Medtronic Submits Final PMA Modules to FDA for Approval of the Endeavor Drug-Eluting Coronary Stent System.Largest Clinical Dossier Ever Submitted to FDA FDA abbr. Food and Drug Administration FDA, n.pr See Food and Drug Administration. FDA, n.pr the abbreviation for the Food and Drug Administration. for a Drug-Eluting Stent MINNEAPOLIS -- 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) → ) today announced that it has submitted the final modules of its Pre-Market Approval (PMA PMA (papillary-marginal-attached), n a system of epidemiologic scoring of periodontal disease devised by Schour and Massler in which the symbols denote the areas involved in gingival inflammation. PMA Progressive muscular atrophy ) application to the U.S. Food and Drug Administration for the Endeavor[R] 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 system. Medtronic's PMA submission includes safety and efficacy data on approximately 4,100 patients who have been treated with Endeavor in clinical trials that include follow up for as long as three years. The Endeavor PMA sets a new standard for clinical data submitted to the FDA, with data from the largest, most wide-ranging patient population and for patients with the longest follow-up ever submitted to support the safety and efficacy of a new drug-eluting stent (DES). "We've submitted an extremely robust dossier on the Endeavor drug-eluting stent, and we look forward to working with the FDA on an expeditious PMA review," said Scott Ward, president of the Vascular business at Medtronic. "Endeavor represents a new generation of drug-eluting stents, with a polymer-drug combination specifically designed to reduce restenosis while maintaining a favorable safety profile. We have submitted a PMA that strongly supports the safety and efficacy criteria needed for U.S. approval." Patient follow-up in the Endeavor clinical trials has been extensive. The number of patients included in the Endeavor PMA is nearly double the number of the two commercially available drug-eluting stents combined at the time of their submission. The Endeavor PMA includes safety and efficacy data from the following major clinical trials or registries: * the ENDEAVOR I first-in-man study * the ENDEAVOR II 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. , controlled trial controlled trial Clinical research A clinical study in which one group of participants receives an experimental drug while the other receives either a placebo or an approved–'gold standard' therapy. See Blinding, Double-blinded. comparing the performance of the Endeavor drug-eluting stent to the Medtronic Driver[R] bare metal stent * the ENDEAVOR II Continued Access study * the ENDEAVOR III and ENDEAVOR IV randomized, controlled trials comparing Endeavor against both of the DES products commercially available in the United States * the E-Five post-market registry conducted outside the United States "This is a substantial and impressive PMA that is supported by data from several large and well-designed clinical trials," said Dr. Martin B. Leon, founder of the Cardiovascular Research Foundation, professor of medicine at Columbia University Medical Center Columbia University Medical Center is the name of the medical complex associated with Columbia University, and covers several blocks (primarily between 165th and 168th Streets from the Henry Hudson Parkway to Audubon Avenue) in the Washington Heights section of Manhattan. and a principal investigator for the ENDEAVOR III and ENDEAVOR IV trials. "The performance of the Endeavor stent has been very consistent, and its safety and efficacy have been well characterized through the cumulative data from its clinical trial program." Following a PMA submission, the FDA typically takes several actions during its review cycle of new medical technology products. This includes reviewing the PMA documents, inspecting the Endeavor manufacturing facilities at Medtronic's Santa Rosa, Calif. and Galway, Ireland locations, scheduling an optional advisory panel meeting, and determining final product labeling. Medtronic anticipates that the FDA will require a panel meeting. Medtronic reported excellent patient safety data at last month's Transcatheter Cardiovascular Therapeutics (TCT TCT The Capital Times (Madison, WI newspaper) TCT Transcatheter Cardiovascular Therapeutics TCT The Coroner's Toolkit TCT Trans Canada Trail TCT Tcl Core Team TCT Tsukuba College of Technology (Japan) ) symposium in Washington, D.C., an annual meeting of global interventional cardiologists. In addition, data published recently in the medical journal CIRCULATION demonstrated excellent clinical outcomes in the ENDEAVOR II pivotal trial, with sustained efficacy, low rates of adverse events and outstanding stent deliverability. "With extensive clinical data now published in peer-reviewed journals, the Endeavor drug-eluting stent has demonstrated excellent clinical outcomes and we continue to be very encouraged by the product's safety profile," said Ward, who noted that under the pre-specified definitions used in the company's clinical trial protocols, Endeavor has an overall thrombosis rate of 0.3 percent, with zero late stent thrombosis late stent thrombosis Cardiology The scar-induced closure of a previously stenosed coronary artery, a complication in ±20% of Pts who have undergone stenting for CAD. See Stent. Cf In-stent restenosis. . "The data is unambiguous and shows that no matter what type of analyses are used, Endeavor provides the clinical outcomes physicians expect from a drug-eluting stent, with the safety they expect from a bare metal stent." The Endeavor stent, which received CE Mark in 2005 and is currently commercially available in more than 100 countries worldwide, is made of a cobalt alloy with a unique modular architecture designed to enhance deliverability. In addition to the potent cytostatic cytostatic /cy·to·stat·ic/ (sit?ah-stat´ik) 1. suppressing the growth and multiplication of cells. 2. an agent that so acts. cy·to·stat·ic adj. 1. drug, zotarolimus, Endeavor is coated with phosphorylcholine (PC Coating), a biocompatible biocompatible /bio·com·pat·i·ble/ (-kom-pat´i-b'l) being harmonious with life; not having toxic or injurious effects on biological function. polymer 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 Cell membrane The membrane that surrounds the cytoplasm of a cell; it is also called the plasma membrane or, in a more general sense, a unit membrane. This is a very thin, semifluid, sheetlike structure made of four continuous monolayers of molecules. , leading to an optimal healing response around the stent following implantation. 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. Caution: In the United States, the Endeavor drug-eluting Coronary Stent is an investigational device with an investigational drug (zotarolimus, ABT-578) and is used exclusively for clinical investigation. PC Coating is licensed under patents owned by Biocompatibles, UK Ltd. 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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