Trial Outcomes & Findings for Drug-Eluting Stents vs. Bare Metal Stents In Saphenous Vein Graft Angioplasty (NCT NCT01121224)
NCT ID: NCT01121224
Last Updated: 2022-07-26
Results Overview
COMPLETED
PHASE4
597 participants
12 months
2022-07-26
Participant Flow
Participant milestones
| Measure |
Bare Metal Stent Group
Patients who receive a bare metal stent (BMS) in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-acute coronary syndrome (ACS) patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or Drug Eluting Stent (DES) in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Drug Eluting Stent Group
Patients who receive a drug-eluting stent (DES) in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-acute coronary syndrome (ACS) patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive Bare Metal Stent (BMS) or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
|---|---|---|
|
Overall Study
STARTED
|
305
|
292
|
|
Overall Study
COMPLETED
|
280
|
275
|
|
Overall Study
NOT COMPLETED
|
25
|
17
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Drug-Eluting Stents vs. Bare Metal Stents In Saphenous Vein Graft Angioplasty
Baseline characteristics by cohort
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Total
n=597 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
68.2 years
STANDARD_DEVIATION 7.7 • n=5 Participants
|
69.0 years
STANDARD_DEVIATION 7.4 • n=7 Participants
|
68.6 years
STANDARD_DEVIATION 7.6 • n=5 Participants
|
|
Sex: Female, Male
Female
|
0 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
305 Participants
n=5 Participants
|
290 Participants
n=7 Participants
|
595 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
14 Participants
n=5 Participants
|
16 Participants
n=7 Participants
|
30 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
286 Participants
n=5 Participants
|
270 Participants
n=7 Participants
|
556 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
5 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Caucasian
|
254 Participants
n=5 Participants
|
263 Participants
n=7 Participants
|
517 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Black/African American
|
32 Participants
n=5 Participants
|
17 Participants
n=7 Participants
|
49 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Other
|
13 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
20 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Not Answered
|
6 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
305 Participants
n=5 Participants
|
292 Participants
n=7 Participants
|
597 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Target Vessel Failure (TVF), Defined as the Composite of Cardiac Death
|
16 Participants
|
17 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
PRIMARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Target Vessel Failure (TVF), Defined as the Target Vessel Myocardial Infarction
|
20 Participants
|
16 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
PRIMARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Target Vessel Failure (TVF), Defined as the Target Vessel Revascularization
|
34 Participants
|
34 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Incremental Cost-effectiveness of DES Relative to BMS
|
20939 U.S. Dollars
Standard Error 1051
|
21051 U.S. Dollars
Standard Error 1075
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Discharge from Index Hospitalization (an average of 36 hours)The procedural success rate and the incidence of post-procedural myocardial infarction and post-procedural GUSTO moderate or severe bleeding were compared between the DES and BMS groups by the difference between two independent proportions. Cumulative incidence curves and stratified log-rank tests were used to compare the two stent groups on the incidence of the secondary clinical outcomes listed above. When appropriate, competing risks analyses with plots of cumulative incidence curves and comparisons of cumulative incidences with Gray's test and Fine and Gray's methods were done. Proportional hazards regression for sub-distributions of competing risks were also done. SAS 9.2 (TS2M3; SAS Institute, Cary, NC, USA) and R version 3.4.4 were used for the analyses.
Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Procedural Success
|
291 Participants
|
274 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Entire Duration of Follow-up (median 2.7 years)Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participant Deaths (All Cause and Cardiac). All Deaths Will be Considered Cardiac Unless an Unequivocal Non-cardiac Cause Can be Established.
|
51 Participants
|
55 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Entire Duration of Follow-up (median 2.7 years)Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Myocardial Infarction (MI)
|
62 Participants
|
53 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsDefinite stent thrombosis will be considered to have occurred by either angiographic or pathologic confirmation. Angiographic Confirmation of Stent Thrombosis will be defined as the presence of thrombus originating in a study stent, or in the segment 5mm proximal or distal to the stent AND fulfillment of at least one of the following 5 criteria within a 48 hour time window: * Acute onset of ischemic symptoms at rest * New ischemic ECG changes suggestive of acute ischemia * Rise and fall of cardiac biomarkers * Nonocclusive intracoronary thrombus seen in multiple projections, or persistence of contrast material within the lumen, or a visible embolization of intraluminal material downstream * Occlusive intracoronary thrombus Pathological Confirmation of stent thrombosis will be defined as evidence of recent thrombus with the stent determined at autopsy or via examination of tissue retrieved following thrombectomy.
Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Definite Stent Thrombosis as Defined Using the Academic Research Consortium (ARC) Definition
|
7 Participants
|
6 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Entire Duration of Follow-up (median 2.7 years)Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Target Vessel Revascularization (TVR)
|
105 Participants
|
108 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsThe patient-oriented composite endpoint is defined as the composite of all-cause death, any myocardial infarction and target vessel revascularization. Target vessel (SVG) revascularization (TVR) will be defined as any repeat percutaneous intervention or surgical bypass of any segment of the target SVG and the native coronary vessel distal to the SVG anastomosis. Non-target vessel revascularization will be defined as any repeat percutaneous intervention or surgical bypass of any SVG or any native coronary vessel apart from the target SVG and the native coronary artery supplied by the target SVG.
Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Patient-Oriented Composite Endpoint Will be Used as Secondary Outcome
|
68 Participants
|
62 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsThis outcome is for the in-segment binary restenosis.
Outcome measures
| Measure |
BMS Group
n=137 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=139 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
In Patients Who Clinically Require Follow-up Angiography, Two Angiographic Endpoints Will be Assessed: (a) In-segment Binary Restenosis and (b) Angiographic Late In-segment Luminal Loss.
|
57 Participants
|
56 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Stroke
|
3 Participants
|
2 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=292 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
n=292 Participants
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
n=292 Participants
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
n=292 Participants
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
n=292 Participants
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
n=292 Participants
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
n=292 Participants
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
n=292 Participants
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
n=292 Participants
Interaction effects of this DES Subgroup
|
Antiplatelet
n=292 Participants
Interaction effects of this DES Subgroup
|
Baseline ACS Score
n=292 Participants
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Incremental Cost-effectiveness Ratios (ICERs) for Subgroups of Patients, Such as Those With Highest Risk of Restenosis, Tallies of Cost by Type, and a Cost-outcomes Analysis Such as Cost Per Restenosis Avoided.
|
-2578.71 U.S. Dollars
Standard Error 3059.08
|
-2971.90 U.S. Dollars
Standard Error 22,730.43
|
-17998.43 U.S. Dollars
Standard Error 23914.95
|
-11768.06 U.S. Dollars
Standard Error 4723.68
|
-5069.18 U.S. Dollars
Standard Error 4448.96
|
-14152 U.S. Dollars
Standard Error 4550.29
|
-771.50 U.S. Dollars
Standard Error 4073.11
|
-4,487.11 U.S. Dollars
Standard Error 4082.83
|
8433.33 U.S. Dollars
Standard Error 3598.76
|
4780.21 U.S. Dollars
Standard Error 5671.55
|
-1483.97 U.S. Dollars
Standard Error 3062.72
|
-3733.04 U.S. Dollars
Standard Error 3038.69
|
SECONDARY outcome
Timeframe: 12 monthsPopulation: The study did not collect information needed from the IVUS procedures to calculate neointima proliferation.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Target Lesion Revascularization (TLR)
|
25 Participants
|
26 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Entire Duration of Follow-up (median 2.7 years)Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Target Vessel Myocardial Infarction
|
40 Participants
|
35 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Any Revascularization
|
53 Participants
|
56 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Entire Duration of Follow-up (median 2.7 years)Definite stent thrombosis will be considered to have occurred by either angiographic or pathologic confirmation. Probable Stent Thrombosis will clinically be considered to have occurred after index Saphenous Vein aortocoronary bypass Graft (SVG) stenting (the Percutaneous Coronary Intervention (PCI) immediately after randomization) in the following cases: a) any unexplained death within the first 30 days OR b) Irrespective of the time after the index procedure, any MI which is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis and in the absence of any other obvious cause.
Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Definite or Probable Stent Thrombosis
|
30 Participants
|
26 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Discharge from Index Hospitalization (an average of 36 hours)Incidence of post-procedural myocardial infarction and post-procedural GUSTO moderate or severe bleeding were compared between the DES and BMS groups by the difference between two independent proportions. Cumulative incidence curves and stratified log-rank tests were used to compare the two stent groups on the incidence of the secondary clinical outcomes listed above. When appropriate, competing risks analyses with plots of cumulative incidence curves and comparisons of cumulative incidences with Gray's test and Fine and Gray's methods were done. Proportional hazards regression for sub-distributions of competing risks were also done. SAS 9.2 (TS2M3; SAS Institute, Cary, NC, USA) and R version 3.4.4 were used for the analyses.
Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Procedural Complications (Post-procedural Myocardial Infarction and Post-procedural Bleeding)
|
22 Participants
|
15 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsThe Device-oriented composite endpoint of Target lesion failure is defined as the composite of cardiac or unknown death, target vessel myocardial infarction, and target lesion revascularization. Target lesion revascularization (TLR) will be defined as any repeat percutaneous intervention of the target SVG lesion or bypass surgery of the target SVG lesion performed for restenosis or other complication of the target lesion. The target lesion will be defined as the treated SVG segment from 5 mm proximal to the stent to 5 mm distal to the stent.
Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Device-oriented Composite Endpoint of Target Lesion Failure Will be Used as a Secondary Outcome
|
51 Participants
|
45 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Entire Duration of Follow-up (median 2.7 years)Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Target Lesion Revascularization (TLR)
|
40 Participants
|
47 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Non-Target Revascularization
|
26 Participants
|
33 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Entire Duration of Follow-up (median 2.7 years)Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Non-Target Revascularization
|
60 Participants
|
69 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Entire Duration of Follow-up (median 2.7 years)The patient-oriented composite endpoint is defined as the composite endpoint of any death, any myocardial infarction, or target vessel revascularization.
Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Patient-oriented (for Target Lesion Failure) Composite Endpoints Will be Used as Secondary Outcomes as Proposed by Cutlip et al, and as Recommended in the Draft FDA Guidance for Industry Statement.
|
127 Participants
|
127 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Entire Duration of Follow-up (median 2.7 years)The device-oriented composite endpoint for target lesion failure is defined as the composite endpoint of cardiac death, target vessel myocardial infarction, or target lesion revascularization.
Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Device-oriented (for Target Lesion Failure) Composite Endpoints Will be Used as Secondary Outcomes as Proposed by Cutlip et al, and as Recommended in the Draft FDA Guidance for Industry Statement.
|
95 Participants
|
94 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: Entire Duration of Follow-up (median 2.7 years)Outcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Number of Participants With Stroke
|
12 Participants
|
10 Participants
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=305 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Quality Adjusted Life Years of DES Relative to BMS
|
0.467 years
Standard Error 0.017
|
0.503 years
Standard Error 0.018
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
SECONDARY outcome
Timeframe: 12 monthsOutcome measures
| Measure |
BMS Group
n=292 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
n=292 Participants
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
n=292 Participants
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
n=292 Participants
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
n=292 Participants
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
n=292 Participants
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
n=292 Participants
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
n=292 Participants
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
n=292 Participants
Interaction effects of this DES Subgroup
|
Antiplatelet
n=292 Participants
Interaction effects of this DES Subgroup
|
Baseline ACS Score
n=292 Participants
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Quality Adjusted Life Years for Subgroups of Patients
|
-0.03 years
Standard Error 0.05
|
-0.04 years
Standard Error 0.21
|
-0.03 years
Standard Error 0.19
|
0.03 years
Standard Error 0.08
|
0.02 years
Standard Error 0.07
|
0.04 years
Standard Error 0.07
|
-0.04 years
Standard Error 0.07
|
-0.13 years
Standard Error 0.07
|
-0.15 years
Standard Error 0.06
|
0.02 years
Standard Error 0.09
|
-0.04 years
Standard Error 0.05
|
-0.01 years
Standard Error 0.05
|
SECONDARY outcome
Timeframe: 12 monthsThis outcome is for the angiographic late in-segment luminal loss.
Outcome measures
| Measure |
BMS Group
n=137 Participants
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=139 Participants
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
Number of Lesions (2 or More Lesions)
Interaction effects of this DES Subgroup
|
Stent Diameter (2.25 to Less Than 3)
Interaction effects of this DES Subgroup
|
Stent Diameter (3 to Less Than 3.5)
Interaction effects of this DES Subgroup
|
Stent Diameter (3.5 to Less Than 4)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Laddiag)
Interaction effects of this DES Subgroup
|
Recipient Target Vessel (Cxom)
Interaction effects of this DES Subgroup
|
Lesion Location (Aortic/Ostial)
Interaction effects of this DES Subgroup
|
Lesion Location (Body)
Interaction effects of this DES Subgroup
|
Antiplatelet
Interaction effects of this DES Subgroup
|
Baseline ACS Score
Interaction effects of this DES Subgroup
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
In Patients Who Clinically Require Follow-up Angiography, Two Angiographic Endpoints Will be Assessed: (a) In-segment Binary Restenosis and (b) Angiographic Late In-segment Luminal Loss.
|
1.05 lesions
Standard Deviation 1.21
|
0.96 lesions
Standard Deviation 1.15
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
Adverse Events
BMS Group
DES Group
Serious adverse events
| Measure |
BMS Group
n=305 participants at risk
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 participants at risk
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
|---|---|---|
|
Cardiac disorders
ACS/MI
|
32.8%
100/305 • Number of events 166 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
31.5%
92/292 • Number of events 142 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Cardiac disorders
Stroke
|
5.6%
17/305 • Number of events 18 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
4.8%
14/292 • Number of events 18 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Cardiac disorders
Bleed
|
9.5%
29/305 • Number of events 41 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
9.6%
28/292 • Number of events 36 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Cardiac disorders
Stent Thrombosis
|
5.6%
17/305 • Number of events 18 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
3.8%
11/292 • Number of events 11 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Cardiac disorders
Other
|
71.8%
219/305 • Number of events 866 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
74.0%
216/292 • Number of events 859 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
Other adverse events
| Measure |
BMS Group
n=305 participants at risk
Patients who receive a bare metal stent in the saphenous vein graft target lesion(s).
Bare Metal Stent: Patients receive one or more bare metal stents in the saphenous vein graft target lesion.
Placebo: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive only BMS.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
DES Group
n=292 participants at risk
Patients who receive a drug-eluting stent in the saphenous vein graft target lesion(s).
Drug-Eluting Stent: Patients receive one or more drug-eluting stents in the saphenous vein graft target lesion.
Blinded clopidogrel: For non-ACS patients with no other clinical indication for open-label thienopyridine who receive one or more DES in the target lesion.
Thienopyridine (open-label): For ACS patients who receive BMS or DES in their saphenous vein graft or patients for whom there is another clinical indication for open-label thienopyridine. Also for patients who receive a DES in a non-target lesion.
|
|---|---|---|
|
Gastrointestinal disorders
Barrett's oesophagus
|
0.33%
1/305 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.00%
0/292 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
General disorders
Chest pain
|
0.33%
1/305 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.00%
0/292 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Injury, poisoning and procedural complications
Contusion
|
0.33%
1/305 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.00%
0/292 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Gastrointestinal disorders
Duodenal ulcer
|
0.33%
1/305 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.00%
0/292 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnoea
|
0.33%
1/305 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.00%
0/292 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Respiratory, thoracic and mediastinal disorders
Epistaxis
|
2.3%
7/305 • Number of events 7 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
1.4%
4/292 • Number of events 6 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Gastrointestinal disorders
Gastrointestinal haemorrhage
|
0.33%
1/305 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.34%
1/292 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Vascular disorders
Haematoma
|
0.33%
1/305 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.34%
1/292 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Renal and urinary disorders
Haematuria
|
0.66%
2/305 • Number of events 2 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.68%
2/292 • Number of events 2 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Respiratory, thoracic and mediastinal disorders
Haemoptysis
|
0.66%
2/305 • Number of events 2 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.00%
0/292 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Nervous system disorders
Headache
|
0.00%
0/305 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.34%
1/292 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Gastrointestinal disorders
Oesophagitis
|
0.00%
0/305 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.34%
1/292 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Injury, poisoning and procedural complications
Post procedural haemorrhage
|
0.00%
0/305 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.34%
1/292 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
|
Skin and subcutaneous tissue disorders
Rash macular
|
0.00%
0/305 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
0.34%
1/292 • Number of events 1 • Active monitoring of Adverse Events (AEs) started once a participant is randomized at the following time periods: 18-24 hours post procedure, hospital discharge, 1 month, 3 month, 6 month, 9 month, 12 month, 18 month, 24 month, 30 month and end of study (after 12-60 months of follow-up depending on when the patient was randomized during the enrollment period).
|
Additional Information
Dr. Subhash Banerjee
VA North Texas Health Care System
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place