An interventional study of Coronary artery stenting: Absorb BVS in Coronary Artery Disease, Coronary Artery Stenosis and Coronary Disease, sponsored by Abbott Medical Devices. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-03-12.
Sponsored by Abbott Medical Devices · Not applicable, Interventional, and Treatment
The ABSORB III PK sub-study is a prospective, open-label, non-blinded study enrolling approximately 12 subjects in up to 5 US sites. ABSORB III PK sub-study is a part of ABSORB III RCT (NCT01751906). The objective is to determine the pharmacokinetics of everolimus delivered by the Absorb BVS in a separate and non-randomized cohort of subjects who only receive Absorb BVS with a maximum of two de novo native coronary artery lesions after implantation of the Absorb BVS.
Note: The ABSORB III PK subjects will not contribute to the determination of the ABSORB III RCT primary endpoint.
To ensure the PK measurements reflect everolimus exposure due to Absorb BVS only, the PK sub-study will not allow non-target lesion treatment.
Blood Sampling Timing:
Pre-Absorb BVS implantation: Baseline
o Baseline is defined as prior to implantation of the first Absorb BVS; the blood sample will be drawn on the day of the index procedure either through a heparin lock, venous sheath, or venipuncture.
Post-Absorb BVS implantation: 10 and 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 24 hrs (1 day), 48 hrs (2 days), 72 hrs (3 days), 96 hrs (4 days), 120 hrs (5 days), 168 hrs (7 days), 336 hrs (14 days), and 720 hrs (30 days).
Pharmacokinetic (PK) parameters will include time to maximum concentration (tmax); maximum concentration (Cmax); AUC24h: Area under the blood analyte concentration vs. time curve from time 0 up to 24 hours post placement of the last Absorb BVS; AUClast: Area under the blood analyte concentration vs. time curve from time 0 up to the last quantifiable concentration; AUC 0-infinity: Area under the blood analyte concentration vs. time curve from time zero and extrapolated to infinite time; terminal elimination rate constant (λz); terminal elimination half-life (t1/2term); drug clearance (CL).
5,598 studies on the registry are indexed under Coronary Artery Disease; 955 are open to participants now.
This study's enrollment of 12 is below the median of 123 across 3,435 interventional studies indexed under Coronary Artery Disease.
Browse Coronary Artery Disease studies →Abbott Medical Devices is the lead sponsor of 525 studies on the registry; 35 are open to participants now.
Of its 52 completed or terminated interventional studies of FDA-regulated products, 43 (83%) have results posted.
Counted across the registry records on this site, refreshed daily.
General Inclusion Criteria:
Angiographic Inclusion Criteria:
One or two de novo target lesions:
Target lesion(s) must be located in a native coronary artery with a visually estimated or quantitatively assessed % diameter stenosis (DS) of ≥ 50% and \< 100% with a thrombolysis in myocardial infarction (TIMI) flow of ≥ 1 and one of the following: stenosis ≥ 70%, an abnormal functional test (e.g., fractional flow reserve (FFR), stress test), unstable angina or post-infarct angina.
General Exclusion Criteria:
Subject has a cardiac arrhythmia as identified at the time of screening for which at least one of the following criteria is met:
Angiographic Exclusion Criteria:
All exclusion criteria apply to the target lesion(s) or target vessel(s).
Lesion involving a bifurcation with a:
Subjects receiving Absorb Bioresorbable Vascular Scaffold (BVS)
Device: Coronary artery stenting: Absorb BVS
* Scaffold diameters: 2.5, 3.0 and 3.5 mm * Scaffold lengths: 8, 12, 18, and 28 mm
Maximum Concentration (Cmax)
Maximal observed blood analyte concentration. Cmax is the highest blood everolimus concentration reached during the 30 day period of the study after assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation).
Time frame: 0 to 30 days
Time of Maximum (Tmax)
Time to reach the maximal observed blood analyte concentration during the 30 day period of the study after assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation).
Time frame: 0 to 30 days
AUC24h
Area under the blood analyte concentration vs. time curve from time 0 up to 24 hours post placement of the last Absorb BVS. Calculated by the Lin Up Log Down trapezoidal method.
Time frame: 0 to 24 hours
AUC Last
Area under the blood analyte concentration vs. time curve from time 0 up to the last quantifiable concentration reached during the 30 day period of the study. After assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation). Calculated by the Lin Up Log Down trapezoidal method.
Time frame: 0 to 30 days
AUC 0-infinity
AUC 0-infinity: Area under the blood analyte concentration vs. time curve from time zero and extrapolated to infinite time, reached during the 30 day period of the study. After assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation). calculated as: AUC0-∞ = AUClast + (Clast/λz) The percentage of AUC0-∞ obtained by extrapolation (%AUC0-∞ex) is calculated as: %AUC0-∞ex = (AUC0-∞ - AUClast)/ AUC0-∞ \* 100
Time frame: 0 to 30 days
Terminal Elimination Rate Constant (λz)
The apparent terminal elimination rate constant during the 30 day period of the study. After assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation). Determined by linear regression of terminal points of the ln-linear analyte concentration-time curve.
Time frame: 0 to 30 days
Terminal Elimination Half-life (t1/2term)
The apparent terminal elimination half-life, reached during the 30 day period of the study. After assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation). calculated as: t1/2term = 0.693/λz.
Time frame: 0 to 30 days
Drug Clearance (CL)
The systemic drug clearance, reached during the 30 day period of the study. After assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation). Calculated as: CL = Dose/AUC0 - ∞ .
Time frame: 0 to 30 days
Number of Participants With Target Lesion Failure (TLF)
Target Lesion Failure (TLF) includes Cardiac Death, Target vessel - myocardial infarction and Target Lesion Revascularization (TLR).
Time frame: 0 to 1853 Days
Number of Participants With All Death
All death includes cardiac death, vascular death, and non-cardiac death.
Time frame: 0 to 1853 Days
Number of Participants With All Myocardial Infarction (MI)
All myocardial infarction includes target vessel myocardial infarction (TV-MI) and not attributable to target vessel myocardial infarction (NTV-MI).
Time frame: 0 to 1853 Days
Number of Participants With All Target Lesion Revascularization (TLR)
All target lesion revascularization includes ischemia-driven target lesion revascularization (ID-TLR) and non ischemia-driven target lesion revascularization (NID-TLR).
Time frame: 0 to 1853 Days
Number of Participants With All Target Vessel Revascularization (TVR)
All target vessel revascularization includes ischemia driven target vessel revascularization (ID-TVR) and non ischemia driven target vessel revascularization (NID-TVR).
Time frame: 0 to 1853 Days
Number of Participants With All Revascularization
All revascularization includes ischemia driven revascularization and non ischemia driven revascularization.
Time frame: 0 to 1853 Days
Number of Participants With Acute Stent/Scaffold Thrombosis (Definite/Probable)
Scaffold/Stent thrombosis should be reported as a cumulative value at the different time points and with the different separate time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab. Timings: Acute scaffold/stent thrombosis : 0 - 24 hours post stent implantation Subacute scaffold/stent thrombosis: \>24 hours - 30 days post stent implantation Late scaffold/stent thrombosis: 30 days - 1 year post stent implantation Very late scaffold/stent thrombosis: \>1 year post stent implantation
Time frame: ≤ 1 day
Number of Participants With Subacute Stent/Scaffold Thrombosis (Definite/Probable)
Scaffold/Stent thrombosis should be reported as a cumulative value at the different time points and with the different separate time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab. Timings: Acute scaffold/stent thrombosis : 0 - 24 hours post stent implantation Subacute scaffold/stent thrombosis: \>24 hours - 30 days post stent implantation Late scaffold/stent thrombosis: 30 days - 1 year post stent implantation Very late scaffold/stent thrombosis: \>1 year post stent implantation
Time frame: >1 to 30 days
Number of Participants With Late Stent/Scaffold Thrombosis (Definite/Probable)
Scaffold/Stent thrombosis should be reported as a cumulative value at the different time points and with the different separate time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab. Timings: Acute scaffold/stent thrombosis : 0 - 24 hours post stent implantation Subacute scaffold/stent thrombosis: \>24 hours - 30 days post stent implantation Late scaffold/stent thrombosis: 30 days - 1 year post stent implantation Very late scaffold/stent thrombosis: \>1 year post stent implantation
Time frame: 31 to 393 days
Number of Participants With Cumulative Stent/Scaffold Thrombosis (Definite/Probable)
Scaffold/Stent thrombosis should be reported as a cumulative value at the different time points and with the different separate time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab. Timings: Acute scaffold/stent thrombosis : 0 - 24 hours post stent implantation Subacute scaffold/stent thrombosis: \>24 hours - 30 days post stent implantation Late scaffold/stent thrombosis: 30 days - 1 year post stent implantation Very late scaffold/stent thrombosis: \>1 year post stent implantation
Time frame: 0 to 1853 Days
The first subject was enrolled on June 2, 2014 and the last subject was enrolled on September 17, 2014. The last 30-day follow-up visit occurred on October 14, 2014. Database was locked on Oct 29, 2014.
| Milestone | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Started | 12 |
| Completed | 9 |
| Not completed | 3 |
| Withdrew: Death | 2 |
| Withdrew: Lost to follow-up | 1 |
Maximal observed blood analyte concentration. Cmax is the highest blood everolimus concentration reached during the 30 day period of the study after assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation).
| nanograms per milliliter | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Maximum Concentration (Cmax) | 2.397 (1.085 to 4.460) |
Time to reach the maximal observed blood analyte concentration during the 30 day period of the study after assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation).
| Hours | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Time of Maximum (Tmax) | 0.55 (0.17 to 2.37) |
Area under the blood analyte concentration vs. time curve from time 0 up to 24 hours post placement of the last Absorb BVS. Calculated by the Lin Up Log Down trapezoidal method.
| ng*h/mL | Coronary Artery Stenting: Absorb BVS |
|---|---|
| AUC24h | 22.67 (12.09 to 44.22) |
Area under the blood analyte concentration vs. time curve from time 0 up to the last quantifiable concentration reached during the 30 day period of the study. After assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation). Calculated by the Lin Up Log Down trapezoidal method.
| ng*h/mL | Coronary Artery Stenting: Absorb BVS |
|---|---|
| AUC Last | 55.90 (25.37 to 104.6) |
AUC 0-infinity: Area under the blood analyte concentration vs. time curve from time zero and extrapolated to infinite time, reached during the 30 day period of the study. After assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation). calculated as: AUC0-∞ = AUClast + (Clast/λz) The percentage of AUC0-∞ obtained by extrapolation (%AUC0-∞ex) is calculated as: %AUC0-∞ex = (AUC0-∞ - AUClast)/ AUC0-∞ \* 100
| ng*h/mL | Coronary Artery Stenting: Absorb BVS |
|---|---|
| AUC 0-infinity | 72.02 (33.15 to 120.8) |
The apparent terminal elimination rate constant during the 30 day period of the study. After assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation). Determined by linear regression of terminal points of the ln-linear analyte concentration-time curve.
| 1/hour | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Terminal Elimination Rate Constant (λz) | 0.01092 (0.006027 to 0.01511) |
The apparent terminal elimination half-life, reached during the 30 day period of the study. After assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation). calculated as: t1/2term = 0.693/λz.
| Hours | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Terminal Elimination Half-life (t1/2term) | 63.5 (45.9 to 115.0) |
The systemic drug clearance, reached during the 30 day period of the study. After assessing at different time frames (10 minutes, 30 minutes, 1 hr, 2 hrs, 4 hrs, 6 hrs , 12 hrs, 1 day, 2 days, 3 days, 4 days, 5 days, 7 days, 14 days, and 30 days post implantation). Calculated as: CL = Dose/AUC0 - ∞ .
| Liter/hour | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Drug Clearance (CL) | 3.451 (2.421 to 5.460) |
Target Lesion Failure (TLF) includes Cardiac Death, Target vessel - myocardial infarction and Target Lesion Revascularization (TLR).
| Participants | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Number of Participants With Target Lesion Failure (TLF) | 2 |
All death includes cardiac death, vascular death, and non-cardiac death.
| Participants | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Number of Participants With All Death | 2 |
All myocardial infarction includes target vessel myocardial infarction (TV-MI) and not attributable to target vessel myocardial infarction (NTV-MI).
| Participants | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Number of Participants With All Myocardial Infarction (MI) | 4 |
All target lesion revascularization includes ischemia-driven target lesion revascularization (ID-TLR) and non ischemia-driven target lesion revascularization (NID-TLR).
| Participants | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Number of Participants With All Target Lesion Revascularization (TLR) | 0 |
All target vessel revascularization includes ischemia driven target vessel revascularization (ID-TVR) and non ischemia driven target vessel revascularization (NID-TVR).
| Participants | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Number of Participants With All Target Vessel Revascularization (TVR) | 1 |
All revascularization includes ischemia driven revascularization and non ischemia driven revascularization.
| Participants | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Number of Participants With All Revascularization | 3 |
Scaffold/Stent thrombosis should be reported as a cumulative value at the different time points and with the different separate time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab. Timings: Acute scaffold/stent thrombosis : 0 - 24 hours post stent implantation Subacute scaffold/stent thrombosis: \>24 hours - 30 days post stent implantation Late scaffold/stent thrombosis: 30 days - 1 year post stent implantation Very late scaffold/stent thrombosis: \>1 year post stent implantation
| Participants | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Number of Participants With Acute Stent/Scaffold Thrombosis (Definite/Probable) | 0 |
Scaffold/Stent thrombosis should be reported as a cumulative value at the different time points and with the different separate time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab. Timings: Acute scaffold/stent thrombosis : 0 - 24 hours post stent implantation Subacute scaffold/stent thrombosis: \>24 hours - 30 days post stent implantation Late scaffold/stent thrombosis: 30 days - 1 year post stent implantation Very late scaffold/stent thrombosis: \>1 year post stent implantation
| Participants | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Number of Participants With Subacute Stent/Scaffold Thrombosis (Definite/Probable) | 0 |
Scaffold/Stent thrombosis should be reported as a cumulative value at the different time points and with the different separate time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab. Timings: Acute scaffold/stent thrombosis : 0 - 24 hours post stent implantation Subacute scaffold/stent thrombosis: \>24 hours - 30 days post stent implantation Late scaffold/stent thrombosis: 30 days - 1 year post stent implantation Very late scaffold/stent thrombosis: \>1 year post stent implantation
| Participants | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Number of Participants With Late Stent/Scaffold Thrombosis (Definite/Probable) | 0 |
Scaffold/Stent thrombosis should be reported as a cumulative value at the different time points and with the different separate time points. Time 0 is defined as the time point after the guiding catheter has been removed and the subject left the catheterization lab. Timings: Acute scaffold/stent thrombosis : 0 - 24 hours post stent implantation Subacute scaffold/stent thrombosis: \>24 hours - 30 days post stent implantation Late scaffold/stent thrombosis: 30 days - 1 year post stent implantation Very late scaffold/stent thrombosis: \>1 year post stent implantation
| Participants | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Number of Participants With Cumulative Stent/Scaffold Thrombosis (Definite/Probable) | 0 |
Collected over 5 years. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Coronary Artery Stenting: Absorb BVS | 2/12 (16.7%) | 10/12 (83.3%) | 12/12 (100%) |
| Event | Coronary Artery Stenting: Absorb BVS |
|---|---|
| LUMBAR SPINAL STENOSISMusculoskeletal and connective tissue disorders | 3/12 |
| ANGINA PECTORISCardiac disorders | 1/12 |
| ANGINA PECTORIS AGGRAVATEDCardiac disorders | 1/12 |
| ARRHYTHMIACardiac disorders | 1/12 |
| ATRIAL FIBRILLATION AGGRAVATEDCardiac disorders | 1/12 |
| ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSECardiac disorders | 1/12 |
| NON STEMICardiac disorders | 1/12 |
| STABLE ANGINA PECTORISCardiac disorders | 1/12 |
| UNSTABLE ANGINACardiac disorders | 1/12 |
| SMALL BOWEL OBSTRUCTIONGastrointestinal disorders | 1/12 |
| Event | Coronary Artery Stenting: Absorb BVS |
|---|---|
| CHEST PAIN (NON-CARDIAC)General disorders | 4/12 |
| ANGINA PECTORISCardiac disorders | 3/12 |
| CORONARY ARTERY DISSECTIONCardiac disorders | 3/12 |
| CREATINE KINASE MB INCREASEDInvestigations | 3/12 |
| LUMBAR SPINAL STENOSISMusculoskeletal and connective tissue disorders | 3/12 |
| CHEST PAIN - CARDIACCardiac disorders | 2/12 |
| BRONCHITISInfections and infestations | 2/12 |
| CARDIAC ENZYMES INCREASEDInvestigations | 2/12 |
| ANGINA PECTORIS AGGRAVATEDCardiac disorders | 1/12 |
| ARRHYTHMIACardiac disorders | 1/12 |
The PK sub-study had slightly more male subjects, and slightly more subjects with dyslipidemia and hypertension requiring medication and subjects with stable angina as compared to ABSORB III Primary Analysis Group. The PK sub-study had fewer subjects who had undergone prior coronary intervention.
| Age, Continuous(years) | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Mean | 60.1 ± 10.5 |
| Sex: Female, Male(Participants) | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Female | 1 |
| Male | 11 |
| Region of Enrollment(Participants) | Coronary Artery Stenting: Absorb BVS |
|---|---|
| United States | 12 |
| Hypertension Requiring Medication(Participants) | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Count of participants | 12 |
| Dyslipidemia Requiring Medication(Participants) | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Count of participants | 12 |
| Prior Coronary Intervention(Participants) | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Count of participants | 1 |
| Stable Angina(Participants) | Coronary Artery Stenting: Absorb BVS |
|---|---|
| Count of participants | 9 |
Documents are hosted by the registry — open the source record to download them.
This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Abbott Medical Devices