A Study of the TAXUS Liberté Stent for the Treatment of de Novo Coronary Artery Lesions in Small Vessels
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Purpose
TAXUS ATLAS Small Vessel is a global, multi-center, single-arm, trial of patients with coronary arteries less than 2.5 mm in diameter who are treated with the TAXUS Liberté stent versus an historical TAXUS Express control derived from a subset of lesion-matched TAXUS V patients treated with a 2.25 mm stent. The objective of the study is to evaluate clinical and angiographic outcomes of TAXUS Liberté-SR 2.25 mm stent in de novo lesions. The hypothesis is that the TAXUS Liberté-SR stent has non-inferior safety and efficacy to the TAXUS Express-SR stent in the treatment of de novo lesions in small coronary vessels.
| Condition | Intervention | Phase |
|---|---|---|
|
Coronary Artery Disease |
Device: TAXUS Liberté-SR Device: TAXUS™ Express2 Device: Express2 |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | TAXUS ATLAS SMALL VESSEL: A Multi-center, Single-arm Study of the TAXUS Liberté™-SR Stent for the Treatment of Patients With de Novo Coronary Artery Lesions in Small Vessels |
- Percent diameter stenosis - analysis segment at 9 months [ Time Frame: 9 Months ] [ Designated as safety issue: Yes ]
- Clinical procedural and technical success [ Time Frame: 5 Years ] [ Designated as safety issue: Yes ]
- Utilization parameters (equipment utilization; catheters, guidewires and balloons, procedure time, fluoroscopic time and amount of contrast used) [ Time Frame: 9 months ] [ Designated as safety issue: No ]
- MACE rates at discharge, 1, 4 and 9 months and 1, 2, 3, 4, and 5 years post-index procedure. [ Time Frame: 5 years ] [ Designated as safety issue: Yes ]
- Stent thrombosis rate [ Time Frame: 5 Years ] [ Designated as safety issue: Yes ]
- Target Vessel Failure (TVF) [ Time Frame: 5 Years ] [ Designated as safety issue: Yes ]
- Target Vessel Revascularization (TVR) [ Time Frame: 5 Years ] [ Designated as safety issue: Yes ]
- QCA parameters (binary restenosis rate, in-stent %DS, MLD and late loss) [ Time Frame: 9 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 261 |
| Study Start Date: | February 2005 |
| Study Completion Date: | April 2011 |
| Primary Completion Date: | December 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Arm 1 |
Device: TAXUS Liberté-SR
Paclitaxel-Eluting Coronary Stent, 2.25 mm
|
|
Arm 2
Historical Comparator: control data derived from a TAXUS V de novo lesion and stent size-matched cohort randomized to receive a single, planned 2.25 mm DES
|
Device: TAXUS™ Express2
Paclitaxel-Eluting Coronary Stent System
|
|
Arm 3
Historical Comparator: control data derived from a TAXUS V de novo lesion size-matched cohort randomized to receive a 2.25 mm or 2.5 mm BMS
|
Device: Express2
Coronary Stent System
|
Detailed Description:
TAXUS ATLAS Small Vessel is a global, multi-center, single-arm, trial of patients receiving the TAXUS Liberté-SR 2.25 mm paclitaxel-eluting stent. The results will be compared with two different historical control groups. The first control group consists of a subset of lesion-matched TAXUS V patients treated with a 2.25 mm TAXUS Express-SR paclitaxel-eluting stent. The objective of this analysis is to evaluate clinical and angiographic outcomes of TAXUS Liberté-SR 2.25 mm stent in de novo lesions versus the TAXUS Express-SR stent. The hypothesis is that the TAXUS Liberté-SR stent has non-inferior safety and efficacy to the TAXUS Express-SR stent in the treatment of de novo lesions in small coronary vessels. The second control group consists of a subset of lesion-matched TAXUS V patients treated with either a 2.5 mm or a 2.25 mm bare metal Express stent. The objective of this analysis is to evaluate clinical and angiographic outcomes of TAXUS Liberté-SR 2.25 mm stent in de novo lesions versus the Express bare metal stent. The hypothesis is that the TAXUS Liberté-SR stent has superior safety and efficacy to the Express bare metal stent in the treatment of de novo lesions in small coronary vessels.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
General Inclusion Criteria:
- Patient is at least 18 years old.
- Eligible for percutaneous coronary intervention (PCI)
- Documented stable angina pectoris or unstable angina pectoris with documented ischemia, or documented silent ischemia
- Left ventricular ejection fraction (LVEF) of at least 25%
- Acceptable candidate for coronary artery bypass grafting (CABG)
- Patient 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
- Willing to comply with all specified follow-up evaluations
Angiographic Inclusion Criteria:
- Only one lesion (target lesion) may be treated with the study stent.However, one additional lesion in a non-target vessel may be treated during the index procedure with a commercially avaiable bare metal stent, heparin-coated stent or TAXUS Express stent.
- Successful predilation is mandatory for entry into study
- Target lesion located within a single native coronary artery
- Target lesion enrolled for treatment may be composed of multiple lesions (not more than 10mm between diseased segments) but must be completely covered by one study stent.
- Cumulative target lesion length is greater than or equal to 10 mm and less than or equal to 28 mm (visual estimate)
- Target lesion RVD of 2.25 mm [2.2 - 2.5 mm (visual estimate)]
- Target lesion diameter stenosis at least 50% (visual estimate)
- Target lesion is de novo (i.e., a coronary lesion not previously treated)
General Exclusion Criteria:
- Known hypersensitivity to paclitaxel
- Any previous, concurrent or planned treatment with a non-study anti-restenotic drug-coated or drug-eluting coronary stent.
- Planned use of both the study stent and a non-study stent (i.e., commercial stent) in the treatment of the target vessel
- Previous or planned treatment with intravascular brachytherapy in the target vessel
- Planned CABG within 9-months post-index procedure
- MI within 72 hours prior to the index procedure and/or creatine kinase(CK) >2x the local laboratory's ULN unless CK-MB is <2x ULN
- Cerebrovascular Accident (CVA) within the past 6 months
- Cardiogenic Shock
- Acute or chronic renal dysfunction
- Contraindication to ASA, or to both clopidogrel and ticlopidine
- Leukopenia
- Thrombocytopenia or thrombocytosis
- Active peptic ulcer or active gastrointestinal (GI) bleeding
- Known allergy to stainless steel
- Any prior true anaphylactic reaction to contrast agents
- Patient is currently, or has been treated with paclitaxel or other chemotherapeutic agents within 12-months of the index procedure
- Anticipated treatment with paclitaxel or oral rapamycin during any period in the 9-months after the index procedure
- Male or female with known intention to procreate within 3 months after the index procedure
- Female of childbearing potential with a positive pregnancy test within 7 days before the index procedure, or lactating
- Life expectancy of less than 24 months due to other medical condition
- Co-morbid condition(s) that could limit the patient's ability to participate in the study, compliance with follow-up requirements or impact the scientific integrity of the study
- Currently participating in another investigational drug or device study that has not completed the primary endpoint or that clinically interferes with the endpoints of this study
Angiographic Exclusion Criteria:
- Unprotected and protected left main coronary artery disease (patient with protected left main disease can be enrolled ONLY if the target lesion is in the RCA)
- Target lesion is ostial in location (within 3.0 mm of vessel origin)
- Target lesion and/or target vessel proximal to the target lesion is moderately or severely calcified by visual estimate
- Target lesion and/or target vessel proximal to the target lesion is tortuous
- Target lesion is located within or distal to a >60 degree bend in the vessel
- Target lesion involves a bifurcation with a side branch vessel >1.5 mm (visual estimate)
- Target lesion is totally occluded (TIMI flow <1), either at baseline or predilation
- Angiographic presence of probable or definite thrombus
- Pre-treatment of teh target vessel at the index procedure is not allowed with any device except for predilation with balloon angioplasty or cutting balloon
A previously treated lesion within the target vessel:
- <15mm from the target lesion (visual estimate)
- Performed </= 6 months from index procedure
- >30% residual stenosis after previous treatment
Contacts and Locations
Show 25 Study Locations| Principal Investigator: | Mark A Turco, MD | Washington Adventist Hospital |
| Principal Investigator: | John A Ormiston, MD | Mercy Hospital |
| Study Director: | Peter Maurer, MPH | Boston Scientific Corporation |
More Information
No publications provided by Boston Scientific Corporation
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Boston Scientific Corporation |
| ClinicalTrials.gov Identifier: | NCT00371748 History of Changes |
| Other Study ID Numbers: | S2033, TAXUS ATLAS Small Vessel |
| Study First Received: | September 1, 2006 |
| Last Updated: | February 1, 2012 |
| Health Authority: | United States: Food and Drug Administration United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Coronary Artery Disease Myocardial Ischemia Coronary Disease Heart Diseases |
Cardiovascular Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases |
ClinicalTrials.gov processed this record on May 16, 2013