Trial Outcomes & Findings for Study to Assess the Safety and Effectiveness of the Penumbra System (NCT NCT00334061)

NCT ID: NCT00334061

Last Updated: 2019-09-18

Results Overview

Revascularization is defined by a Thrombolysis in Myocardial Infarction (TIMI) score of 2 or 3 following use of the Penumbra System. TIMI scores are used to describe blood flow at the treated vessel with 0 designating no flow and 3 for normal flow.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

125 participants

Primary outcome timeframe

3-Month Post-Procedure

Results posted on

2019-09-18

Participant Flow

From June 19, 2006 to June 5, 2007 a total of 856 patients were screened of which 125 patients were enrolled at 24 centers in Europe and the United States.

Participant milestones

Participant milestones
Measure
Penumbra System
Overall Study
STARTED
125
Overall Study
COMPLETED
125
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study to Assess the Safety and Effectiveness of the Penumbra System

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Penumbra System
n=125 Participants
Age, Categorical
<=18 years
1 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
53 Participants
n=5 Participants
Age, Categorical
>=65 years
71 Participants
n=5 Participants
Age, Continuous
63.5 years
STANDARD_DEVIATION 13.5 • n=5 Participants
Sex: Female, Male
Female
61 Participants
n=5 Participants
Sex: Female, Male
Male
64 Participants
n=5 Participants
Region of Enrollment
United States
76 participants
n=5 Participants
Region of Enrollment
Europe
49 participants
n=5 Participants

PRIMARY outcome

Timeframe: 3-Month Post-Procedure

Population: Intention to Treat

Revascularization is defined by a Thrombolysis in Myocardial Infarction (TIMI) score of 2 or 3 following use of the Penumbra System. TIMI scores are used to describe blood flow at the treated vessel with 0 designating no flow and 3 for normal flow.

Outcome measures

Outcome measures
Measure
Penumbra System
n=125 Participants
Percentage of Participants With Revascularization of the Occluded Target Vessel
81.2 Percentage of Participants

PRIMARY outcome

Timeframe: 3-Month Post-Procedure

Population: All adverse events were summarized by showing the number and percent of patients who reported the event. Events were also reported by relationship to the procedure or device. Causality of adverse events was adjudicated by a Clinical Events Committee. The denominator for the analyses was all enrolled patients.

Outcome measures

Outcome measures
Measure
Penumbra System
n=125 Participants
Percentage of Participants With Device-related and Procedure-related Serious Adverse Events
2.4 Percentage of Participants

SECONDARY outcome

Timeframe: Discharge or 30-Days Post-Procedure

NIHSS is a 42 point scale to describe the neurological status of the patients: 0=no stroke; 1-15=minor to moderate stroke; 15-20=moderate/severe stroke; 21-42=severe stroke. The mRS is a scale to determine the activities of daily living of the patient with a score of 0 designating normal activities to a score of 6 designating death.

Outcome measures

Outcome measures
Measure
Penumbra System
n=125 Participants
Percentage of Participants With Either a 4-point Improvement on the National Institutes of Health Stroke Scale (NIHSS) at Discharge or a Modified Rankin Scale (mRS) Score of ≤ 2 at 30 Days After Treatment
41.6 Percentage of Participants

SECONDARY outcome

Timeframe: 90-Day

The mRS is a scale to determine the activities of daily living of the patient with a score of 0 designating normal activities to a score of 6 designating death.

Outcome measures

Outcome measures
Measure
Penumbra System
n=125 Participants
Percentage of Participants With a Modified Rankin Scale (mRS) Score of ≤ 2 at 90 Days Post Treatment
25 Percentage of Participants

SECONDARY outcome

Timeframe: 90-Days Post-Treatment

Outcome measures

Outcome measures
Measure
Penumbra System
n=125 Participants
Percentage of Participants With All Cause Mortality
32.8 Percentage of Participants

SECONDARY outcome

Timeframe: 24-Hour Post-Procedure

All treated patients were scanned by computed tomography (CT) at 24-hours post-procedure to detect the presence of intracranial hemorrhage.

Outcome measures

Outcome measures
Measure
Penumbra System
n=125 Participants
Percentage of Participants With Symptomatic Hemorrhage
11.2 Percentage of Participants

Adverse Events

Penumbra System

Serious events: 65 serious events
Other events: 125 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Penumbra System
n=125 participants at risk
Nervous system disorders
Cerebral Edema
11.2%
14/125
Nervous system disorders
Intracerebral Hemorrhage
8.0%
10/125
Respiratory, thoracic and mediastinal disorders
Respiratory Dysfunction/Failure
8.0%
10/125
Nervous system disorders
Worsening Symptoms of Qualifying Stroke
7.2%
9/125
General disorders
Infection
5.6%
7/125
Respiratory, thoracic and mediastinal disorders
Other Pulmonary Complications
5.6%
7/125
Respiratory, thoracic and mediastinal disorders
Pneumonia
4.0%
5/125
Cardiac disorders
Cardiac Arrhythmia
3.2%
4/125
Skin and subcutaneous tissue disorders
Access Site Complication
2.4%
3/125
Cardiac disorders
Myocardial Infarction
2.4%
3/125
Vascular disorders
Peripheral Vascular Complication
2.4%
3/125
Renal and urinary disorders
Renal Dysfunction/Failure
2.4%
3/125
Nervous system disorders
Stroke in New Territory
2.4%
3/125

Other adverse events

Other adverse events
Measure
Penumbra System
n=125 participants at risk
Infections and infestations
Infection
24.8%
31/125
Infections and infestations
Pneumonia
18.4%
23/125
Metabolism and nutrition disorders
Electrolyte Imbalance
17.6%
22/125
General disorders
Pain
16.8%
21/125
General disorders
Fever
11.2%
14/125
Blood and lymphatic system disorders
Anemia
10.4%
13/125
Cardiac disorders
Cardiac Arrhythmia
10.4%
13/125
Injury, poisoning and procedural complications
Cerebral Edema
9.6%
12/125
Respiratory, thoracic and mediastinal disorders
Other Pulmonary Complications
9.6%
12/125
Hepatobiliary disorders
Hyperglycemia
8.0%
10/125
Vascular disorders
Hypotension
7.2%
9/125
Gastrointestinal disorders
Nausea
7.2%
9/125
Nervous system disorders
Headache
6.4%
8/125
Vascular disorders
Peripheral Vascular Complication
6.4%
8/125
Gastrointestinal disorders
Constipation
5.6%
7/125
Renal and urinary disorders
Renal Dysfunction/Failure
5.6%
7/125
Blood and lymphatic system disorders
Coagulopathy
4.0%
5/125
Psychiatric disorders
Depression
4.0%
5/125
Hepatobiliary disorders
Hepato-Biliary Dysfunction
4.0%
5/125
Metabolism and nutrition disorders
Peripheral Edema
4.0%
5/125
Nervous system disorders
Worsening Symptoms of Qualifying Stroke
4.0%
5/125
Psychiatric disorders
Dysphasia-Aspiration
3.2%
4/125
Vascular disorders
Hypertension
3.2%
4/125
Vascular disorders
Peripheral Hemorrhage
3.2%
4/125
Psychiatric disorders
Anxiety
2.4%
3/125
Cardiac disorders
Cardiac Complications
2.4%
3/125
Psychiatric disorders
Confusion
2.4%
3/125
Gastrointestinal disorders
Diarrhea
1.6%
2/125
Vascular disorders
Embolization of Previously Uninvolved Vessel
1.6%
2/125
Gastrointestinal disorders
GERD
1.6%
2/125
Nervous system disorders
Seizure
1.6%
2/125
General disorders
Ulcer
1.6%
2/125
General disorders
Other
12.8%
16/125

Additional Information

Siu Po Sit, PhD Study Coordinator

Penumbra Inc

Phone: 510 748 3200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60