Abbott's Market-Leading XIENCE V(R) Shows Increasing Clinical Advantages Over TAXUS(R) Express2(TM)/TAXUS(R) Liberte(TM) Between
2009年3月29日 - 10:30PM
PRニュース・ワイアー (英語)
In SPIRIT II Trial, XIENCE V Drug Eluting Stent Demonstrates
Clinically Meaningful Reductions Compared to TAXUS in Key Safety
Endpoints, Including an 88 Percent Reduction in the Risk of Cardiac
Death at Three Years ORLANDO, Fla., March 29 /PRNewswire-FirstCall/
-- Long-term data presented today from Abbott's (NYSE:ABT) SPIRIT
II clinical trial demonstrated that the clinical advantages of the
XIENCE V(R) Everolimus Eluting Coronary Stent System continued to
increase between two and three years compared to the TAXUS(R)
Express2(TM) Paclitaxel-Eluting Coronary Stent System / TAXUS(R)
Liberte(TM) Paclitaxel-Eluting Coronary Stent System (TAXUS). Both
TAXUS Express2 (73 percent of lesions) and TAXUS Liberte (27
percent of lesions) were used as controls in the SPIRIT II trial.
The data also showed that patients treated with XIENCE V continue
to experience fewer heart attacks, deaths or repeat procedures at
the target lesion compared to patients treated with TAXUS out to
three years. The results from the SPIRIT II trial were presented
during the i2 Summit at the American College of Cardiology's 58th
annual scientific session in Orlando, Fla. Between two and three
years, Abbott's market-leading XIENCE V maintained a low cardiac
death rate of 0.5 percent, while the observed cardiac death rate
for TAXUS more than tripled during the same time period (1.3
percent at two years vs. 4.2 percent at three years)*. Similarly,
XIENCE V maintained a low, single-digit rate of major adverse
cardiac events (MACE) between two and three years (6.4 percent at
two years vs. 6.4 percent at three years), while the observed MACE
rate with TAXUS increased approximately 40 percent between two and
three years (10.5 percent at two years vs. 14.9 percent at three
years)*. MACE is an important composite clinical measure of safety
and efficacy outcomes for patients, defined as cardiac death, heart
attack (myocardial infarction or MI), or ischemia-driven target
lesion revascularization (ID-TLR driven by lack of blood supply).
In addition, the SPIRIT II results demonstrated that XIENCE V
continues to outperform TAXUS, with XIENCE V showing continued
clinical benefits at three years, including an 88 percent reduction
in the risk of cardiac death and a 57 percent reduction in the risk
of MACE. "In the clinical outcomes that matter most, such as heart
attack, repeat procedure at the target lesion or death, XIENCE V
demonstrated a consistent reduction compared to TAXUS out to three
years," said Patrick W. Serruys, M.D., Ph.D., professor of
Interventional Cardiology at Thoraxcentre, Erasmus University
Hospital, Rotterdam, the Netherlands, and principal investigator of
the SPIRIT II clinical trial. "What's even more impressive is that
the clinical differences between XIENCE V and TAXUS continue to
widen between two and three years, confirming the long-term safety
and efficacy of XIENCE V." In the 300-patient SPIRIT II trial,
XIENCE V demonstrated the following key results at three years: --
An 88 percent reduction in the risk of cardiac death compared to
TAXUS (0.5 percent for XIENCE V vs. 4.2 percent for TAXUS,
p-value=0.024)*. -- A 57 percent reduction in the risk of MACE
compared to TAXUS (6.4 percent for XIENCE V vs. 14.9 percent for
TAXUS, p-value=0.029)*. -- An observed 52 percent reduction in the
risk of heart attacks (MI) compared to TAXUS (3.3 percent for
XIENCE V vs. 6.8 percent for TAXUS, p-value=0.20)*. -- An observed
56 percent reduction in the risk of ID-TLR compared to TAXUS (4.2
percent for XIENCE V vs. 9.4 percent for TAXUS, p-value=0.092)*. --
No stent thrombosis between two and three years with XIENCE V, and
a low rate of stent thrombosis from zero to three years, per
Academic Research Consortium (ARC) definition of definite/probable
stent thrombosis (0.9 percent for XIENCE V and 2.8 percent for
TAXUS, p-value=0.27)*. The ARC definitions of stent thrombosis were
developed to eliminate variability in the definitions across
various drug eluting stent trials. Event rates based on
Kaplan-Meier estimates; p-values are for descriptive purposes only.
"The data from the SPIRIT family of trials continue to prove that
XIENCE V is an excellent option for patients. Physicians have
embraced this technology, as demonstrated by the market-leading
position of XIENCE V around the world," said John Capek, Ph.D.,
executive vice president, Medical Devices, Abbott. "Our
next-generation drug eluting stent in development, XIENCE PRIME,
builds upon the outstanding body of clinical evidence from the
SPIRIT family of clinical trials, while the new stent design and
its delivery system build upon the excellent performance of the
VISION cobalt chromium platform, improving deliverability and
helping physicians treat difficult lesions." XIENCE V is the
market-leading drug eluting stent platform, with 50 percent share
in the United States, and market-leading share around the world.
Abbott's next-generation XIENCE PRIME(TM) Everolimus Eluting
Coronary Stent System utilizes the same drug and polymer as
Abbott's market-leading XIENCE V stent and builds upon the proven
design of the MULTI-LINK(R) family of stents. XIENCE PRIME features
a new stent design and delivery system that are designed to make it
more flexible for improved deliverability. Abbott plans to make
XIENCE PRIME available in an expanded size matrix with lengths up
to 38 mm. The company expects to launch XIENCE PRIME in Europe
later this year. About the SPIRIT II Trial SPIRIT II is a
prospective, multi-center, randomized, single-blind, controlled
clinical trial comparing XIENCE V to TAXUS in 300 patients (223
XIENCE V patients, 77 TAXUS patients) with either one or two de
novo native coronary artery lesions. Patients from Europe, India
and New Zealand were enrolled in the trial between July 5, 2005,
and Nov.15, 2005. The primary endpoint of the SPIRIT II trial was
in-stent late loss at six months, wherein XIENCE V demonstrated
superiority to TAXUS with a statistically significant 69 percent
reduction in late loss (mean, 0.11 mm for XIENCE V vs. 0.36 mm for
TAXUS). In-stent late loss is a measure of vessel re-narrowing.
About XIENCE V XIENCE V 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. 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 stent is 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 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
Japan's Ministry of Health, Labour and Welfare and the
Pharmaceuticals and Medical Devices Agency. Abbott also supplies a
private-label version of XIENCE V to Boston Scientific called the
PROMUS(R) 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
anti-proliferative 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 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,
+1-408-624-0314, or Jennie Kim, +1-408-332-4176, or Financial, Tina
Ventura, +1-847-935-9390, all of Abbott Web Site:
http://www.abbott.com/
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