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N/A Completed N=400 Randomized Single-blind Treatment

AVJ-301 Clinical Trial: A Clinical Evaluation of AVJ-301 (Absorb™ BVS) in Japanese Population

Source: ClinicalTrials.gov NCT01844284 ↗
Enrolled (actual)
400
Serious AEs
47.0%
Results posted
Feb 2019
Primary outcomePrimary: Number of Participants With Target Lesion Failure (TLF) — 11; 5 Participants

Summary

Prospective, Randomized (2:1), active control, single-blind, non-inferiority, multicenter, Japanese Clinical Trial to evaluate the safety and effectiveness of Absorb™ BVS (AVJ-301) in the treatment of subjects with ischemic heart disease caused by de novo native coronary artery lesions in Japanese population by comparing to approved metallic drug eluting stent.

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Target Lesion Failure (TLF)
28; 10
SECONDARY
Number of Participants With Any Death/Any MI/Revascularization (DMR)
74; 34
SECONDARY
Number of Participants With Any Death/Any MI/Revascularization (DMR)
74; 34
SECONDARY
Number of Participants With Any Death/Any MI/Revascularization (DMR)
74; 34
SECONDARY
Number of Participants With Any Death/Any MI/Revascularization (DMR)
74; 34
SECONDARY
Number of Participants With Any Death/Any MI/Revascularization (DMR)
74; 34
SECONDARY
Number of Participants With Any Death/Any MI/Revascularization (DMR)
74; 34
SECONDARY
Number of Participants With Any Death/Any MI/Revascularization (DMR)
74; 34
SECONDARY
Number of Participants With Any Death/Any MI/Revascularization (DMR)
74; 34
SECONDARY
Number of Participants With Target Vessel Failure (TVF)
41; 17
SECONDARY
Number of Participants With Target Vessel Failure (TVF)
41; 17
SECONDARY
Number of Participants With Target Vessel Failure (TVF)
41; 17
SECONDARY
Number of Participants With Target Vessel Failure (TVF)
41; 17
SECONDARY
Number of Participants With Target Vessel Failure (TVF)
41; 17
SECONDARY
Number of Participants With Target Vessel Failure (TVF)
41; 17
SECONDARY
Number of Participants With Target Vessel Failure (TVF)
41; 17
SECONDARY
Number of Participants With Target Vessel Failure (TVF)
41; 17
SECONDARY
Number of Participants With Target Lesion Failure (TLF)
28; 10
SECONDARY
Number of Participants With Target Lesion Failure (TLF)
28; 10
SECONDARY
Number of Participants With Target Lesion Failure (TLF)
28; 10
SECONDARY
Number of Participants With Target Lesion Failure (TLF)
28; 10
SECONDARY
Number of Participants With Target Lesion Failure (TLF)
28; 10
SECONDARY
Number of Participants With Target Lesion Failure (TLF)
28; 10
SECONDARY
Number of Participants With Target Lesion Failure (TLF)
28; 10
SECONDARY
Number of Participants With Cardiac Death/All MI
20; 8
SECONDARY
Number of Participants With Cardiac Death/All MI
20; 8
SECONDARY
Number of Participants With Cardiac Death/All MI
20; 8
SECONDARY
Number of Participants With Cardiac Death/All MI
20; 8
SECONDARY
Number of Participants With Cardiac Death/All MI
20; 8
SECONDARY
Number of Participants With Cardiac Death/All MI
20; 8
SECONDARY
Number of Participants With Cardiac Death/All MI
20; 8
SECONDARY
Number of Participants With Cardiac Death/All MI
20; 8
SECONDARY
Number of Participants With All Target Vessel Revascularization (TVR)
38; 17
SECONDARY
Number of Participants With All Target Vessel Revascularization (TVR)
38; 17
SECONDARY
Number of Participants With All Target Vessel Revascularization (TVR)
38; 17
SECONDARY
Number of Participants With All Target Vessel Revascularization (TVR)
38; 17
SECONDARY
Number of Participants With All Target Vessel Revascularization (TVR)
38; 17
SECONDARY
Number of Participants With All Target Vessel Revascularization (TVR)
38; 17
SECONDARY
Number of Participants With All Target Vessel Revascularization (TVR)
38; 17
SECONDARY
Number of Participants With All Target Vessel Revascularization (TVR)
38; 17
SECONDARY
Number of Participants With Ischemia-driven TVR (ID-TVR)
34; 13
SECONDARY
Number of Participants With Ischemia-driven TVR (ID-TVR)
34; 13
SECONDARY
Number of Participants With Ischemia-driven TVR (ID-TVR)
34; 13
SECONDARY
Number of Participants With Ischemia-driven TVR (ID-TVR)
34; 13
SECONDARY
Number of Participants With Ischemia-driven TVR (ID-TVR)
34; 13
SECONDARY
Number of Participants With Ischemia-driven TVR (ID-TVR)
34; 13
SECONDARY
Number of Participants With Ischemia-driven TVR (ID-TVR)
34; 13
SECONDARY
Number of Participants With Ischemia-driven TVR (ID-TVR)
34; 13
SECONDARY
Number of Participants With All Target Lesion Revascularization (TLR)
26; 11
SECONDARY
Number of Participants With All Target Lesion Revascularization (TLR)
26; 11
SECONDARY
Number of Participants With All Target Lesion Revascularization (TLR)
26; 11
SECONDARY
Number of Participants With All Target Lesion Revascularization (TLR)
26; 11
SECONDARY
Number of Participants With All Target Lesion Revascularization (TLR)
26; 11
SECONDARY
Number of Participants With All Target Lesion Revascularization (TLR)
26; 11
SECONDARY
Number of Participants With All Target Lesion Revascularization (TLR)
26; 11
SECONDARY
Number of Participants With All Target Lesion Revascularization (TLR)
26; 11
SECONDARY
Number of Participants With Ischemia-driven Revascularization (ID-TLR)
21; 6
SECONDARY
Number of Participants With Ischemia-driven Revascularization (ID-TLR)
21; 6
SECONDARY
Number of Participants With Ischemia-driven Revascularization (ID-TLR)
21; 6
SECONDARY
Number of Participants With Ischemia-driven Revascularization (ID-TLR)
21; 6
SECONDARY
Number of Participants With Ischemia-driven Revascularization (ID-TLR)
21; 6
SECONDARY
Number of Participants With Ischemia-driven Revascularization (ID-TLR)
21; 6
SECONDARY
Number of Participants With Ischemia-driven Revascularization (ID-TLR)
21; 6
SECONDARY
Number of Participants With Ischemia-driven Revascularization (ID-TLR)
21; 6
SECONDARY
Number of Participants Experiencing All Death (Cardiac, Vascular, Non-Cardiovascular)
15; 4
SECONDARY
Number of Participants Experiencing All Death (Cardiac, Vascular, Non-Cardiovascular)
15; 4
SECONDARY
Number of Participants Experiencing All Death (Cardiac, Vascular, Non-Cardiovascular)
15; 4
SECONDARY
Number of Participants Experiencing All Death (Cardiac, Vascular, Non-Cardiovascular)
15; 4
SECONDARY
Number of Participants Experiencing All Death (Cardiac, Vascular, Non-Cardiovascular)
15; 4
SECONDARY
Number of Participants Experiencing All Death (Cardiac, Vascular, Non-Cardiovascular)
15; 4
SECONDARY
Number of Participants Experiencing All Death (Cardiac, Vascular, Non-Cardiovascular)
15; 4
SECONDARY
Number of Participants Experiencing All Death (Cardiac, Vascular, Non-Cardiovascular)
15; 4
SECONDARY
Number of Participants With All Myocardial Infarction ((MI: Q-wave Myocardial Infarction (Q-MI) or Non- Q-wave Myocardial Infarction (NQ-MI))
19; 7
SECONDARY
Number of Participants With All Myocardial Infarction ((MI: Q-wave Myocardial Infarction (Q-MI) or Non- Q-wave Myocardial Infarction (NQ-MI))
19; 7
SECONDARY
Number of Participants With All Myocardial Infarction ((MI: Q-wave Myocardial Infarction (Q-MI) or Non- Q-wave Myocardial Infarction (NQ-MI))
19; 7
SECONDARY
Number of Participants With All Myocardial Infarction ((MI: Q-wave Myocardial Infarction (Q-MI) or Non- Q-wave Myocardial Infarction (NQ-MI))
19; 7
SECONDARY
Number of Participants With All Myocardial Infarction ((MI: Q-wave Myocardial Infarction (Q-MI) or Non- Q-wave Myocardial Infarction (NQ-MI))
19; 7
SECONDARY
Number of Participants With All Myocardial Infarction ((MI: Q-wave Myocardial Infarction (Q-MI) or Non- Q-wave Myocardial Infarction (NQ-MI))
19; 7
SECONDARY
Number of Participants With All Myocardial Infarction ((MI: Q-wave Myocardial Infarction (Q-MI) or Non- Q-wave Myocardial Infarction (NQ-MI))
19; 7
SECONDARY
Number of Participants With All Myocardial Infarction ((MI: Q-wave Myocardial Infarction (Q-MI) or Non- Q-wave Myocardial Infarction (NQ-MI))
19; 7
SECONDARY
Number of Participants With Target Vessel MI (TV-MI)
17; 6
SECONDARY
Number of Participants With Target Vessel MI (TV-MI)
17; 6
SECONDARY
Number of Participants With Target Vessel MI (TV-MI)
17; 6
SECONDARY
Number of Participants With Target Vessel MI (TV-MI)
17; 6
SECONDARY
Number of Participants With Target Vessel MI (TV-MI)
17; 6
SECONDARY
Number of Participants With Target Vessel MI (TV-MI)
17; 6
SECONDARY
Number of Participants With Target Vessel MI (TV-MI)
17; 6
SECONDARY
Number of Participants With Target Vessel MI (TV-MI)
17; 6
SECONDARY
Number of Participants With Stent/Scaffold Thrombosis
0; 0; 0; 0
SECONDARY
Number of Participants With Stent/Scaffold Thrombosis
0; 0; 0; 0
SECONDARY
Number of Participants With Stent/Scaffold Thrombosis
0; 0; 0; 0
SECONDARY
Number of Participants With Stent/Scaffold Thrombosis
0; 0; 0; 0
SECONDARY
Number of Participants With Stent/Scaffold Thrombosis
0; 0; 0; 0
SECONDARY
Number of Participants With Stent/Scaffold Thrombosis
0; 0; 0; 0
SECONDARY
Number of Participants With Stent/Scaffold Thrombosis
0; 0; 0; 0
SECONDARY
In-segment Late Loss (Non-inferiority)
5; 5
SECONDARY
Nitrate Vaso-reactivity Analysis / In-device Mean Lumen Diameter : Pre-Nitroglycerin (NTG)
2.43; 2.76
SECONDARY
Nitrate Vaso-reactivity Analysis/ In-device Mean Lumen Diameter: Absolute Vaso Dilatation
0.06; 0.07
SECONDARY
Nitrate Vaso-reactivity Analysis / In-device Mean Lumen Diameter : Post-Nitroglycerin (NTG)
2.49; 2.82
SECONDARY
Number of Participants With Cardiac Death, All MI, ID-TLR (MACE)
30; 11
SECONDARY
Number of Participants With Not Ischemia-driven TLR (NID-TLR)
6; 7
SECONDARY
Number of Participants With Non-Target Vessel MI (NTV-MI)
3; 2

Eligibility Criteria

Inclusion Criteria

  • Subject must be at least 20 years of age.
  • Subject or a legally authorized representative must provide written Informed Consent prior to any study related procedure, per site requirements.
  • Subject must have evidence of myocardial ischemia (e.g., stable or unstable angina, silent ischemia) suitable for elective percutaneous coronary intervention (PCI).
  • Subject must be an acceptable candidate for coronary artery bypass graft (CABG) surgery.
  • Subject must be able to take dual antiplatelet therapy for up to 1 year following the index procedure and anticoagulants prior/during the index procedure. Therefore the subject has no known allergic reaction, hypersensitivity or contraindication to aspirin, clopidogrel, ticlopidine or heparin.
  • Female subject of childbearing potential must not be pregnant* at the index procedure and does not plan pregnancy for up to 1 year following the index procedure.
  • Except for non-pregnancy is apparent, negative pregnancy result within 7 days prior to the index procedure is required.
  • Female subject is not breast-feeding at the time of the screening visit and will not be breast-feeding for up to 1 year following the index procedure.
  • Subject agrees to not participate in any other investigational or invasive clinical study for a period of 13 months following the index procedure

Exclusion Criteria

  • Elective surgery is planned within 1 year after the procedure that will require general anesthesia or discontinuing either aspirin or Thienopyridine.
  • Subject has known hypersensitivity or contraindication to device material and its degredants (everolimus, poly (L-lactide), poly (DL-lactide), lactide, lactic acid) and cobalt, chromium, nickel, platinum, tungsten, acrylic and fluoro polymers that cannot be adequately pre-medicated.
  • Subject has a known contrast sensitivity that cannot be adequately pre-medicated.
  • Subject had an acute myocardial infarction (AMI) within 72 hours of the index procedure
  • The subject is currently experiencing clinical symptoms consistent with new onset AMI, such as nitrate-unresponsive prolonged chest pain with ischemic ECG changes
  • Creatine Kinase (CK) and Creatine Kinase - Muscle and Brain (CK-MB) have not returned to within normal limits at the time of index procedure.
  • Subject has an unstable cardiac arrhythmia which is likely to become hemodynamically unstable due to arrhythmia.
  • Subject has a known left ventricular ejection fraction (LVEF) 30 days before the index procedure or between 24 hours and 30 days before the index procedure if successful and uncomplicated.
  • Subject requires future staged PCI either in target or non target vessels.
  • Subject has a malignancy that is not in remission.
  • Subject is receiving immunosuppressant therapy or has known immunosuppressive or autoimmune disease (e.g., human immunodeficiency virus, systemic lupus erythematosus, etc.,). Note: corticosteroids are not included as immunosuppressant therapy, diabetes mellitus is not regarded as autoimmune disease.
  • Subject has received any solid organ transplants or is on a waiting list for any solid organ transplants.
  • Subject has previously received or scheduled to receive radiotherapy to coronary artery (brachytherapy), or chest/mediastinum.
  • Subject is receiving or will require chronic anticoagulation therapy (e.g., coumadin or any other agent for any reason).
  • Subject has a platelet count 700, 000 cells/mm3.
  • Subject has a documented or suspected cirrhosis of Child-Pugh ≥ Class B.
  • Subject has known renal insufficiency;
  • Dialysis at the time of screening.
  • An estimated Glomerular filtration rate (GFR) 5 mm, arteriovenous malformation)
  • Subject will refuse blood transfusions
  • Subject has had a cerebrovascular accident or transient ischemic neurological attack (TIA) within the past six months,
  • Subject has extensive peripheral vascular disease that precludes safe 6 French sheath insertion.
  • Subject has lif
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01844284). 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.

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