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Thienopyridine

Phase 3

Coronary Artery Disease | Small molecule | Cardiovascular |Boston Scientific Corporation|Last Updated: Mar 27, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment1,654
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01510327PLATINUM Trial to Assess the PROMUS Element Stent System for Treatment of De Novo Coronary Artery Lesions-Pharmacokinetics (PLATINUM PK)PHASE3 COMPLETED 22Oct 1, 2009May 1, 2015Mar 26, 20195 United States, Japan
NCT01500434The PLATINUM Clinical Trial to Assess the PROMUS Element Stent System for Treatment of Long De Novo Coronary Artery Lesions (PLATINUM LL)PHASE3 COMPLETED 102Feb 1, 2009May 1, 2015Mar 26, 201930 United States, Australia +5
NCT00823212The PLATINUM Clinical Trial to Assess the PROMUS Element Stent System for Treatment of De Novo Coronary Artery LesionsPHASE3 COMPLETED 1,530Jan 1, 2009Dec 1, 2014Mar 27, 2019133 United States, Australia +15
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Study Endpoints
Primary Endpoints
Maximum Observed Everolimus Blood Concentration (Cmax)
Predose <24 hours; post dose at 30 minutes, 1, 2, 4, 6, 12, 24, 48, and 72 hours

Venous blood draw up to 24 hours prior to implantation of the first study stent (predose time point) and at 30 minutes, 1, 2, 4, 6, 12, 24, 48, and 72 hours after completion of implantation of the last study stent

Target Lesion Failure (TLF)
12 months

Defined as any ischemia-driven revascularization of the target lesion, myocardial infarction (MI, Q-wave and non-Q-wave) related to the target vessel, or cardiac death related to the target vessel.

Secondary Endpoints
Area Under the Concentration Versus Time Curve (AUC 0-t) Everolimus
Predose <24 hours; post dose at 30 minutes, 1, 2, 4, 6, 12, 24, 48, and 72 hours
Area Under the Concentration Versus Time Curve (AUC 0-24), Everolimus
Predose <24 hours; post dose at 30 minutes, 1, 2, 4, 6, 12, 24, 48, and 72 hours
Area Under the Concentration Versus Time Curve (AUC 0-infinity) Everolimus
Predose <24 hours; post dose at 30 minutes, 1, 2, 4, 6, 12, 24, 48, and 72 hours
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PROMUS ElementEXPERIMENTALPatients who received the PROMUS Element everolimus-eluting stent (EES) implanted using standard percutaneous coronary intervention (PCI) technique. Total loaded dose of everolimus per stent is dependent on stent size and in this study the administered dose ranged from 60.1 µg to 138.6 µg per stent. Note that the total dose of everolimus administered to a patient is based on the number of stents received and the size of the stent(s). The total dose received per patient ranged from 60.1 µg to 197.8 µg.
PROMUSACTIVE_COMPARATORPatients who received the PROMUS (XIENCE V) Everolimus-Eluting Coronary Stent
Interventions
NameTypeDescription
PROMUS Element Everolimus-Eluting Coronary Stent SystemDEVICEPROMUS Element is a device/drug combination product composed of two components, a device (coronary stent system including a platinum chromium stent platform) and a drug product (a formulation of everolimus contained in a polymer coating).
AspirinDRUGPatients are required to take aspirin indefinitely after stent implant. It is recommended that aspirin 162-325 mg daily be given for at least 6 months after stent placement and that aspirin 75-162 mg daily be given indefinitely thereafter.
ThienopyridineDRUGPatients must be treated with one of the following thienopyridines for at least 6 months following the index procedure: clopidogrel 75 mg daily; or ticlopidine 250 mg twice daily; or prasugrel (outside the United States and if approved at the time of the procedure). If used, the prescribed dose should be in accordance with approved country-specific labeling. In patients not at high risk of bleeding, thienopyridine treatment should continue for at least 12 months after stent implant.
PROMUS Element Coronary Stent SystemDEVICEPROMUS Element is a device/drug combination product composed of two components, a device (coronary stent system including a platinum chromium stent platform) and a drug product (a formulation of everolimus contained in a polymer coating).
PROMUS Coronary Stent SystemDEVICEPROMUS is a device/drug combination product composed of two components, a device (coronary stent system including a cobalt chromium stent platform) and a drug product (a formulation of everolimus contained in a polymer coating).
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Patient must be at least 18 years of age * Patient (or legal guardian) understands study requirements and treatment procedures and provides written informed consent before any study-specific tests or procedures are performed * For patients less than 20 years of age enrolled at...

Countries:United StatesJapanAustraliaBelgiumFranceLatviaNew ZealandAustriaDenmarkFinlandGermanyMalaysiaNetherlandsPolandPortugalSingaporeUnited Kingdom
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