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BIOHELIX-I Bare Metal Stent Study

The Treatment of Coronary Artery Lesions Using the PRO-Kinetic Energy Cobalt-Chromium, Bare-Metal Stent

Status
Completed
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01612767
Acronym
BIOHELIX-I
Enrollment
329
Registered
2012-06-06
Start date
2012-11-30
Completion date
2017-11-30
Last updated
2018-09-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Coronary Arteries Disease

Keywords

de novo coronary lesions, restenotic coronary lesions, coronary arteries

Brief summary

The purpose of this study is to demonstrate the safety and efficacy of the investigational BIOTRONIK PRO-Kinetic Energy stent in subjects with atherosclerotic disease of native coronary arteries.

Interventions

Coronary artery stent implant

Sponsors

Biotronik, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

For a subject to be enrolled in the study and considered for the index procedure, the following initial inclusion criteria must be met: * Age ≥ 18 years * Willingness to comply with study follow-up requirements * Candidate for a percutaneous coronary intervention (PCI) procedure * Candidate for coronary artery bypass graft surgery * Documented evidence of stable or unstable angina pectoris or positive functional ischemia study (e.g. exercise treadmill test, thallium stress test, SPECT, stress echocardiogram or cardiac CT) Stable angina pectoris is defined as a documented Canadian Cardiovascular Society Classification of I, II, III or IV Unstable angina pectoris is defined as a documented Braunwald Classification of B & C, I, II, III * Written informed consent For a subject to receive an investigational stent, the following procedure-related criteria must be met: * De novo or restenotic lesion in a native coronary artery; restenotic lesions must have been previously treated with only standard percutaneous transluminal coronary angioplasty (PTCA) (treatment must be \> 12 months prior to the index procedure) * Target lesion must be in a major coronary artery (target vessel). The target vessel includes the entire territory of the left anterior descending artery, left circumflex artery or right coronary artery and any major side branch of the artery. * A maximum of one target lesion and one non-target lesion may be treated per subject. The lesions must be located in separate coronary arteries, with treatment of the non-target lesion occurring first using commercially available therapy (with exception of brachytherapy). * Lesions may be one solid lesion or a series of multiple, smaller lesions to be treated as one lesion * Target lesion must be treatable with a single investigational stent; an additional stent may be used when treating a vessel dissection or another similar intra-procedure complication (use of investigational stent preferred) * Angiographic evidence of ≥ 50% and \< 100% stenosis (by operator visual estimate) with a TIMI flow \> 1 * Target lesion length of ≤ 31 mm by operator visual estimate * Target vessel reference diameter of 2.25 mm to 4.0 mm by operator visual estimate

Exclusion criteria

For a subject to be enrolled in the study and considered for the index procedure, the following initial

Design outcomes

Primary

MeasureTime frameDescription
Target Vessel Failure Rate9 months post-index procedureThe primary endpoint for the Pro-Kinetic Energy Stent is the target vessel failure rate at 9-months post-index procedure. Target vessel failure is defined as cardiac death, myocardial infarction and ischemia-driven target vessel revascularization.

Secondary

MeasureTime frameDescription
Target Vessel Failure Rate - Contribution of Individual Event Types1, 12, 24 and 36 months post-index procedureContribution of each event type (cardiac death, myocardial infarction (MI) and ischemia-driven target vessel revascularization) to composite rate of target vessel failure.
Overall Target Vessel Revascularization Rate1, 9, 12, 24 and 36 months post-index procedureEvaluate the overall target vessel revascularization rate of the PRO-Kinetic Energy stent. The rate includes both ischemia-driven revascularization procedures of the target vessel, as well as revascularization procedures of the target vessel without prior clinical symptoms.
Overall Target Lesion Failure Rate1, 9, 12, 24 and 36 months post-index procedureEvaluate the target lesion failure rate of the PRO-Kinetic Energy stent. Target lesion failure includes cardiac death, MI, and ischemia-driven target lesion revascularization.
Target Lesion Failure Rate - Contribution of Individual Event Types1, 9, 12, 24, and 36 months post-index procedureThe contribution of each individual event of cardiac death, myocardial infarction, and ischemia-driven target lesion revascularization to the overall rate of target lesion failure.
Overall Target Lesion Revascularization Rate1, 9, 12, 24 and 36 months post-index procedureEvaluate the overall target lesion revascularization rate associated with the PRO-Kinetic Energy stent. The overall target lesion revascularization rate includes both ischemia-driven revascularization procedures of the target lesion, as well as revascularization procedures of the target lesion without prior clinical symptoms.
Composite of All-cause Mortality and All-cause MI1, 9, 12, 24, and 36 months post-index procedureCharacterize the overall safety of the PRO-Kinetic Energy stent by evaluating the composite rate of all-cause mortality and all-cause myocardial infarction.
Target Vessel Failure Rate1, 12, 24 and 36 months post-index procedureEvaluate the target vessel failure rate at 1, 12, 24, and 36 months post-index procedure. Target vessel failure is defined as cardiac death, myocardial infarction (MI) and ischemia-driven target vessel revascularization.
Stent Thrombosis Rate1, 9, 12, 24 and 36 months post-index procedureEvaluate the stent thrombosis rate associated with the PRO-Kinetic Energy stent. Stent thrombosis was classified according to both timing and evidence as outlined by the ARC definition of stent thrombosis. Participants were included in the evaluations at visit intervals if they had a visit at the specified interval or a thrombosis was reported at or before the visit.
Index Procedure SuccessIndex procedureEvaluate the index procedure success associated with the implant of the PR-Kinetic Energy stent. procedure success is defined as the successful delivery and deployment of the investiational stent at the intended target lesion in combination with any adjunctive device (if applicable) to attain a final residual stenosis of \< 30% by operator visual estimate without the occurrence of cardiac death, any MI (target vessel or non-target vessel) or TLR prior to hospital discharge.
Device Success During the Index ProcedureIndex procedureEvaluate the device success associated with the implant of the PRO-Kinetic Energy stent. Device success is defined as the successful delivery and deployment of the investigational stent at the intended target lesion in combination with standard post-dilation (if applicable) to attain a final residual stenosis of \< 30% by operator visual estimate.
Lesion Success During the Index ProcedureIndex procedureEvaluate the lesion success associated with the implant of the PRO-Kinetic Energy stent. Lesion success is defined as the successful delivery and deployment of the investigational stent at the intended target lesion in combination with any adjunctive device (if applicable) to attain a final residual stenosis of \< 30% by operator visual estimate.
Angina Pectoris ClassificationBasline, Discharge, 1, 9, 12, 24 and 36 months post-index procedureEvaluate the angina pectoris classification at each study visit. Stable angina pectoris was classified according to the Canadian Cardiovascular Society's System: Stable Angina - Class I: normal activity does not cause angina; Stable Angina - Class II: slight limitation of normal activity, moderate exertion may cause angina; Stable Angina - Class III: marked limitation of ordinary physical activity; Stable Angina - Class IV: discomfort with any physical activity and pain may be present at rest Unstable angina pectoris was classified according to the Braunwald System: Numeral I: newly onset severe or accelerated angina with no pain at rest; Numeral II: angina at rest within the preceding month but not the past 48 hours Numeral III: angina at rest within the preceding 48 hours; Letter A: develops in presence of conditions which intensify ischemia; Letter B: develops in the absence of extracardiac conditions; Letter C: develops within 2 weeks after an acute myocardial infarction
All-cause Mortality and All-cause MI - Contribution of Individual Rates1, 9, 12, 24, and 36 months post-index procedureContribution of the individual rates of mortality and myocardial infarction to the overall composite safety rate.

Countries

Colombia, Germany, Latvia, Netherlands, United States

Participant flow

Participants by arm

ArmCount
Pro-Kinetic Energy Stent
PRO-Kinetic Energy Stent: Coronary artery stent implant
329
Total329

Baseline characteristics

CharacteristicPro-Kinetic Energy Stent
Age, Continuous69.0 Years
STANDARD_DEVIATION 9.3
Concomitant Medications
Angiotensin II receptor blocker
78 Participants
Concomitant Medications
Anti-coagulant
32 Participants
Concomitant Medications
Antiotensin-converting-enzyme (ACE) inhibitor
135 Participants
Concomitant Medications
Antiplatelet - Clopidogrel
79 Participants
Concomitant Medications
Antiplatelet - Prasugrel
9 Participants
Concomitant Medications
Antiplatelet - Ticagrelor
15 Participants
Concomitant Medications
Aspirin
260 Participants
Concomitant Medications
Beta blocker
203 Participants
Concomitant Medications
Dual Antiplatelet Therapy (DAPT)
96 Participants
Concomitant Medications
Insulin
37 Participants
Concomitant Medications
Statins
213 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
23 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
306 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Lesion Calcification
Moderate
58 Participants
Lesion Calcification
None
245 Participants
Lesion Calcification
Severe
26 Participants
Lesion Length13.7 mm
STANDARD_DEVIATION 6
Lesion Location
Circumflex
82 Participants
Lesion Location
Left Anterior Descending (LAD)
122 Participants
Lesion Location
Right
125 Participants
Medical History
Current smoker
60 Participants
Medical History
Diabetes
94 Participants
Medical History
History of myocardial infarction (MI)
67 Participants
Medical History
Hyperlipidemia
240 Participants
Medical History
Hypertension
276 Participants
Medical History
Never smoked or not within last 5 years
238 Participants
Medical History
Prior coronary artery bypass graft (CABG)
27 Participants
Medical History
Prior percutaneous coronary revascularization
100 Participants
Medical History
Renal insufficiency
8 Participants
Medical History
Smoked within last 5 years
31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
Race (NIH/OMB)
Asian
6 Participants
Race (NIH/OMB)
Black or African American
17 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
305 Participants
Region of Enrollment
Colombia
1 Participants
Region of Enrollment
Germany
88 Participants
Region of Enrollment
Latvia
8 Participants
Region of Enrollment
Netherlands
17 Participants
Region of Enrollment
United States
215 Participants
Sex: Female, Male
Female
103 Participants
Sex: Female, Male
Male
226 Participants
Thrombolysis in Myocardial Infarction (TIMI) Flow
0
1 Participants
Thrombolysis in Myocardial Infarction (TIMI) Flow
1
6 Participants
Thrombolysis in Myocardial Infarction (TIMI) Flow
2
24 Participants
Thrombolysis in Myocardial Infarction (TIMI) Flow
3
298 Participants
Vessel Diameter
Post-deployment target vessel MLD
3.1 mm
STANDARD_DEVIATION 0.5
Vessel Diameter
Pre-deployment target vessel MLD
0.9 mm
STANDARD_DEVIATION 0.4
Vessel Diameter
Pre-deployment target vessel reference diameter
2.9 mm
STANDARD_DEVIATION 0.5

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
27 / 311
other
Total, other adverse events
118 / 329
serious
Total, serious adverse events
202 / 329

Outcome results

Primary

Target Vessel Failure Rate

The primary endpoint for the Pro-Kinetic Energy Stent is the target vessel failure rate at 9-months post-index procedure. Target vessel failure is defined as cardiac death, myocardial infarction and ischemia-driven target vessel revascularization.

Time frame: 9 months post-index procedure

ArmMeasureGroupValue (NUMBER)
Pro-Kinetic Energy StentTarget Vessel Failure RateOverall Target Vessel Failure Rate9.06 Percentage of participants
Pro-Kinetic Energy StentTarget Vessel Failure RateCardiac death0.95 Percentage of participants
Pro-Kinetic Energy StentTarget Vessel Failure RateMyocardial infarction1.58 Percentage of participants
Pro-Kinetic Energy StentTarget Vessel Failure RateIschemia-driven target vessel revascularization7.26 Percentage of participants
Secondary

All-cause Mortality and All-cause MI - Contribution of Individual Rates

Contribution of the individual rates of mortality and myocardial infarction to the overall composite safety rate.

Time frame: 1, 9, 12, 24, and 36 months post-index procedure

Population: Long term follow-up data collection is ongoing for the 12, 24 and 36 month intervals.

ArmMeasureGroupValue (NUMBER)
Pro-Kinetic Energy StentAll-cause Mortality and All-cause MI - Contribution of Individual RatesAll-cause mortality0.00 Percentage of participants
Pro-Kinetic Energy StentAll-cause Mortality and All-cause MI - Contribution of Individual RatesCardiac mortality0.00 Percentage of participants
Pro-Kinetic Energy StentAll-cause Mortality and All-cause MI - Contribution of Individual RatesNon-cardiac mortality0.00 Percentage of participants
Pro-Kinetic Energy StentAll-cause Mortality and All-cause MI - Contribution of Individual RatesAll-cause MI0.61 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesCardiac mortality0.93 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesAll-cause MI1.56 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesAll-cause mortality1.87 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesNon-cardiac mortality0.93 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesAll-cause MI1.58 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesCardiac mortality0.95 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesNon-cardiac mortality1.58 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesAll-cause mortality2.52 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesCardiac mortality2.23 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesAll-cause mortality5.73 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesAll-cause MI1.91 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAll-cause Mortality and All-cause MI - Contribution of Individual RatesNon-cardiac mortality3.50 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAll-cause Mortality and All-cause MI - Contribution of Individual RatesAll-cause mortality8.68 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAll-cause Mortality and All-cause MI - Contribution of Individual RatesCardiac mortality3.86 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAll-cause Mortality and All-cause MI - Contribution of Individual RatesNon-cardiac mortality4.82 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAll-cause Mortality and All-cause MI - Contribution of Individual RatesAll-cause MI3.22 Percentage of participants
Secondary

Angina Pectoris Classification

Evaluate the angina pectoris classification at each study visit. Stable angina pectoris was classified according to the Canadian Cardiovascular Society's System: Stable Angina - Class I: normal activity does not cause angina; Stable Angina - Class II: slight limitation of normal activity, moderate exertion may cause angina; Stable Angina - Class III: marked limitation of ordinary physical activity; Stable Angina - Class IV: discomfort with any physical activity and pain may be present at rest Unstable angina pectoris was classified according to the Braunwald System: Numeral I: newly onset severe or accelerated angina with no pain at rest; Numeral II: angina at rest within the preceding month but not the past 48 hours Numeral III: angina at rest within the preceding 48 hours; Letter A: develops in presence of conditions which intensify ischemia; Letter B: develops in the absence of extracardiac conditions; Letter C: develops within 2 weeks after an acute myocardial infarction

Time frame: Basline, Discharge, 1, 9, 12, 24 and 36 months post-index procedure

Population: Long term follow-up data collection is ongoing for the 12, 24 and 36 month intervals.

ArmMeasureGroupValue (NUMBER)
Pro-Kinetic Energy StentAngina Pectoris ClassificationTotal Unstable Angina12.5 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationStable Angina - Class IV2.7 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationUnstable Angine Class IIB2.1 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationUnstable Angine Class IIC0.0 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationNo Angina25.8 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationUnstable Angine Class IIIC0.0 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationUnstable Angine Class IIA2.7 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationStable Angina - Class II23.4 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationUnstable Angine Class IC0.0 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationUnstable Angine Class IIIA1.2 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationStable Angina - Class III17.6 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationStable Angina - Class I17.9 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationUnstable Angine Class IB1.8 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationTotal Stable Angina61.7 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationUnstable Angine Class IIIB3.0 Percentage of participants
Pro-Kinetic Energy StentAngina Pectoris ClassificationUnstable Angine Class IA1.5 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationUnstable Angine Class IIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationUnstable Angine Class IIIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationUnstable Angine Class IIA0.3 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationTotal Stable Angina2.4 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationTotal Unstable Angina0.3 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationStable Angina - Class IV0.0 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationStable Angina - Class II0.6 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationStable Angina - Class I1.2 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationUnstable Angine Class IA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationNo Angina97.3 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationUnstable Angine Class IB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationUnstable Angine Class IC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationUnstable Angine Class IIIA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationStable Angina - Class III0.6 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationUnstable Angine Class IIIB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsAngina Pectoris ClassificationUnstable Angine Class IIB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationStable Angina - Class III0.6 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationStable Angina - Class IV0.6 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationTotal Unstable Angina0.3 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationUnstable Angine Class IA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationUnstable Angine Class IB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationUnstable Angine Class IIB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationUnstable Angine Class IIA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationUnstable Angine Class IIIB0.3 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationUnstable Angine Class IIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationUnstable Angine Class IIIA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationStable Angina - Class I3.7 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationNo Angina93.9 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationTotal Stable Angina5.8 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationUnstable Angine Class IC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationStable Angina - Class II0.9 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsAngina Pectoris ClassificationUnstable Angine Class IIIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationUnstable Angine Class IA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationUnstable Angine Class IB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationStable Angina - Class III1.3 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationStable Angina - Class I6.2 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationUnstable Angine Class IIIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationUnstable Angine Class IIIA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationUnstable Angine Class IIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationUnstable Angine Class IIIB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationStable Angina - Class IV0.7 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationTotal Unstable Angina0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationUnstable Angine Class IIB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationUnstable Angine Class IC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationTotal Stable Angina11.1 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationNo Angina88.9 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationUnstable Angine Class IIA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsAngina Pectoris ClassificationStable Angina - Class II2.9 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationTotal Unstable Angina0.3 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIIB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIIA0.3 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationStable Angina - Class II1.7 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationStable Angina - Class I2.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationNo Angina94.7 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationTotal Stable Angina5.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationStable Angina - Class III1.3 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationStable Angina - Class IV0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationUnstable Angine Class IC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationUnstable Angine Class IIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationUnstable Angine Class IIA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationNo Angina95.3 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationStable Angina - Class IV0.3 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationUnstable Angine Class IIIA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationTotal Unstable Angina0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationUnstable Angine Class IA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationUnstable Angine Class IIIB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationUnstable Angine Class IIIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationStable Angina - Class II1.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationUnstable Angine Class IB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationStable Angina - Class I2.4 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationTotal Stable Angina4.7 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationStable Angina - Class III1.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthAngina Pectoris ClassificationUnstable Angine Class IIB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationStable Angina - Class II1.4 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIIA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIIB0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationTotal Unstable Angina0.7 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationNo Angina94.3 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationStable Angina - Class I2.8 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationStable Angina - Class IV0.4 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationStable Angina - Class III0.4 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IA0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IC0.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IIB0.7 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationTotal Stable Angina4.9 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthAngina Pectoris ClassificationUnstable Angine Class IB0.0 Percentage of participants
Secondary

Composite of All-cause Mortality and All-cause MI

Characterize the overall safety of the PRO-Kinetic Energy stent by evaluating the composite rate of all-cause mortality and all-cause myocardial infarction.

Time frame: 1, 9, 12, 24, and 36 months post-index procedure

Population: Long term follow-up data collection is ongoing for the 12, 24 and 36 month intervals.

ArmMeasureValue (NUMBER)
Pro-Kinetic Energy StentComposite of All-cause Mortality and All-cause MI0.61 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsComposite of All-cause Mortality and All-cause MI3.12 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsComposite of All-cause Mortality and All-cause MI3.79 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsComposite of All-cause Mortality and All-cause MI7.32 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthComposite of All-cause Mortality and All-cause MI11.25 Percentage of participants
Secondary

Device Success During the Index Procedure

Evaluate the device success associated with the implant of the PRO-Kinetic Energy stent. Device success is defined as the successful delivery and deployment of the investigational stent at the intended target lesion in combination with standard post-dilation (if applicable) to attain a final residual stenosis of \< 30% by operator visual estimate.

Time frame: Index procedure

ArmMeasureValue (NUMBER)
Pro-Kinetic Energy StentDevice Success During the Index Procedure99.4 Percentage of participants
Secondary

Index Procedure Success

Evaluate the index procedure success associated with the implant of the PR-Kinetic Energy stent. procedure success is defined as the successful delivery and deployment of the investiational stent at the intended target lesion in combination with any adjunctive device (if applicable) to attain a final residual stenosis of \< 30% by operator visual estimate without the occurrence of cardiac death, any MI (target vessel or non-target vessel) or TLR prior to hospital discharge.

Time frame: Index procedure

ArmMeasureValue (NUMBER)
Pro-Kinetic Energy StentIndex Procedure Success98.8 Percentage of participants
Secondary

Lesion Success During the Index Procedure

Evaluate the lesion success associated with the implant of the PRO-Kinetic Energy stent. Lesion success is defined as the successful delivery and deployment of the investigational stent at the intended target lesion in combination with any adjunctive device (if applicable) to attain a final residual stenosis of \< 30% by operator visual estimate.

Time frame: Index procedure

ArmMeasureValue (NUMBER)
Pro-Kinetic Energy StentLesion Success During the Index Procedure99.4 Percentage of participants
Secondary

Overall Target Lesion Failure Rate

Evaluate the target lesion failure rate of the PRO-Kinetic Energy stent. Target lesion failure includes cardiac death, MI, and ischemia-driven target lesion revascularization.

Time frame: 1, 9, 12, 24 and 36 months post-index procedure

Population: Long term follow-up data collection is ongoing for the 12, 24 and 36 month intervals.

ArmMeasureValue (NUMBER)
Pro-Kinetic Energy StentOverall Target Lesion Failure Rate1.22 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsOverall Target Lesion Failure Rate8.41 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsOverall Target Lesion Failure Rate9.84 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsOverall Target Lesion Failure Rate11.68 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthOverall Target Lesion Failure Rate15.33 Percentage of participants
Secondary

Overall Target Lesion Revascularization Rate

Evaluate the overall target lesion revascularization rate associated with the PRO-Kinetic Energy stent. The overall target lesion revascularization rate includes both ischemia-driven revascularization procedures of the target lesion, as well as revascularization procedures of the target lesion without prior clinical symptoms.

Time frame: 1, 9, 12, 24 and 36 months post-index procedure

Population: Long term follow-up data collection is ongoing for the 12, 24 and 36 month intervals.

ArmMeasureValue (NUMBER)
Pro-Kinetic Energy StentOverall Target Lesion Revascularization Rate0.61 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsOverall Target Lesion Revascularization Rate7.23 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsOverall Target Lesion Revascularization Rate8.65 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsOverall Target Lesion Revascularization Rate9.24 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthOverall Target Lesion Revascularization Rate10.37 Percentage of participants
Secondary

Overall Target Vessel Revascularization Rate

Evaluate the overall target vessel revascularization rate of the PRO-Kinetic Energy stent. The rate includes both ischemia-driven revascularization procedures of the target vessel, as well as revascularization procedures of the target vessel without prior clinical symptoms.

Time frame: 1, 9, 12, 24 and 36 months post-index procedure

Population: Long term follow-up data collection is ongoing for the 12, 24 and 36 month intervals.

ArmMeasureValue (NUMBER)
Pro-Kinetic Energy StentOverall Target Vessel Revascularization Rate0.61 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsOverall Target Vessel Revascularization Rate7.86 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsOverall Target Vessel Revascularization Rate9.62 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsOverall Target Vessel Revascularization Rate11.55 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthOverall Target Vessel Revascularization Rate13.84 Percentage of participants
Secondary

Stent Thrombosis Rate

Evaluate the stent thrombosis rate associated with the PRO-Kinetic Energy stent. Stent thrombosis was classified according to both timing and evidence as outlined by the ARC definition of stent thrombosis. Participants were included in the evaluations at visit intervals if they had a visit at the specified interval or a thrombosis was reported at or before the visit.

Time frame: 1, 9, 12, 24 and 36 months post-index procedure

Population: Long term follow-up data collection is ongoing for the 12, 24 and 36 month intervals.

ArmMeasureGroupValue (NUMBER)
Pro-Kinetic Energy StentStent Thrombosis RateProbable stent thrombosis0.0 Percentage of participants
Pro-Kinetic Energy StentStent Thrombosis RateDefinite stent thrombosis0.3 Percentage of participants
Pro-Kinetic Energy StentStent Thrombosis RateTotal definite / probable stent thrombosis0.3 Percentage of participants
Pro-Kinetic Energy StentStent Thrombosis RatePossible stent thrombosis0.0 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsStent Thrombosis RatePossible stent thrombosis0.9 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsStent Thrombosis RateTotal definite / probable stent thrombosis1.3 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsStent Thrombosis RateProbable stent thrombosis0.3 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsStent Thrombosis RateDefinite stent thrombosis0.9 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsStent Thrombosis RateTotal definite / probable stent thrombosis1.3 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsStent Thrombosis RateProbable stent thrombosis0.3 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsStent Thrombosis RatePossible stent thrombosis1.0 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsStent Thrombosis RateDefinite stent thrombosis1.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsStent Thrombosis RatePossible stent thrombosis1.6 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsStent Thrombosis RateTotal definite / probable stent thrombosis1.3 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsStent Thrombosis RateDefinite stent thrombosis1.0 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsStent Thrombosis RateProbable stent thrombosis0.3 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthStent Thrombosis RateTotal definite / probable stent thrombosis1.7 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthStent Thrombosis RateProbable stent thrombosis0.3 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthStent Thrombosis RateDefinite stent thrombosis1.4 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthStent Thrombosis RatePossible stent thrombosis2.7 Percentage of participants
Secondary

Target Lesion Failure Rate - Contribution of Individual Event Types

The contribution of each individual event of cardiac death, myocardial infarction, and ischemia-driven target lesion revascularization to the overall rate of target lesion failure.

Time frame: 1, 9, 12, 24, and 36 months post-index procedure

Population: Long term follow-up data collection is ongoing for the 12, 24 and 36 month intervals.

ArmMeasureGroupValue (NUMBER)
Pro-Kinetic Energy StentTarget Lesion Failure Rate - Contribution of Individual Event TypesIschemia-driven target vessel revascularization0.61 Percentage of participants
Pro-Kinetic Energy StentTarget Lesion Failure Rate - Contribution of Individual Event TypesMyocardial infarction0.61 Percentage of participants
Pro-Kinetic Energy StentTarget Lesion Failure Rate - Contribution of Individual Event TypesCardiac death0.00 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsTarget Lesion Failure Rate - Contribution of Individual Event TypesMyocardial infarction1.58 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsTarget Lesion Failure Rate - Contribution of Individual Event TypesCardiac death0.95 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsTarget Lesion Failure Rate - Contribution of Individual Event TypesIschemia-driven target vessel revascularization6.60 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsTarget Lesion Failure Rate - Contribution of Individual Event TypesMyocardial infarction1.61 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsTarget Lesion Failure Rate - Contribution of Individual Event TypesCardiac death0.96 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsTarget Lesion Failure Rate - Contribution of Individual Event TypesIschemia-driven target vessel revascularization8.04 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsTarget Lesion Failure Rate - Contribution of Individual Event TypesCardiac death2.30 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsTarget Lesion Failure Rate - Contribution of Individual Event TypesIschemia-driven target vessel revascularization8.61 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsTarget Lesion Failure Rate - Contribution of Individual Event TypesMyocardial infarction2.00 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthTarget Lesion Failure Rate - Contribution of Individual Event TypesMyocardial infarction3.50 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthTarget Lesion Failure Rate - Contribution of Individual Event TypesCardiac death4.07 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthTarget Lesion Failure Rate - Contribution of Individual Event TypesIschemia-driven target vessel revascularization10.07 Percentage of participants
Secondary

Target Vessel Failure Rate

Evaluate the target vessel failure rate at 1, 12, 24, and 36 months post-index procedure. Target vessel failure is defined as cardiac death, myocardial infarction (MI) and ischemia-driven target vessel revascularization.

Time frame: 1, 12, 24 and 36 months post-index procedure

Population: Long term follow-up data collection is ongoing for the 12, 24 and 36 month intervals.

ArmMeasureGroupValue (NUMBER)
Pro-Kinetic Energy StentTarget Vessel Failure Rate1 Month1.22 Percentage of participants
Pro-Kinetic Energy StentTarget Vessel Failure Rate12 Months10.76 Percentage of participants
Pro-Kinetic Energy StentTarget Vessel Failure Rate24 Months13.26 Percentage of participants
Pro-Kinetic Energy StentTarget Vessel Failure Rate36 Months17.61 Percentage of participants
Secondary

Target Vessel Failure Rate - Contribution of Individual Event Types

Contribution of each event type (cardiac death, myocardial infarction (MI) and ischemia-driven target vessel revascularization) to composite rate of target vessel failure.

Time frame: 1, 12, 24 and 36 months post-index procedure

Population: Long term follow-up data collection is ongoing for the 12, 24 and 36 month intervals.

ArmMeasureGroupValue (NUMBER)
Pro-Kinetic Energy StentTarget Vessel Failure Rate - Contribution of Individual Event TypesMyocardial infarction0.61 Percentage of participants
Pro-Kinetic Energy StentTarget Vessel Failure Rate - Contribution of Individual Event TypesCardiac death0.00 Percentage of participants
Pro-Kinetic Energy StentTarget Vessel Failure Rate - Contribution of Individual Event TypesIschemia-driven target vessel revascularization0.61 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsTarget Vessel Failure Rate - Contribution of Individual Event TypesMyocardial infarction1.61 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsTarget Vessel Failure Rate - Contribution of Individual Event TypesIschemia-driven target vessel revascularization8.97 Percentage of participants
PRO-Kinetic Energy Stent - 12 MonthsTarget Vessel Failure Rate - Contribution of Individual Event TypesCardiac death0.96 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsTarget Vessel Failure Rate - Contribution of Individual Event TypesMyocardial infarction2.00 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsTarget Vessel Failure Rate - Contribution of Individual Event TypesIschemia-driven target vessel revascularization10.23 Percentage of participants
PRO-Kinetic Energy Stent - 24 MonthsTarget Vessel Failure Rate - Contribution of Individual Event TypesCardiac death2.30 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsTarget Vessel Failure Rate - Contribution of Individual Event TypesIschemia-driven target vessel revascularization12.46 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsTarget Vessel Failure Rate - Contribution of Individual Event TypesCardiac death4.07 Percentage of participants
PRO-Kinetic Energy Stent - 36 MonthsTarget Vessel Failure Rate - Contribution of Individual Event TypesMyocardial infarction3.50 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026