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Clinical Results of Pivotal Trial Show ENDEAVOR Drug Eluting Stent Provides Significant Treatment Effect in Patients with Coronary Artery Disease.


ORLANDO, Fla. -- Final ENDEAVOR(TM) II Clinical Data Shows Impressive Reduction in Repeat Procedures and Vessel Renarrowing

William Wijns, M.D., the Co-Principal Investigator of the ENDEAVOR II Pivotal Clinical Trial and Co-Director of the Cardiovascular Center, OLV OLV Onder Leiding Van (Dutch: under the leadership of)
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 Ziekenhuis, Aalst, Belgium, today presented positive results of the ENDEAVOR II trial at the American College of Cardiology The American College of Cardiology (ACC) is a nonprofit medical association established in 1949 to educate, research and influence health care public policy. The president for the 2006–2007 year is Steven E. Nissen. [1] The organization has 39 chapters in the U.S.  (ACC See adaptive cruise control. ) 54th Annual Scientific Session. The ENDEAVOR II study demonstrated clinically and statistically significant improvement in all of the study's endpoints, including a 47 percent reduction in the primary endpoint of Target Vessel Failure (TVF TVF Target Vessel Failure (cardiology)
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).

"Overall the clinical results are impressive and show that more than 95 percent of the patients who received an Endeavor stent in the trial required no further treatment or revascularization at the original treatment site at the nine month assessment period," said Dr. Wijns. "The Endeavor stent's performance in this trial provides substantial evidence that the Endeavor drug eluting stent is safe and that it substantially reduces clinical restenosis compared to a bare metal stent. These clinical results, taken together with the ease of use of the Driver stent platform, establish the Endeavor stent as a valuable treatment option for patients undergoing angioplasty with drug eluting stents."

The ENDEAVOR II Clinical Trial, sponsored by Medtronic, Inc. (NYSE NYSE

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, double-blind pivotal trial designed to evaluate the safety and efficacy of Medtronic's Endeavor(TM) Drug Eluting Coronary Stent coronary stent Intracoronary stent Cardiology An expandable tubular device which can be inserted percutaneously, and left within a coronary artery lumen to maintain its patency Pros Clinical and angiographic outcomes are better with intracoronary artery stent  compared to Medtronic's Driver(TM) Cobalt Alloy Coronary Stent in patients with coronary artery disease coronary artery disease, condition that results when the coronary arteries are narrowed or occluded, most commonly by atherosclerotic deposits of fibrous and fatty tissue. .

The co-principal investigators of the ENDEAVOR II trial are Dr. Wijns; Jean Fajadet, M.D., Clinique Pasteur Unite de Cardiologie Interventionnelle, Toulouse, France; and Richard M. Kuntz, M.D., Associate Professor, Harvard Medical School Harvard Medical School (HMS) is one of the graduate schools of Harvard University. It is a prestigious American medical school located in the Longwood Medical Area of the Mission Hill neighborhood of Boston, Massachusetts. ; and Chief, Division of Clinical Biometrics, Brigham and Women's Hospital Brigham and Women's Hospital (BWH) is a hospital in the Longwood Area of the Boston, Massachusetts neighborhood of Mission Hill. With Massachusetts General Hospital, it is one of the two founding members of Partners HealthCare. , Boston.

The trial enrolled 1,197 patients at 72 facilities in 17 countries, making it the first and largest drug eluting stent trial comparing a drug eluting stent to a bare metal stent ever performed outside the U.S. The primary endpoint of the trial was TVF at nine months. TVF is a composite endpoint, which includes death, myocardial infarction myocardial infarction: see under infarction.  and Target Vessel Revascularization (TVR TVR Target Vessel Revascularization (cardiology)
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). The results from the trial will be used to support Endeavor product approvals globally.

"Extremely Solid Clinical and Angiographic Results"

The final results highlight the significant treatment effect the Endeavor stent has in patients with coronary artery disease. The study successfully met its primary and secondary endpoints, including a 47 percent reduction in TVF in the Endeavor arm (8.1%) in comparison with the control group (15.4%). The study also demonstrated a 62 percent reduction in Target Lesion target lesion Dermatology A lesion typical of erythema multiforme–EM in which a vesicle is surrounded by an often hemorrhagic maculopapule; EM is often self-limited, of acute onset, resolves in 3-6 wks, and has a cyclical pattern; EM lesions are 'multiform'  Revascularization (TLR TLR Trailer
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) between the Endeavor arm (4.6%) and the control group (12.1%). TLR is the rate of retreatment of patients after coronary stenting Coronary Stenting Definition

A coronary stent is an artificial support device used in the coronary artery to keep the vessel open.
Purpose
 and is widely viewed by physicians as a critical clinical marker of drug eluting stent effectiveness.

Angiographic results of the study demonstrated a significant reduction in restenosis rates. The study showed a 71 percent reduction in in-stent angiographic binary restenosis (ABR (1) (AutoBaud Rate detect) The analysis of the first characters of a message to determine its transmission speed and number of start and stop bits.

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) in the Endeavor arm (9.5%) versus the control arm (32.7%). The in-segment ABR rate in the study was reduced by 61 percent in the Endeavor arm (13.3%) versus the control arm (34.2%). The study showed an in-segment late loss of 0.36 mm in the Endeavor arm (0.70 mm in the control arm) and an in-stent late loss of 0.62 mm in the Endeavor arm (1.03 mm in the control arm).

"These are extremely solid clinical and angiographic results, supported by a comprehensive base of data compiled through the outstanding work of the ENDEAVOR II investigators around the world," said Dr. Kuntz. "The study had an impressive 88 percent follow up rate in the assigned angiographic cohort and a 97 percent follow up rate in the clinical cohort. The result is a strong body of data that provides a clear and compelling case for the outstanding performance of the Endeavor stent."

"An Impressive Safety Record"

The ENDEAVOR II study revealed impressive data on the Endeavor stent's safety performance. The study indicated a 50 percent reduction in the Major Adverse Cardiac Event cardiac event Coronary event Cardiology Any severe or acute cardiovascular condition including acute MI, unstable angina, or cardiac mortality  (MACE) rate in the Endeavor arm (7.4%) compared to the control arm (14.7%). In addition, the ENDEAVOR II trial showed a 0.5 percent rate of stent thrombosis at 30 days -- with no late thrombosis beyond 30 days and no late stent malapposition.

"The Endeavor stent has demonstrated an impressive safety record that should not be overlooked," said Martin B. Leon, M.D., co-principal investigator of the ENDEAVOR III and ENDEAVOR IV Clinical Trials and Chairman of The Cardiovascular Research Foundation, Columbia University Hospital, New York. "While you get a significant treatment effect with drug eluting stents, we must always remain diligent that long-term safety is not compromised in patients. The ENDEAVOR II clinical experience of zero thrombosis beyond thirty days and no late malapposition places the Endeavor stent among the safest DES systems studied to date."

Enhanced Deliverability and Excellent Ease of Use

The Endeavor drug eluting stent is based on the Driver Coronary Stent -- the world's leading cobalt alloy stent. The Driver stent is made of a cobalt alloy and a unique modular architecture to provide enhanced deliverability over standard bare metal stents.

"The excellent track record and ease of use of the Driver stent was apparent in the ENDEAVOR II trial results," added Dr. Wijns. "Device and lesion success rates were all above 99 percent in both the Endeavor arm and Driver control."

Commercialization Outside the U.S. In the Spring

"We are extremely pleased by the work of the investigators from around the world who participated in this trial as well as the outstanding clinical results observed in ENDEAVOR II," said Scott Ward, president of Medtronic Vascular. "With this compelling and definitive data, we look forward to moving on with our efforts to commercialize the Endeavor stent outside the United States this spring. We are ramping up our manufacturing operations to supply the world with high-quality and readily available product and our distribution network is prepared and ready to bring this product to physicians and patients around the world when approved for use."

"Based on the data from ENDEAVOR II, we are also confident in our efforts to bring this product to the U.S. and we believe that Endeavor will continue to perform very well in the ENDEAVOR III and ENDEAVOR IV trials," added Ward. "We will present the final results from the ENDEAVOR III trial in October and we intend to begin the ENDEAVOR IV trial in the next few weeks."

Medtronic, Inc., headquartered in Minneapolis, is the world's leading medical technology company, providing lifelong solutions for people with chronic disease. Its Internet address is www.medtronic.com.

Caution: The Endeavor Drug Eluting Coronary Stent is an investigational device with an investigational drug (ABT-578) and exclusively for clinical investigation.

Any forward-looking statements are subject to risks and uncertainties such as those described in Medtronic's Annual Report on Form 10-K for the year ended April 30, 2004. Actual results may differ materially from anticipated results.
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Date:Mar 6, 2005
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