Direct Stenting of TAXUS Liberté™-SR Stent for the Treatment of Patients With de Novo Coronary Artery Lesions

Last updated: February 1, 2012
Sponsor: Boston Scientific Corporation
Overall Status: Completed

Phase

3

Condition

Coronary Artery Disease

Chest Pain

Thrombosis

Treatment

N/A

Clinical Study ID

NCT00371423
S2032
TAXUS ATLAS Direct Stent
  • Ages > 18
  • All Genders

Study Summary

TAXUS ATLAS Direct Stent is a global, multi-center, single-arm, noninferiority trial comparing results from patients in whom the TAXUS Liberté stent was directly implanted (direct stenting) versus results from patients in whom implantation with the TAXUS Liberté stent was preceded by balloon angioplasty (pre-dilatation). The Control group consists of patients in the main TAXUS ATLAS trial, in which pre-dilatation was mandatory. The primary objective is to compare outcomes of direct stenting with balloon catheter pre-dilatation. The primary hypothesis is that late outcomes with direct stenting of the TAXUS™ Liberté Paclitaxel-Eluting Coronary Stent System will be non-inferior to conventional implantation with balloon catheter pre-dilatation

Eligibility Criteria

Inclusion

General Inclusion Criteria:

  1. Patient is ≥18 years old.

  2. Eligible for percutaneous coronary intervention (PCI)

  3. Documented stable angina pectoris or unstable angina pectoris with documentedischemia, or documented silent ischemia

  4. Left ventricular ejection fraction (LVEF) of ≥25%

  5. Acceptable candidate for coronary artery bypass grafting (CABG)

  6. Patient or legal guardian understands the study requirements and the treatmentprocedures and provides written Informed Consent before any study-specific tests orprocedures are performed

  7. Willing to comply with all specified follow-up evaluations Angiographic Inclusion Criteria:

  8. Only one lesion appropriate for direct stenting (typically covered by one 24 mm stentor shorter), may be treated with the study stent. However, one additional lesion in anon-target vessel may be treated during the index procedure with a commerciallyavailable bare metal stent, heparin-coated stent or TAXUS Express stent.

  9. Target lesion located within a single native coronary vessel

  10. Target lesion enrolled for treatment may be composed of multiple lesions(not more than 10mm between diseased segments) but must be completely covered by one study stent.

  11. Cumulative target lesion length is ≥10 mm and ≤28 mm (visual estimate) and istypically considered appropriate for direct stenting

  12. RVD of ≥2.5 mm to ≤4.0 mm (visual estimate)

  13. Target lesion diameter stenosis ≥50% (visual estimate)

  14. Target lesion is de novo (i.e., a coronary lesion not previously treated)

Exclusion

General Exclusion Criteria:

  1. Known hypersensitivity to paclitaxel

  2. Any previous, concurrent or planned treatment with a non-study anti-restenoticdrug-coated or drug-eluting coronary stent.

  3. Previous or planned use of both the study stent and a non-study stent (i.e.,commercial stent) in the treatment of the target vessel

  4. Previous or planned treatment with intravascular brachytherapy in the target vessel

  5. Planned CABG ≤9-months post-index procedure

  6. MI within 72 hours prior to the index procedure and/or creatine kinase(CK) >2x thelocal laboratory's ULN unless CK-MB is <2x ULN.

  7. Cerebrovascular Accident (CVA) within the past 6 months

  8. Cardiogenic Shock

  9. Acute or chronic renal dysfunction

  10. Contraindication to ASA, or to both clopidogrel and ticlopidine

  11. Patient is currently on warfarin or it is anticipated that treatment with warfarinwill be required during any period within 6 months after the index procedure.

  12. Leukopenia

  13. Thrombocytopenia

  14. Active peptic ulcer or active gastrointestinal (GI) bleeding

  15. Known allergy to stainless steel

  16. Any prior true anaphylactic reaction to contrast agents

  17. Patient is currently, or has been treated with paclitaxel or other chemotherapeuticagents within 12-months of the index procedure

  18. Anticipated treatment with paclitaxel or oral rapamycin during any period in the 9-months after the index procedure

  19. Male or female with known intention to procreate within 3 months after the indexprocedure

  20. Female of childbearing potential with a positive pregnancy test within 7 days beforethe index procedure, or lactating

  21. Life expectancy of less than 24-months due to other medical condition

  22. Co-morbid condition(s) that could limit the patient's ability to participate in thestudy, compliance with follow-up requirements or impact the scientific integrity ofthe study

  23. Currently participating in another investigational drug or device study that has notcompleted the primary endpoint or that clinically interferes with the endpoints ofthis study. Angiographic Exclusion Criteria:

  24. Unprotected left main coronary artery disease (patient with protected left maindisease can be enrolled only if the target lesion is in the RCA)

  25. Target lesion is ostial in location (within 3.0 mm of vessel origin)

  26. Target lesion and/or target vessel proximal to the target lesion is moderately orseverely calcified by visual estimate

  27. Target lesion and/or target vessel proximal to the target lesion is tortuous

  28. Target lesion is located within or distal to a >60 degree bend in the vessel

  29. Target lesion involves a bifurcation with a diseased (>50% stenotic)branch vessel >2.0mm in diameter

  30. Target lesion is totally occluded (TIMI flow<1) at baseline

  31. Angiographic presence of probable or definite thrombus

  32. Pre-treatment of the target vessel at the index procedure is not allowed with anydevice

  33. A previously treated lesion within the target vessel:

  • <15 mm from the target lesion (visual estimate)

  • Performed </= 6 months from index procedure

  • >30% residual stenosis after previous treatment

  1. Predilation with a balloon catheter of the target lesion and/or target vessel is notallowed.

Study Design

Total Participants: 247
Study Start date:
March 01, 2005
Estimated Completion Date:
September 30, 2010

Connect with a study center

  • Mercy Angiography Unit, 98 Mountain Road, First Floor

    Auckland, Epsom 1003
    New Zealand

    Site Not Available

  • Auckland City Hospital

    Auckland, 1023
    New Zealand

    Site Not Available

  • Christchurch Hospital

    Christchurch, 8001
    New Zealand

    Site Not Available

  • Dunedin Hospital

    Dunedin,
    New Zealand

    Site Not Available

  • National Heart Centre

    Singapore, 168752
    Singapore

    Site Not Available

  • National University Hospital

    Singapore, 119074
    Singapore

    Site Not Available

  • Shin Kong Memorial Hospital

    Shih Lin Taipei,
    Taiwan

    Site Not Available

  • University of Arkansas for Medical Sciences/Central Arkansas Veterans Healthcare Systems

    Little Rock, Arkansas 72205
    United States

    Site Not Available

  • Mercy General Hospital

    Sacramento, California 95819
    United States

    Site Not Available

  • University of California San Diego Medical Center

    San Diego, California 92103-8784
    United States

    Site Not Available

  • The Medical Center of Aurora

    Aurora, Colorado 80012
    United States

    Site Not Available

  • Florida Hospital

    Orlando, Florida 32803
    United States

    Site Not Available

  • St. Anthony's Medical Center

    Rockford, Illinois 61108
    United States

    Site Not Available

  • St. John's Hospital

    Springfield, Illinois 62701
    United States

    Site Not Available

  • The Heart Center

    Indianapolis, Indiana 46290
    United States

    Site Not Available

  • Maine Medical Center

    Portland, Maine 04102
    United States

    Site Not Available

  • Washington Adventist Hospital

    Takoma Park, Maryland 20912
    United States

    Site Not Available

  • Genesys Regional Medical Center

    Grand Blanc, Michigan 48439
    United States

    Site Not Available

  • Northern Michigan Hospital

    Petoskey, Michigan 49770
    United States

    Site Not Available

  • St. Mary's Duluth Clinic Regional Heart Center

    Duluth, Minnesota 55805
    United States

    Site Not Available

  • Wake Medical Center

    Raleigh, North Carolina 27610
    United States

    Site Not Available

  • Oklahoma Foundation for Cardiovascular Research

    Oklahoma City, Oklahoma 73120
    United States

    Site Not Available

  • The Pennsylvania State University Milton S Hershey Medical Center

    Hershey, Pennsylvania 17033-0850
    United States

    Site Not Available

  • Wellmont Holston Valley Medical Center

    Kingsport, Tennessee 37660
    United States

    Site Not Available

  • Northwest Cardiovascular Research Institute

    Spokane, Washington 99204
    United States

    Site Not Available

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