Trial Outcomes & Findings for Resolute Integrity US Extended Length Sub-Study(RI US XL) (NCT NCT01913600)

NCT ID: NCT01913600

Last Updated: 2019-05-08

Results Overview

The combined clinical outcome of (all cause) mortality, MI or any revascularization

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

56 participants

Primary outcome timeframe

12 months

Results posted on

2019-05-08

Participant Flow

56 XL subjects were enrolled from 9 study sites in the United States. The first subject was enrolled on July 26, 2013 and the last subject was enrolled on October 27, 2015.

Participant milestones

Participant milestones
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Overall Study
STARTED
56
Overall Study
COMPLETED
55
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Resolute Integrity US Extended Length Sub-Study(RI US XL)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Age, Continuous
60.5 Years
STANDARD_DEVIATION 10.7 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
Sex: Female, Male
Male
43 Participants
n=5 Participants
Region of Enrollment
United States
56 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 months

Population: 2 subjects did not complete the 12 month follow up

The combined clinical outcome of (all cause) mortality, MI or any revascularization

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=54 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Composite Rate of Cardiac Death and Target Vessel Myocardial Infarction (MI)
4 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

Defined as death, myocardial infarction (Q wave and non-Q wave), emergent coronary bypass surgery, or clinically-driven repeat target lesion revascularization by percutaneous or surgical methods.

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Composite Endpoint: Major Adverse Cardiac Events (MACE)
30 Days
2 Participants
Composite Endpoint: Major Adverse Cardiac Events (MACE)
180 Days
2 Participants
Composite Endpoint: Major Adverse Cardiac Events (MACE)
360 Days
5 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

Defined as cardiac death, target vessel myocardial infarction (Q wave and non-Q wave), or clinically-driven target lesion revascularization (TLR) by percutaneous or surgical methods

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Composite Endpoint: Target Lesion Failure (TLF)
30 Days
2 Participants
Composite Endpoint: Target Lesion Failure (TLF)
180 Days
2 Participants
Composite Endpoint: Target Lesion Failure (TLF)
360 Days
4 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

The composite endpoint comprised of cardiac death, target vessel myocardial infarction, or clinically-driven target vessel revascularization by percutaneous or surgical methods.

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Composite Endpoint: Target Vessel Failure (TVF),
30 Days
2 Participants
Composite Endpoint: Target Vessel Failure (TVF),
180 Days
2 Participants
Composite Endpoint: Target Vessel Failure (TVF),
360 Days
4 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

Combined rate of cardiac death and target vessel MI post-procedure

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Composite Endpoint: Cardiac Death and Target Vessel MI
30 Days
2 Participants
Composite Endpoint: Cardiac Death and Target Vessel MI
180 Days
2 Participants
Composite Endpoint: Cardiac Death and Target Vessel MI
360 Days
4 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

Target-vessel MI is defined as a MI that occurs in a territory that cannot be clearly attributed to a vessel other than the target vessel.

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Composite Endpoint: Target Vessel MI
30 Days
2 Participants
Composite Endpoint: Target Vessel MI
180 Days
2 Participants
Composite Endpoint: Target Vessel MI
360 Days
3 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

All deaths including cardiac death, vasular death and non-cardiovascular death

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Clinical Endpoint: Death
30 Days
0 Participants
Clinical Endpoint: Death
180 Days
0 Participants
Clinical Endpoint: Death
360 Days
1 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

All myocardial infarction data will be reported per Medtronic historical protocol definitions and according the Academic Research Consortium (ARC) definitions.

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Clinical Endpoint: Myocardial Infarction (MI)
30 Days
2 Participants
Clinical Endpoint: Myocardial Infarction (MI)
180 Days
2 Participants
Clinical Endpoint: Myocardial Infarction (MI)
360 Days
4 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

Repeat Percutaneous coronary intervention (PCI) or Coronary artery bypass grafting (CABG) to the target lesion.

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Clinical Endpoint: Target Lesion Revascularization (TLR)
30 Days
0 Participants
Clinical Endpoint: Target Lesion Revascularization (TLR)
180 Days
0 Participants
Clinical Endpoint: Target Lesion Revascularization (TLR)
360 Days
1 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

Repeat PCI or CABG of the target vessel.

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Clinical Endpoint: Target Vessel Revascularization (TVR)
360 Days
1 Participants
Clinical Endpoint: Target Vessel Revascularization (TVR)
30 Days
0 Participants
Clinical Endpoint: Target Vessel Revascularization (TVR)
180 Days
0 Participants

SECONDARY outcome

Timeframe: Early Thrombosis (<=30 days), Late Thrombosis (31-360 days)

Population: 2 subjects did not complete the 12 month follow up

All stent thrombosis data will be reported per Medtronic historical protocol definitions and according the Academic Research Consortium (ARC) definitions

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Clinical Endpoint: Stent Thrombosis
Early Thrombosis (<=30 days)
1 Participants
Clinical Endpoint: Stent Thrombosis
Late Thrombosis (31-360 days)
0 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

Defined as sudden onset of vertigo, numbness, dysphasia, weakness, visual field defects, dysarthria or other focal neurological deficits due to vascular lesions of the brain such as hemorrhage, embolism, thrombosis, or rupturing aneurysm, that persists more than 24 hours.

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Clinical Endpoint: Stroke
30 Days
0 Participants
Clinical Endpoint: Stroke
180 Days
0 Participants
Clinical Endpoint: Stroke
360 Days
0 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: 2 subjects did not complete the 12 month follow up

Bleeding complications in general including the GUSTO classification of Severe, Moderate \& Mild will be collected. The GUSTO scale defines clinical events that stratify bleeding episodes into mild, moderate or severe.

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Clinical Endpoint: Bleeding Complications in General
30 Days
3 Participants
Clinical Endpoint: Bleeding Complications in General
180 Days
6 Participants
Clinical Endpoint: Bleeding Complications in General
360 Days
9 Participants

SECONDARY outcome

Timeframe: 30 days, 6 months, 12 months

Population: At the time of the 12 month follow up there were 52 subjects with evaluable data

Protocol defined DAPT, Aspirin and Clopidogrel or Ticlopidine, at 30 days, 180 day and 360 days.

Outcome measures

Outcome measures
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 Participants
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Dual Antiplatelet Therapy (DAPT) Compliance
30 Days
47 Participants
Dual Antiplatelet Therapy (DAPT) Compliance
180 Days
47 Participants
Dual Antiplatelet Therapy (DAPT) Compliance
360 Days
40 Participants

Adverse Events

Resolute Integrity US Extended Length Sub-Study (RI-US XL)

Serious events: 45 serious events
Other events: 45 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 participants at risk
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Cardiac disorders
Acute MI
5.4%
3/56 • 1 Year
Blood and lymphatic system disorders
Anaemia
1.8%
1/56 • 1 Year
Cardiac disorders
Angina Unstable
7.1%
4/56 • 1 Year
Cardiac disorders
Atrial Fibrilation
1.8%
1/56 • 1 Year
Cardiac disorders
Atrial Flutter
1.8%
1/56 • 1 Year
Cardiac disorders
Cardiac Failure
1.8%
1/56 • 1 Year
Cardiac disorders
Cardiac Failure Congestive
3.6%
2/56 • 1 Year
Cardiac disorders
Coronary Artery Disease
3.6%
2/56 • 1 Year
Cardiac disorders
Coronary Artery Dissection
5.4%
3/56 • 1 Year
Eye disorders
Retinal Detachment
1.8%
1/56 • 1 Year
Gastrointestinal disorders
Abdominal Pain
1.8%
1/56 • 1 Year
Gastrointestinal disorders
Diarrhoea
1.8%
1/56 • 1 Year
Gastrointestinal disorders
Gastrointestinal Haemorrhage
1.8%
1/56 • 1 Year
Gastrointestinal disorders
Lower Gastrointestinal Haemorrhage
1.8%
1/56 • 1 Year
Gastrointestinal disorders
Pancreatitis Acute
1.8%
1/56 • 1 Year
Gastrointestinal disorders
Polyp Colerectal
1.8%
1/56 • 1 Year
General disorders
Chest pain
1.8%
1/56 • 1 Year
Hepatobiliary disorders
Ischaemic Hepatitis
1.8%
1/56 • 1 Year
Infections and infestations
Bronchitis
1.8%
1/56 • 1 Year
Infections and infestations
Gastroenteritis
1.8%
1/56 • 1 Year
Infections and infestations
Pneumonia
1.8%
1/56 • 1 Year
Infections and infestations
Postoperative Wound Infection
1.8%
1/56 • 1 Year
Infections and infestations
Upper Respiratory Tract Infection
1.8%
1/56 • 1 Year
Musculoskeletal and connective tissue disorders
Arthritis
1.8%
1/56 • 1 Year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung Cancer Metastatic
1.8%
1/56 • 1 Year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm skin
1.8%
1/56 • 1 Year
Renal and urinary disorders
Renal Failure Acute
1.8%
1/56 • 1 Year
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
1.8%
1/56 • 1 Year
Respiratory, thoracic and mediastinal disorders
Pulmonary Mass
1.8%
1/56 • 1 Year
Vascular disorders
Hypertension
3.6%
2/56 • 1 Year
Vascular disorders
Hypotension
1.8%
1/56 • 1 Year
Vascular disorders
Intermittent Claudication
1.8%
1/56 • 1 Year
Vascular disorders
Orthostatic Hypotension
1.8%
1/56 • 1 Year
Vascular disorders
Peripheral Arterial Occlusive Disease
1.8%
1/56 • 1 Year
Vascular disorders
Vasospasm
1.8%
1/56 • 1 Year

Other adverse events

Other adverse events
Measure
Resolute Integrity US Extended Length Sub-Study (RI-US XL)
n=56 participants at risk
Resolute Integrity Stent Resolute Integrity Stent: Drug eluting stent (DES) Description - Patients with at least one lesion amendable to treatment with a 34 or 38 mm length stent. For those subjects with a second lesion, the second lesion may be treated with any available size study stent. Subjects treated with a 34mm or 38mm length stent were designated as a participant in the XL sub study regardless of the length of any other stent that was implanted as part of the study procedure.
Cardiac disorders
Palpitations
8.9%
5/56 • 1 Year
Gastrointestinal disorders
Dyspepsia
7.1%
4/56 • 1 Year
General disorders
Chest Pain
19.6%
11/56 • 1 Year
General disorders
Fatigue
7.1%
4/56 • 1 Year
Infections and infestations
Bronchitis
8.9%
5/56 • 1 Year
Investigations
Cardiac Enzymes Increased
14.3%
8/56 • 1 Year
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
5.4%
3/56 • 1 Year
Respiratory, thoracic and mediastinal disorders
Dyspnoea
8.9%
5/56 • 1 Year

Additional Information

Lisa Bousquette, Clinical Research Director

Medtronic, Coronary & Structural Heart Clinical

Phone: 707-591-2967

Results disclosure agreements

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