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Thienopyridine

Phase 3

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials3
Total Enrollment1,654

FDA Designations

No designations recorded

Clinical trial landscape

Thienopyridine · 3 trials · 1 indication

Phase 3 3
NCT01510327PLATINUM Trial to Assess the PROMUS Element Stent System for Treatment of De Novo Coronary Artery Lesions-Pharmacokinetics (PLATINUM PK)Coronary Artery Disease
COMPLETED22 Analytics
NCT01500434The PLATINUM Clinical Trial to Assess the PROMUS Element Stent System for Treatment of Long De Novo Coronary Artery Lesions (PLATINUM LL)Coronary Artery Disease
COMPLETED102 Analytics
NCT00823212The PLATINUM Clinical Trial to Assess the PROMUS Element Stent System for Treatment of De Novo Coronary Artery LesionsCoronary Artery Disease
COMPLETED1,530 Analytics
PHASE3COMPLETED
PLATINUM Trial to Assess the PROMUS Element Stent System for Treatment of De Novo Coronary Artery Lesions-Pharmacokinetics (PLATINUM PK)
Coronary Artery DiseaseUnlock trial analytics
PHASE3COMPLETED
The PLATINUM Clinical Trial to Assess the PROMUS Element Stent System for Treatment of Long De Novo Coronary Artery Lesions (PLATINUM LL)
Coronary Artery DiseaseUnlock trial analytics
PHASE3COMPLETED
The PLATINUM Clinical Trial to Assess the PROMUS Element Stent System for Treatment of De Novo Coronary Artery Lesions
Coronary Artery DiseaseUnlock trial analytics

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 to 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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Frequently asked questions about Thienopyridine

What is Thienopyridine used for in Coronary Artery Disease?

Thienopyridine is an investigational small molecule being developed by Boston Scientific Corporation for the treatment of Coronary Artery Disease. It is currently in Phase 3 clinical development, though all three completed trials have finished and no active trials are ongoing.

Who makes Thienopyridine?

Thienopyridine is developed by Boston Scientific Corporation, a company traded on the New York Stock Exchange under the ticker BSX. The drug is being studied for Coronary Artery Disease and is currently in Phase 3 clinical development.

What phase is Thienopyridine in?

Thienopyridine is in Phase 3 clinical development for Coronary Artery Disease. All three Phase 3 trials have been completed, with a total enrollment of 1,654 patients. The drug is investigational and not yet approved.

What clinical trials is Thienopyridine in?

Thienopyridine has been studied in three completed Phase 3 trials: NCT00823212 (PLATINUM, 1,530 patients), NCT01500434 (PLATINUM LL, 102 patients), and NCT01510327 (PLATINUM PK, 22 patients). All trials involved patients with Coronary Artery Disease.

Is Thienopyridine the same as PROMUS Element?

Thienopyridine is associated with the PROMUS Element Stent System in clinical trials. The PLATINUM trials assessed the PROMUS Element Stent System for treatment of de novo coronary artery lesions, with Thienopyridine as the drug being evaluated.