Related trials
SPIRIT IV, 2010 - everolimus ES vs paclitaxel ES
SORT-OUT-3, 2010 - zotarolimus ES vs sirolimus ES
ISAR-DESIRE-2, 2010 - sirolimus ES vs paclitaxel ES
RESOLUTE, 2010 - zotarolimus ES vs everolimus ES
ZEST (vs PES), 2009 - zotarolimus ES vs paclitaxel ES
PASEO, 2009 - drug ES vs bare-metal stent
Thiele, 2009 - sirolimus ES vs MIDCAB
ISAR TEST 2 (vs ZES), 2009 - dual sirolimus, probucol ES vs zotarolimus ES
ISAR TEST 3 (PF), 2009 - polymer free sirolimus stent vs sirolimus ES
ENDEAVOR IV, 2009 - zotarolimus ES vs paclitaxel ES
GENIUS-STEMI, 2009 - Genous stent vs bare-metal stent
ZEST AMI (vs PES), 2009 - zotarolimus ES vs paclitaxel ES
STICH (ventricular reconstruction), 2009 - CABG+surgical ventricular reconstruction vs CABG
ISAR TEST 2 (vs SES), 2009 - dual sirolimus, probucol ES vs sirolimus ES
COMPARE, 2009 - everolimus ES vs paclitaxel ES
ISAR TEST 3 (BP), 2009 - biodegradable-polymer sirolimus stent vs sirolimus ES
ZEST (vs SES), 2009 - zotarolimus ES vs sirolimus ES
ZEST AMI (vs SES), 2009 - zotarolimus ES vs sirolimus ES
BARI 2D, 2009 - CABG or PCI vs medical treatment
DEBATER (SES vs BMS), 2009 - sirolimus ES vs bare-metal stent
ISAR-TEST-4, 2009 - sirolimus biodegradable polymer vs sirolimus ES
SYNTAX, 2009 - paclitaxel ES vs CABG
ISAR-LEFT-MAIN, 2009 - sirolimus ES vs paclitaxel ES
Kim, 2008 - sirolimus ES vs paclitaxel ES
MISSION, 2008 - sirolimus ES vs bare-metal stent
See also:
All coronary artery disease clinical trials
All stable angina clinical trials
All clinical trials of revascularization with drug eluting stent
All clinical trials of sirolimus ES
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RAVEL study, 2002
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[NCT00233805]
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Treatments
| Studied treatment |
coated Bx Velocity
|
| Control treatment |
Bx Velocity
|
| Concomittant treatment |
Clopidogrel or ticlopidine 8 weeks |
| Treatments description |
|
Patients
| Patients |
Stable or unstable AP, silent ischaemia; single primary target lesion in a native coronary artery |
| Baseline characteristics |
| age |
62 |
| diabetes (%) |
19% |
| lesion length (mm) |
9.6 (3.3) |
| %QCA follow-up |
89 |
| QCA follow-up duration |
6 |
| reference-vessel diameter |
2.60 (0.54) |
| lesion length inclusion criteria |
<18 |
| Lesion diameter inclusion criteria |
2.5-3.5 |
| Female (%) |
37% |
|
Method and design
| Randomized effectives |
120 / 118 (studied vs. control) |
| Design |
Parallel groups |
| Blinding |
double-blind |
| Follow-up duration |
12 months |
| Number of centre |
19 |
| Geographic area |
Global |
| Primary endpoint |
Late lumen loss |
Results
Endpoint
Studied treat. n/N
Control treat. n/N
Graph
RR [95% CI]
All cause death
2 / 120
2 / 118
classic
0,98 [0,14;6,87]
MI (fatal and non fatal)
4 / 120
5 / 118
classic
0,79 [0,22;2,86]
CABG
1 / 120
1 / 118
classic
0,98 [0,06;15,54]
MACE
7 / 120
35 / 118
0,20 [0,09;0,43]
Stent thrombosis (any, end of follow up)
0 / 120
0 / 118
classic
0,98 [0,00;249,91]
target lesion revascularisation
0 / 120
27 / 118
0,01 [0,00;0,46]
angiographic restenosis
NA / 120
NA / 118
late stent thrombosis (31days - 1year)
0 / 120
0 / 118
classic
0,98 [0,00;249,91]
0
2
1.0
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Relative risks
|
| Endpoint |
Events (%) |
Relative Risk |
95% CI |
Endpoint definition in the trial |
Ref |
| Studied treat. |
Control treat. |
|
All cause death
|
2 / 120 (1,7%) |
2 / 118 (1,7%) |
0,98 |
[0,14;6,87] |
|
|
|
MI (fatal and non fatal)
|
4 / 120 (3,3%) |
5 / 118 (4,2%) |
0,79 |
[0,22;2,86] |
|
|
|
CABG
|
1 / 120 (0,8%) |
1 / 118 (0,8%) |
0,98 |
[0,06;15,54] |
|
|
|
target lesion revascularisation
|
0 / 120 (0,4%) |
27 / 118 (22,9%) |
0,02 |
[0,00;0,30] |
|
|
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angiographic restenosis
|
0 / 120 (0,4%) |
31 / 118 (26,3%) |
0,02 |
[0,00;0,26] |
|
|
|
MACE
|
7 / 120 (5,8%) |
35 / 118 (29,7%) |
0,20 |
[0,09;0,43] |
|
|
|
Stent thrombosis (any, end of follow up)
|
0 / 120 (0,4%) |
0 / 118 (0,4%) |
0,98 |
[0,02;49,15] |
|
|
|
late stent thrombosis (31days - 1year)
|
0 / 120 (0,4%) |
0 / 118 (0,4%) |
0,98 |
[0,02;49,15] |
|
3831 |
|
The primary endpoint (if exists) appears in blod characters
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Reference(s) used for data extraction:
3831: Moreno R, Fernandez C, Hernandez R, Alfonso F, Angiolillo DJ, Sabate M, Escaned J, Banuelos C, Fernandez-Ortiz A, Macaya CDrug-eluting stent thrombosis: results from a pooled analysis including 10 randomized studies.J Am Coll Cardiol 2005 Mar 15;45:954-9
0:
|
| Endpoint |
studied treat. |
control treat. |
mean diff |
|
Absolute risk reduction
|
| Endpoint |
Events rate |
Absolute risk reduction (ARR) |
| Studied treat. |
Control treat. |
| All cause death |
1,67% |
1,69% |
-0,3‰
|
| MI (fatal and non fatal) |
3,33% |
4,24% |
-9,0‰
|
| CABG |
8,33‰ |
8,47‰ |
-0,1‰
|
| MACE |
5,83% |
29,66% |
-238,3‰
|
Reference(s)
-
Morice MC, Serruys PW, Sousa JE, Fajadet J, Ban Hayashi E, Perin M, Colombo A, Schuler G, Barragan P, Guagliumi G, Molnr F, Falotico R.
A randomized comparison of a sirolimus-eluting stent with a standard stent for coronary revascularization..
N Engl J Med 2002;346:1773-80
Pubmed
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Hubmed
| Fulltext
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Morice MC, Serruys PW, Barragan P, Bode C, Van Es GA, Stoll HP, Snead D, Mauri L, Cutlip DE, Sousa E.
Long-term clinical outcomes with sirolimus-eluting coronary stents: five-year results of the RAVEL trial..
J Am Coll Cardiol 2007 Oct 2;50:1299-304
Pubmed
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Hubmed
| Fulltext
|