowing, and that it did this safely," said John Ormiston,
M.D., medical director at Mercy Hospital in Auckland, New Zealand
and principal investigator in the first phase of the ABSORB trial.
"With no rigid stent remaining, vasomotion - the natural movement
of the artery - was restored, and the artery appeared to behave
like a normal artery. Who would want a permanent device if a
temporary one may do the job and then disappear?" Abbott is the
only company with long-term clinical data evaluating the safety and
performance of a bioabsorbable drug eluting coronary stent out to
two years. Abbott's bioabsorbable everolimus eluting coronary
device is made of polylactic acid, a proven biocompatible material
that is commonly used in medical implants such as dissolvable
sutures. As with a metallic stent, Abbott's bioabsorbable stent is
designed to restore blood flow by propping a clogged vessel open,
and to provide support until the blood vessel heals. Unlike a
metallic stent, however, a bioabsorbable device is designed to be
slowly metabolized by the body and completely absorbed over time.
"Abbott has consistently been at the forefront of advances in
interventional cardiology - from the early days of angioplasty to
our continued success with bare metal stents and the market-leading
XIENCE V drug eluting stent. Our bioabsorbable device is another
example of scientific innovation leading to an interventional
breakthrough," said John M. Capek, Ph.D., executive vice president,
Medical Devices, Abbott. "Today's data publication in The Lancet
confirms the promise our bioabsorbable device holds as a
vasorestorative therapy for patients with coronary artery disease."
Abbott will begin enrolling patients in the second phase of its
international ABSORB clinical trial in the first half of 2009.
About the ABSORB Clinical Trial The ABSORB trial is a prospective,
non-randomized (open label), two-phase study designed to enroll
approximately 110 patients in Australia, Belgium, Denmark, France,
the Netherlands, New Zealand, Poland and Switzerland. Key endpoints
of the study include assessments of safety - MACE and stent
thrombosis rates - at 30 days, six, nine and 18 months, and one and
two years, with additional annual clinical follow-up for up to five
years, as well as an assessment of the acute performance of the
bioabsorbable drug eluting stent, including successful deployment
of the stent. Other key endpoints of the study include imaging
assessments by angiography, IVUS, OCT, and other state-of-the-art
invasive and non-invasive imaging modalities at six and 18 months,
and at one or two years. About XIENCE V Abbott's market-leading
XIENCE V(TM) Everolimus Eluting Coronary Stent System was approved
by the U.S. Food and Drug Administration and launched in July 2008,
and was launched in Europe and other international markets in
October 2006. XIENCE V is an investigational device in Japan and is
currently under review by the Ministry of Health, Labour and
Welfare and the Pharmaceuticals and Medical Devices Agency.
Additional information about XIENCE V, including important safety
and effectiveness information, is available online at
http://www.xiencev.com/. 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
anti-proliferative properties. 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 72,000 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/.
DATASOURCE: Abbott CONTACT: Media, Jonathon Hamilton,
+1-408-845-3491, or Jennie Kim, +1-408-845-1755, or Financial, Tina
Ventura, +1-847-935-9390, all of Abbott Web Site:
http://www.abbott.com/
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