MedPath

TAXUS Libertē Post Approval Study

Completed
Conditions
Coronary Artery Disease
Registration Number
NCT00997503
Lead Sponsor
Boston Scientific Corporation
Brief Summary

The TAXUS Libertē Post-Approval Study is an FDA-mandated prospective, multi-center study designed to collect real-world safety and clinical outcomes in approximately 4,200 patients receiving one or more TAXUS Liberté Paclitaxel-Eluting Stents and prasugrel as part of a dual antiplatelet therapy (DAPT) drug regimen.

This study will also contribute patient data to an FDA-requested and industry-sponsored research study that will evaluate the optimal duration of dual antiplatelet therapy (DAPT Study).

Detailed Description

The TAXUS Libertē Post-Approval Study is an FDA-mandated prospective, multi-center study designed to collect real-world safety and clinical outcomes in approximately 4,200 patients receiving one or more TAXUS Liberté Paclitaxel-Eluting Stents and prasugrel as part of a dual antiplatelet therapy (DAPT) drug regimen. This is a consecutively-enrolled study with patient follow-up through 3 years post index procedure. This study also will contribute patient data to an FDA-requested and industry-sponsored research study that will evaluate the optimal duration of dual antiplatelet therapy (DAPT Study). To facilitate this patient data contribution, patients will be assigned to patient groups based upon their co-morbidities and stented lesions identified post index procedure.

All enrolled patients who have been treated with the TAXUS Liberté Stent will be assigned to 12 months of open-label prasugrel treatment and aspirin. Upon completion of the open-label period, patients who are clear of events at 12 months post index procedure will be randomized 1:1 to either a placebo or prasugrel for an additional 18 months of treatment. All patients will receive aspirin therapy throughout the course of the study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
4199
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cardiac Death or Myocardial Infarction12 months

Cardiac death or myocardial infarction in the TAXUS Liberte Post-Approval Study enrolled population. For pooled data from the TAXUS Liberté and TAXUS Express patient populations, please see the citations.

Secondary Outcome Measures
NameTimeMethod
Incremental Rate of Stent Thrombosis (Protocol Definition)1-2 years

Stent Thrombosis (protocol definition):

The occurrence of any of the following:

1. Clinical presentation of acute coronary syndrome with angiographic evidence of stent thrombosis:

Angiographic documentation of acute complete occlusion (TIMI flow 0 or 1) of a previously successfully treated artery (TIMI flow 2 to 3 immediately after stent placement and diameter stenosis less than or equal to 30%) and/or Angiographic documentation of a flow limiting thrombus within or adjacent to a previously successfully treated lesion

2. Acute MI in the distribution of the treated vessel.

3. Death within the first 30 days post index procedure (without other obvious cause) is considered a surrogate for stent thrombosis when angiography is not available.

Rate of Major Adverse Cardiac Events (MACE)12 months

* MACE defined as the composite of cardiac death, myocardial infarction and target vessel revascularization.

* Binary rate

Rate of Stent Thrombosis (ARC Definite + Probable)12 months

* ARC - Academic Research Consortium

* Binary Rate

Target Vessel Failure (TVF) for the Medically-Treated Diabetic Population12 months

Target vessel failure (TVF) for TAXUS Libertē Post-Approval Study medically-treated diabetic population. For pooled data from the TAXUS Liberté population, please see the citations

Rate of Major Adverse Cardiac & Cerebrovascular Events (MACCE): Study Stent Related6 months

MACCE defined as the composite of cardiac death, myocardial infarction, target vessel revascularization and stroke.

Rate of Cardiac Death12 months

-Binary rate

Rate of Myocardial Infarction (MI)12 months

-Binary rate

Rate of Myocardial Infarction (MI): Study Stent Related12 months

-Binary rate

Rate of Target Vessel Reintervention (TVR): Study Stent Related12 months

-Binary rate

Rate of Major Adverse Cardiac and Cerebrovascular Events (MACCE): Study Stent Related12 months

* MACCE defined as the composite of cardiac death, myocardial infarction, target vessel revascularization and stroke.

* Binary rate

Rate of Major Adverse Cardiac Events (MACE): Study Stent Related12 months

* MACE defined as the composite of cardiac death, myocardial infarction and target vessel revascularization.

* Binary rate

Rate of Target Vessel Failure (TVF)12 months

* Target vessel failure is defined as any revascularization of the target vessel, MI (Q- and non-Q wave) related to the target vessel, or death related to the target vessel.

* Binary rate

Rate of Target Vessel Reintervention (TVR)12 months

-Binary rate

Rate of Major Adverse Cardiac and Cerebrovascular Events (MACCE)12 months

* MACCE defined as the composite of cardiac death, myocardial infarction, target vessel revascularization and stroke.

* Binary rate

Rate of All Cause Death12 months

-Binary rate

Rate of Stroke12 months

-Binary Rate

Rate of Major Bleeding12 months

* Major Bleeding defined as the composite of severe or moderate bleeding complication (based upon GUSTO classification).

* Binary rate

Rate of Cardiac Death or Myocardial Infarction (MI)12 months

- Binary Rate

Rate of Cardiac Death: Study Stent Related12 months

-Binary rate

Rate of Stent Thrombosis (Protocol Definition)12 months

-Binary rate

The occurrence of any of the following:

1. Clinical presentation of acute coronary syndrome with angiographic evidence of stent thrombosis:

Angiographic documentation of acute complete occlusion (TIMI flow 0 or 1) of a previously successfully treated artery (TIMI flow 2 to 3 immediately after stent placement and diameter stenosis less than or equal to 30%) and/or Angiographic documentation of a flow limiting thrombus within or adjacent to a previously successfully treated lesion

2. Acute MI in the distribution of the treated vessel.

3. Death within the first 30 days post index procedure (without other obvious cause) is considered a surrogate for stent thrombosis when angiography is not available.

Trial Locations

Locations (82)

Torrance Memorial Medical Center

🇺🇸

Torrance, California, United States

Advanced Cardiac Specialists

🇺🇸

Mesa, Arizona, United States

NEA Baptist Memorial Hospital

🇺🇸

Jonesboro, Arkansas, United States

St. Bernard's Medical Center

🇺🇸

Jonesboro, Arkansas, United States

Bakersfield Memorial Hospital

🇺🇸

Bakersfield, California, United States

Stanford University Medical Center

🇺🇸

Stanford, California, United States

JFK Medical Center

🇺🇸

Atlantis, Florida, United States

Baptist Medical Center

🇺🇸

Jacksonville, Florida, United States

Jesse Brown VA Medical Center

🇺🇸

Chicago, Illinois, United States

King's Daughters Medical Center- Kentucky Heart Institute

🇺🇸

Ashland, Kentucky, United States

Indiana Heart Hospital

🇺🇸

Indianapolis, Indiana, United States

Central Maine Medical Center

🇺🇸

Lewiston, Maine, United States

Genesys Regional Medical Center

🇺🇸

Grand Blanc, Michigan, United States

Mid Michigan Medical Center

🇺🇸

Midland, Michigan, United States

St. Mary's Medical Center

🇺🇸

Mt. Pleasant, Michigan, United States

Covenant Medical Center

🇺🇸

Saginaw, Michigan, United States

Providence Hospital

🇺🇸

Southfield, Michigan, United States

Lakeland Hospital at St. Joseph

🇺🇸

St. Joseph, Michigan, United States

Memorial Hospital at Gulfport

🇺🇸

Gulfport, Mississippi, United States

Cox Medical Centers

🇺🇸

Springfield, Missouri, United States

St. John's Mercy Medical Center

🇺🇸

St. Louis, Missouri, United States

North Mississippi Medical Center

🇺🇸

Tupelo, Mississippi, United States

Jersey Shore University Medical Center

🇺🇸

Neptune, New Jersey, United States

Heart Hospital of New Mexico

🇺🇸

Albuquerque, New Mexico, United States

Lenox Hill Hospital

🇺🇸

New York, New York, United States

Gaston Memorial Hospital

🇺🇸

Gastonia, North Carolina, United States

Wake Medical Center

🇺🇸

Raleigh, North Carolina, United States

Med Central Health System- Mid Ohio Heart Clinic

🇺🇸

Mansfield, Ohio, United States

Conemaugh Valley Memorial Hospital

🇺🇸

Johnstown, Pennsylvania, United States

Palmetto Richland Memorial Hospital

🇺🇸

Columbia, South Carolina, United States

Presbyterian University of Pennsylvania Medical Center

🇺🇸

Philadelphia, Pennsylvania, United States

Rapid City Regional Hospital

🇺🇸

Rapid City, South Dakota, United States

Grand Strand Regional Medical Center

🇺🇸

Myrtle Beach, South Carolina, United States

Jackson Madison County General Hospital

🇺🇸

Jackson, Tennessee, United States

Doctors Hospital at Renaissance/ McAllen Heart Hospital

🇺🇸

Edinburg, Texas, United States

Michael E. DeBakey VA Medical Center

🇺🇸

Houston, Texas, United States

Cardiovascular Associates of East Texas Medical Center

🇺🇸

Tyler, Texas, United States

Alvarado Hospital

🇺🇸

San Diego, California, United States

Baptist Health Medical Center

🇺🇸

Little Rock, Arkansas, United States

St. Vincent's Medical Center

🇺🇸

Bridgeport, Connecticut, United States

Christiana Hospital

🇺🇸

Newark, Delaware, United States

Memorial Hospital Jacksonville/ Orange Park Medical Center

🇺🇸

Jacksonville, Florida, United States

Holmes Regional Medical Center

🇺🇸

Melbourne, Florida, United States

Bayfront Medical Center

🇺🇸

St. Petersburg, Florida, United States

Baptist Hospital

🇺🇸

Pensacola, Florida, United States

Sacred Heart Hospital

🇺🇸

Pensacola, Florida, United States

Martin Memorial Medical Center

🇺🇸

Stuart, Florida, United States

Kootenai Medical Center

🇺🇸

Coeur d'Alene, Idaho, United States

Eastern Maine Medical Center

🇺🇸

Bangor, Maine, United States

Christus St. Frances Cabrini Hospital

🇺🇸

Alexandria, Louisiana, United States

Cardiovascular Research, LLC

🇺🇸

Shreveport, Louisiana, United States

Ingham Regional Medical Center

🇺🇸

Lansing, Michigan, United States

Northern Michigan Hospital

🇺🇸

Petoskey, Michigan, United States

Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

Our Lady of Lourdes Medical Center

🇺🇸

Camden, New Jersey, United States

Sisters of Charity Providence Hospital

🇺🇸

Columbia, South Carolina, United States

Avera Heart Hospital of South Dakota

🇺🇸

Sioux Falls, South Dakota, United States

Bakersfield Heart

🇺🇸

Bakersfield, California, United States

MacNeal Hospital

🇺🇸

Berwyn, Illinois, United States

IU Health North Medical Center

🇺🇸

Carmel, Indiana, United States

Freeman West Hospital

🇺🇸

Joplin, Missouri, United States

Maimonides Medical Center

🇺🇸

Brooklyn, New York, United States

Columbia University/ New York Presbyterian Hospital

🇺🇸

New York, New York, United States

Ohio State University Medical Center

🇺🇸

Columbus, Ohio, United States

St. Elizabeth Medical Center

🇺🇸

Utica, New York, United States

St. Vincent Mercy Medical Center

🇺🇸

Toledo, Ohio, United States

Baylor Jack and Jane Hamilton Heart and Vascular Hospital

🇺🇸

Dallas, Texas, United States

Kingwood Medical Center

🇺🇸

Kingwood, Texas, United States

Mercy General Hospital

🇺🇸

Sacramento, California, United States

Meriter Hospital, Inc.

🇺🇸

Madison, Wisconsin, United States

United Heart and Vascular Clinic

🇺🇸

St. Paul, Minnesota, United States

Medical Center of the Rockies (Loveland)

🇺🇸

Loveland, Colorado, United States

Methodist Texsan Hospital

🇺🇸

San Antonio, Texas, United States

St. Anthony Central Hospital

🇺🇸

Denver, Colorado, United States

University Community Hospital

🇺🇸

Tampa, Florida, United States

North Memorial Medical Center

🇺🇸

Minneapolis, Minnesota, United States

University of Oklahoma Health Science Center

🇺🇸

Oklahoma City, Oklahoma, United States

Oklahoma Heart Hospital

🇺🇸

Oklahoma City, Oklahoma, United States

North Florida Regional Medical Center

🇺🇸

Gainesville, Florida, United States

St. Joseph Hospital

🇺🇸

Lexington, Kentucky, United States

Florida Hospital

🇺🇸

Orlando, Florida, United States

Kaiser Foundation Hospitals

🇺🇸

Honolulu, Hawaii, United States

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