First FDA Clearance For Drug-Eluting Coronary Stent Use In Heart Attack Patients

“Clinical data from the HORIZONS-AMI trial showed that, in patients with AMI, paclitaxel-eluting stents were superior in efficacy to bare-metal stents, significantly reducing clinical and angiographic restenosis compared to bare-metal stents.”

In short

Boston Scientific has issued a press release annoucing that it has gained the first and only FDA clearance for drug-eluting stents (DES) for use in heart attack patients. The approval relates to its ION™ Paclitaxel-Eluting Platinum Chromium Coronary Stent System and TAXUS® Liberte® Paclitaxel-Eluting Coronary Stent Systems.

Background

According to the press release, the American Heart Association estimates that death by Acute Myocardial Infarction(AMI) accounts for one out of every six deaths annually in the U.S. There are more than 1.2 million new and recurrent cases of heart attack each year, with approximately 34 percent resulting in death

Boston’s ION Stent System incorporates a unique platinum chromium (PtCr) alloy designed specifically for coronary stenting and intended to improve the acute performance of coronary stent implantation in the treatment of coronary artery disease.

The new indication, which accounts for approximately 10 percent of all coronary interventions, is a result of FDA review of data from the Paclitaxel (TAXUS) clinical program and HORIZONS-AMI trial. In the global HORIZONS-AMI trial, 3,006 patients were randomized to receive either drug-eluting stents or bare-metal stents for the treatment of AMI, making it the largest randomized trial to study coronary stents in heart attack patients.

Company comments

Keith D. Dawkins, M.D., Global Chief Medical Officer for Boston Scientific said; “Clinical data from the HORIZONS-AMI trial showed that, in patients with AMI, paclitaxel-eluting stents were superior in efficacy to bare-metal stents, significantly reducing clinical and angiographic restenosis compared to bare-metal stents, while demonstrating a comparable safety profile at three years. We are proud that our investments in randomized trials such as HORIZONS-AMI have led to the approval of products to treat a broader range of patients with coronary artery disease.”

“The new indication for heart attack patients should give U.S. physicians the confidence to treat this high-risk group with Boston Scientific’s advanced paclitaxel-eluting stent technology backed by a robust clinical program that spans 10 years of research,” said Hank Kucheman, Chief Executive Officer of Boston Scientific. “The AMI indication reinforces the safety and effectiveness of the ION and TAXUS Liberte paclitaxel-eluting stents in treating challenging patients and lesions in both clinical and real-world practice. The inclusion of the ION Stent for this indication should be welcome news for physicians and patients. This innovative platinum chromium stent has been very well received since its U.S. launch last year based on its exceptional visibility, radial strength and deliverability.”

Source: Boston Scientific Corporation, PR Newswire