Ischemic Heart Disease Clinical Trial
Official title:
A Prospective, Randomized, Multi-center Trial to Assess the Everolimus-Eluting Coronary Stent System (PROMUS Element) for Coronary Revascularization in a Population of Unrestricted Patients
The PROMUS Element™ clinical trial (PLATINUM-PLUS) consists of a randomized controlled trial
(RCT) in the European Union (EU) which will enroll approximately 2980 subjects (2:1
randomization PROMUS Element™: Xience™ Prime) in a Population of consecutive, all comers in
the reimbursed indications per-country
All subjects will be screened per the protocol required inclusion/exclusion criteria.
The PLATINUM-PLUS trial will investigate in a broad patient and lesion population, the CE
Mark approved PROMUS Element™ Everolimus-Eluting Coronary Stent System (PROMUS Element),
which combines the Element™ stent (the latest generation stent from Boston Scientific
Corporation [BSC, Natick, Massachusetts, United States]), everolimus, and the poly (n butyl
methacrylate) (PBMA) and poly (vinylidene fluoride co hexafluoropropylene) (PVDF-HFP)
polymers. The PROMUS Element, received CE Mark on November 3rd 2009; it is currently under
investigation in the PLATINUM clinical trial, and has great promise as it combines BSC's
novel stent technology with the everolimus drug and polymers that have demonstrated
excellent performance in the SPIRIT clinical program.
PROMUS Element comprises the following key components: everolimus, 2 polymers, and the
Element stent component. The same everolimus and polymer combination is commercially
available in many countries on the MULTI-LINK VISION™ stent. It is manufactured and
distributed by Abbott as the XIENCE™ V Everolimus Eluting Coronary Stent System (XIENCE V),
and also distributed by BSC as the identical stent system, also manufactured by Abbott, as
the PROMUS™ Everolimus-Eluting Coronary Stent System (PROMUS). The names XIENCE V and PROMUS
are used synonymously within this protocol.
While PROMUS Element is a new DES system, its constituent parts are either approved by the
Food and Drug Administration (FDA, i.e., drug and polymers from PROMUS, P070015), are under
investigation in an FDA-approved trial (i.e., Element stent component in the PERSEUS trial,
G060237), or have received an approvable letter from the FDA. The balloon component material
of the PROMUS Element delivery system is the same as that used in TAXUS Liberté (P060008),
which received an approvable letter on February 11, 2008. The PROMUS Element stent delivery
system is from the Apex™ Monorail™ PTCA Dilatation Catheter (P860019/S208), which received
an approvable letter on October 24, 2006. Table 1 compares the TAXUS Express2, TAXUS
Liberté, and PROMUS Element stent systems.
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