Phase 3
Completed N=1,262
TAXUS PERSEUS Workhorse
Source: ClinicalTrials.gov NCT00484315 ↗Enrolled (actual)
1,262
Serious AEs
35.2%
Results posted
Jun 2011
Primary outcomePrimary: 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. — 51; 19 participants — p=0.9996
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.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY 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. |
51; 19 | 0.9996 |
| SECONDARY In-segment Percent Diameter Stenosis at 9 Months Post-index Procedure |
26.1; 26.28 | 0.9970 |
Eligibility 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 60° bend in target vessel
- Target vessel with angiographic presence of probable or definite thrombus
- Unprotected left main coronary artery disease
- Prote
Data sourced from ClinicalTrials.gov (NCT00484315). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.