Coronary Artery Disease
Conditions
Keywords
Angioplasty, Coronary Restenosis, Coronary Artery Disease, Coronary Artery Restenosis, Coronary Artery Stenosis, Total Artery Occlusion, Stents, Stent Thrombosis, Total Coronary Occlusion, Vascular Disease, Myocardial Ischemia
Brief summary
XIENCE V USA is a prospective, multi-center, multi-cohort post-approval study. The objectives of this study are * To evaluate XIENCE V EECSS continued safety and effectiveness during commercial use in real world settings, and * To support the Food and Drug Administration (FDA) dual antiplatelet therapy (DAPT) initiative. This initiative is designed to evaluate the composite of all death, myocardial infarction (MI) and stroke (MACCE) and the survival of patients that are free from Academic Research Consortium (ARC) definite or probable stent thrombosis (ST) and that have been treated with drug eluting stents (DES) and extended dual antiplatelet therapy.
Detailed description
Study Phase I is from index procedure to 1 year. This prospective, open-label, multi-center, observational, single-arm study is designed to evaluate XIENCE V EECSS safety and effectiveness in real world settings up to 1 year after implantation. The primary endpoint is the stent thrombosis (definite and probable) rate up to 1 year as ARC. The co-primary endpoint is the composite rate of cardiac death and any MI at 1 year. Up to 8,000 patients are planned to be consecutively enrolled at up to 275 sites in the U.S. Clinical follow-up will occur at 14, 30, 180 days and 1 year. All patients enrolled in the XIENCE V USA who have completed Study Phase I will be evaluated at 1 year to determine whether they are eligible to participate in one of the following cohorts in Study Phase II: XIENCE V USA Long Term Follow-up (LTF) Cohort, Harvard Clinical Research Institute (HCRI) DAPT Cohort, or Abbott Vascular (AV) DAPT Cohort.
Interventions
Single-arm study designed to evaluate XIENCE V® EECSS continued safety and effectiveness during commercial use in real world settings.
Sponsors
Study design
Eligibility
Inclusion criteria
* The patient agrees to participate in this study by signing the Institutional Review Board approved informed consent form.
Exclusion criteria
* The inability to obtain an informed consent. Age limit is determined by investigator. There are no angiographic inclusion or
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stent Thrombosis (Definite and Probable) Rate as Defined by ARC (Academic Research Constortium). | up to 1 year | ARC Defines Stent Thrombosis in the following way: Definite Stent Thrombosis: Angiographic or pathologic confirmation of partial or total thrombotic occlusion within the peri-stent region AND at least ONE of the following, additional criteria: Acute ischemic symptoms Ischemic ECG changes Elevated cardiac biomarkers Probable Stent Thrombosis: Any unexplained death within 30 days of stent implantation or any myocardial infarction, which is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis and in the absence of any other obvious cause Possible Stent Thrombosis Any unexplained death beyond 30 days For further information on ARC definitions, please refer to the following website: http://circ.ahajournals.org/content/115/17/2344.full#sec-1 |
| Composite Rate of Cardiac Death and Any Myocardial Infarction (MI) | 1 year | MI= ARC (Academic Research Constortium) defined |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Composite Rate of Cardiac Death and Any MI (Q-wave and Non Q-wave) | at 30 days | MI= Academic Research Consortium (ARC) defined |
| Composite Rate of All Death and Any MI (Q-wave and Non Q-wave) | at 30 days | MI= Academic Research Consortium (ARC) defined |
| Composite Rate of All Death, Any MI (Q-wave and Non Q-wave) and Any Repeat Revascularization (Percutaneous Coronary Intervention [PCI] and Coronary Artery Bypass Graft [CABG]) | at 30 days | MI= Academic Research Consortium (ARC) defined |
| Composite Rate of Cardiac Death, Any MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Target Lesion Revascularization (TLR) (PCI and CABG) | at 30 days | MI= Academic Research Consortium (ARC) defined |
| Death (Cardiac Death, Vascular Death, and Non-cardiovascular Death) | at 30 days | — |
| Any MI (Q-wave and Non Q-wave) | at 30 days | MI= Academic Research Consortium (ARC) defined |
| Clinical Device Success | acute: post index procedure until hospital discharge | — |
| Major Bleeding Complications | at 14 days | by TIMI flow |
| Dual Antiplatelet Medication Usage | at 14 days | Patient is included if medications (both aspirin and thienopyridine) were taken for at least 1 day during the visit window. The visit window for 14-day visit is 7-21 days, 30-day visit is 23-37 days, 180-day visit is 166-194 days, 1-year visit is 323-407 days, and 2-year visit is 688-772 days. Adjunctive antiplatelet therapy includes: Aspirin & Thienopyridines (Clopidogrel/Ticlopidine/Prasugrel). Compliance refers to subjects following prescribed instructions for taking these medications. Therapy interruptions refer to any intervals during which the subject stops taking one or all of the prescribed medications. |
| Dual Antiplatelet Therapy Non-compliance Through 1 Year | 1 year | Defined as patients who had at least 1 day without using either aspirin or thienopyridine from 1 to 407 days post index procedure. |
| Composite Rate of Cardiac Death and MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Clinically-indicated Target Lesion Revascularization (CI-TLR) (PCI and CABG) (This Composite Endpoint is Also Denoted as TLF) | at 30 days | MI= Academic Research Consortium (ARC) defined |
| Patient Health Status, Physical Limitations Assessed Using the SAQ (Seattle Angina Questionaire) | at baseline | SAQ: 19-item, 5-6-point Likert, questionnaire measuring 5 dimensions of coronary artery disease: Anginal Stability: whether a patient's symptoms are changing over time. Anginal Frequency: how often a patient is having symptoms now Physical Limitation: how much a patient's condition is hampering his ability to do what he wants to do. Treatment Satisfaction: how well a patient understands her care and what she thinks of it. Disease Perception: the overall impact of a patient's condition on a patient's interpersonal relationships and state of mind. Each dimension is assigns each response an ordinal value, beginning with 1 for the response at the lowest level of functioning, and summing across items within each of the 5 scales. Scale scores then transformed to 0-100 range by subtracting the lowest possible scale score, dividing by the range of the scale and multiplying by 100. |
| SAQ (Seattle Angina Questionaire) | at baseline | SAQ: 19-item, 5-6-point Likert, questionnaire measuring 5 dimensions of coronary artery disease: Anginal Stability: whether a patient's symptoms are changing over time. Anginal Frequency: how often a patient is having symptoms now Physical Limitation: how much a patient's condition is hampering his ability to do what he wants to do. Treatment Satisfaction: how well a patient understands her care and what she thinks of it. Disease Perception: the overall impact of a patient's condition on a patient's interpersonal relationships and state of mind. Each dimension is assigns each response an ordinal value, beginning with 1 for the response at the lowest level of functioning, and summing across items within each of the 5 scales. Scale scores then transformed to 0-100 range by subtracting the lowest possible scale score, dividing by the range of the scale and multiplying by 100. |
| Revascularization (Target Lesion, Target Vessel [TVR], and Non-target Vessel) (PCI and CABG) | at 30 days | — |
| Procedural Success | acute: post index procedure until hospital discharge | — |
Countries
United States
Participant flow
Recruitment details
Subjects are derived from the USA interventional cardiology population.
Pre-assignment details
A sub-set of subjects was randomized to the DAPT portion of this study.
Participants by arm
| Arm | Count |
|---|---|
| Subjects Receiving the XIENCE V EECSS | 8,040 |
| Total | 8,040 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Death | 159 |
| Overall Study | Ineligible for Randomization to DAPT | 209 |
| Overall Study | Lost to Follow-up | 162 |
| Overall Study | Other Reason | 18 |
| Overall Study | Physician Decision | 20 |
| Overall Study | Withdrawal by Subject | 163 |
Baseline characteristics
| Characteristic | Subjects Receiving the XIENCE V EECSS |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 3919 Participants |
| Age, Categorical Between 18 and 65 years | 4121 Participants |
| Age Continuous | 64.58 years STANDARD_DEVIATION 10.82 |
| Region of Enrollment United States | 8040 participants |
| Sex: Female, Male Female | 2441 Participants |
| Sex: Female, Male Male | 5599 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 478 / 4,952 |
| serious Total, serious adverse events | 1,656 / 4,952 |
Outcome results
Composite Rate of Cardiac Death and Any Myocardial Infarction (MI)
MI= ARC (Academic Research Constortium) defined
Time frame: 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of Cardiac Death and Any Myocardial Infarction (MI) | 7.2 percentage of participants |
Stent Thrombosis (Definite and Probable) Rate as Defined by ARC (Academic Research Constortium).
ARC Defines Stent Thrombosis in the following way: Definite Stent Thrombosis: Angiographic or pathologic confirmation of partial or total thrombotic occlusion within the peri-stent region AND at least ONE of the following, additional criteria: Acute ischemic symptoms Ischemic ECG changes Elevated cardiac biomarkers Probable Stent Thrombosis: Any unexplained death within 30 days of stent implantation or any myocardial infarction, which is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis and in the absence of any other obvious cause Possible Stent Thrombosis Any unexplained death beyond 30 days For further information on ARC definitions, please refer to the following website: http://circ.ahajournals.org/content/115/17/2344.full#sec-1
Time frame: up to 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Stent Thrombosis (Definite and Probable) Rate as Defined by ARC (Academic Research Constortium). | 0.81 percentage of participants |
Any MI (Q-wave and Non Q-wave)
MI= Academic Research Consortium (ARC) defined
Time frame: at 30 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Any MI (Q-wave and Non Q-wave) | 3.3 percentage of participants |
Any MI (Q-wave and Non Q-wave)
MI= Academic Research Consortium (ARC) defined
Time frame: at 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Any MI (Q-wave and Non Q-wave) | 6.3 percentage of participants |
Any MI (Q-wave and Non Q-wave)
MI= Academic Research Consortium (ARC) defined
Time frame: at 180 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Any MI (Q-wave and Non Q-wave) | 4.7 percentage of participants |
Clinical Device Success
Time frame: acute: post index procedure until hospital discharge
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Clinical Device Success | 99.8 percentage of lesions |
Composite Rate of All Death and Any MI (Q-wave and Non Q-wave)
MI= Academic Research Consortium (ARC) defined
Time frame: at 180 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of All Death and Any MI (Q-wave and Non Q-wave) | 5.8 percentage of participants |
Composite Rate of All Death and Any MI (Q-wave and Non Q-wave)
MI= Academic Research Consortium (ARC) defined
Time frame: at 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of All Death and Any MI (Q-wave and Non Q-wave) | 8.3 percentage of participants |
Composite Rate of All Death and Any MI (Q-wave and Non Q-wave)
MI= Academic Research Consortium (ARC) defined
Time frame: at 30 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of All Death and Any MI (Q-wave and Non Q-wave) | 3.6 percentage of participants |
Composite Rate of All Death, Any MI (Q-wave and Non Q-wave) and Any Repeat Revascularization (Percutaneous Coronary Intervention [PCI] and Coronary Artery Bypass Graft [CABG])
MI= Academic Research Consortium (ARC) defined
Time frame: at 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of All Death, Any MI (Q-wave and Non Q-wave) and Any Repeat Revascularization (Percutaneous Coronary Intervention [PCI] and Coronary Artery Bypass Graft [CABG]) | 14.9 percentage of participants |
Composite Rate of All Death, Any MI (Q-wave and Non Q-wave) and Any Repeat Revascularization (Percutaneous Coronary Intervention [PCI] and Coronary Artery Bypass Graft [CABG])
MI= Academic Research Consortium (ARC) defined
Time frame: at 30 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of All Death, Any MI (Q-wave and Non Q-wave) and Any Repeat Revascularization (Percutaneous Coronary Intervention [PCI] and Coronary Artery Bypass Graft [CABG]) | 4.3 percentage of participants |
Composite Rate of All Death, Any MI (Q-wave and Non Q-wave) and Any Repeat Revascularization (Percutaneous Coronary Intervention [PCI] and Coronary Artery Bypass Graft [CABG])
MI= Academic Research Consortium (ARC) defined
Time frame: at 180 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of All Death, Any MI (Q-wave and Non Q-wave) and Any Repeat Revascularization (Percutaneous Coronary Intervention [PCI] and Coronary Artery Bypass Graft [CABG]) | 9.4 percentage of participants |
Composite Rate of Cardiac Death and Any MI (Q-wave and Non Q-wave)
MI= Academic Research Consortium (ARC) defined
Time frame: at 180 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of Cardiac Death and Any MI (Q-wave and Non Q-wave) | 5.4 percentage of participants |
Composite Rate of Cardiac Death and Any MI (Q-wave and Non Q-wave)
MI= Academic Research Consortium (ARC) defined
Time frame: at 30 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of Cardiac Death and Any MI (Q-wave and Non Q-wave) | 3.6 percentage of participants |
Composite Rate of Cardiac Death and MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Clinically-indicated Target Lesion Revascularization (CI-TLR) (PCI and CABG) (This Composite Endpoint is Also Denoted as TLF)
MI= Academic Research Consortium (ARC) defined
Time frame: at 30 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of Cardiac Death and MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Clinically-indicated Target Lesion Revascularization (CI-TLR) (PCI and CABG) (This Composite Endpoint is Also Denoted as TLF) | 3.5 percentage of participants |
Composite Rate of Cardiac Death and MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Clinically-indicated Target Lesion Revascularization (CI-TLR) (PCI and CABG) (This Composite Endpoint is Also Denoted as TLF)
MI= Academic Research Consortium (ARC) defined
Time frame: at 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of Cardiac Death and MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Clinically-indicated Target Lesion Revascularization (CI-TLR) (PCI and CABG) (This Composite Endpoint is Also Denoted as TLF) | 9.4 percentage of participants |
Composite Rate of Cardiac Death and MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Clinically-indicated Target Lesion Revascularization (CI-TLR) (PCI and CABG) (This Composite Endpoint is Also Denoted as TLF)
MI= Academic Research Consortium (ARC) defined
Time frame: at 180 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of Cardiac Death and MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Clinically-indicated Target Lesion Revascularization (CI-TLR) (PCI and CABG) (This Composite Endpoint is Also Denoted as TLF) | 6.2 percentage of participants |
Composite Rate of Cardiac Death, Any MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Target Lesion Revascularization (TLR) (PCI and CABG)
MI= Academic Research Consortium (ARC) defined
Time frame: at 30 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of Cardiac Death, Any MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Target Lesion Revascularization (TLR) (PCI and CABG) | 3.5 percentage of participants |
Composite Rate of Cardiac Death, Any MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Target Lesion Revascularization (TLR) (PCI and CABG)
MI= Academic Research Consortium (ARC) defined
Time frame: at 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of Cardiac Death, Any MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Target Lesion Revascularization (TLR) (PCI and CABG) | 9.6 percentage of participants |
Composite Rate of Cardiac Death, Any MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Target Lesion Revascularization (TLR) (PCI and CABG)
MI= Academic Research Consortium (ARC) defined
Time frame: at 180 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Composite Rate of Cardiac Death, Any MI (Q-wave and Non Q-wave) Attributed to the Target Vessel, and Target Lesion Revascularization (TLR) (PCI and CABG) | 6.3 percentage of participants |
Death (Cardiac Death, Vascular Death, and Non-cardiovascular Death)
Time frame: at 30 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Death (Cardiac Death, Vascular Death, and Non-cardiovascular Death) | 0.4 percentage of participants |
Death (Cardiac Death, Vascular Death, and Non-cardiovascular Death)
Time frame: at 180 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Death (Cardiac Death, Vascular Death, and Non-cardiovascular Death) | 1.4 percentage of participants |
Death (Cardiac Death, Vascular Death, and Non-cardiovascular Death)
Time frame: at 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Death (Cardiac Death, Vascular Death, and Non-cardiovascular Death) | 2.6 percentage of participants |
Dual Antiplatelet Medication Usage
Patient is included if medications (both aspirin and thienopyridine) were taken for at least 1 day during the visit window. The visit window for 14-day visit is 7-21 days, 30-day visit is 23-37 days, 180-day visit is 166-194 days, 1-year visit is 323-407 days, and 2-year visit is 688-772 days. Adjunctive antiplatelet therapy includes: Aspirin & Thienopyridines (Clopidogrel/Ticlopidine/Prasugrel). Compliance refers to subjects following prescribed instructions for taking these medications. Therapy interruptions refer to any intervals during which the subject stops taking one or all of the prescribed medications.
Time frame: at 180 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Dual Antiplatelet Medication Usage | 86.4 percentage of participants |
Dual Antiplatelet Medication Usage
Patient is included if medications (both aspirin and thienopyridine) were taken for at least 1 day during the visit window. The visit window for 14-day visit is 7-21 days, 30-day visit is 23-37 days, 180-day visit is 166-194 days, 1-year visit is 323-407 days, and 2-year visit is 688-772 days. Adjunctive antiplatelet therapy includes: Aspirin & Thienopyridines (Clopidogrel/Ticlopidine/Prasugrel). Compliance refers to subjects following prescribed instructions for taking these medications. Therapy interruptions refer to any intervals during which the subject stops taking one or all of the prescribed medications.
Time frame: at 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Dual Antiplatelet Medication Usage | 79.9 percentage of participants |
Dual Antiplatelet Medication Usage
Patient is included if medications (both aspirin and thienopyridine) were taken for at least 1 day during the visit window. The visit window for 14-day visit is 7-21 days, 30-day visit is 23-37 days, 180-day visit is 166-194 days, 1-year visit is 323-407 days, and 2-year visit is 688-772 days. Adjunctive antiplatelet therapy includes: Aspirin & Thienopyridines (Clopidogrel/Ticlopidine/Prasugrel). Compliance refers to subjects following prescribed instructions for taking these medications. Therapy interruptions refer to any intervals during which the subject stops taking one or all of the prescribed medications.
Time frame: at 14 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Dual Antiplatelet Medication Usage | 89.4 percentage of participants |
Dual Antiplatelet Medication Usage
Patient is included if medications (both aspirin and thienopyridine) were taken for at least 1 day during the visit window. The visit window for 14-day visit is 7-21 days, 30-day visit is 23-37 days, 180-day visit is 166-194 days, 1-year visit is 323-407 days, and 2-year visit is 688-772 days. Adjunctive antiplatelet therapy includes: Aspirin & Thienopyridines (Clopidogrel/Ticlopidine/Prasugrel). Compliance refers to subjects following prescribed instructions for taking these medications. Therapy interruptions refer to any intervals during which the subject stops taking one or all of the prescribed medications.
Time frame: at 30 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Dual Antiplatelet Medication Usage | 89.2 percentage of participants |
Dual Antiplatelet Therapy Non-compliance Through 1 Year
Defined as patients who had at least 1 day without using either aspirin or thienopyridine from 1 to 407 days post index procedure.
Time frame: 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Dual Antiplatelet Therapy Non-compliance Through 1 Year | 18.0 percentage of participants |
Major Bleeding Complications
by TIMI flow
Time frame: at 30 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Major Bleeding Complications | 0.7 percentage of participants |
Major Bleeding Complications
by TIMI flow
Time frame: at 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Major Bleeding Complications | 2.8 percentage of participants |
Major Bleeding Complications
by TIMI flow
Time frame: at 180 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Major Bleeding Complications | 1.8 percentage of participants |
Major Bleeding Complications
by TIMI flow
Time frame: at 14 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Major Bleeding Complications | 0.6 percentage of participants |
Patient Health Status, Physical Limitations Assessed Using the SAQ (Seattle Angina Questionaire)
SAQ: 19-item, 5-6-point Likert, questionnaire measuring 5 dimensions of coronary artery disease: Anginal Stability: whether a patient's symptoms are changing over time. Anginal Frequency: how often a patient is having symptoms now Physical Limitation: how much a patient's condition is hampering his ability to do what he wants to do. Treatment Satisfaction: how well a patient understands her care and what she thinks of it. Disease Perception: the overall impact of a patient's condition on a patient's interpersonal relationships and state of mind. Each dimension is assigns each response an ordinal value, beginning with 1 for the response at the lowest level of functioning, and summing across items within each of the 5 scales. Scale scores then transformed to 0-100 range by subtracting the lowest possible scale score, dividing by the range of the scale and multiplying by 100.
Time frame: at baseline
Population: First enrollment phase of \~5,000 patients only. Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Patient Health Status, Physical Limitations Assessed Using the SAQ (Seattle Angina Questionaire) | 70.0 units on the SAQ scale | Standard Deviation 25.5 |
Patient Health Status, Physical Limitations Assessed Using the SAQ (Seattle Angina Questionaire)
SAQ: 19-item, 5-6-point Likert, questionnaire measuring 5 dimensions of coronary artery disease: Anginal Stability: whether a patient's symptoms are changing over time. Anginal Frequency: how often a patient is having symptoms now Physical Limitation: how much a patient's condition is hampering his ability to do what he wants to do. Treatment Satisfaction: how well a patient understands her care and what she thinks of it. Disease Perception: the overall impact of a patient's condition on a patient's interpersonal relationships and state of mind. Each dimension is assigns each response an ordinal value, beginning with 1 for the response at the lowest level of functioning, and summing across items within each of the 5 scales. Scale scores then transformed to 0-100 range by subtracting the lowest possible scale score, dividing by the range of the scale and multiplying by 100.
Time frame: at 180 days
Population: First enrollment phase of \~5,000 patients only. Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Patient Health Status, Physical Limitations Assessed Using the SAQ (Seattle Angina Questionaire) | 75.8 units on the SAQ scale | Standard Deviation 24.9 |
Patient Health Status, Physical Limitations Assessed Using the SAQ (Seattle Angina Questionaire)
SAQ: 19-item, 5-6-point Likert, questionnaire measuring 5 dimensions of coronary artery disease: Anginal Stability: whether a patient's symptoms are changing over time. Anginal Frequency: how often a patient is having symptoms now Physical Limitation: how much a patient's condition is hampering his ability to do what he wants to do. Treatment Satisfaction: how well a patient understands her care and what she thinks of it. Disease Perception: the overall impact of a patient's condition on a patient's interpersonal relationships and state of mind. Each dimension is assigns each response an ordinal value, beginning with 1 for the response at the lowest level of functioning, and summing across items within each of the 5 scales. Scale scores then transformed to 0-100 range by subtracting the lowest possible scale score, dividing by the range of the scale and multiplying by 100.
Time frame: at 1 year
Population: First enrollment phase of \~5,000 patients only. Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Patient Health Status, Physical Limitations Assessed Using the SAQ (Seattle Angina Questionaire) | 76.0 units on the SAQ scale | Standard Deviation 24.9 |
Procedural Success
Time frame: acute: post index procedure until hospital discharge
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Procedural Success | 97.3 percentage of participants |
Revascularization (Target Lesion, Target Vessel [TVR], and Non-target Vessel) (PCI and CABG)
Time frame: at 180 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Revascularization (Target Lesion, Target Vessel [TVR], and Non-target Vessel) (PCI and CABG) | 5.0 percentage of participants |
Revascularization (Target Lesion, Target Vessel [TVR], and Non-target Vessel) (PCI and CABG)
Time frame: at 30 days
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Revascularization (Target Lesion, Target Vessel [TVR], and Non-target Vessel) (PCI and CABG) | 1.1 percentage of participants |
Revascularization (Target Lesion, Target Vessel [TVR], and Non-target Vessel) (PCI and CABG)
Time frame: at 1 year
Population: Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure. First Enrollment Phase and Second Enrollment Phase Pooled.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Subjects Receiving the XIENCE V EECSS | Revascularization (Target Lesion, Target Vessel [TVR], and Non-target Vessel) (PCI and CABG) | 9.2 percentage of participants |
SAQ (Seattle Angina Questionaire)
SAQ: 19-item, 5-6-point Likert, questionnaire measuring 5 dimensions of coronary artery disease: Anginal Stability: whether a patient's symptoms are changing over time. Anginal Frequency: how often a patient is having symptoms now Physical Limitation: how much a patient's condition is hampering his ability to do what he wants to do. Treatment Satisfaction: how well a patient understands her care and what she thinks of it. Disease Perception: the overall impact of a patient's condition on a patient's interpersonal relationships and state of mind. Each dimension is assigns each response an ordinal value, beginning with 1 for the response at the lowest level of functioning, and summing across items within each of the 5 scales. Scale scores then transformed to 0-100 range by subtracting the lowest possible scale score, dividing by the range of the scale and multiplying by 100.
Time frame: 1 year
Population: First enrollment phase of \~5,000 patients only. Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Subjects Receiving the XIENCE V EECSS | SAQ (Seattle Angina Questionaire) | 76.0 units on the SAQ scale | Standard Deviation 24.9 |
| Angina Stability | SAQ (Seattle Angina Questionaire) | 54.3 units on the SAQ scale | Standard Deviation 18.3 |
| Angina Frequency | SAQ (Seattle Angina Questionaire) | 90.7 units on the SAQ scale | Standard Deviation 17 |
| Treatment Satisfaction | SAQ (Seattle Angina Questionaire) | 92.2 units on the SAQ scale | Standard Deviation 14 |
| Perception of Disease/Quality of Life | SAQ (Seattle Angina Questionaire) | 78.0 units on the SAQ scale | Standard Deviation 21.1 |
SAQ (Seattle Angina Questionaire)
SAQ: 19-item, 5-6-point Likert, questionnaire measuring 5 dimensions of coronary artery disease: Anginal Stability: whether a patient's symptoms are changing over time. Anginal Frequency: how often a patient is having symptoms now Physical Limitation: how much a patient's condition is hampering his ability to do what he wants to do. Treatment Satisfaction: how well a patient understands her care and what she thinks of it. Disease Perception: the overall impact of a patient's condition on a patient's interpersonal relationships and state of mind. Each dimension is assigns each response an ordinal value, beginning with 1 for the response at the lowest level of functioning, and summing across items within each of the 5 scales. Scale scores then transformed to 0-100 range by subtracting the lowest possible scale score, dividing by the range of the scale and multiplying by 100.
Time frame: 180 days
Population: First enrollment phase of \~5,000 patients only. Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Subjects Receiving the XIENCE V EECSS | SAQ (Seattle Angina Questionaire) | 75.8 units on the SAQ scale | Standard Deviation 24.9 |
| Angina Stability | SAQ (Seattle Angina Questionaire) | 57.3 units on the SAQ scale | Standard Deviation 20.2 |
| Angina Frequency | SAQ (Seattle Angina Questionaire) | 90.1 units on the SAQ scale | Standard Deviation 17.1 |
| Treatment Satisfaction | SAQ (Seattle Angina Questionaire) | 91.4 units on the SAQ scale | Standard Deviation 14.5 |
| Perception of Disease/Quality of Life | SAQ (Seattle Angina Questionaire) | 76.8 units on the SAQ scale | Standard Deviation 21.5 |
SAQ (Seattle Angina Questionaire)
SAQ: 19-item, 5-6-point Likert, questionnaire measuring 5 dimensions of coronary artery disease: Anginal Stability: whether a patient's symptoms are changing over time. Anginal Frequency: how often a patient is having symptoms now Physical Limitation: how much a patient's condition is hampering his ability to do what he wants to do. Treatment Satisfaction: how well a patient understands her care and what she thinks of it. Disease Perception: the overall impact of a patient's condition on a patient's interpersonal relationships and state of mind. Each dimension is assigns each response an ordinal value, beginning with 1 for the response at the lowest level of functioning, and summing across items within each of the 5 scales. Scale scores then transformed to 0-100 range by subtracting the lowest possible scale score, dividing by the range of the scale and multiplying by 100.
Time frame: at baseline
Population: First enrollment phase of \~5,000 patients only. Enrolled population is defined in the protocol as patients who received only XIENCE V EECSS during the index procedure.~The analysis population at clinical follow-up visits may have changed due to early termination from the study by the patient or physician.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Subjects Receiving the XIENCE V EECSS | SAQ (Seattle Angina Questionaire) | 70.0 units on the SAQ scale | Standard Deviation 25.5 |
| Angina Stability | SAQ (Seattle Angina Questionaire) | 42.0 units on the SAQ scale | Standard Deviation 27.6 |
| Angina Frequency | SAQ (Seattle Angina Questionaire) | 73.1 units on the SAQ scale | Standard Deviation 25.1 |
| Treatment Satisfaction | SAQ (Seattle Angina Questionaire) | 98.1 units on the SAQ scale | Standard Deviation 12.7 |
| Perception of Disease/Quality of Life | SAQ (Seattle Angina Questionaire) | 55.3 units on the SAQ scale | Standard Deviation 25.8 |