Coronary Artery DiseaseNCT02173379
Absorb IV Randomized Controlled Trial
A study testing Absorb BVS and XIENCE in people with Coronary Artery Disease and Coronary Artery Stenosis, run by Abbott Medical Devices at 120 sites in 5 countries.
Trial summary
ABSORB IV is a prospective, randomized (1:1, Absorb BVS to XIENCE), single-blind, multi-center study, registering approximately 2610 subjects from approximately 140 sites in the United States and outside the United States. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Coronary Artery Disease, Coronary Artery Stenosis, Coronary Disease
- What is being tested?
- Absorb BVS and XIENCE
- Type of treatment
- Injection or infusion, Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,604 participants
- Where
- 120 sitesin 5 countries
- Study dates
- Jul 2014to 6 Apr 2022
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
General Inclusion Criteria:
- Subject must be at least 18 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., silent ischemia, stable or unstable angina, non-ST-segment elevation MI (NSTEMI), OR recent ST-segment elevation MI (STEMI). Patients with stable coronary syndromes can be enrolled any time after symptom onset if eligibility criteria are otherwise met. Patients with acute coronary syndrome can be enrolled under the following conditions:
- Unstable angina or NSTEMI within 2 weeks of the index procedure.
- STEMI > 72 hours ≤ 2 weeks prior to the index procedure. Note: Subjects with Unstable angina (UA) or NSTEMI or STEMI occurring > 2 weeks of the index procedure can be included in the trial but should be categorized based on their current angina class.
- Subjects must be suitable for PCI. Subjects with stable angina or silent ischemia and < 70% diameter stenosis must have objective signs of ischemia as determined by one of the following: abnormal stress echocardiogram, nuclear scan, electrocardiogram (ECG), positron emission tomography (PET), magnetic resonance imaging (MRI), and/or fractional flow reserve (FFR). (Note: subject with silent ischemia must have a prior history of typical angina, angina-equivalent symptoms, or atypical angina within the past year to be included in the trial.)
- Subject must be an acceptable candidate for coronary artery bypass graft (CABG) surgery.
- Female subject of childbearing potential who does not plan pregnancy for up to 1 year following the index procedure. For a female subject of childbearing potential a pregnancy test must be performed with negative results known within 7 days prior to the index procedure per site standard.
- Female subject is not breast-feeding at the time of the screening visit and will not be breast-feeding for at least 1 year following the index procedure.
- Subject agrees to not participate in any other investigational or invasive clinical study for a period of 5 years following the index procedure.
Angiographic Inclusion Criteria:
Treatment of up to three de novo lesions in a maximum of two epicardial vessels, with a maximum of two lesions per epicardial vessel. If only a single lesion is to be treated, it must be a target lesion. Up to one non-target lesion can be treated. Non-target lesion treatment can occur only in a non-target vessel.
If there are two target lesions within the same epicardial vessel, the two target lesions must be at least 15 mm apart per visual estimation; otherwise this is considered as a single target lesion for lesion (and stent) length determination and must be treated with a single study device.
- Target lesion(s) must be located in a native coronary artery with a visually estimated or quantitatively assessed %DS of ≥50% and < 100%, with a thrombolysis in myocardial infarction (TIMI) flow of ≥ 1, and one of the following: stenosis ≥ 70%, an abnormal functional test (e.g., fractional flow reserve ≤0.80 AND/OR a positive stress test), or presentation with an acute coronary syndrome (unstable angina or NSTEMI within 2 weeks of index procedure, or STEMI >72 hours but ≤ 2 weeks prior to the index procedure).
- Target lesion(s) must be located in a native coronary artery with reference vessel diameter (RVD) by visual estimation of ≥ 2.50 mm and ≤ 3.75 mm.
- Target lesion(s) must be located in a native coronary artery with length by visual estimation of ≤ 24 mm.
Note: Subjects with Unstable angina (UA) or NSTEMI or STEMI occurring > 2 weeks of the index procedure can be included in the trial but should be categorized based on their current angina class.
Note: To exclude enrollment of excessively small vessels, if the operator believes that based on visual angiographic assessments, the distal reference vessel diameter is ≤ 2.75 mm such that the plan is to implant a 2.5 mm device (stent or scaffold) in a target lesion, it is strongly recommended that either on-line QCA or intravascular imaging (ultrasound or optical coherence tomography) is used and demonstrates that the measured distal RVD for this target lesion is ≥ 2.50 mm (by at least one of these imaging modalities). This measurement may be performed before or after pre-dilatation, but before randomization. If the distal RVD measures <2.5 mm, that lesion IS NOT ELIGIBLE for randomization. Such a lesion may be treated as a non-target lesion.
General Exclusion Criteria:
- Any surgery requiring general anesthesia or discontinuation of aspirin and/or a P2Y12 receptor inhibitor is planned within 12 months after the procedure.
- Subject has known hypersensitivity or contraindication to device material and its degradants (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 has known allergic reaction, hypersensitivity or contraindication to any of the following: aspirin; or clopidogrel and prasugrel and ticagrelor; or heparin and bivalirudin, and therefore cannot be adequately treated with study medications.
- Subject had an acute STEMI (appropriate clinical syndrome with ≥1 mm of ST-segment elevation in ≥2 contiguous leads) within 72 hours of the index procedure.
- Subject has a cardiac arrhythmia identified at the time of screening for which at least one of the following criteria is met:
- Subject requires coumadin or any other agent for chronic oral anticoagulation.
- Subject is likely to become hemodynamically unstable due to their arrhythmia.
- Subject has poor survival prognosis due to their arrhythmia.
- Subject has a left ventricular ejection fraction (LVEF) < 30% assessed by any quantitative method, including but not limited to echocardiography, MRI, multiple-gated acquisition (MUGA) scan, contrast left ventriculography, PET scan, etc. LVEF may be obtained within 6 months prior to the procedure for subjects with stable CAD. For subjects presenting with acute coronary syndrome (ACS), LVEF must be assessed within 1 week of the index procedure and after ACS presentation, which may include contrast left ventriculography during the index procedure but prior to randomization in order to confirm the subject's eligibility.
- Subject has undergone prior PCI within the target vessel during the last 12 months. Prior PCI within the non-target vessel or any peripheral intervention is acceptable if performed anytime >30 days before the index procedure, or between a minimum of 24 hours and 30 days before the index procedure if successful and uncomplicated.
- Subject requires future staged PCI of any lesion other than a target lesion identified at the time of index procedure; or subject requires future peripheral vascular interventions < 30 days after the index procedure.
- Subject has received any solid organ transplants or is on a waiting list for any solid organ transplants.
- At the time of screening, the subject has a malignancy that is not in remission.
- Subject is receiving immunosuppressant therapy or has known immunosuppressive or severe autoimmune disease that requires chronic immunosuppressive therapy (e.g., human immunodeficiency virus, systemic lupus erythematosus, etc.). Note: corticosteroids are not included as immunosuppressant therapy.
- Subject has previously received or is scheduled to receive radiotherapy to a coronary artery (vascular brachytherapy), or the chest/mediastinum.
- Subject is receiving or will require chronic anticoagulation therapy (e.g., coumadin, dabigatran, apixaban, rivaroxaban, edoxaban or any other related agent for any reason).
- Subject has a platelet count < 100,000 cells/mm3 or > 700,000 cells/mm3.
- Subject has a documented or suspected hepatic disorder as defined as cirrhosis or Child-Pugh ≥ Class B.
- Subject has renal insufficiency as defined as an estimated glomerular filtration rate (GFR) < 30 ml/min/1.73m2 or dialysis at the time of screening.
- Subject is high risk of bleeding for any reason; has a history of bleeding diathesis or coagulopathy; has had a significant gastrointestinal or significant urinary bleed within the past six months.
- Subject has had a cerebrovascular accident or transient ischemic neurological attack (TIA) within the past six months, or any prior intracranial bleed, or any permanent neurologic defect, or any known intracranial pathology (e.g. aneurysm, arteriovenous malformation, etc.).
- Subject has extensive peripheral vascular disease that precludes safe 6 French sheath insertion. Note: femoral arterial disease does not exclude the patient if radial access may be used.
- Subject has a life expectancy <5 years for any non-cardiac or cardiac cause.
- Subject is in the opinion of the Investigator or designee, unable to comply with the requirements of the study protocol or is unsuitable for the study for any reason. This includes completion of Patient Reported Outcome instruments.
- Subject is currently participating in another clinical trial that has not yet completed its primary endpoint.
- Subject is part of a vulnerable population who, in the judgment of the investigator, is unable to give Informed Consent for reasons of incapacity, immaturity, adverse personal circumstances or lack of autonomy. This may include: Individuals with a mental disability, persons in nursing homes, children, impoverished persons, persons in emergency situations, homeless persons, nomads, refugees, and those incapable of giving informed consent. Vulnerable populations also may include members of a group with a hierarchical structure such as university students, subordinate hospital and laboratory personnel, employees of the Sponsor, members of the armed forces, and persons kept in detention.
Angiographic Exclusion Criteria:
All exclusion criteria apply to the target lesion(s) or target vessel(s).
- Unsuccessful pre-dilatation, defined as the presence of one or more of the following (note: successful pre-dilatation of at least one target lesion is required prior to randomization):
- Residual %diameter stenosis (DS) after pre-dilatation is ≥ 40% (per visual estimation). Note: achieving a %DS ≤ 20% prior to randomization is strongly recommended.
- TIMI flow grade <3 (per visual estimation).
- Any angiographic complication (e.g. distal embolization, side branch closure).
- Any dissection NHLBI grade D-F.
- Any chest pain lasting > 5 minutes.
- Any ST-segment depression or elevation lasting > 5 minutes.
- Lesion is located in left main or there is a ≥30% diameter stenosis in the left main (unless the left main lesion is a protected left main (i.e. a patent bypass graft to the LAD and/or LCX arteries is present), and there is no intention to treat the protected left main lesion).
- Aorto-ostial right coronary artery (RCA) lesion (within 3 mm of the ostium).
- Lesion located within 3 mm of the origin of the left anterior descending artery (LAD) or left circumflex artery (LCX).
- Lesion involving a bifurcation with a:
- side branch ≥ 2 mm in diameter, or
- side branch with either an ostial or non-ostial lesion with diameter stenosis >50%, or
- side branch requiring dilatation
- Anatomy proximal to or within the lesion that may impair delivery of the Absorb BVS or XIENCE stent:
- Extreme angulation (≥ 90°) proximal to or within the target lesion.
- Excessive tortuosity (≥ two 45° angles) proximal to or within the target lesion.
- Moderate or heavy calcification proximal to or within the target lesion. If intravascular ultrasound (IVUS) used, subject must be excluded if calcium arc in the vessel prior to the lesion or within the lesion is ≥ 180°.
- Lesion or vessel involves a myocardial bridge.
- Vessel has been previously treated with a stent and the target lesion is within 5 mm proximal or distal to a previously stented lesion.
- Target lesion located within an arterial or saphenous vein graft or distal to any arterial or saphenous vein graft.
Trial locations and contacts
120 sites in 5 countries.
120 sites in 5 countries
United States98 sites
Northwest Texas Healthcare System
Amarillo, Texas, 79106
Anmed Health Medical Center
Anderson, South Carolina, 29621
St. Joseph Mercy Hospital
Ann Arbor, Michigan, 48197
Emory University Hospital Midtown
Atlanta, Georgia, 30308
Emory University Hospital
Atlanta, Georgia, 30322
Seton Medical Center
Austin, Texas, 78705
MedStar Union Memorial Hospital
Baltimore, Maryland, 21218
Eastern Maine Medical Center
Bangor, Maine, 04401
University of Alabama at Birmingham
Birmingham, Alabama, 35233
Boston Medical Center
Boston, Massachusetts, 02118
Cooper University Hospital
Camden, New Jersey, 08103
Our Lady of Lourdes Medical Center
Camden, New Jersey, 08103
Holy Spirit Hospital
Camp Hill, Pennsylvania, 17011
Aultman Hospital
Canton, Ohio, 44710
Chandler Regional Medical Center
Chandler, Arizona, 85224
Carolinas Medical Center-Northeast
Charlotte, North Carolina, 28203
Carolinas Medical Center
Charlotte, North Carolina, 28203
Novant Health Heart & Vascular Institute/Presbyterian Hospital
Charlotte, North Carolina, 28204
Carolinas Medical Center-Pineville
Charlotte, North Carolina, 28210
Northwestern Memorial Hospital
Chicago, Illinois, 60611
The Christ Hospital
Cincinnati, Ohio, 45219
Morton Plant Hospital
Clearwater, Florida, 33756
Cleveland Clinic
Cleveland, Ohio, 44195
Boone Hospital Center/ Missouri Cardiovascular Specialists, LLP
Columbia, Missouri, 65201
Providence Hospital
Columbia, South Carolina, 29204
Ohio State University Medical Center
Columbus, Ohio, 43210
John Muir Health Concord
Concord, California, 94520
Baylor Heart and Vascular Hospital
Dallas, Texas, 75226
Geisinger Medical Center
Danville, Pennsylvania, 17822
Harper University Hospital
Detroit, Michigan, 48201
St John Hospital & Medical Center
Detroit, Michigan, 48236
Doylestown Hospital
Doylestown, Pennsylvania, 18901
Elkhart General Hospital
Elkhart, Indiana, 46514
Englewood Hospital and Medical Center
Englewood, New Jersey, 07631
Providence Reg Med Ctr Everett
Everett, Washington, 98201
NewYork-Presbyterian/Queens
Flushing, New York, 11355
Holy Cross Hospital
Fort Lauderdale, Florida, 33308
Washington Hospital
Fremont, California, 94538
Mercy Gilbert Medical Center
Gilbert, Arizona, 85297
Pinnacle Health Hospitals
Harrisburg, Pennsylvania, 17105-8700
Houston Methodist Hospital
Houston, Texas, 77030
Franciscan St Francis Health
Indianapolis, Indiana, 46237
Baptist Medical Center Jacksonville
Jacksonville, Florida, 32207
UF Health Jacksonville
Jacksonville, Florida, 32209
Wellmont Holston Valley Medical Center
Kingsport, Tennessee, 37660
Scripps Memorial Hospital La Jolla
La Jolla, California, 92037
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Baptist Health Lexington
Lexington, Kentucky, 40503
University Of Kentucky Hospital
Lexington, Kentucky, 40506
Nebraska Heart Institute Heart Hosp.
Lincoln, Nebraska, 68526
Arkansas Heart Hospital
Little Rock, Arkansas, 72211
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Jewish Hospital
Louisville, Kentucky, 40202
Medical Center of the Rockies
Loveland, Colorado, 80538
St. Patrick Hospital
Missoula, Montana, 59802
Forbes Hospital
Monroeville, Pennsylvania, 15146
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Yale-New Haven Hospital
New Haven, Connecticut, 06510
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121
NYP Weill Cornell Medical Center
New York, New York, 10021
Mount Sinai Medical Center
New York, New York, 10029
Columbia University Medical Center
New York, New York, 10032
Medstar Health Research Institute/ Medstar Washington Hospital Center
Northwest, Washington, 20010
Advocate Christ Medical Center
Oak Lawn, Illinois, 60453
Integris Baptist Medical Center, Inc.
Oklahoma City, Oklahoma, 73112
CHI Health Bergan Mercy
Omaha, Nebraska, 68124
Northern Michigan Hospital
Petoskey, Michigan, 49770
Penn Presbyterian Medical Center
Philadelphia, Pennsylvania, 19104
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
Upmc Presbyterian
Pittsburgh, Pennsylvania, 15213
Providence St. Vincent Medical Center
Portland, Oregon, 97225
Rhode Island Hospital
Providence, Rhode Island, 02903
The Miriam Hospital
Providence, Rhode Island, 02906
Rex Hospital, Inc.
Raleigh, North Carolina, 27607
WakeMed
Raleigh, North Carolina, 27610
St. Joseph Medical Center
Reading, Pennsylvania, 19605
Carilion Roanoke Memorial Hospital
Roanoke, Virginia, 24014
Rochester General Hospital
Rochester, New York, 14621
William Beaumont Hospital
Royal Oak, Michigan, 48073
Univ Of California Davis Med Ctr
Sacramento, California, 95817
Sharp Memorial Hospital
San Diego, California, 92123
Scottsdale Healthcare
Scottsdale, Arizona, 85258
St. John's Hospital
Springfield, Illinois, 62769
Mercy Hospital Springfield
Springfield, Missouri, 65804
Barnes Jewish Hospital
St Louis, Missouri, 63110
Stanford Hospital and Clinics
Stanford, California, 94305
Stony Brook University Medical Center
Stony Brook, New York, 11794
St. Joseph's Hospital Health Center
Syracuse, New York, 13203
Tallahassee Memorial Hospital
Tallahassee, Florida, 32308
Tampa General Hospital
Tampa, Florida, 33606
Montefiore Medical Center
The Bronx, New York, 10467
Mercy St. Vincent Medical Center
Toledo, Ohio, 43608
Little Company Of Mary Hospital
Torrance, California, 90503
North Mississippi Medical Center
Tupelo, Mississippi, 38801
East Texas Medical Center
Tyler, Texas, 75701
Winchester Medical Center
Winchester, Virginia, 22601
Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, 27103
Genesis Hospital
Zanesville, Ohio, 43701
Germany11 sites
Segeberger Kliniken GmbH - Herzzentrum
Bad Segeberg, Schleswig-Holstein, 23795
Immanuel Klinikum Bernau Herzzentrum Brandenburg
Bernau, State of Berlin, 16321
Universitatsklinikum Bonn
Bonn, North Rhine-Westphalia, 53105
Elisabeth-Krankenhaus
Essen, North Rhine-Westphalia, 45138
Universitatsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, 79106
University Giessen
Giessen, Hesse, 35392
Kliniken Oberallgau gGmbH
Immenstadt im Allgäu, Bavaria, 87509
Klinikum Kempten, Klinikverbund Kempten-Oberallgaeu gGmbH
Kempten (Allgäu), Bavaria, 87439
Johannes Gutenberg-Universitaet
Mainz, Rhineland-Palatinate, 55131
Klinikum Oldenburg
Oldenburg, Lower Saxony, 26133
Universitätsklinikum Ulm
Ulm, Baden-Wurttemberg, 89081
Australia6 sites
The Prince Charles Hospital
Brisbane, Queensland, 4032
St Vincent's Hospital Melbourne
Fitzroy, Victoria, 3065
Royal Brisbane and Women's Hospital
Herston, Queensland, 4029
Liverpool Hospital
Liverpool, New South Wales, 2170
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
Royal Perth Hospital
Perth, Western Australia, 6001
Canada4 sites
Montreal Heart Institute
Montreal, Quebec, H1T 1C8
Hopital du Sacre-Coeur de Montreal
Montreal, Quebec, H4J 1C5
CHUM-Hotel Dieu
Montreal, Quebec
St. Michael's Hospital
Toronto, Ontario, M5B 1W8
Singapore1 site
National Heart Centre, Singapore, Pte, Ltd.
Singapore, 169609
About this study
Official title: A Clinical Evaluation of Absorb™ BVS, the Everolimus Eluting Bioresorbable Vascular Scaffold in the Treatment of Subjects With de Novo Native Coronary Artery Lesions
ABSORB IV is a prospective, randomized (1:1, Absorb BVS to XIENCE), single-blind, multi-center study, registering approximately 2610 subjects from approximately 140 sites in the United States and outside the United States. ABSORB IV is a continuation of ABSORB III (NCT01751906) trial which are maintained under one protocol because both trial designs are related. The data from ABSORB III and ABSORB IV will be pooled to support the ABSORB IV primary endpoint. Both the trials will evaluate the safety and effectiveness of Absorb BVS.
The ABSORB IV Randomized Controlled Trial (RCT) is designed to continue to evaluate the safety and effectiveness as well as the potential short and long-term benefits of Abbott Vascular Absorb™ Bioresorbable Vascular Scaffold (BVS) System, and the Absorb GT1™ BVS System (once commercially available), as compared to the commercially approved, control stent XIENCE.
Read the detailed description
ABSORB IV:
- Primary Objective:
- To evaluate 30-day clinical outcomes of the Absorb BVS compared to XIENCE in the treatment of subjects with ischemic heart disease caused by up to three de novo native coronary artery lesions in a maximum of two epicardial vessels, with a maximum of two lesions per epicardial vessel.
- To evaluate long-term clinical outcomes of Absorb BVS compared to XIENCE in the treatment of subjects with ischemic heart disease caused by up to three denovo native coronary artery lesions in a maximum of two epicardial vessels, with a maximum of two lesions per epicardial vessel.
- Secondary Objectives:
- To evaluate 1-year clinical outcomes of the Absorb BVS compared to XIENCE in the treatment of subjects with ischemic heart disease caused by up to three de novo native coronary artery lesions in a maximum of two epicardial vessels, with a maximum of two lesions per epicardial vessel.
- To evaluate the incidence of angina occurring within 1 year, with treatment of Absorb BVS compared to XIENCE.
The enrollment of the 2610 subjects in ABSORB IV will start after enrollment completion of the 2000 primary analysis subjects in ABSORB III. All registered subjects will have clinical follow-up at 30, 90, 180, 270 days and 1, 2, 3, 4 and 5 years.
Note: All registered subjects in ABSORB IV will be followed up to 5 years via telephone contact/office visit if it is necessary as determined by the Sponsor.
In addition, all 2610 subjects in ABSORB IV will complete patient-reported outcome (PRO) self-administered questionnaires at baseline, 30 days,180 days, 1 year, 3 years and 5 years.
- Being tested
- Absorb BVS, XIENCE
- Keywords
- Absorb™ BVS, Angioplasty, Bioabsorbable, BVS, Coronary Artery Disease, Coronary Artery Endothelial Responsiveness, Coronary artery restenosis, Coronary artery stenosis, Coronary scaffold, Coronary Stent, Drug eluting stents, Everolimus, Myocardial ischemia, Stent thrombosis, Stents
- Medical subject headings
- Coronary Artery Disease, Coronary Stenosis, Coronary Disease, Coronary Restenosis, Myocardial Ischemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Absorb BVSDevice
- Scaffold diameters: 2.5, 3.0 and 3.5 mm
- Scaffold lengths: 8, 12, 18, and 28 mm. Both the 8 mm and 12 mm lengths will be available for the 2.5/3.0 mm diameter Absorb BVS. Only the 12 mm length will be available for the 3.5 mm diameter.
- Once Absorb GT1™ BVS System is commercially available, it can also be used in the ABSORB IV trial. Scaffold diameters: 2.5, 3.0 and 3.5 mm of and scaffold lengths: 8, 12, 18, 23, and 28 mm.
- The commercially approved CE marked device will be used in geographies where it is commercially available. The commercially approved CE marked 23mm Absorb BVS device will not be used in this study.
Bioabsorbable drug eluting stent implantation for improving coronary luminal diameter in patients, including those with diabetes mellitus, with ischemic heart disease due to de novo native coronary artery lesions (length ≤ 24 mm) with a reference vessel diameter of ≥ 2.5 mm and ≤ 3.75 mm.
XIENCEDevice
Commercially approved XIENCE Family Stent System, inclusive of XIENCE V, XIENCE PRIME, XIENCE Xpedition, XIENCE Alpine, XIENCE Pro (OUS only), and XIENCE ProX (OUS only).
- Stent diameters: 2.5, 2.75, 3.0, 3.25, 3.5 and 4.0 mm. The 3.25 mm is only available for XIENCE Xpedition
- Stent lengths: 8, 12, 15, 18, 23, and 28 mm
- For geographies where these devices are commercially available, the investigational sties may use only their locally approved devices
To improve coronary luminal diameter in patients, including those with diabetes mellitus, with ischemic heart disease due to de novo native coronary artery lesions (length ≤ 24 mm) with a reference vessel diameter of ≥ 2.5 mm and ≤ 3.75 mm.
| Study group | Role | What they receive |
|---|---|---|
| Absorb BVS | Experimental | Subjects receiving Absorb Bioresorbable Vascular Scaffold (BVS) System, and the Absorb GT1™ BVS System Receives: Device: Absorb BVS |
| XIENCE | Active comparator | Subjects receiving XIENCE V, XIENCE PRIME, or XIENCE Xpedition, XIENCE Alpine, XIENCE Pro (outside of the US only) and XIENCE ProX (outside of the US only) Receives: Device: XIENCE |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Target Lesion Failure (TLF)
Target lesion failure (TLF) composite of Cardiac Death, Myocardial Infarction attributable to Target Vessel (TV-MI), or Ischemia-Driven Target Lesion Revascularization (ID-TLR))
Measured: 30 days
Secondary outcomes (168)
TLF at 1-year, Non-inferiority Against the Control
One-sided p-value by using Farrington-Manning non-inferiority test will be used with non-inferiority margin of 4.8%, to be compared with a one-sided significance level of 0.025.
Measured: 1 year
Angina at 1-year, Non-inferiority Against the Control
- Angina is defined as any angina or angina equivalent symptoms determined by the physician and/or research coordinator after interview of the patient, and as adjudicated by a clinical events committee (CEC).
- This analysis will exclude angina or angina equivalent symptoms that occurred following the index procedure through hospital discharge or 7 days, whichever occurs first.
Measured: 1 year
Percentage of Target Lesion With Acute Success- Device Success (Lesion Level Analysis)
Successful delivery and deployment of the study scaffold/stent at the intended target lesion and successful withdrawal of the delivery system with attainment of final in-scaffold/stent residual stenosis of less than 30% by quantitative coronary angiography (QCA) (by visual estimation if QCA unavailable). When bailout scaffold/stent is used, the success or failure of the bailout scaffold/stent delivery and deployment is not one of the criteria for device success.
Measured: In-hospital (≤ 7days)
Number of Participants With Acute Success- Procedural Success (Subject Level Analysis)
Achievement of final in-scaffold/stent residual stenosis of less than 30% by QCA (by visual estimation if QCA unavailable) with successful delivery and deployment of at least one study scaffold/stent at the intended target lesion and successful withdrawal of the delivery system for all target lesions without the occurrence of cardiac death, target vessel MI or repeat TLR during the hospital stay (maximum of 7 days).
Measured: In-hospital (≤ 7days)
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Measured: In-hospital (≤ 7 days post index procedure)
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Measured: 30 days
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Measured: 90 days
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Measured: 180 days
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Measured: 270 days
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Measured: 1 year
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Measured: 2 years
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Measured: 3 years
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Measured: 4 years
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment. Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
For the All-Cause Mortality data, the denominator excludes participants who are lost-to-follow-up or withdrawn (by subject or physician) through a given timepoint without any DMR event (all death, MI and revascularization, respectively). If these participants were included in the denominator in each arm, that would equate to assuming that these participants are alive, potentially underestimating the death rate by inflating the denominator.
Measured: 5 years
Number of Participants With Myocardial Infarction (MI)
- Attributable to target vessel (TV-MI)
- Not attributable to target vessel (NTV-MI)
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants With Myocardial Infarction (MI)
- Attributable to target vessel (TV-MI)
- Not attributable to target vessel (NTV-MI)
Measured: 30 days
Number of Participants With Myocardial Infarction (MI)
- Attributable to target vessel (TV-MI)
- Not attributable to target vessel (NTV-MI)
Measured: 90 days
Number of Participants With Myocardial Infarction (MI)
- Attributable to target vessel (TV-MI)
- Not attributable to target vessel (NTV-MI)
Measured: 180 days
Number of Participants With Myocardial Infarction (MI)
- Attributable to target vessel (TV-MI)
- Not attributable to target vessel (NTV-MI)
Measured: 270 days
Number of Participants With Myocardial Infarction (MI)
- Attributable to target vessel (TV-MI)
- Not attributable to target vessel (NTV-MI)
Measured: 1 year
Number of Participants With Myocardial Infarction (MI)
- Attributable to target vessel (TV-MI)
- Not attributable to target vessel (NTV-MI)
Measured: 2 years
Number of Participants With Myocardial Infarction (MI)
- Attributable to target vessel (TV-MI)
- Not attributable to target vessel (NTV-MI)
Measured: 3 years
Number of Participants With Myocardial Infarction (MI)
- Attributable to target vessel (TV-MI)
- Not attributable to target vessel (NTV-MI)
Measured: 4 years
Number of Participants With Myocardial Infarction (MI)
- Attributable to target vessel (TV-MI)
- Not attributable to target vessel (NTV-MI)
Measured: 5 years
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Myocardial infarction attributed to target vessel myocardial infarction (TV-MI)
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Myocardial infarction attributed to target vessel myocardial infarction (TV-MI)
Measured: 30 days
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Myocardial infarction attributed to target vessel myocardial infarction (TV-MI)
Measured: 90 days
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Myocardial infarction attributed to target vessel myocardial infarction (TV-MI)
Measured: 180 days
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Myocardial infarction attributed to target vessel myocardial infarction (TV-MI)
Measured: 270 days
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Myocardial infarction attributed to target vessel myocardial infarction (TV-MI)
Measured: 1 year
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Myocardial infarction attributed to target vessel myocardial infarction (TV-MI)
Measured: 2 year
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Myocardial infarction attributed to target vessel myocardial infarction (TV-MI)
Measured: 3 years
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Myocardial infarction attributed to target vessel myocardial infarction (TV-MI)
Measured: 4 years
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Myocardial infarction attributed to target vessel myocardial infarction (TV-MI)
Measured: 5 years
Number of Participants With Target Lesion Revascularization (TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography.
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants With Target Lesion Revascularization (TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography.
Measured: 30 days
Number of Participants withTarget Lesion Revascularization (TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography.
Measured: 90 days
Number of Participants With Target Lesion Revascularization (TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography.
Measured: 180 days
Number of Participants With Target Lesion Revascularization (TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography.
Measured: 270 days
Number of Participants With Target Lesion Revascularization (TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography.
Measured: 1 year
Number of Participants With Target Lesion Revascularization (TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography.
Measured: 2 years
Number of Participants With Target Lesion Revascularization (TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography.
Measured: 3 years
Number of Participants With Target Lesion Revascularization (TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography.
Measured: 4 years
Number of Participants With Target Lesion Revascularization (TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography.
Measured: 5 years
Number of Participants With Ischemia Driven TLR (ID-TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants With Ischemia Driven TLR (ID-TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography
Measured: 30 days
Number of Participants With Ischemia Driven TLR (ID-TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography
Measured: 90 days
Number of Participants With Ischemia Driven TLR (ID-TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography
Measured: 180 days
Number of Participants With Ischemia Driven TLR (ID-TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography
Measured: 270 days
Number of Participants With Ischemia Driven TLR (ID-TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography
Measured: 1 year
Number of Participants With Ischemia Driven TLR (ID-TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography
Measured: 2 years
Number of Participants With Ischemia Driven TLR (ID-TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography
Measured: 3 years
Number of Participants With Ischemia Driven TLR (ID-TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography
Measured: 4 years
Number of Participants With Ischemia Driven TLR (ID-TLR)
TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion. All TLR should be classified prospectively as ischemia driven or not ischemia driven by the investigator prior to repeat angiography
Measured: 5 years
Number of Participants With Target Vessel Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants With Target Vessel Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 30 days
Number of Participants With Target Vessel Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 90 days
Number of Participants With Target Vessel Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself. classified as: Ischemic driven TVR and Non-ischemic driven TVR.
-TVR includes all TVR, excluding TLR
Measured: 180 days
Number of Participants With Target Vessel Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 270 days
Number of Participants With Target Vessel Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 1 year
Number of Participants With Target Vessel Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 2 years
Number of Participants With Target Vessel Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 3 years
Number of Participants With Target Vessel Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 4 years
Number of Participants With Target Vessel Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 5 years
Number of Participants With ID-TVR Excluding TLR
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants With ID-TVR Excluding TLR
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 30 days
Number of Participants With ID-TVR Excluding TLR
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 90 days
Number of Participants With ID-TVR Excluding TLR
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 180 days
Number of Participants With ID-TVR Excluding TLR
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 270 days
Number of Participants With ID-TVR Excluding TLR
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 1 year
Number of Participants With ID-TVR Excluding TLR
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 2 years
Number of Participants With ID-TVR Excluding TLR
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 3 years
Number of Participants With ID-TVR Excluding TLR
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 4 years
Number of Participants With ID-TVR Excluding TLR
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.
- TVR includes both Ischemic driven TVR and Non-ischemic driven TVR.
- TVR includes all TVR, excluding TLR
Measured: 5 years
Number of Participants With All Coronary Revascularization
Revascularization includes TLR, TVR excluding TLR, and non TVR.
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants With All Coronary Revascularization
Revascularization includes TLR, TVR excluding TLR, and non TVR.
Measured: 30 days
Number of Participants With All Coronary Revascularization
Revascularization includes TLR, TVR excluding TLR, and non TVR.
Measured: 90 days
Number of Participants With All Coronary Revascularization
Revascularization includes TLR, TVR excluding TLR, and non TVR.
Measured: 180 days
Number of Participants With All Coronary Revascularization
Revascularization includes TLR, TVR excluding TLR, and non TVR.
Measured: 270 days
Number of Participants With All Coronary Revascularization
Revascularization includes TLR, TVR excluding TLR, and non TVR.
Measured: 1 year
Number of Participants With All Coronary Revascularization
Revascularization includes TLR, TVR excluding TLR, and non TVR.
Measured: 2 years
Number of Participants With All Coronary Revascularization
Revascularization includes TLR, TVR excluding TLR, and non TVR.
Measured: 3 years
Number of Participants With All Coronary Revascularization
Revascularization includes TLR, TVR excluding TLR, and non TVR.
Measured: 4 years
Number of Participants With All Coronary Revascularization
Revascularization includes TLR, TVR excluding TLR, and non TVR.
Measured: 5 years
Number of Participants Experienced All Death/All MI
All deaths includes
- Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
- Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.
- Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.
-Non-Q wave MI: Those MIs which are not Q-wave MI
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants Experienced All Death/All MI
All deaths includes
- Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
- Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.
- Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.
-Non-Q wave MI: Those MIs which are not Q-wave MI
Measured: 30 days
Number of Participants Experienced All Death/All MI
All deaths includes
- Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
- Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.
- Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.
-Non-Q wave MI: Those MIs which are not Q-wave MI
Measured: 90 days
Number of Participants Experienced All Death/All MI
All deaths includes
- Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
- Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.
- Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.
-Non-Q wave MI: Those MIs which are not Q-wave MI
Measured: 180 days
Number of Participants Experienced All Death/All MI
All deaths includes
- Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
- Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.
- Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.
-Non-Q wave MI: Those MIs which are not Q-wave MI
Measured: 270 days
Number of Participants Experienced All Death/All MI
All deaths includes
- Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
- Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.
- Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.
-Non-Q wave MI: Those MIs which are not Q-wave MI
Measured: 1 year
Number of Participants Experienced All Death/All MI
All deaths includes
- Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
- Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.
- Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.
-Non-Q wave MI: Those MIs which are not Q-wave MI
Measured: 2 years
Number of Participants Experienced All Death/All MI
All deaths includes
- Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
- Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.
- Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.
-Non-Q wave MI: Those MIs which are not Q-wave MI
Measured: 3 years
Number of Participants Experienced All Death/All MI
All deaths includes
- Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
- Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.
- Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.
-Non-Q wave MI: Those MIs which are not Q-wave MI
Measured: 4 years
Number of Participants Experienced All Death/All MI
All deaths includes
- Cardiac death: Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
- Vascular death: Death due to non-coronary vascular causes such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular cause.
- Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.
Myocardial Infarction (MI) - Q wave MI: Development of new, pathological Q wave on the ECG.
-Non-Q wave MI: Those MIs which are not Q-wave MI
Measured: 5 years
Number of Participants Experienced Cardiac Death/All MI
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants Experienced Cardiac Death/All MI
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Measured: 30 days
Number of Participants Experienced Cardiac Death/All MI
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Measured: 90 days
Number of Participants Experienced Cardiac Death/All MI
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Measured: 180 days
Number of Participants Experienced Cardiac Death/All MI
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Measured: 270 days
Number of Participants Experienced Cardiac Death/All MI
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Measured: 1 year
Number of Participants Experienced Cardiac Death/All MI
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Measured: 2 years
Number of Participants Experienced Cardiac Death/All MI
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Measured: 3 years
Number of Participants Experienced Cardiac Death/All MI
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Measured: 4 years
Number of Participants Experienced Cardiac Death/All MI
Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.
Measured: 5 years
Number of Participants Experienced Cardiac Death/TV-MI/ID-TLR (TLF)
Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants Experienced Cardiac Death/TV-MI/ID-TLR (TLF)
Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).
Measured: 30 days
Number of Participants Experienced Cardiac Death/TV-MI/ID-TLR (TLF)
Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).
Measured: 90 days
Number of Participants Experienced Cardiac Death/TV-MI/ID-TLR (TLF)
Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).
Measured: 180 days
Number of Participants Experienced Cardiac Death/TV-MI/ID-TLR (TLF)
Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).
Measured: 270 days
Number of Participants Experienced Cardiac Death/TV-MI/ID-TLR (TLF)
Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).
Measured: 1 year
Number of Participants Experienced Cardiac Death/TV-MI/ID-TLR (TLF)
Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).
Measured: 2 years
Number of Participants Experienced Cardiac Death/TV-MI/ID-TLR (TLF)
Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).
Measured: 3 years
Number of Participants Experienced Cardiac Death/TV-MI/ID-TLR (TLF)
Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).
Measured: 4 years
Number of Participants Experienced Cardiac Death/TV-MI/ID-TLR (TLF)
Target Lesion Failure is composite of Cardiac death/ Target Vessel Myocardial Infarction (TV-MI)/ Ischemic-Driven Target Lesion Revascularization (ID-TLR).
Measured: 5 years
Number of Participants Experienced Cardiac Death/All MI/ID-TLR (Major Adverse Cardiac Events-MACE)
Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and ischemic driven target lesion revascularization (ID-TLR).
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants Experienced With Cardiac Death/All MI/ID-TLR (MACE)
Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and ischemic driven target lesion revascularization (ID-TLR).
Measured: 30 days
Number of Participants Experienced Cardiac Death/All MI/ID-TLR (MACE)
Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and ischemic driven target lesion revascularization (ID-TLR).
Measured: 90 days
Number of Participants Experienced Cardiac Death/All MI/ID-TLR (MACE)
Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and ischemic driven target lesion revascularization (ID-TLR).
Measured: 180 days
Number of Participants Experienced Cardiac Death/All MI/ID-TLR (MACE)
Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and ischemic driven target lesion revascularization (ID-TLR).
Measured: 270 days
Number of Participants Experienced Cardiac Death/All MI/ID-TLR (MACE)
Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and ischemic driven target lesion revascularization (ID-TLR).
Measured: 1 year
Number of Participants Experienced Cardiac Death/All MI/ID-TLR (MACE)
Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and ischemic driven target lesion revascularization (ID-TLR).
Measured: 2 years
Number of Participants Experienced Cardiac Death/All MI/ID-TLR (MACE)
Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and ischemic driven target lesion revascularization (ID-TLR).
Measured: 3 years
Number of Participants Experienced Cardiac Death/All MI/ID-TLR (MACE)
Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and ischemic driven target lesion revascularization (ID-TLR).
Measured: 4 years
Number of Participants Experienced Cardiac Death/All MI/ID-TLR (MACE)
Major adverse cardiac events (MACE) is defined as the composite of cardiac death, all myocardial infarction, and ischemic driven target lesion revascularization (ID-TLR).
Measured: 5 years
Number of Participants Experienced Cardiac Death/All MI/ID-TLR/ID-TVR, Non TL (Target Vessel Failure, TVF)
Target Vessel Failure (TVF) is the composite of Cardiac Death, Myocardial infarction (MI) or Ischemic-Driven Target Vessel Revascularization (ID-TVR).
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants Experienced Cardiac Death/All MI/ID-TLR/ID-TVR, Non TL (TVF)
Target Vessel Failure (TVF) is the composite of Cardiac Death, Myocardial infarction (MI) or Ischemic-Driven Target Vessel Revascularization (ID-TVR).
Measured: 30 days
Number of Participants Experienced Cardiac Death/All MI/ID-TLR/ID-TVR, Non TL (TVF)
Target Vessel Failure (TVF) is the composite of Cardiac Death, Myocardial infarction (MI) or Ischemic-Driven Target Vessel Revascularization (ID-TVR).
Measured: 90 days
Number of Participants Experienced Cardiac Death/All MI/ID-TLR/ID-TVR, Non TL (TVF)
Target Vessel Failure (TVF) is the composite of Cardiac Death, Myocardial infarction (MI) or Ischemic-Driven Target Vessel Revascularization (ID-TVR).
Measured: 180 days
Number of Participants Experienced Cardiac Death/All MI/ID-TLR/ID-TVR, Non TL (TVF)
Target Vessel Failure (TVF) is the composite of Cardiac Death, Myocardial infarction (MI) or Ischemic-Driven Target Vessel Revascularization (ID-TVR).
Measured: 270 days
Number of Participants Experienced Cardiac Death/All MI/ID-TLR/ID-TVR, Non TL (TVF)
Target Vessel Failure (TVF) is the composite of Cardiac Death, Myocardial infarction (MI) or Ischemic-Driven Target Vessel Revascularization (ID-TVR).
Measured: 1 year
Number of Participants Experienced Cardiac Death/All MI/ID-TLR/ID-TVR, Non TL (TVF)
Target Vessel Failure (TVF) is the composite of Cardiac Death, Myocardial infarction (MI) or Ischemic-Driven Target Vessel Revascularization (ID-TVR).
Measured: 2 years
Number of Participants Experienced Cardiac Death/All MI/ID-TLR/ID-TVR, Non TL (TVF)
Target Vessel Failure (TVF) is the composite of Cardiac Death, Myocardial infarction (MI) or Ischemic-Driven Target Vessel Revascularization (ID-TVR).
Measured: 3 years
Number of Participants Experienced Cardiac Death/All MI/ID-TLR/ID-TVR, Non TL (TVF)
Target Vessel Failure (TVF) is the composite of Cardiac Death, Myocardial infarction (MI) or Ischemic-Driven Target Vessel Revascularization (ID-TVR).
Measured: 4 years
Number of Participants Experienced Cardiac Death/All MI/ID-TLR/ID-TVR, Non TL (TVF)
Target Vessel Failure (TVF) is the composite of Cardiac Death, Myocardial infarction (MI) or Ischemic-Driven Target Vessel Revascularization (ID-TVR).
Measured: 5 years
Number of Participants Experienced Death/All MI/All Revascularization (DMR)
DMR is the composite of All Death, All Myocardial infarction (MI) and All Revascularization.
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants Experienced Death/All MI/All Revascularization (DMR)
DMR is the composite of All Death, All Myocardial infarction (MI) and All Revascularization.
Measured: 30 days
Number of Participants Experienced Death/All MI/All Revascularization (DMR)
DMR is the composite of All Death, All Myocardial infarction (MI) and All Revascularization.
Measured: 90 days
Number of Participants Experienced Death/All MI/All Revascularization (DMR)
DMR is the composite of All Death, All Myocardial infarction (MI) and All Revascularization.
Measured: 180 days
Number of Participants Experienced Death/All MI/All Revascularization (DMR)
DMR is the composite of All Death, All Myocardial infarction (MI) and All Revascularization.
Measured: 270 days
Number of Participants Experienced Death/All MI/All Revascularization (DMR)
DMR is the composite of All Death, All Myocardial infarction (MI) and All Revascularization.
Measured: 1 year
Number of Participants Experienced Death/All MI/All Revascularization (DMR)
DMR is the composite of All Death, All Myocardial infarction (MI) and All Revascularization.
Measured: 2 years
Number of Participants Experienced Death/All MI/All Revascularization (DMR)
DMR is the composite of All Death, All Myocardial infarction (MI) and All Revascularization.
Measured: 3 years
Number of Participants Experienced Death/All MI/All Revascularization (DMR)
DMR is the composite of All Death, All Myocardial infarction (MI) and All Revascularization.
Measured: 4 years
Number of Participants Experienced Death/All MI/All Revascularization (DMR)
DMR is the composite of All Death, All Myocardial infarction (MI) and All Revascularization.
Measured: 5 years
Number of Participants With Acute Scaffold/Stent Thrombosis (Per Academic Research Consortium (ARC) Definition)
Stent thrombosis was defined by Academic Research Consortium (ARC) criteria as definite (angiographic confirmation with at least one of the following: acute onset of ischemic symptoms at rest, new ischemic ECG changes that suggest acute ischemia or typical rise and fall of cardiac biomarkers OR pathological confirmation at autopsy or via examination of tissue retrieved following thrombectomy), probable (any unexplained death within the first 30 days or, regardless of the time after the index procedure, any Myocardial infarction (MI) related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation and in the absence of any other obvious cause), and possible (any unexplained death from 30 days after intracoronary stenting until end of trial follow-up). Stent thrombosis was categorized as acute (0-24 hours post stent implantation), Subacute (>24 hours to 30 days post stent implantation), late (>30 days to 1 year post stent implantation).
Measured: 0 - 24 hours post stent implantation
Number of Participants With Subacute Scaffold/Stent Thrombosis (Per ARC Definition)
Stent thrombosis was defined by Academic Research Consortium (ARC) criteria as definite (angiographic confirmation with at least one of the following: acute onset of ischemic symptoms at rest, new ischemic ECG changes that suggest acute ischemia or typical rise and fall of cardiac biomarkers OR pathological confirmation at autopsy or via examination of tissue retrieved following thrombectomy), probable (any unexplained death within the first 30 days or, regardless of the time after the index procedure, any Myocardial infarction (MI) related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation and in the absence of any other obvious cause), and possible (any unexplained death from 30 days after intracoronary stenting until end of trial follow-up). Stent thrombosis was categorized as acute (0-24 hours post stent implantation), Subacute (>24 hours to 30 days post stent implantation), late (>30 days to 1 year post stent implantation).
Measured: >24 hours - 30 days post stent implantation
Number of Participants With Late Scaffold/Stent Thrombosis (Per ARC Definition)
Stent thrombosis was defined by Academic Research Consortium (ARC) criteria as definite (angiographic confirmation with at least one of the following: acute onset of ischemic symptoms at rest, new ischemic ECG changes that suggest acute ischemia or typical rise and fall of cardiac biomarkers OR pathological confirmation at autopsy or via examination of tissue retrieved following thrombectomy), probable (any unexplained death within the first 30 days or, regardless of the time after the index procedure, any Myocardial infarction (MI) related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation and in the absence of any other obvious cause), and possible (any unexplained death from 30 days after intracoronary stenting until end of trial follow-up). Stent thrombosis was categorized as acute (0-24 hours post stent implantation), Subacute (>24 hours to 30 days post stent implantation), late (>30 days to 1 year post stent implantation).
Measured: 30 days - 1 year post stent implantation
Number of Participants With Cumulative Scaffold/Stent Thrombosis (Per ARC Definition)
Stent thrombosis was defined by Academic Research Consortium (ARC) criteria as definite (angiographic confirmation with at least one of the following: acute onset of ischemic symptoms at rest, new ischemic ECG changes that suggest acute ischemia or typical rise and fall of cardiac biomarkers OR pathological confirmation at autopsy or via examination of tissue retrieved following thrombectomy), probable (any unexplained death within the first 30 days or, regardless of the time after the index procedure, any Myocardial infarction (MI) related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation and in the absence of any other obvious cause), and possible (any unexplained
Measured: 0 to 730 Days
Number of Participants With Rehospitalization
- Coronary artery disease (CAD) related
- Cardiovascular, non-CAD related
- Non-cardiovascular related
Measured: 30 days
Number of Participants With Rehospitalization
- CAD related
- Cardiovascular, non-CAD related
- Non-cardiovascular related
Measured: 90 days
Number of Participants With Rehospitalization
- CAD related
- Cardiovascular, non-CAD related
- Non-cardiovascular related
Measured: 180 days
Number of Participants With Rehospitalization
- CAD related
- Cardiovascular, non-CAD related
- Non-cardiovascular related
Measured: 270 days
Number of Participants With Rehospitalization
- CAD related
- Cardiovascular, non-CAD related
- Non-cardiovascular related
Measured: 1 year
Number of Participants With Rehospitalization
- CAD related
- Cardiovascular, non-CAD related
- Non-cardiovascular related
Measured: 2 years
Number of Participants With Rehospitalization
- CAD related
- Cardiovascular, non-CAD related
- Non-cardiovascular related
Measured: 3 years
Number of Participants With Rehospitalization
- CAD related
- Cardiovascular, non-CAD related
- Non-cardiovascular related
Measured: 4 years
Number of Participants With Rehospitalization
- CAD related
- Cardiovascular, non-CAD related
- Non-cardiovascular related
Measured: 5 years
Number of Participants With Repeat Coronary Arteriography
Measured: In-hospital (≤ 7 days post index procedure)
Number of Participants With Repeat Coronary Arteriography
Measured: 30 days
Number of Participants With Repeat Coronary Arteriography
Measured: 90 days
Number of Participants With Repeat Coronary Arteriography
Measured: 180 days
Number of Participants With Repeat Coronary Arteriography
Measured: 270 days
Number of Participants With Repeat Coronary Arteriography
Measured: 1 year
Number of Participants With Repeat Coronary Arteriography
Measured: 2 years
Number of Participants With Repeat Coronary Arteriography
Measured: 3 years
Number of Participants With Repeat Coronary Arteriography
Measured: 4 years
Number of Participants With Repeat Coronary Arteriography
Measured: 5 years
Number of Participants With Target Lesion Failure (TLF)
The analysis will be based on 4610 subjects (2000 primary analysis subjects of ABSORB III and 2610 subjects of ABSORB IV)
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jun 2014 (estimated)
- Study startJul 2014
- Primary completion6 Apr 2022
- Study completion6 Apr 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Coronary Artery DiseaseStudies of the same condition, open and under way.
- More trials run by Abbott Medical DevicesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 2,604 participants (actual)
Sponsor and investigators
- Lead sponsor
- Abbott Medical Devices
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Gregg W Stone, MD, Study chair, Columbia University Medical Center, New York, NYGregg W Stone, MD, Principal investigator, Columbia University Medical Center, New York, NYStephen G Ellis, MD, Principal investigator, Cleveland Clinic, Cleveland OHDean J Kereiakes, MD, Principal investigator, The Christ Hospital, Cincinnati, OH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02173379
- Sponsor's protocol ID
- 10-392 C
- Status last verified
- Oct 2023
- First submitted
- 9 Jun 2014
- Last updated
- 30 Oct 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Power DA, Camaj A, Kereiakes DJ, Ellis SG, Gao R, Kimura T, Ali ZA, Stockelman KA, Dressler O, Onuma Y, Serruys PW, Stone GW; ABSORB Investigators. Early and Late Outcomes With the Absorb Bioresorbable Vascular Scaffold: Final Report From the ABSORB Clinical Trial Program. JACC Cardiovasc Interv. 2025 Jan 13;18(1):1-11. doi: 10.1016/j.jcin.2024.08.050.
PubMed 39814482Stone GW, Kereiakes DJ, Gori T, Metzger DC, Stein B, Erickson M, Torzewski J, Kabour A, Piegari G, Cavendish J, Bertolet B, Stockelman KA, West NEJ, Ben-Yehuda O, Choi JW, Marx SO, Spertus JA, Ellis SG; ABSORB IV Investigators. 5-Year Outcomes After Bioresorbable Coronary Scaffolds Implanted With Improved Technique. J Am Coll Cardiol. 2023 Jul 18;82(3):183-195. doi: 10.1016/j.jacc.2023.05.003. Epub 2023 May 17.
PubMed 37207924Stone GW, Ellis SG, Gori T, Metzger DC, Stein B, Erickson M, Torzewski J, Williams J Jr, Lawson W, Broderick TM, Kabour A, Piegari G, Cavendish J, Bertolet B, Choi JW, Marx SO, Genereux P, Kereiakes DJ; ABSORB IV Investigators. Blinded outcomes and angina assessment of coronary bioresorbable scaffolds: 30-day and 1-year results from the ABSORB IV randomised trial. Lancet. 2018 Oct 27;392(10157):1530-1540. doi: 10.1016/S0140-6736(18)32283-9. Epub 2018 Sep 25.
PubMed 30266412
Study at a glance
From the registry record, last updated by the sponsor on 30 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Clinical Evaluation of Absorb™ BVS, the Everolimus Eluting Bioresorbable Vascular Scaffold in the Treatment of Subjects With de Novo Native Coronary Artery Lesions
- ClinicalTrials.gov ID
- NCT02173379
- Acronym / sponsor ID
- 10-392 C
- Keywords
- Absorb™ BVS, Angioplasty, Bioabsorbable, BVS, Coronary Artery Disease, Coronary Artery Endothelial Responsiveness, Coronary artery restenosis, Coronary artery stenosis
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,604 participants (actual)
- Lead sponsor
- Abbott Medical DevicesIndustry (pharma, biotech, devices)
- Study start
- Jul 2014 (actual)
- Primary completion
- 6 Apr 2022 (actual)
- Study completion
- 6 Apr 2022 (actual)
- First posted
- 25 Jun 2014 (estimated)
- Results
- Posted 24 Jul 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
ABSORB IV is a prospective, randomized (1:1, Absorb BVS to XIENCE), single-blind, multi-center study, registering approximately 2610 subjects from approximately 140 sites in the United States and outside the United States. ABSORB IV is a continuation of ABSORB III (NCT01751906) trial which are maintained under one protocol because both trial designs are related. The data from ABSORB III and ABSORB IV will be pooled to support the ABSORB IV primary endpoint. Both the trials will evaluate the safety and effectiveness of Absorb BVS.
The ABSORB IV Randomized Controlled Trial (RCT) is designed to continue to evaluate the safety and effectiveness as well as the potential short and long-term benefits of Abbott Vascular Absorb™ Bioresorbable Vascular Scaffold (BVS) System, and the Absorb GT1™ BVS System (once commercially available), as compared to the commercially approved, control stent XIENCE.
Detailed description
ABSORB IV:
- Primary Objective:
- To evaluate 30-day clinical outcomes of the Absorb BVS compared to XIENCE in the treatment of subjects with ischemic heart disease caused by up to three de novo native coronary artery lesions in a maximum of two epicardial vessels, with a maximum of two lesions per epicardial vessel.
- To evaluate long-term clinical outcomes of Absorb BVS compared to XIENCE in the treatment of subjects with ischemic heart disease caused by up to three denovo native coronary artery lesions in a maximum of two epicardial vessels, with a maximum of two lesions per epicardial vessel.
- Secondary Objectives:
- To evaluate 1-year clinical outcomes of the Absorb BVS compared to XIENCE in the treatment of subjects with ischemic heart disease caused by up to three de novo native coronary artery lesions in a maximum of two epicardial vessels, with a maximum of two lesions per epicardial vessel.
- To evaluate the incidence of angina occurring within 1 year, with treatment of Absorb BVS compared to XIENCE.
The enrollment of the 2610 subjects in ABSORB IV will start after enrollment completion of the 2000 primary analysis subjects in ABSORB III. All registered subjects will have clinical follow-up at 30, 90, 180, 270 days and 1, 2, 3, 4 and 5 years.
Note: All registered subjects in ABSORB IV will be followed up to 5 years via telephone contact/office visit if it is necessary as determined by the Sponsor.
In addition, all 2610 subjects in ABSORB IV will complete patient-reported outcome (PRO) self-administered questionnaires at baseline, 30 days,180 days, 1 year, 3 years and 5 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Absorb BVS | Experimental | Device: Absorb BVSSubjects receiving Absorb Bioresorbable Vascular Scaffold (BVS) System, and the Absorb GT1™ BVS System |
| XIENCE | Active comparator | Device: XIENCESubjects receiving XIENCE V, XIENCE PRIME, or XIENCE Xpedition, XIENCE Alpine, XIENCE Pro (outside of the US only) and XIENCE ProX (outside of the US only) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Absorb BVS* Scaffold diameters: 2.5, 3.0 and 3.5 mm * Scaffold lengths: 8, 12, 18, and 28 mm. Both the 8 mm and 12 mm lengths will be available for the 2.5/3.0 mm diameter Absorb BVS. Only the 12 mm length will be available for the 3.5 mm diameter. * Once Absorb GT1™ BVS System is commercially available, it can also be used in the ABSORB IV trial. Scaffold diameters: 2.5, 3.0 and 3.5 mm of and scaffold lengths: 8, 12, 18, 23, and 28 mm. * The commercially approved CE marked device will be used in geographies where it is commercially available. The commercially approved CE marked 23mm Absorb BVS device will not be used in this study. Bioabsorbable drug eluting stent implantation for improving coronary luminal diameter in patients, including those with diabetes mellitus, with ischemic heart disease due to de novo native coronary artery lesions (length ≤ 24 mm) with a reference vessel diameter of ≥ 2.5 mm and ≤ 3.75 mm. | Device | Absorb BVS |
| XIENCECommercially approved XIENCE Family Stent System, inclusive of XIENCE V, XIENCE PRIME, XIENCE Xpedition, XIENCE Alpine, XIENCE Pro (OUS only), and XIENCE ProX (OUS only). * Stent diameters: 2.5, 2.75, 3.0, 3.25, 3.5 and 4.0 mm. The 3.25 mm is only available for XIENCE Xpedition * Stent lengths: 8, 12, 15, 18, 23, and 28 mm * For geographies where these devices are commercially available, the investigational sties may use only their locally approved devices To improve coronary luminal diameter in patients, including those with diabetes mellitus, with ischemic heart disease due to de novo native coronary artery lesions (length ≤ 24 mm) with a reference vessel diameter of ≥ 2.5 mm and ≤ 3.75 mm. | Device | XIENCE |
Primary outcome
Number of Participants With Target Lesion Failure (TLF)
Time frame: 30 days
Target lesion failure (TLF) composite of Cardiac Death, Myocardial Infarction attributable to Target Vessel (TV-MI), or Ischemia-Driven Target Lesion Revascularization (ID-TLR))
168 secondary outcomes
TLF at 1-year, Non-inferiority Against the Control
Time frame: 1 year
Angina at 1-year, Non-inferiority Against the Control
Time frame: 1 year
Percentage of Target Lesion With Acute Success- Device Success (Lesion Level Analysis)
Time frame: In-hospital (≤ 7days)
Number of Participants With Acute Success- Procedural Success (Subject Level Analysis)
Time frame: In-hospital (≤ 7days)
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: In-hospital (≤ 7 days post index procedure)
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 30 days
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 90 days
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 180 days
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 270 days
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 1 year
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 2 years
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 3 years
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 4 years
Number of Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 5 years
Number of Participants With Myocardial Infarction (MI)
Time frame: In-hospital (≤ 7 days post index procedure)
Number of Participants With Myocardial Infarction (MI)
Time frame: 30 days
Number of Participants With Myocardial Infarction (MI)
Time frame: 90 days
Number of Participants With Myocardial Infarction (MI)
Time frame: 180 days
Number of Participants With Myocardial Infarction (MI)
Time frame: 270 days
Number of Participants With Myocardial Infarction (MI)
Time frame: 1 year
Number of Participants With Myocardial Infarction (MI)
Time frame: 2 years
Number of Participants With Myocardial Infarction (MI)
Time frame: 3 years
Number of Participants With Myocardial Infarction (MI)
Time frame: 4 years
Number of Participants With Myocardial Infarction (MI)
Time frame: 5 years
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Time frame: In-hospital (≤ 7 days post index procedure)
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Time frame: 30 days
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Time frame: 90 days
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Time frame: 180 days
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Time frame: 270 days
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Time frame: 1 year
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Time frame: 2 year
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Time frame: 3 years
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Time frame: 4 years
Number of Participants With Target Vessel Myocardial Infarction (TV-MI)
Time frame: 5 years
Number of Participants With Target Lesion Revascularization (TLR)
Time frame: In-hospital (≤ 7 days post index procedure)
Number of Participants With Target Lesion Revascularization (TLR)
Time frame: 30 days
Number of Participants withTarget Lesion Revascularization (TLR)
Time frame: 90 days
Number of Participants With Target Lesion Revascularization (TLR)
Time frame: 180 days
Number of Participants With Target Lesion Revascularization (TLR)
Time frame: 270 days
Number of Participants With Target Lesion Revascularization (TLR)
Time frame: 1 year
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Oct 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39814482Power DA, Camaj A, Kereiakes DJ, Ellis SG, Gao R, Kimura T, Ali ZA, Stockelman KA, Dressler O, Onuma Y, Serruys PW, Stone GW; ABSORB Investigators. Early and Late Outcomes With the Absorb Bioresorbable Vascular Scaffold: Final Report From the ABSORB Clinical Trial Program. JACC Cardiovasc Interv. 2025 Jan 13;18(1):1-11. doi: 10.1016/j.jcin.2024.08.050.
- Derived from this study: PubMed 37207924Stone GW, Kereiakes DJ, Gori T, Metzger DC, Stein B, Erickson M, Torzewski J, Kabour A, Piegari G, Cavendish J, Bertolet B, Stockelman KA, West NEJ, Ben-Yehuda O, Choi JW, Marx SO, Spertus JA, Ellis SG; ABSORB IV Investigators. 5-Year Outcomes After Bioresorbable Coronary Scaffolds Implanted With Improved Technique. J Am Coll Cardiol. 2023 Jul 18;82(3):183-195. doi: 10.1016/j.jacc.2023.05.003. Epub 2023 May 17.
- Derived from this study: PubMed 30266412Stone GW, Ellis SG, Gori T, Metzger DC, Stein B, Erickson M, Torzewski J, Williams J Jr, Lawson W, Broderick TM, Kabour A, Piegari G, Cavendish J, Bertolet B, Choi JW, Marx SO, Genereux P, Kereiakes DJ; ABSORB IV Investigators. Blinded outcomes and angina assessment of coronary bioresorbable scaffolds: 30-day and 1-year results from the ABSORB IV randomised trial. Lancet. 2018 Oct 27;392(10157):1530-1540. doi: 10.1016/S0140-6736(18)32283-9. Epub 2018 Sep 25.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gregg W Stone, MD study chair
Columbia University Medical Center, New York, NY
Gregg W Stone, MD principal investigator
Columbia University Medical Center, New York, NY
Stephen G Ellis, MD principal investigator
Cleveland Clinic, Cleveland OH
120 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Absorb BVS and XIENCE in people with Coronary Artery Disease and Coronary Artery Stenosis, run by Abbott Medical Devices at 120 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 120 sites in United States, Germany, Australia, Canada, Singapore. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 24 Jul 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Target Lesion Failure (TLF) (time frame: 30 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02173379, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2023.