Trial Outcomes & Findings for RESOLUTE ONYX Post-Approval Study (Bifurcation Cohort) (NCT NCT03584464)

NCT ID: NCT03584464

Last Updated: 2023-11-24

Results Overview

Target Vessel Failure (TVF) defined as cardiac death, target vessel myocardial infarction, or clinically-driven target vessel revascularization by percutaneous or surgical methods.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

205 participants

Primary outcome timeframe

12 Months

Results posted on

2023-11-24

Participant Flow

Participant milestones

Participant milestones
Measure
Bifurcation Cohort
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Overall Study
STARTED
205
Overall Study
COMPLETED
204
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Subjects did not provide this information

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bifurcation Cohort
n=205 Participants
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 5.0 mm in diameter for the treatment of a bifurcation lesion with provisional stenting.
Age, Categorical
<=18 years
0 Participants
n=205 Participants
Age, Categorical
Between 18 and 65 years
87 Participants
n=205 Participants
Age, Categorical
>=65 years
118 Participants
n=205 Participants
Sex: Female, Male
Female
44 Participants
n=205 Participants
Sex: Female, Male
Male
161 Participants
n=205 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=194 Participants • Subjects did not provide this information
Ethnicity (NIH/OMB)
Not Hispanic or Latino
182 Participants
n=194 Participants • Subjects did not provide this information
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=194 Participants • Subjects did not provide this information
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=193 Participants • Subjects did not provide this information
Race (NIH/OMB)
Asian
8 Participants
n=193 Participants • Subjects did not provide this information
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=193 Participants • Subjects did not provide this information
Race (NIH/OMB)
Black or African American
11 Participants
n=193 Participants • Subjects did not provide this information
Race (NIH/OMB)
White
159 Participants
n=193 Participants • Subjects did not provide this information
Race (NIH/OMB)
More than one race
15 Participants
n=193 Participants • Subjects did not provide this information
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=193 Participants • Subjects did not provide this information
Region of Enrollment
United States
167 Participants
n=205 Participants
Region of Enrollment
Europe
38 Participants
n=205 Participants

PRIMARY outcome

Timeframe: 12 Months

Target Vessel Failure (TVF) defined as cardiac death, target vessel myocardial infarction, or clinically-driven target vessel revascularization by percutaneous or surgical methods.

Outcome measures

Outcome measures
Measure
Bifurcation Cohort
n=204 Participants
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Number of Participants With Target Vessel Failure (TVF)
14 Participants

SECONDARY outcome

Timeframe: 12 months

Cardiac Death defined as any death due to immediate cardiac cause, unwitnessed death and death of unknown cause.

Outcome measures

Outcome measures
Measure
Bifurcation Cohort
n=204 Participants
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Number of Participants With Cardiac Death
3 Participants

SECONDARY outcome

Timeframe: Up to 12 months

Target Vessel Myocardial Infarction (TVMI) defined as myocardial infarction with the target vessel. (3rd UDMI)

Outcome measures

Outcome measures
Measure
Bifurcation Cohort
n=204 Participants
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Number of Participants With Target Vessel Myocardial Infarction (TVMI - 3rd UDMI)
6 Participants

SECONDARY outcome

Timeframe: 12 months

Target Lesion Revascularization (TLR) defined as repeat PCI (Percutaneous Coronary Intervention), CABG (Coronary Artery Bypass Surgery) to the target lesion, or clinically driven target lesion revascularization.

Outcome measures

Outcome measures
Measure
Bifurcation Cohort
n=204 Participants
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Number of Participants With Target Lesion Revascularization (TLR)
7 Participants

SECONDARY outcome

Timeframe: 12 months

Target Vessel Revascularization (TVR) defined as revascularization of the target vessel.

Outcome measures

Outcome measures
Measure
Bifurcation Cohort
n=204 Participants
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Number of Participants With Target Vessel Revascularization (TVR)
8 Participants

SECONDARY outcome

Timeframe: 12 months

Cardiac Death and TVMI defined as composite of cardiac death and target vessel myocardial infarction.

Outcome measures

Outcome measures
Measure
Bifurcation Cohort
n=204 Participants
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Number of Participants With Cardiac Death and TVMI
9 Participants

SECONDARY outcome

Timeframe: 12 months

Major Adverse Cardiac Event (MACE) 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
Bifurcation Cohort
n=204 Participants
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Number of Participants With Major Adverse Cardiac Event (MACE)
17 Participants

SECONDARY outcome

Timeframe: 12 months

Target Lesion Failure (TLF) 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
Bifurcation Cohort
n=204 Participants
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Number of Participants With Target Lesion Failure (TLF)
13 Participants

SECONDARY outcome

Timeframe: 12 months

Stent Thrombosis Definite/Probable defined per Academic Research Consortium (ARC). Definite: a. Angiographic confirmation of TIMI flow grade 0-3 and at least one of the following criteria within a 48 hour: 1.New onset s ischemic symptoms at rest (typical chest pain with duration \>20 minutes); 2.New ischemic ECG changes suggestive of acute ischemia; 3.Typical rise and fall in cardiac biomarkers. or b. Pathologic confirmation of stent thrombosis: Evidence of recent thrombus within the stent determined at autopsy or via examination of tissue retrieved following thrombectomy. Probable: Any unexplained death within the first 30 days.

Outcome measures

Outcome measures
Measure
Bifurcation Cohort
n=204 Participants
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Number of Participants With Stent Thrombosis (ARC) Definite/Probable
0 Participants

Adverse Events

Bifurcation Cohort

Serious events: 48 serious events
Other events: 39 other events
Deaths: 6 deaths

Serious adverse events

Serious adverse events
Measure
Bifurcation Cohort
n=205 participants at risk
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Blood and lymphatic system disorders
Normocytic Anaemia
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Acute Left Ventricular Failure
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Acute Myocardial Infarction
2.0%
4/205 • Number of events 4 • 12 months
Cardiac disorders
Angina Pectoris
2.0%
4/205 • Number of events 4 • 12 months
Cardiac disorders
Angina Unstable
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Atrial Fibrillation
0.98%
2/205 • Number of events 2 • 12 months
Cardiac disorders
Atrioventricular Block Second Degree
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Bradycardia
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Cardiac Arrest
0.98%
2/205 • Number of events 2 • 12 months
Cardiac disorders
Cardiac Failure Congestive
0.98%
2/205 • Number of events 3 • 12 months
Cardiac disorders
Coronary Artery Disease
2.0%
4/205 • Number of events 4 • 12 months
Cardiac disorders
Coronary Artery Dissection
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Sinus Arrest
0.49%
1/205 • Number of events 1 • 12 months
Gastrointestinal disorders
Diverticulum Intestinal
0.49%
1/205 • Number of events 1 • 12 months
Gastrointestinal disorders
Intestinal Obstruction
0.49%
1/205 • Number of events 2 • 12 months
Gastrointestinal disorders
Melaena
0.49%
1/205 • Number of events 2 • 12 months
Gastrointestinal disorders
Rectal Haemorrhage
0.49%
1/205 • Number of events 1 • 12 months
General disorders
Chest Pain
0.49%
1/205 • Number of events 1 • 12 months
General disorders
Death
0.49%
1/205 • Number of events 1 • 12 months
General disorders
Non-Cardiac Chest Pain
0.49%
1/205 • Number of events 1 • 12 months
General disorders
Vascular Stent Stenosis
0.49%
1/205 • Number of events 1 • 12 months
General disorders
Vessel Puncture Site Haematoma
0.49%
1/205 • Number of events 1 • 12 months
Immune system disorders
Drug Hypersensitivity
0.49%
1/205 • Number of events 1 • 12 months
Infections and infestations
Cellulitis
0.49%
1/205 • Number of events 1 • 12 months
Infections and infestations
Covid-19
0.49%
1/205 • Number of events 1 • 12 months
Infections and infestations
Gastroenteritis Viral
0.49%
1/205 • Number of events 1 • 12 months
Infections and infestations
Influenza
0.49%
1/205 • Number of events 1 • 12 months
Infections and infestations
Localised Infection
0.49%
1/205 • Number of events 1 • 12 months
Infections and infestations
Pneumonia
1.5%
3/205 • Number of events 3 • 12 months
Infections and infestations
Sepsis
0.98%
2/205 • Number of events 2 • 12 months
Infections and infestations
Septic Shock
0.49%
1/205 • Number of events 1 • 12 months
Injury, poisoning and procedural complications
Cardiac Procedure Complication
0.49%
1/205 • Number of events 1 • 12 months
Injury, poisoning and procedural complications
Postoperative Respiratory Failure
0.49%
1/205 • Number of events 1 • 12 months
Injury, poisoning and procedural complications
Procedural Pain
0.49%
1/205 • Number of events 1 • 12 months
Investigations
Myocardial Necrosis Marker Increased
1.5%
3/205 • Number of events 3 • 12 months
Musculoskeletal and connective tissue disorders
Back Pain
0.49%
1/205 • Number of events 1 • 12 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder Cancer
0.49%
1/205 • Number of events 1 • 12 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal Adenocarcinoma
0.49%
1/205 • Number of events 1 • 12 months
Nervous system disorders
Carotid Artery Stenosis
0.49%
1/205 • Number of events 1 • 12 months
Nervous system disorders
Cerebrovascular Accident
0.98%
2/205 • Number of events 2 • 12 months
Nervous system disorders
Dizziness
0.49%
1/205 • Number of events 1 • 12 months
Nervous system disorders
Paraesthesia
0.49%
1/205 • Number of events 1 • 12 months
Nervous system disorders
Unresponsive To Stimuli
0.49%
1/205 • Number of events 1 • 12 months
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure
0.49%
1/205 • Number of events 1 • 12 months
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
0.49%
1/205 • Number of events 3 • 12 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.49%
1/205 • Number of events 1 • 12 months
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
0.98%
2/205 • Number of events 2 • 12 months
Surgical and medical procedures
Carotid Endarterectomy
0.49%
1/205 • Number of events 1 • 12 months
Surgical and medical procedures
Coronary Artery Bypass
0.49%
1/205 • Number of events 1 • 12 months
Vascular disorders
Haematoma
0.49%
1/205 • Number of events 1 • 12 months
Vascular disorders
Hypotension
0.49%
1/205 • Number of events 1 • 12 months
Vascular disorders
Peripheral Arterial Occlusive Disease
0.49%
1/205 • Number of events 1 • 12 months

Other adverse events

Other adverse events
Measure
Bifurcation Cohort
n=205 participants at risk
Subjects receiving stents 2.0 mm - 5.0 mm in diameter will be included in the Bifurcation Cohort. Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System: Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System, sizes 2.0 mm - 4.0 mm
Blood and lymphatic system disorders
Anaemia
0.98%
2/205 • Number of events 2 • 12 months
Blood and lymphatic system disorders
Blood Loss Anaemia
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Angina Pectoris
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Bradycardia
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Bundle Branch Block Left
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Coronary Artery Disease
1.5%
3/205 • Number of events 3 • 12 months
Cardiac disorders
Coronary Artery Dissection
0.98%
2/205 • Number of events 2 • 12 months
Cardiac disorders
Coronary Artery Occlusion
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Left Ventricular Dysfunction
0.49%
1/205 • Number of events 1 • 12 months
Cardiac disorders
Ventricular Tachycardia
0.49%
1/205 • Number of events 1 • 12 months
Gastrointestinal disorders
Gingival Bleeding
0.49%
1/205 • Number of events 1 • 12 months
Gastrointestinal disorders
Pneumoperitoneum
0.49%
1/205 • Number of events 1 • 12 months
General disorders
Chest Discomfort
0.49%
1/205 • Number of events 1 • 12 months
General disorders
Chest Pain
0.98%
2/205 • Number of events 2 • 12 months
General disorders
Injection Site Haemorrhage
0.49%
1/205 • Number of events 1 • 12 months
General disorders
Malaise
0.49%
1/205 • Number of events 1 • 12 months
General disorders
Vascular Stent Stenosis
0.98%
2/205 • Number of events 2 • 12 months
Infections and infestations
Urinary Tract Infection
0.49%
1/205 • Number of events 1 • 12 months
Injury, poisoning and procedural complications
Cardiac Procedure Complication
0.49%
1/205 • Number of events 1 • 12 months
Injury, poisoning and procedural complications
Face Injury
0.49%
1/205 • Number of events 1 • 12 months
Injury, poisoning and procedural complications
Patella Fracture
0.49%
1/205 • Number of events 1 • 12 months
Injury, poisoning and procedural complications
Periprocedural Myocardial Infarction
0.49%
1/205 • Number of events 1 • 12 months
Injury, poisoning and procedural complications
Plaque Shift
0.49%
1/205 • Number of events 1 • 12 months
Injury, poisoning and procedural complications
Vascular Access Complication
0.49%
1/205 • Number of events 1 • 12 months
Injury, poisoning and procedural complications
Vascular Access Site Swelling
0.49%
1/205 • Number of events 1 • 12 months
Investigations
Inflammatory Marker Increased
0.49%
1/205 • Number of events 1 • 12 months
Investigations
Myocardial Necrosis Marker Increased
3.4%
7/205 • Number of events 7 • 12 months
Investigations
Troponin I Increased
0.49%
1/205 • Number of events 1 • 12 months
Investigations
Troponin Increased
1.5%
3/205 • Number of events 3 • 12 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal Cell Carcinoma
0.49%
1/205 • Number of events 1 • 12 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Intraductal Proliferative Breast Lesion
0.49%
1/205 • Number of events 1 • 12 months
Nervous system disorders
Headache
0.49%
1/205 • Number of events 1 • 12 months
Nervous system disorders
Paraesthesia
0.49%
1/205 • Number of events 1 • 12 months
Nervous system disorders
Seizure
0.49%
1/205 • Number of events 1 • 12 months
Renal and urinary disorders
Nephrolithiasis
0.49%
1/205 • Number of events 1 • 12 months
Renal and urinary disorders
Urinary Retention
0.49%
1/205 • Number of events 1 • 12 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.49%
1/205 • Number of events 1 • 12 months
Vascular disorders
Labile Hypertension
0.49%
1/205 • Number of events 1 • 12 months

Additional Information

Alissa Anderson, Clinical Study Manager

Medtronic, plc

Phone: 7075912434

Results disclosure agreements

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

Restriction type: OTHER