A Phase 3 interventional study of PROMUS Element Plus and SYNERGY in Coronary Artery Disease, sponsored by Boston Scientific Corporation. Completed at 126 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-01-30.
Sponsored by Boston Scientific Corporation · Phase 3, Interventional, and Treatment
The purpose of this study is to assess the safety and effectiveness of the SYNERGY Everolimus-Eluting Platinum Chromium Coronary Stent System for the treatment of subjects with atherosclerotic lesion(s) ≤ 34 mm in length (by visual estimate) in native coronary arteries ≥2.25 mm to ≤4.0 mm in diameter (by visual estimate).
A concurrent, non-randomized, single-arm, pharmacokinetic (PK) substudy and a consecutive, non-randomized, single-arm, Diabetes substudy will also enroll under the EVOLVE II protocol.
5,676 studies on the registry are indexed under Coronary Artery Disease; 958 are open to participants now.
This study's enrollment of 1,684 is above the median of 123 across 3,481 interventional studies indexed under Coronary Artery Disease.
Browse Coronary Artery Disease studies →Boston Scientific Corporation is the lead sponsor of 527 studies on the registry; 40 are open to participants now.
Of its 64 completed or terminated interventional studies of FDA-regulated products, 56 (88%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Angiographic Inclusion Criteria (visual estimate):
Exclusion Criteria:
Subject previously treated at any time with intravascular brachytherapy
_ Subject has a known allergy to contrast (that cannot be adequately premedicated) and/or the trial stent system or protocol-required concomitant medications (e.g., platinum, platinum-chromium alloy, stainless steel, everolimus or structurally related compounds, polymer or individual components, all P2Y12 inhibitors, or aspirin)
Subject has one of the following (as assessed prior to the index procedure):
Angiographic Exclusion Criteria (visual estimate):
PROMUS Element Plus 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).
Device: PROMUS Element Plus
SYNERGY 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 bioabsorbable polymer coating).
Device: SYNERGY
A drug eluting coronary stent system
A drug eluting coronary stent system
Percentage of Participants With Target Lesion Failure (TLF) at 12 Months
TLF is defined as any ischemia-driven revascularization of the target lesion, myocardial infarction (Q-wave and non-Q-wave) related to the target vessel, or cardiac death.
Time frame: 12 months
Percentage of Participants With Target Lesion Revascularization (TLR) at 12 Months.
The TLR overall rate includes: TLR Percutaneous Coronary Intervention (PCI) \& TLR Coronary Artery Bypass Graft (CABG).
Time frame: 12 months
Percentage of Participants With Target Vessel Revascularization (TVR) at 12 Months.
TVR overall includes: TVR PCI \& TVR CABG.
Time frame: 12 months
Percentage of Participants With Target Vessel Failure (TVF) at 12 Month.
Target Vessel Failure is defined as any ischemic-driven revascularization of the target vessel, MI related to the target vessel, or any cardiac death.
Time frame: 12 months
Percentage of Participants With Myocardial Infarction at 12 Month.
The MI rate includes: MI's related to the Target Vessel, MI's with unknown relationship to the Target Vessel and MI's not related to the Target Vessel.
Time frame: 12 months
Percentage of Participants With Cardiac Death at 12 Month.
Time frame: 12 months
Percentage of Participants With Non-Cardiac Death at 12 Month.
Time frame: 12 months
Percentage of Patients That Died at 12 Months.
The Death rate includes Cardiac- \& Non-Cardiac Death.
Time frame: 12 months
Percentage of Patients With Cardiac Death or Myocardial Infarction (MI) at 12 Month.
Time frame: 12 months
Percentage of Participants Who Died or Had an Myocardial Infarction (MI) at 12 Month.
Time frame: 12 months
Percentage of Participants Who Died, Had an Myocardial Infarction (MI) or a Target Vessel Revascularization (TVR) at12 Month.
Time frame: 12 months
Percentage of Participants With a ARC (Academic Research Consortium) Stent Thrombosis Rate at 12 Month.
Time frame: 12 months
Percentage of Patients With a Stroke at 12 Month.
The stroke rate includes: Ischemic- , Hemorraghic- \& Undetermined Stroke.
Time frame: 12 months
Periprocedural Technical Success Rate.
Technical Success Rate is defined as successful delivery and deployment of the study stent to the target vessel, without balloon rupture or stent embolization, and post-procedure diameter stenosis less then 30% in 2 near-orthogonal projections with TIMI 3 flow in the target lesion. Technical success is lesion based.
Time frame: Day 1 (periprocedure)
Periprocedural Clinical Procedural Success Rate
Procedural Success Rate is defined as post-procedure diameter less then 30% in 2 near-orthogonal projections with TIMI 3 flow in all target lesions without occurrence of in-hospital cardiac death, MI, TVR. Procedural success rate is subject based.
Time frame: Day 1 (periprocedure)
Percentage of Participants With a Target Lesion Failure (TLF) at 12 Month.
Time frame: 12 month
Percentage of Patients With Revascularization (=All Revascularizations) at 12 Month.
All CEC adjudicated revascularization at 12 month (Intent to treat population).
Time frame: 12 Month
A total of 1684 patients have been enrolled in the study Evolve II Randomizes Clinical trial (RCT) from 26 November 2012 until 29 Aug 2013. The Evolve II RCT study is anticipated to be completed (final 5-year follow-up) in 2018.
| Milestone | Promus Element Plus | SYNERGY |
|---|---|---|
| Started | 838 | 846 |
| Completed 12-month clinical f/u | 797 | 822 |
| No 12-month f/u | 32 | 15 |
| Death with no 12-month clinical fu | 9 | 9 |
| Completed | 806 | 831 |
| Not completed | 32 | 15 |
TLF is defined as any ischemia-driven revascularization of the target lesion, myocardial infarction (Q-wave and non-Q-wave) related to the target vessel, or cardiac death.
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants With Target Lesion Failure (TLF) at 12 Months | 6.4 | 6.4 |
The TLR overall rate includes: TLR Percutaneous Coronary Intervention (PCI) \& TLR Coronary Artery Bypass Graft (CABG).
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants With Target Lesion Revascularization (TLR) at 12 Months. | 1.7 | 2.6 |
TVR overall includes: TVR PCI \& TVR CABG.
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants With Target Vessel Revascularization (TVR) at 12 Months. | 3.6 | 3.8 |
Target Vessel Failure is defined as any ischemic-driven revascularization of the target vessel, MI related to the target vessel, or any cardiac death.
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants With Target Vessel Failure (TVF) at 12 Month. | 8.2 | 8.2 |
The MI rate includes: MI's related to the Target Vessel, MI's with unknown relationship to the Target Vessel and MI's not related to the Target Vessel.
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants With Myocardial Infarction at 12 Month. | 5.0 | 5.4 |
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants With Cardiac Death at 12 Month. | 0.9 | 0.5 |
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants With Non-Cardiac Death at 12 Month. | 0.2 | 0.6 |
The Death rate includes Cardiac- \& Non-Cardiac Death.
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Patients That Died at 12 Months. | 1.1 | 1.1 |
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Patients With Cardiac Death or Myocardial Infarction (MI) at 12 Month. | 5.6 | 5.6 |
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants Who Died or Had an Myocardial Infarction (MI) at 12 Month. | 5.8 | 6.3 |
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants Who Died, Had an Myocardial Infarction (MI) or a Target Vessel Revascularization (TVR) at12 Month. | 8.4 | 9.3 |
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants With a ARC (Academic Research Consortium) Stent Thrombosis Rate at 12 Month. | 0.7 | 0.6 |
The stroke rate includes: Ischemic- , Hemorraghic- \& Undetermined Stroke.
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Patients With a Stroke at 12 Month. | 0.9 | 0.7 |
Technical Success Rate is defined as successful delivery and deployment of the study stent to the target vessel, without balloon rupture or stent embolization, and post-procedure diameter stenosis less then 30% in 2 near-orthogonal projections with TIMI 3 flow in the target lesion. Technical success is lesion based.
| percentage of lesions | Promus Element Plus | SYNERGY |
|---|---|---|
| Periprocedural Technical Success Rate. | 96.9 | 98.3 |
Procedural Success Rate is defined as post-procedure diameter less then 30% in 2 near-orthogonal projections with TIMI 3 flow in all target lesions without occurrence of in-hospital cardiac death, MI, TVR. Procedural success rate is subject based.
| percentage of subjects | Promus Element Plus | SYNERGY |
|---|---|---|
| Periprocedural Clinical Procedural Success Rate | 94.3 | 94.9 |
| percentage of participants | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Participants With a Target Lesion Failure (TLF) at 12 Month. | 6.4 | 6.6 |
All CEC adjudicated revascularization at 12 month (Intent to treat population).
| percentage of patients | Promus Element Plus | SYNERGY |
|---|---|---|
| Percentage of Patients With Revascularization (=All Revascularizations) at 12 Month. | 3.6 | 4.0 |
Collected over Site-Reported Serious Adverse Events to 12 Months. Non-serious events are listed at a 1% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Promus Element Plus | — | 262/838 (31.3%) | 576/838 (68.7%) |
| SYNERGY | — | 265/846 (31.3%) | 567/846 (67%) |
| Event | Promus Element Plus | SYNERGY |
|---|---|---|
| Cardiac disordersCardiac disorders | 126/838 | 143/846 |
| General disorders and administration site conditionsGeneral disorders | 49/838 | 45/846 |
| Gastrointestinal disordersGastrointestinal disorders | 28/838 | 15/846 |
| Nervous sysytem disordersNervous system disorders | 18/838 | 26/846 |
| Injury, poisining and procedural complicationsInjury, poisoning and procedural complications | 23/838 | 26/846 |
| Infections and infestationsInfections and infestations | 23/838 | 22/846 |
| Respiratory, thoracic and mediastinal disordersRespiratory, thoracic and mediastinal disorders | 20/838 | 23/846 |
| Vascular disordersVascular disorders | 20/838 | 19/846 |
| Renal and Urinary disordersRenal and urinary disorders | 15/838 | 14/846 |
| Neoplasms benign, malignant and unspecified (incl cysts and polyps)Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 14/838 | 14/846 |
| Event | Promus Element Plus | SYNERGY |
|---|---|---|
| Angina PectorisCardiac disorders | 104/838 | 100/846 |
| Myocardial infarctionCardiac disorders | 70/838 | 74/846 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 40/838 | 44/846 |
| Coronary artery dissectionCardiac disorders | 27/838 | 32/846 |
| HypertensionVascular disorders | 30/838 | 24/846 |
| DizzinessNervous system disorders | 27/838 | 30/846 |
| HeadacheNervous system disorders | 21/838 | 17/846 |
| Pain in extremityMusculoskeletal and connective tissue disorders | 13/838 | 21/846 |
| HypotensionVascular disorders | 20/838 | 9/846 |
| Angina unstableCardiac disorders | 18/838 | 20/846 |
| Age, Continuous(yr) | Promus Element Plus | SYNERGY | Total |
|---|---|---|---|
| Mean | 63.92 ± 10.50 | 63.48 ± 10.44 | 63.70 ± 10.47 |
| Sex: Female, Male(Participants) | Promus Element Plus | SYNERGY | Total |
|---|---|---|---|
| Female | 229 | 249 | 478 |
| Male | 609 | 597 | 1206 |
| Race/Ethnicity, Customized(participants) | Promus Element Plus | SYNERGY | Total |
|---|---|---|---|
| American Indian or Alaska native | 2 | 1 | 3 |
| Asian | 100 | 100 | 200 |
| Black,of African heritage | 37 | 52 | 89 |
| Caucasian | 664 | 655 | 1319 |
| Hispanic or Latino | 16 | 15 | 31 |
| Native Hawaiian or other Pacific Islander | 2 | 3 | 5 |
| Other | 5 | 4 | 9 |
| Not Disclosed | 13 | 20 | 33 |
| Region of Enrollment(participants) | Promus Element Plus | SYNERGY | Total |
|---|---|---|---|
| Singapore | 12 | 15 | 27 |
| United States | 506 | 514 | 1020 |
| Japan | 81 | 74 | 155 |
| Spain | 20 | 18 | 38 |
| New Zealand | 13 | 11 | 24 |
| Canada | 56 | 58 | 114 |
| Latvia | 12 | 11 | 23 |
| Netherlands | 13 | 12 | 25 |
| Austria | 2 | 1 | 3 |
| Belgium | 50 | 50 | 100 |
| Finland | 14 | 16 | 30 |
| Denmark | 9 | 10 | 19 |
| Poland | 4 | 5 | 9 |
| Italy | 10 | 11 | 21 |
| Australia | 16 | 17 | 33 |
| France | 20 | 23 | 43 |
| Height(inches) | Promus Element Plus | SYNERGY | Total |
|---|---|---|---|
| Mean | 67.44 ± 4.07 | 67.23 ± 4.00 | 67.33 ± 4.04 |
| Weight(lbs) | Promus Element Plus | SYNERGY | Total |
|---|---|---|---|
| Mean | 190.45 ± 44.29 | 190.92 ± 44.09 | 190.69 ± 44.18 |
| Smoking(participants) | Promus Element Plus | SYNERGY | Total |
|---|---|---|---|
| Smoking, Ever | 519 | 510 | 1029 |
| Smoking,Unknown | 12 | 19 | 31 |
| Smoking, Never | 307 | 317 | 624 |
| Current Diabetes Mellitus(participants) | Promus Element Plus | SYNERGY | Total |
|---|---|---|---|
| Current Diabetes Mellitus | 276 | 275 | 551 |
| No Current Diabetes Mellitus | 562 | 571 | 1133 |
10 further baseline measures are reported on the registry.
Showing the first 100 of 126 sites across 16 countries.
The record gives a start of Nov 2012, a primary completion of Sep 2014 and a completion of Dec 2018. It does not say whether these dates are actual or estimated.
Results were first posted in Jan 2016, 1 year 4 months after primary completion.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.
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