Update : November 14, 2008    
Left main coronary
disease
Ostial disease
Bifurcation
Graft vessel disease
Diffuse coronary
disease
Chronic total
occlusion (CTO)
Restenosis
Multivessel disease
Drug eluting stent
Vulnerable plaque
 
TCT 2003  

Untitled Document
TAXUS-IV
ENDEAVOR-I and II
FUTURE-I and II
REPLACE-II
On-TIME
X-AMINE ST
COOL-MI
SCRIPPS-IV
REDUCE-III
ENDEAVOR-I and II
: Promising Results Seen in ENDEAVOR Pilot Study

At four-month follow-up, there was a 2% rate of major adverse coronary events and 1% rate of target lesion revascularization using a ABT-578 drug-eluting coronary stent in the ENDEAVOR trial. In addition, a 2.1% binary restenosis rate was reported.
Ian Meredith, MBBS, PhD, Monash medical Center, Melbourne, Autralia said that the Endeavor drug-eluting stent (Medtronic, Inc.) demonstrated safety and reliability in the phase I trial. ¡°The ABT-578 and PC-technology Driver stent is safe¡±, Dr. Meredith asid. ¡°It has excellent device, lesion and procedural success. Grater acute agin and lower percentage diameter stenosis were achieved. This was done with sustainable clinical outcomes, a low incidence of MACE [major adverse coronary events] and [target lesion revascularization] TLR at four months¡±. ¡°It is also effective in inhibiting neointimal proliferation both in-stent and in-segment with negligible edge effects¡±.

Study design

The ENDEAVOR-I trial enrolled 100 patients at eight centers in Australia and New Zealand. Patients had a reference vessel diameter of 3.0 mm to 3.5 mm, lesion length ¡Ì 15mm, diameter stenosis ©ø 50% and ¡Ì 100% with no other significant lesions in the target vessel. Thirty-day and four-month results from clinical, angiographic and IVUS measurements were presented yesterday. Dr. Meredith said there was 100% lesion, device and procedural success. At 30 days, there was one MACE, a non-Q wave MI with subacute thrombosis necessitating TLR. At four months, there was one additional MACE, a patient complaining of chest pain who required repeat angiography and revascularization of the target lesion for in-stent restenosis. Minimal lumen diameter (MLD) measured 2.84 mm in-stent and 2.52 mm in-segment immediately postop. At four months, MLD measured 2.52 mm in-stent and 2.31 mm in-segment. Late loss measured 0.33 mm in-stent (late loss index = 0.17) and 0.20 mm in-segment (late loss index = 0.11)

Low stenosis rate

In-stent percentage diameter stenosis decreased from 70.3% preop to 5.4% postop. It increased to 14.4% at four months. In-segment percentage diameter stenosis decreased from 70.3% preop to 16.5% postop. It increased to 21.7% at four months. IVUS data showed a 4.5% volume obstruction at four months, a lumen volume of 143 mm and a stent volume of 149 mm. The ENDEAVOR-II trial is currently underway at 96 centers throughout Europe, the Middle East, Asia-pacific and Canada. The primary endpoint for the trial is target-vessel failure at nine months. According to Medtronic, ENDEAVOR-III will begin by the end of this year. Primary endpoint will be late lumen loss assessed by quantitative coronary angiography at eight months.

 

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