TAXUS(R) Stent Demonstrates Similar Outcomes In Diabetic Patients Compared To Non Diabetics In Pooled Analysis Of TAXUS IV And V Trials
"The TAXUS IV/V diabetic subset data indicated that the TAXUS Stent mitigated the impact of diabetes as a risk factor for restenosis following stenting procedures in the patients studied," said Dr. Stone. "Diabetic patients treated with TAXUS Stents compared to bare-metal stents had significantly improved event-free survival, particularly important in high-risk patients with diabetes."
The pooled analysis included angiographic outcomes at nine months and clinical outcomes at three years among 338 diabetic patients and 901 non-diabetic patients treated with the TAXUS Stent from the TAXUS IV and V clinical trials. Nine-month angiographic outcomes showed equivalent in-segment late loss (0.27mm vs. 0.31mm, p=0.28) and binary restenosis (14.3% vs. 15.1%, p=0.83) in diabetics and non-diabetics, respectively.
At three years, TLR was similar for diabetic and non-diabetic patients (12.4% vs. 10.1%, p=0.25), despite significant baseline differences and increased comorbidity risk in diabetic patients. TVR was higher in diabetics (21.4% vs. 15.7%, p=0.017), due to an increase in remote TVR events (outside the stented segment), which is an indicator of the more aggressive background disease progression in diabetics. Three-year rates of stent thrombosis under Protocol definition (0.9% vs. 1.3%, p=0.63) and ARC Definite/Probable (1.6% vs. 1.9%, p=0.73) were similar, even without multivariate adjustment.
The TAXUS IV/V analysis also compared 338 diabetic patients treated with the TAXUS Stent versus 336 diabetic patients treated with bare-metal stents (BMS). Three-year rates of TVR and TLR were reduced by roughly 50 percent in diabetic patients treated with the TAXUS Stent compared to BMS, consistent with results seen in other high-risk patient groups. The TAXUS Stent showed comparable safety to BMS in diabetics, with no significant differences in death (7.3% vs. 7.1%, p=0.91), cardiac death (4.6% vs. 2.7%, p=0.23), MI (6.5% vs. 6.6%, p=0.83) or ARC Definite/Probable stent thrombosis (1.6% vs. 1.5%, p=1.00) in TAXUS and BMS, respectively.
"We are pleased to see that TLR in TAXUS patients -- an important indicator of TAXUS efficacy -- showed no significant difference between diabetic and non-diabetic patients in these studies," said Paul LaViolette, Chief Operating Officer at Boston Scientific. "This analysis is consistent with data we recently announced from our ARRIVE 1 and 2 real-world registries, showing that the TAXUS Stent effectively neutralized the impact of diabetes as a risk factor for restenosis in the patients studied."
The growing diabetic subset accounts for more than one-quarter of all coronary interventional procedures in the United States. Diabetes is generally associated with an increased risk of cardiovascular events and patients with diabetes are more likely than non-diabetic patients to require repeat procedures due to a higher incidence of restenosis following angioplasty and stenting.
The safety and effectiveness of the TAXUS Express Stent has not been established in patients with diabetes in the United States.
Boston Scientific is a worldwide developer, manufacturer and marketer of medical devices whose products are used in a broad range of interventional medical specialties. For more information, please visit: http://www.bostonscientific.com.
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References
(1) Rosamond W, Flegal K, Furie K, et al., "Heart disease and stroke statistics--2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee." Circulation. 2008;117(4):e25-146.
Boston Scientific Corporation
http://www.bostonscientific.com
Taxus (R) stent demonstreazã similare Rezultatele La pacienþii diabetici, comparativ cu non diabetici În analizã centralizatã a Taxus IV ºi V Procesele - TAXUS(R) Stent Demonstrates Similar Outcomes In Diabetic Patients Compared To Non Diabetics In Pooled Analysis Of TAXUS IV And V Trials - articole medicale engleza - startsanatate