The Eluvia drug-eluting stent continues to demonstrate positive outcomes in long lesion IMPERIAL sub-study
Boston Scientific announced clinical outcomes from the IMPERIAL Long Lesion Sub-study demonstrating that the Eluvia Drug-Eluting Vascular Stent System is safe and effective in treating patients with long, complex, calcified lesions within the superficial femoral and proximal popliteal arteries. The new data were presented during a late-breaking clinical trial session at the annual Vascular InterVentional Advances conference, VIVA 2018, in Las Vegas.
The global randomized controlled IMPERIAL trial, which evaluated the Eluvia Stent System in patients with symptomatic peripheral artery disease (PAD), included a single-arm analysis of 50 patients with femoropopliteal artery lesions 140-190 mm in length. Baseline characteristics of the patients included an average lesion length of 162.8 ± 34.7 mm, with 70 percent of lesions classified as moderately to severely calcified and 32 percent with chronic total occlusions. Due to the severity of their disease, these patients were also experiencing claudication, which is defined as pain and discomfort while exercising or walking.
The study results demonstrate that the primary patency rate, a measure of the target vessel remaining unobstructed at 12 months, was 87.9 percent. Study participants also experienced low rates of target lesion revascularization (TLR), at 6.5 percent, indicating a reduced need for repeat procedures at one year. Additionally, these patients reported significant improvement in the decrease of their leg pain and discomfort.
“The lesion lengths, disease complexity and the baseline characteristics presented in this sub-study is more representative of what clinicians see on a daily basis when treating patients with severe cases of peripheral artery disease,” said William Gray, M.D., system chief, Division of Cardiovascular Disease at Main Line Health, president of Lankenau Heart Institute in Wynnewood, Pennsylvania, and co-principal investigator of the IMPERIAL trial. “The results from this long lesion sub-study, combined with those observed in the global randomized controlled IMPERIAL trial, MAJESTIC and other studies suggest that the Eluvia stent, with its sustained drug release design, is a highly effective treatment option for femoropopliteal disease even in more complex lesion types.”
In the IMPERIAL trial, the first randomized head-to-head trial comparing two different drug-eluting stent systems for the treatment of PAD, the Eluvia stent demonstrated superior results as patients experienced significantly greater 12-month primary patency of 88.5 percent, compared to 79.5 percent in patients treated with the Zilver PTX Stent System (p=0.0119).1, 2 In addition, patients treated with the Eluvia stent had half the target lesion revascularization rate of Zilver PTX at 12 months, a 4.5 percent TLR rate for Eluvia versus 9.0 percent TLR rate for the Zilver PTX cohort.
“We are very pleased with the consistent clinical performance of the Eluvia drug-eluting stent across a broad spectrum of patient and lesion subtypes,” said Ian Meredith, M.D., executive vice president and global chief medical officer, Boston Scientific. “Without effective treatment options, patients with peripheral artery disease face the risk of developing permanent disability, potential amputation or even death which is why it is critical to ensure clinicians have access to therapies specifically developed to treat individuals suffering from this debilitating disease.”
As a result of the IMPERIAL Long Lesion Sub-study findings, the Eluvia stent received approval from the U.S. Food and Drug Administration (FDA) to treat long lesions within the superficial femoral and proximal popliteal arteries, up to 190 mm in length, in patients with peripheral artery disease. The Eluvia stent received approval from the FDA in September of 2018 and CE Mark in February of 2016.