The REMEDEE trial: a randomized comparison of a combination sirolimus-eluting endothelial progenitor cell capture stent with a paclitaxel-eluting stent.
| Title: | The REMEDEE trial: a randomized comparison of a combination sirolimus-eluting endothelial progenitor cell capture stent with a paclitaxel-eluting stent. |
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| Authors: | Haude M; Städtische Kliniken Neuss, Lukaskrankenhaus GmbH, Neuss, Germany. mhaude@lukasneuss.de; Lee SW; Worthley SG; Silber S; Verheye S; Erbs S; Rosli MA; Botelho R; Meredith I; Sim KH; Stella PR; Tan HC; Whitbourn R; Thambar S; Abizaid A; Koh TH; Den Heijer P; Parise H; Cristea E; Maehara A; Mehran R |
| Source: | JACC. Cardiovascular interventions [JACC Cardiovasc Interv] 2013 Apr; Vol. 6 (4), pp. 334-43. Date of Electronic Publication: 2013 Mar 20. |
| Publication Type: | Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
| Language: | English |
| Journal Info: | Publisher: Elsevier Country of Publication: United States NLM ID: 101467004 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1876-7605 (Electronic) Linking ISSN: 19368798 NLM ISO Abbreviation: JACC Cardiovasc Interv Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York : Elsevier |
| MeSH Terms: | Coated Materials, Biocompatible* ; Drug-Eluting Stents*; Antibodies/*administration & dosage ; Cardiovascular Agents/*administration & dosage ; Coronary Stenosis/*therapy ; Endothelial Cells/*pathology ; Paclitaxel/*administration & dosage ; Percutaneous Coronary Intervention/*instrumentation ; Sirolimus/*administration & dosage ; Stem Cells/*pathology; Antigens, CD34/immunology ; Coronary Restenosis/etiology ; Coronary Stenosis/immunology ; Coronary Stenosis/mortality ; Coronary Stenosis/pathology ; Coronary Thrombosis/etiology ; Endothelial Cells/immunology ; Myocardial Infarction/etiology ; Percutaneous Coronary Intervention/adverse effects ; Percutaneous Coronary Intervention/mortality ; Stem Cells/immunology ; Aged ; Asia ; Australia ; Brazil ; Coronary Angiography ; Europe ; Female ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Prosthesis Design ; Risk Factors ; Time Factors ; Treatment Outcome ; Ultrasonography, Interventional |
| Abstract: | Objectives: This study sought to compare the efficacy and safety results after coronary implantation of a combined sirolimus-eluting CD34 antibody coated Combo stent (OrbusNeich Medical, Ft. Lauderdale, Florida) with the paclitaxel-eluting Taxus Liberté stent (PES) (Boston Scientific, Natick, Massachusetts). This report summarizes the first-in-man randomized, controlled multicenter REMEDEE trial (Randomized study to Evaluate the safety and effectiveness of an abluMinal sirolimus coatED bio-Engineered StEnt) angiographic, intravascular ultrasound, and clinical results up to 12 months.; Background: Drug-eluting stents have limited restenosis and reintervention but are complicated by especially late and very late stent thrombosis and accelerated neoatherosclerosis. Alternative or adjunct technologies should address these limitations.; Methods: One hundred eighty-three patients with de novo native coronary artery stenoses were randomized 2:1 to Combo stent or PES implantation. The primary endpoint is the angiographic in-stent late lumen loss at 9 months, which was tested for noninferiority between the 2 stent groups. Secondary endpoints include the occurrence of major adverse cardiac events.; Results: The Combo stent was found to be noninferior to the PES in 9-month angiographic in-stent late lumen loss with 0.39 ± 0.45 mm versus 0.44 ± 0.56 mm (pnoninferiority = 0.0012). At 12 months, the occurrence of major adverse cardiac events was 8.9% in the Combo group and 10.2% in the PES group (p = 0.80) with no difference in mortality, occurrence of myocardial infarction, or target lesion revascularization. No stent thrombosis was reported in either group.; Conclusions: In the REMEDEE trial the Combo stent has shown to be effective by meeting the primary noninferiority angiographic endpoint and safe, with an overall low rate of clinical events in both stent groups, including no stent thrombosis up to 12 months.; (Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.) |
| Substance Nomenclature: | 0 (Antibodies); 0 (Antigens, CD34); 0 (Cardiovascular Agents); 0 (Coated Materials, Biocompatible); P88XT4IS4D (Paclitaxel); W36ZG6FT64 (Sirolimus) |
| Entry Date(s): | Date Created: 20130326 Date Completed: 20131105 Latest Revision: 20151119 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.jcin.2012.10.018 |
| PMID: | 23523459 |
| Database: | MEDLINE |
Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't