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 paclitaxel, non-polymeric ES
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ASPECT study, 2003
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[NCT00196079]
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Treatments
| Studied treatment |
coated Supra-G stent
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| Control treatment |
Supra-G stent
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| Concomittant treatment |
Clopidogrel or ticlopidine 1 or 6 months, or cilostazol |
| Remarks |
3 arms study with 2 dose of paclitaxel: 3.1 µg/mm2 and 1.2 µg/mm2 |
| Treatments description |
| molécule |
paclitaxel, non polymeric |
|
Patients
| Patients |
patientswith discrete coronary lesions (<15 mm in length, 2.25 to 3.5 mm in diameter) |
| Baseline characteristics |
| age |
58·0 |
| diabetes (%) |
18 |
| lesion length (mm) |
10.9 (3.6) |
| %QCA follow-up |
89 |
| QCA follow-up duration |
6 |
| reference-vessel diameter |
2.94 (0.39) |
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Method and design
| Randomized effectives |
117 / 58 (studied vs. control) |
| Design |
Parallel groups |
| Blinding |
double-blind |
| Follow-up duration |
6 months |
| Number of centre |
multicenter |
| Geographic area |
NA |
| Primary endpoint |
stenosis percentage |
Results
Endpoint
Studied treat. n/N
Control treat. n/N
Graph
RR [95% CI]
All cause death
1 / 118
0 / 59
classic
2,50 [0,03;181,10]
MI (fatal and non fatal)
0 / 118
0 / 59
classic
0,50 [0,00;126,69]
target lesion revascularisation
1 / 118
0 / 59
classic
2,50 [0,03;181,10]
angiographic restenosis
NA / 100
NA / 55
late stent thrombosis (31days - 1year)
0 / 117
0 / 48
classic
0,41 [0,00;103,81]
MACE
10 / 117
3 / 58
classic
1,65 [0,47;5,77]
Stent thrombosis (any, end of follow up)
4 / 118
0 / 59
classic
8,50 [0,15;474,18]
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
|
1 / 118 (0,8%) |
0 / 59 (0,8%) |
1,00 |
[0,03;29,38] |
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|
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MI (fatal and non fatal)
|
0 / 118 (0,4%) |
0 / 59 (0,8%) |
0,50 |
[0,01;24,89] |
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MACE
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10 / 117 (8,5%) |
3 / 58 (5,2%) |
1,65 |
[0,47;5,77] |
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late stent thrombosis (31days - 1year)
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0 / 117 (0,4%) |
0 / 48 (1,0%) |
0,41 |
[0,01;20,38] |
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3831 |
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target lesion revascularisation
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1 / 118 (0,8%) |
0 / 59 (0,8%) |
1,00 |
[0,03;29,38] |
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angiographic restenosis
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8 / 100 (8,0%) |
15 / 55 (27,3%) |
0,29 |
[0,13;0,65] |
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Stent thrombosis (any, end of follow up)
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4 / 118 (3,4%) |
0 / 59 (0,8%) |
4,00 |
[0,22;74,41] |
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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:
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| Endpoint |
studied treat. |
control treat. |
mean diff |
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Absolute risk reduction
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| Endpoint |
Events rate |
Absolute risk reduction (ARR) |
| Studied treat. |
Control treat. |
| MACE |
8,55% |
5,17% |
3,4%
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| angiographic restenosis |
8,00% |
27,27% |
-192,7‰
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Reference(s)
-
Park SJ, Shim WH, Ho DS, Raizner AE, Park SW, Hong MK, Lee CW, Choi D, Jang Y, Lam R, Weissman NJ, Mintz GS.
A paclitaxel-eluting stent for the prevention of coronary restenosis..
N Engl J Med 2003;348:1537-45
Pubmed
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Hubmed
| Fulltext
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