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Medtronic Announces Largest Clinical Study Evaluating Drug-Eluting Stent Safety.


PROTECT Trial Will Compare Frequency of Stent Thrombosis Associated with Medtronic's Endeavor Stent and Johnson & Johnson's Cypher See cipher.  Stent in Large Randomized ran·dom·ize  
tr.v. ran·dom·ized, ran·dom·iz·ing, ran·dom·iz·es
To make random in arrangement, especially in order to control the variables in an experiment.
 Trial

MINNEAPOLIS -- Reflecting its commitment to patient safety and ongoing medical research, Medtronic, Inc. (NYSE NYSE

See: New York Stock Exchange
:MDT MDT
abbr.
Mountain Daylight Time


MDT (in the US and Canada) Mountain Daylight Time

MDT n abbr (US) (= mountain daylight time) →
) has announced that it will begin a new, large-scale clinical trial focusing on the safety of drug-eluting stents (DES). The PROTECT study will be the largest randomized stent trial ever conducted to assess and compare key safety measures safety measures,
n.pl actions (e.g., use of glasses, face masks) taken to protect patients and office personnel from such known hazards as particles and aerosols from high-speed rotary instruments, mercury vapor, radiation exposure, anesthetic and
 of two drug-eluting stents. The trial will compare the Medtronic Endeavor[R] zotarolimus-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  system and the Johnson & Johnson Cypher[R] sirolimus-eluting stent.

The primary endpoint for the PROTECT study will be overall stent thrombosis, with secondary endpoints that include death and non-fatal myocardial infarction myocardial infarction: see under infarction.  as well as customary clinical efficacy end points. The study will enroll approximately 8,000 "real world" patients at 200 clinical centers in Europe and other international markets. Real world patients refers to the general population typically seen by physicians in their everyday clinical practice, including many patients with complex medical conditions.

"Until the PROTECT trial, there have been no large, randomized clinical trials that have focused primarily on the safety of drug-eluting stents or that have provided head-to-head analysis with a specific safety outcome as a primary endpoint," said Dr. William Wijns, Co-Director of the Cardiovascular Center, OLV OLV Onder Leiding Van (Dutch: under the leadership of)
OLV One-Lung Ventilation
OLV Our Lady of Victories
OLV Orderly Liquidation Value (banking)
OLV Our Lady of the Visitation
 Ziekenhuis, Aalst, Belgium and co-principal investigator of the PROTECT trial. "Safety has become a growing concern among physicians, and this trial is carefully designed and powered to provide an extremely thorough, long-term assessment of Endeavor and Cypher safety in real world practice. This safety data will serve as a complement to the extensive clinical data already available on these two devices and will provide physicians with a clearer picture on the balance between safety and efficacy of drug-eluting stents."

The Endeavor stent has demonstrated a favorable safety profile throughout its multi-phased clinical program, with approximately 1,000 Endeavor patients studied beyond two years. Data published recently in CIRCULATION magazine from the ENDEAVOR II Clinical Trial showed no documented stent thrombosis beyond 30 days up to two years after implantation. Endeavor's overall stent thrombosis rate in all clinical trials is just 0.3 percent. Endeavor's efficacy data also has been excellent, with a 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
TLR Toll Like Receptor (immunological research)
TLR Temple (University) Law Review
TLR Twin Lens Reflex
TLR Texas Law Review
TLR The Last Resort (gaming clan) 
) rate at two years of 6.5 percent in the ENDEAVOR II trial - meaning that approximately 94 percent of the patients receiving Endeavor did not require a repeat procedure. In a pooled analysis of all Endeavor data, the TLR rate was consistent across various patient subgroups, including those with diabetes, small blood vessels and long lesions.

"The safety and efficacy data on Endeavor is extensive, consistent, and very favorable, and we expect that this record will be confirmed yet again in the PROTECT Trial," said Scott Ward, president of the Vascular business unit at Medtronic. "We believe it is important to undertake this trial to provide even more long-term safety data on these devices and compare the differences between the Cypher and Endeavor drug eluting stent platforms. We are extremely pleased to bring together such a distinguished group of clinical experts to serve as our principal investigators for this study and look forward to beginning this study in the coming months."

In addition to Dr. Wijns, other co-principal investigators for PROTECT include: Dr. Patrick Serruys, Thoraxcenter, Erasmus University, Rotterdam, Netherlands; Prof. Philippe Gabriel Steg, M.D., HE[sup.3]pital Bichat-Claude Bernad, Paris; Dr. Edoardo Camenzind, Division of Cardiology, University Hospital Geneva Geneva, canton and city, Switzerland
Geneva (jənē`və), Fr. Genève, canton (1990 pop. 373,019), 109 sq mi (282 sq km), SW Switzerland, surrounding the southwest tip of the Lake of Geneva.
; and Dr. William O'Neill, Executive Dean of Clinical Affairs at the University of Miami This article is about the university in Coral Gables, Florida. For the university in Oxford, Ohio, see Miami University.

The University of Miami (also known as Miami of Florida,[2] UM,[3] or just The U
 Miller School of Medicine. An independent Clinical Events Committee (CEC (Central Electronic Complex) The set of hardware that defines a mainframe, which includes the CPU(s), memory, channels, controllers and power supplies included in the box. Some CECs, such as IBM's Multiprise 2000 and 3000, include data storage devices as well. ) will be engaged for adjudication The legal process of resolving a dispute. The formal giving or pronouncing of a judgment or decree in a court proceeding; also the judgment or decision given. The entry of a decree by a court in respect to the parties in a case.  of events related to the primary endpoint and an independent statistical organization used for data analysis.

The Endeavor drug-eluting stent is built on a modular, cobalt chromium stent platform that provides outstanding deliverability and side branch access. In addition to the non-cytotoxic drug compound zotarolimus, which is fully eluted into the vessel wall at 28 days, the Endeavor stent also uses a proven, non-inflammatory phosphorylcholine (PC) polymer. PC Polymer is designed to simulate the outside surface of a red blood cell red blood cell: see blood.  and mimic the structure of the natural cell membrane, allowing for full endothelialization, or healing of the tissue following stent implant.

Drug-eluting stents are tiny mesh devices that help prop open clogged arteries during angioplasty procedures. They were introduced in 2002 in Europe and have been considered a breakthrough in interventional cardiology because of their effectiveness in reducing restenosis, or the re-clogging of an artery following a stent implant. Large randomized studies have established that drug-eluting stents are much more effective at preventing restenosis than their bare metal predecessors, which have no drug coating. Bare metal stents remain a valuable tool for physicians in the treatment of cardiovascular disease, especially for patients with specific medical conditions or for whom drug-eluting stents are not ideal due to medical procedures that require patients to discontinue anti-platelet therapy.

About Medtronic

Medtronic, Inc. (www.medtronic.com), headquartered in Minneapolis, is the global leader in medical technology - alleviating pain, restoring health, and extending life for millions of people around the world.

Editors: PROTECT = Patient Related OuTcomes with Endeavor versus Cypher stenting Trial.

Caution: In the United States, the Endeavor drug-eluting Coronary Stent is an investigational device with an investigational drug (zotarolimus) and is exclusively used 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 28, 2006. Actual results may differ materially from anticipated results.
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Publication:Business Wire
Article Type:Clinical report
Date:Oct 19, 2006
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