A fully bioabsorbable drug-eluting stent platform shows promise in analysis of preliminary results from the ABSORB clinical trial
A fully bioabsorbable drug-eluting stent platform shows
promise based on preliminary results from a first-of-its-kind clinical trial,
according to a presentation at the scientific session of the American College
of Cardiology.
The six- month results from the first 30 patients in
the trial demonstrated no stent thrombosis and a 3.3-percent hierarchical rate
of ischemia-driven major adverse cardiac events such as myocardial infarction
or repeat intervention.
"The encouraging results from the first 30 patients
of ABSORB suggest that drug-eluting bioabsorbable stent technologies may be a
promising future therapy option for physicians treating patients with heart disease,"
said Patrick W. Serruys, MD, PhD, professor of interventional cardiology at the
Thoraxcentre, Erasmus University Hospital, Rotterdam, and co-principal investigator
of the study. "A drug eluting stent that would eventually disappear after
restoring blood flow is an exciting concept that we look forward to further exploring."
The single adverse event was a non-Q-wave myocardial
infarction. The same patient underwent a repeat intervention at the site of the
original procedure, resulting in an overall target lesion revascularization rate
of 3.3 percent.
The trial results confirmed that the treatment effect
of everolimus in the bioabsorbable stent is similar to that observed in studies
of metallic drug-eluting stents, with everolimus actively inhibiting tissue growth
into the artery. The rate of device success (successful placement of the bioabsorbable
stent at the site of the lesion) was 93.5 percent.
The bioabsorbable stent is made of polylactic acid, a
proven biocompatible material that is commonly used in medical implants such as
dissolvable sutures.
The ABSORB trial was a prospective, non-randomized, open-label
study designed to enroll up to 60 patients in Belgium, Denmark, France, New Zealand,
Poland and the Netherlands. Key endpoints include assessments of safety - major
adverse cardiovascular event rates and stent thrombosis rates -- at 30, 180 and
270 days, with an annual follow-up for up to five years, and successful deployment
of the bioabsorbable drug-eluting stent.
Other key endpoints of the study include follow-up measurements
assessed by angiography, intravascular ultrasound, and state-of-the-art imaging
modalities at 180 days and two years, as well as a new noninvasive technique in
a subset of patients at 18 months.
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