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COBRA PZF™ Coronary Stent for Early Healing, Thrombus Inhibition, Endothelialization and Avoiding Long-Term DAPT

COBRA PZF™ Coronary Stent System in Native Coronary Arteries for Early Healing, Thrombus Inhibition, Endothelialization and Avoiding Long-Term Dual Anti-Platelet Therapy. The PzF Shield Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01925794
Enrollment
296
Registered
2013-08-20
Start date
2013-08-21
Completion date
2020-03-02
Last updated
2021-12-22

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

Conditions

Coronary Artery Disease

Keywords

Stent, Coronary Arteries for Early healing

Brief summary

This is a prospective, multi-center, non-randomized, single arm clinical trial that will be conducted at up to 40 sites in the United States and Outside United States (OUS). This study will enroll patients with symptomatic ischemic heart disease due to a single de novo lesion contained within a native coronary artery with reference vessel diameter between 2.5 mm and 4.0 mm and lesion length ≤ 24 mm that is amenable to percutaneous coronary intervention (PCI) and stent deployment. All patients will be followed at 30 days, 6 months, 9 months, 1 year and annually for 5 years post index stenting procedure.

Detailed description

The main objective of this study is to evaluate the safety and effectiveness of the COBRA PzF™ Coronary Stent System in the treatment of de novo lesions in native coronary arteries. The primary endpoint will be the incidence of target vessel failure (TVF, see definition below) within 270 days of treatment with the COBRA PzFTM Coronary Stent System. This rate will be compared to a performance goal derived using a meta-analysis from published historical data of the standard-of-care therapy, coronary stenting with bare metal stents. PRIMARY STUDY HYPOTHESIS The CeloNova COBRA PzFTM Study will have a primary endpoint (TVF) rate less than 19.62% and by that will meet the performance goal for bare metal stents, per the results of the historical control group combined with relevant data for EXPRESS™, Driver™, Presillion/Presillion plus™ and NIRFLEX™ stents. SECONDARY STUDY HYPOTHESIS The powered secondary endpoint for this trial is that the CeloNova COBRA PzFTM Study will have a 9-month in-stent late loss (LL) that meets or is lower than the performance goal of 1.1 mm. NUMBER OF PATIENTS 296 patients will be enrolled to account for loss to follow-up, which is estimated to be approximately 5% (resulting in 281 evaluable patients), at up to 40 sites in United States and OUS. At least 40% of subjects will be enrolled in the United States. PRIMARY ENDPOINT Target vessel failure (TVF), defined as cardiac death, target vessel myocardial infarction (MI) \[Q wave or non-Q wave, ARC-definition\], or clinically driven target vessel revascularization (TVR) by percutaneous or surgical methods within 270 days post-procedure. SECONDARY ENDPOINTS 1. All Death at 30, 180, 270, 360, 720, 1080, 1440, and 1800 days 2. Cardiac Death at 30, 180, 270, 360, 720, 1080, 1440, and 1800 days 3. Major Adverse Cardiac Events (MACE), defined as cardiac death, MI (Q wave and non-Q wave), emergent bypass surgery, or clinically driven target lesion revascularization (TLR) by percutaneous or surgical methods at 30, 180, 270, 360, 720, 1080, 1440, and 1800 days 4. MI at 30, 180 and 270, 360, 720, 1080, 1440, and 1800 days CeloNova Biosciences, Inc. Confidential CeloNova COBRA PzF™ Study Protocol # COBRA 2012-01 6 07 May 14 5. Clinically driven TLR at 30, 180, 270, 360, 720, 1080, 1440, and 1800 days 6. Stroke (ischemic and hemorrhagic) at 30, 180, 270 and 360 days 7. Clinically driven TVR at 30, 180, 270 and 360 days 8. Composite Endpoint of Cardiac Death and MI at 30, 180, 270, and 360 days 9. TVF at 30, 180, and 360 days 10. Acute Success Rates 1. Device Success: Attainment of \< 30% final residual stenosis of the target lesion using only the COBRA PzFTM Coronary Stent System. 2. Lesion Success: Attainment of \< 30% final residual stenosis of the target lesion using any percutaneous method. 3. Procedure Success: Attainment of \< 30% final residual stenosis of the target lesion and no in-hospital MACE. 11. Bleeding or Vascular Complications at hospital discharge 12. Early Stent Thrombosis (ARC defined) at 30 days 13. Late Stent Thrombosis at 180, 270, and 360 days 14. Angiographic Endpoints (on first 90 evaluable patients) at 270 days (after clinical assessment) 1. In-stent late loss (Secondary Endpoint hypothesis) 2. In-segment percent diameter stenosis (%DS) (within the 5 mm margins proximal and distal to stent) 3. In-stent percent diameter stenosis (%DS) 4. In-segment late loss 5. In-segment binary restenosis (stenosis of \> 50% of the reference vessel diameter) 6. In-stent binary restenosis 7. In-stent minimum lumen diameter (MLD) 8. In-segment MLD 9. Longitudinal stent deformation 10. Stent fracture 15. Optical Coherence Tomography Endpoints (on 45 subjects) at 270 days (after clinical assessment) 1. in-stent neointimal thickness (NT) 2. Lumen area 3. Lumen volume 4. Stent area 5. Stent volume 6. Proportion of uncovered and/or malopposed struts 7. Stent fracture

Interventions

DEVICECOBRA PzF

Sponsors

CeloNova BioSciences, 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

General Inclusion Criteria: 1. Patient \>/= to 18 years old. 2. Eligible for percutaneous coronary intervention (PCI). 3. Patient understands the nature of the procedure and provides written informed consent prior to the catheterization procedure. 4. Patient is willing to comply with specified follow-up evaluation and can be contacted by telephone. 5. Acceptable candidate for coronary artery bypass graft (CABG) surgery. 6. Stable angina pectoris (Canadian Cardiovascular Society (CCS) 1, 2, 3 or 4) or unstable angina pectoris (Braunwald Class 1-3, B-C) or a positive functional ischemia study (e.g., ETT, SPECT, Stress echocardiography or Cardiac CT). 7. Male or non-pregnant female patient (Note: females of child bearing potential must have a negative pregnancy test prior to enrollment in the study). Angiographic Inclusion Criteria 1. Patient indicated for elective stenting of a single stenotic lesion in a native coronary artery. 2. Reference vessel \>/= 2.5 mm and \</= 4.0 mm in diameter by visual estimate. 3. Target lesion \</= 24 mm in length by visual estimate (the intention should be to cover the whole lesion with one stent of adequate length). 4. Protected left main lesion with \>50% stenosis. 5. Target lesion stenosis \>/= 70% and \< 100% by visual estimate. 6. Target lesion stenosis \<70% who meet physiological criteria for revascularization (i.e. positive FFR). General

Exclusion criteria

1. Currently enrolled in another investigational device or drug trial that has not completed the primary endpoint or that clinically interferes with the current study endpoints. 2. Previously enrolled in another stent trial within the prior 2 years. 3. ANY planned elective surgery or percutaneous intervention within the subsequent 3 months. 4. A previous coronary interventional procedure of any kind within 30 days prior to the procedure. 5. The patient requires staged procedure of either the target or any non-target vessel within 9 months post-procedure. 6. The target lesion requires treatment with a device other than PTCA prior to stent placement (such as, but not limited to, directional coronary atherectomy, excimer laser, rotational atherectomy, etc.). 7. Previous drug eluting stent (DES) deployment anywhere in the target vessel. 8. Any previous stent placement within 15 mm (proximal or distal) of the target lesion. 9. Co-morbid condition(s) that could limit the patient's ability to participate in the trial or to comply with follow-up requirements, or impact the scientific integrity of the trial. 10. Concurrent medical condition with a life expectancy of less than 12 months. 11. Documented left ventricular ejection fraction (LVEF) \< 30% within 12 months prior to enrollment. 12. Patients with diagnosis of MI within 72 hours (i.e. CK-MB must be returned to normal prior to enrollment) or suspected acute MI at time of enrollment 13. Previous brachytherapy in the target vessel. 14. History of cerebrovascular accident or transient ischemic attack in the last 6 months. 15. Leukopenia (leukocytes \< 3.5 x 10(9) / liter). 16. Neutropenia (Absolute Neutrophil Count \< 1000/mm3) \</= 3 days prior to enrollment. 17. Thrombocytopenia (platelets \< 100,000/mm3) pre-procedure. 18. Active peptic ulcer or active GI bleeding. 19. History of bleeding diathesis or coagulopathy or inability to accept blood transfusions. 20. Known hypersensitivity or contraindication to aspirin, heparin or bivalirudin, clopidogrel or ticlopidine, cobalt, nickel, L-605 Cobalt chromium alloy or sensitivity to contrast media, which cannot be adequately pre-medicated. 21. Serum creatinine level \> 2.0 mg/dl within 7 days prior to index procedure. 22. Patients unable to tolerate dual anti-platelets therapy (DAPT) for one month post procedure. Angiographic

Design outcomes

Primary

MeasureTime frameDescription
Target Vessel Failure (TVF)270 daysTVF defined as cardiac death, target vessel myocardial infarction (MI \[Q wave or non-Q wave, ARC definition\], or clinically driven target vessel revascularization (TVR) by percutaneous or surgical methods within 270 days post-procedure.

Secondary

MeasureTime frameDescription
Cardiac Mortality30 daysDeath due to any of the following: Acute myocardial infarction Cardiac perforation/pericardial tamponade Arrhythmia or conduction abnormality Cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure Death due to complication of a cardiac procedure including bleeding, vascular repair, transfusion reaction, or bypass surgery Any death is which a cardiac cause cannot be excluded
Major Adverse Cardiac Events (MACE)30 daysCardiac death, MI (Q wave and non-Q wave), emergent bypass surgery, or clinically driven target lesion revascularization (TLR) by percutaneous or surgical methods
Myocardial Infarction (MI-ARC Definition)30 daysDefined as either a Q wave MI (QWMI) or Non-Q wave MI (NQMI). QWMI is defined as development of new, pathological Q waves in 2 or more contiguous leads (as assessed by the Clinical Events Committee) with post-procedure CK-MB levels elevated above normal. NQWMI is defined as any elevation of post-procedure CK-MB to \>=3 times site normal in the absence of pathological Q waves (historical definition). ARC definition includes Troponin or CK-MB \>3 x UNL
Cardiac Death or MI (ARC Definition)30 daysComposite Endpoint of Cardiac Death or MI (ARC definition)
Clinically Driven TLR30 daysDefined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.
Clinically Driven TLR (Clinical and Angiographic Cohorts)360 daysDefined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.
Clinically Driven TLR (Clinical Cohorts)360 daysDefined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.
Clinically Driven TVR30 daysDefined as a percutaneous intervention or surgical bypass of any segment of the target vessel associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis \>= 50% by QCA, or revascularization of a target vessel with diameter stenosis \>=70% by QCA without either angina or a positive functional study.
Target Vessel Failure (TVF)30 daysTVF defined as cardiac death, target vessel myocardial infarction (MI) \[Q wave or non-Q wave, ARC definition\], or clinically driven target vessel revascularization (TVR) by percutaneous or surgical methods.
Stroke (Ischemic and Hemorrhagic)30 daysDefined as sudden onset of vertigo, numbness, dysphasia, weakness, visual field defects, dysarthria or other focal neurological deficits due to vascular lesions of the brain such as hemorrhage, embolism, thrombosis, or rupturing aneurysm, that persists more than 24 hours.
Device Success30 daysAttainment of \<30% final residual stenosis of the target lesion using only the COBRA PzF Coronary Stent System
Lesion Success30 daysAttainment of \<30% final residual stenosis of the target lesion using any percutaneous method
All Cause Mortality30 daysDeath from any cause
Bleeding or Vascular Complications30 daysBleeding Complications: Procedure-related hemorrhagic event that requires a transfusion and/or surgical intervention Vascular Complications: May include pseudo aneurysm, arteriovenous fistula (AVF), peripheral ischemia/nerve injury, and vascular event requiring transfusion or surgical repair
Early Stent Thrombosis (ARC Definition)30 daysEarly Stent Thrombosis (ARC Definition) 0-30 days post index procedure
Late Stent Thrombosis180 daysStent Thrombosis after 30 days and on or before 180 days
Definite and Probable Stent Thrombosis1800 daysDefined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.
In-Segment Percent Diameter Stenosis270 daysRelative changes that occur in the percent diameter stenosis of the segment and are provided by the following relationship: % diameter stenosis= (1-\[MLD/Reference diameter\]) x 100
In-Stent and In-Segment MLD and Late Loss270 days* In-stent and in-Segment minimal lumen diameter obtained immediately after stent implantation and at angiographic assessment at 270 days. * In-stent or in-segment late loss was defined as the difference between minimum lumen diameter (in-stent or in-segment) immediately after implantation and that obtained at angiographic follow-up at 270 days.
Angiographic Endpoints270 daysAngiographic subset included 115 of the 296 enrolled. Therefore, the overall number of participants analyzed for this outcome measure is 115.
In-stent Neointimal Thickness (INT)270 daysin-stent neointimal thickness assessed by Optical Coherence Tomography
Percentage of Uncovered and/or Malapposed Struts270 daysThis measure assess the average proportion of uncovered and or malapposed struts measured by Optical Coherence Tomography in participants
Lumen and Stent Area Measurements270 daysOptical Coherence Tomography assessment of the lumen and stent area after the clinical follow up at 270 days
Lumen and Stent Volume270 daysOptical Coherence Tomography assessment of the lumen and stent volume after the clinical follow up at 270 days
Procedure Success30 daysAttainment of \<30% final residual stenosis of the target lesion and no in-hospital MACE

Countries

France, Germany, Latvia, Serbia, Spain, Switzerland, United States

Participant flow

Recruitment details

There was a total of 296 patients enrolled on this study between August 2013 - February 2015. A total of 35 clinical sites contributed the 296 patients enrolled.

Participants by arm

ArmCount
COBRA PzF Stent
COBRA PzF Coronary Stent System
296
Total296

Withdrawals & dropouts

PeriodReasonFG000
180 DaysDeath2
180 DaysWithdrawal by Subject2
270 DaysDeath2
270 DaysProtocol Violation3

Baseline characteristics

CharacteristicCOBRA PzF Stent
Age, Continuous66.46 years
STANDARD_DEVIATION 10.29
Body Mass Index (BMI)29.46 kg/m^2
STANDARD_DEVIATION 5.32
Ethnicity (NIH/OMB)
Hispanic or Latino
16 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
180 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
100 Participants
Race/Ethnicity, Customized
American Indian or Alaskan
0 Participants
Race/Ethnicity, Customized
Asian
12 Participants
Race/Ethnicity, Customized
Black or African American
17 Participants
Race/Ethnicity, Customized
Native Hawaiian or Pacific Islander
0 Participants
Race/Ethnicity, Customized
Not reported
52 Participants
Race/Ethnicity, Customized
Other
9 Participants
Race/Ethnicity, Customized
White or Caucasian
206 Participants
Region of Enrollment
France
44 Participants
Region of Enrollment
Germany
27 Participants
Region of Enrollment
Latvia
27 Participants
Region of Enrollment
Serbia
12 Participants
Region of Enrollment
Spain
16 Participants
Region of Enrollment
Switzerland
4 Participants
Region of Enrollment
United States
166 Participants
Sex: Female, Male
Female
88 Participants
Sex: Female, Male
Male
208 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
34 / 283
other
Total, other adverse events
0 / 296
serious
Total, serious adverse events
87 / 296

Outcome results

Primary

Target Vessel Failure (TVF)

TVF defined as cardiac death, target vessel myocardial infarction (MI \[Q wave or non-Q wave, ARC definition\], or clinically driven target vessel revascularization (TVR) by percutaneous or surgical methods within 270 days post-procedure.

Time frame: 270 days

ArmMeasureValue (NUMBER)
COBRA PzF StentTarget Vessel Failure (TVF)11.38 percentage of participants
Secondary

All Cause Mortality

Death from any cause

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentAll Cause Mortality1 Participants
Secondary

All Cause Mortality

Death from any cause

Time frame: 180 days

Population: The denominator is comprised of all the patients who had enough follow-up for 180-days analysis (at least 150 days allowing for 30 days window) or patients who had an event within 180 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentAll Cause Mortality5 Participants
Secondary

All Cause Mortality

Death from any cause

Time frame: 270 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentAll Cause Mortality6 Participants
Secondary

All Cause Mortality

Death from any cause

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 360-days analysis (at least 330 days allowing for 30 days window) or patients who had an event within 360 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentAll Cause Mortality7 Participants
Secondary

All Cause Mortality

Death from any cause

Time frame: 1800 days

Population: The denominator is comprised of all the patients who had enough follow-up for 1800-days analysis (at least 1770 days allowing for 30 days window) or patients who had an event within 1800 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentAll Cause Mortality34 Participants
Secondary

Angiographic Endpoints

Angiographic subset included 115 of the 296 enrolled. Therefore, the overall number of participants analyzed for this outcome measure is 115.

Time frame: 270 days

Population: Angiographic subset of patients

ArmMeasureGroupValue (NUMBER)
COBRA PzF StentAngiographic EndpointsIn-segment binary restenosis28.57 percentage of lesions
COBRA PzF StentAngiographic EndpointsIn-stent binary angiographic restenosis25.64 percentage of lesions
COBRA PzF StentAngiographic EndpointsStent fracture0.00 percentage of lesions
Secondary

Bleeding or Vascular Complications

Bleeding Complications: Procedure-related hemorrhagic event that requires a transfusion and/or surgical intervention Vascular Complications: May include pseudo aneurysm, arteriovenous fistula (AVF), peripheral ischemia/nerve injury, and vascular event requiring transfusion or surgical repair

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentBleeding or Vascular Complications0 Participants
Secondary

Cardiac Death or MI (ARC Definition)

Composite Endpoint of Cardiac Death or MI (ARC definition)

Time frame: 30 days

Population: The denominator is comprised of all the patients who had enough follow-up for 30-days analysis (at least 23 days allowing for 7 days window) or patients who had an event within 30 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentCardiac Death or MI (ARC Definition)19 Participants
Secondary

Cardiac Death or MI (ARC Definition)

Composite Endpoint of Cardiac Death or MI (ARC definition)

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 360-days analysis (at least 330 days allowing for 30 days window) or patients who had an event within 360 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentCardiac Death or MI (ARC Definition)25 Participants
Secondary

Cardiac Death or MI (ARC Definition)

Composite Endpoint of Cardiac Death or MI (ARC definition)

Time frame: 270 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentCardiac Death or MI (ARC Definition)19 Participants
Secondary

Cardiac Death or MI (ARC Definition)

Composite Endpoint of Cardiac Death and MI (ARC definition)

Time frame: 180 days

Population: The denominator is comprised of all the patients who had enough follow-up for 180-days analysis (at least 150 days allowing for 30 days window) or patients who had an event within 180 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentCardiac Death or MI (ARC Definition)19 Participants
Secondary

Cardiac Mortality

Death due to any of the following: Acute myocardial infarction Cardiac perforation/pericardial tamponade Arrhythmia or conduction abnormality Cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure Death due to complication of a cardiac procedure including bleeding, vascular repair, transfusion reaction, or bypass surgery Any death is which a cardiac cause cannot be excluded

Time frame: 180 days

Population: The denominator is comprised of all the patients who had enough follow-up for 180-days analysis (at least 150 days allowing for 30 days window) or patients who had an event within 180 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentCardiac Mortality1 Participants
Secondary

Cardiac Mortality

Death due to any of the following: Acute myocardial infarction Cardiac perforation/pericardial tamponade Arrhythmia or conduction abnormality Cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure Death due to complication of a cardiac procedure including bleeding, vascular repair, transfusion reaction, or bypass surgery Any death is which a cardiac cause cannot be excluded

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentCardiac Mortality1 Participants
Secondary

Cardiac Mortality

Death due to any of the following: Acute myocardial infarction Cardiac perforation/pericardial tamponade Arrhythmia or conduction abnormality Cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure Death due to complication of a cardiac procedure including bleeding, vascular repair, transfusion reaction, or bypass surgery Any death is which a cardiac cause cannot be excluded

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentCardiac Mortality1 Participants
Secondary

Cardiac Mortality

Death due to any of the following: Acute myocardial infarction Cardiac perforation/pericardial tamponade Arrhythmia or conduction abnormality Cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure Death due to complication of a cardiac procedure including bleeding, vascular repair, transfusion reaction, or bypass surgery Any death is which a cardiac cause cannot be excluded

Time frame: 1800 days

Population: KM analysis estimate for patients in the ITT population who had enough follow-up for 1800-days analysis (at least 1770 days allowing for 30 days window) or patients who had an event within 1800 days post-procedure and censoring those not reaching the endpoint or sufficient follow up.

ArmMeasureValue (NUMBER)
COBRA PzF StentCardiac Mortality3.99 percentage of participants
Secondary

Cardiac Mortality

Death due to any of the following: Acute myocardial infarction Cardiac perforation/pericardial tamponade Arrhythmia or conduction abnormality Cerebrovascular accident within 30 days of the procedure or cerebrovascular accident suspected of being related to the procedure Death due to complication of a cardiac procedure including bleeding, vascular repair, transfusion reaction, or bypass surgery Any death is which a cardiac cause cannot be excluded

Time frame: 270 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentCardiac Mortality1 Participants
Secondary

Clinically Driven TLR

Defined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.

Time frame: 180 days

Population: The denominator is comprised of all the patients who had enough follow-up for 180-days analysis (at least 150 days allowing for 30 days window) or patients who had an event within 180 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentClinically Driven TLR7 Participants
Secondary

Clinically Driven TLR

Defined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.

Time frame: 30 days

Population: The denominator is comprised of all the patients who had enough follow-up for 30-days analysis (at least 23 days allowing for 7 days window) or patients who had an event within 30 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentClinically Driven TLR0 Participants
Secondary

Clinically Driven TLR

Defined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.

Time frame: 270 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentClinically Driven TLR13 Participants
Secondary

Clinically Driven TLR (Clinical and Angiographic Cohorts)

Defined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.

Time frame: 1800 days

Population: KM analysis estimate for patients in the ITT population who had enough follow-up for 1800-days analysis (at least 1770 days allowing for 30 days window) or patients who had an event within 1800 days post-procedure and censoring those not reaching the endpoint or sufficient follow up.

ArmMeasureValue (NUMBER)
COBRA PzF StentClinically Driven TLR (Clinical and Angiographic Cohorts)12 percentage of participants
Secondary

Clinically Driven TLR (Clinical and Angiographic Cohorts)

Defined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 360-days analysis (at least 330 days allowing for 30 days window) or patients who had an event within 360 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentClinically Driven TLR (Clinical and Angiographic Cohorts)27 Participants
Secondary

Clinically Driven TLR (Clinical Cohorts)

Defined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 360-days analysis (at least 330 days allowing for 30 days window) or patients who had an event within 360 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentClinically Driven TLR (Clinical Cohorts)8 Participants
Secondary

Clinically Driven TLR (Clinical Cohorts)

Defined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.

Time frame: 1800 days

Population: KM analysis estimate for patients in the ITT population who had enough follow-up for 1800-days analysis (at least 1770 days allowing for 30 days window) or patients who had an event within 1800 days post-procedure and censoring those not reaching the endpoint or sufficient follow up.

ArmMeasureValue (NUMBER)
COBRA PzF StentClinically Driven TLR (Clinical Cohorts)7.76 percentage of participants
Secondary

Clinically Driven TVR

Defined as a percutaneous intervention or surgical bypass of any segment of the target vessel associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis \>= 50% by QCA, or revascularization of a target vessel with diameter stenosis \>=70% by QCA without either angina or a positive functional study.

Time frame: 270 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentClinically Driven TVR17 Participants
Secondary

Clinically Driven TVR

Defined as a percutaneous intervention or surgical bypass of any segment of the target vessel associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis \>= 50% by QCA, or revascularization of a target vessel with diameter stenosis \>=70% by QCA without either angina or a positive functional study.

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 360-days analysis (at least 330 days allowing for 30 days window) or patients who had an event within 360 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentClinically Driven TVR34 Participants
Secondary

Clinically Driven TVR

Defined as a percutaneous intervention or surgical bypass of any segment of the target vessel associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis \>= 50% by QCA, or revascularization of a target vessel with diameter stenosis \>=70% by QCA without either angina or a positive functional study.

Time frame: 30 days

Population: The denominator is comprised of all the patients who had enough follow-up for 30-days analysis (at least 23 days allowing for 7 days window) or patients who had an event within 30 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentClinically Driven TVR1 Participants
Secondary

Clinically Driven TVR

Defined as a percutaneous intervention or surgical bypass of any segment of the target vessel associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis \>= 50% by QCA, or revascularization of a target vessel with diameter stenosis \>=70% by QCA without either angina or a positive functional study.

Time frame: 180 days

Population: The denominator is comprised of all the patients who had enough follow-up for 180-days analysis (at least 150 days allowing for 30 days window) or patients who had an event within 180 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentClinically Driven TVR9 Participants
Secondary

Definite and Probable Stent Thrombosis

Defined as a percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion associated with positive functional ischemia study or ischemic symptoms AND an angiographic minimal lumen diameter stenosis of \>= 50% by QCA, or revascularization of a target vessel with a diameter stenosis of \>=70% by QCA without either angina or a positive functional study.

Time frame: 1800 days

Population: KM analysis estimate for patients in the ITT population who had enough follow-up for 1800-days analysis (at least 1770 days allowing for 30 days window) or patients who had an event within 1800 days post-procedure and censoring those not reaching the endpoint or sufficient follow up.

ArmMeasureValue (NUMBER)
COBRA PzF StentDefinite and Probable Stent Thrombosis0 percentage of participants
Secondary

Device Success

Attainment of \<30% final residual stenosis of the target lesion using only the COBRA PzF Coronary Stent System

Time frame: 30 days

Population: The denominator is comprised of all the patients who had enough follow-up for 30-days analysis (at least 23 days allowing for 7 days window) or patients who had an event within 30 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentDevice Success291 Participants
Secondary

Early Stent Thrombosis (ARC Definition)

Early Stent Thrombosis (ARC Definition) 0-30 days post index procedure

Time frame: 30 days

Population: The denominator is comprised of all the patients who had enough follow-up for 30-days analysis (at least 23 days allowing for 7 days window) or patients who had an event within 30 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentEarly Stent Thrombosis (ARC Definition)0 Participants
Secondary

In-Segment Percent Diameter Stenosis

Relative changes that occur in the percent diameter stenosis of the segment and are provided by the following relationship: % diameter stenosis= (1-\[MLD/Reference diameter\]) x 100

Time frame: 270 days

Population: Angiographic subset included 115 of the 296 enrolled. Therefore, only 115 participants analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
COBRA PzF StentIn-Segment Percent Diameter StenosisIn-Segment percent diameter stenosis (%DS)38.34 percentage of vesselStandard Deviation 17.03
COBRA PzF StentIn-Segment Percent Diameter StenosisIn-Stent percent diameter stenosis (%DS)36.89 percentage of vesselStandard Deviation 18.3
Secondary

In-Stent and In-Segment MLD and Late Loss

* In-stent and in-Segment minimal lumen diameter obtained immediately after stent implantation and at angiographic assessment at 270 days. * In-stent or in-segment late loss was defined as the difference between minimum lumen diameter (in-stent or in-segment) immediately after implantation and that obtained at angiographic follow-up at 270 days.

Time frame: 270 days

Population: Angiographic subset included 115 of the 296 enrolled. Therefore, the overall number of participants analyzed for this outcome measure is 115.

ArmMeasureGroupValue (MEAN)Dispersion
COBRA PzF StentIn-Stent and In-Segment MLD and Late LossIn-Stent Late Loss0.83 mmStandard Deviation 0.48
COBRA PzF StentIn-Stent and In-Segment MLD and Late LossIn-segment late loss0.52 mmStandard Deviation 0.49
COBRA PzF StentIn-Stent and In-Segment MLD and Late LossIn-stent minimum lumen diameter1.78 mmStandard Deviation 0.63
COBRA PzF StentIn-Stent and In-Segment MLD and Late LossIn-segment minimum lumen diameter1.72 mmStandard Deviation 0.6
Secondary

In-stent Neointimal Thickness (INT)

in-stent neointimal thickness assessed by Optical Coherence Tomography

Time frame: 270 days

Population: OCT subset included 57 of the 296 enrolled. Therefore, the overall number of participants analyzed for this outcome measure is 57.

ArmMeasureValue (MEAN)Dispersion
COBRA PzF StentIn-stent Neointimal Thickness (INT)0.33 mmStandard Deviation 0.15
Secondary

Late Stent Thrombosis

Stent Thrombosis after 30 days and on or before 360 days

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 360-days analysis (at least 330 days allowing for 30 days window) or patients who had an event within 360 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentLate Stent Thrombosis0 Participants
Secondary

Late Stent Thrombosis

Stent Thrombosis after 30 days and on or before 270 days

Time frame: 270 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentLate Stent Thrombosis0 Participants
Secondary

Late Stent Thrombosis

Stent Thrombosis after 30 days and on or before 180 days

Time frame: 180 days

Population: The denominator is comprised of all the patients who had enough follow-up for 180-days analysis (at least 150 days allowing for 30 days window) or patients who had an event within 180 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentLate Stent Thrombosis0 Participants
Secondary

Lesion Success

Attainment of \<30% final residual stenosis of the target lesion using any percutaneous method

Time frame: 30 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentLesion Success254 Participants
Secondary

Lumen and Stent Area Measurements

Optical Coherence Tomography assessment of the lumen and stent area after the clinical follow up at 270 days

Time frame: 270 days

Population: OCT subset included only 57 of the 296 participants enrolled. Therefore, only 57 participants analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
COBRA PzF StentLumen and Stent Area MeasurementsLumen Area5.52 mm^2Standard Deviation 2.52
COBRA PzF StentLumen and Stent Area MeasurementsStent Area8.41 mm^2Standard Deviation 2.69
Secondary

Lumen and Stent Volume

Optical Coherence Tomography assessment of the lumen and stent volume after the clinical follow up at 270 days

Time frame: 270 days

Population: OCT subset includes 57 of the 296 enrolled. Therefore, only 57 participants analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
COBRA PzF StentLumen and Stent VolumeLumen volume97.44 mm3Standard Deviation 61.27
COBRA PzF StentLumen and Stent VolumeStent volume149.06 mm3Standard Deviation 75.99
Secondary

Major Adverse Cardiac Events (MACE)

Cardiac death, MI (Q wave and non-Q wave), emergent bypass surgery, or clinically driven target lesion revascularization (TLR) by percutaneous or surgical methods

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentMajor Adverse Cardiac Events (MACE)44 Participants
Secondary

Major Adverse Cardiac Events (MACE)

Cardiac death, MI (Q wave and non-Q wave), emergent bypass surgery, or clinically driven target lesion revascularization (TLR) by percutaneous or surgical methods

Time frame: 1800 days

Population: KM analysis estimate for patients in the ITT population who had enough follow-up for 1800-days analysis (at least 1770 days allowing for 30 days window) or patients who had an event within 1800 days post-procedure and censoring those not reaching the endpoint or sufficient follow up.

ArmMeasureValue (NUMBER)
COBRA PzF StentMajor Adverse Cardiac Events (MACE)22 percentage of participants
Secondary

Major Adverse Cardiac Events (MACE)

Cardiac death, MI (Q wave and non-Q wave), emergent bypass surgery, or clinically driven target lesion revascularization (TLR) by percutaneous or surgical methods

Time frame: 270 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentMajor Adverse Cardiac Events (MACE)29 Participants
Secondary

Major Adverse Cardiac Events (MACE)

Cardiac death, MI (Q wave and non-Q wave), emergent bypass surgery, or clinically driven target lesion revascularization (TLR) by percutaneous or surgical methods

Time frame: 180 days

Population: The denominator is comprised of all the patients who had enough follow-up for 180-days analysis (at least 150 days allowing for 30 days window) or patients who had an event within 180 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentMajor Adverse Cardiac Events (MACE)23 Participants
Secondary

Major Adverse Cardiac Events (MACE)

Cardiac death, MI (Q wave and non-Q wave), emergent bypass surgery, or clinically driven target lesion revascularization (TLR) by percutaneous or surgical methods

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentMajor Adverse Cardiac Events (MACE)19 Participants
Secondary

Myocardial Infarction (MI-ARC Definition)

Defined as either a Q wave MI (QWMI) or Non-Q wave MI (NQMI). QWMI is defined as development of new, pathological Q waves in 2 or more contiguous leads (as assessed by the Clinical Events Committee) with post-procedure CK-MB levels elevated above normal. NQWMI is defined as any elevation of post-procedure CK-MB to \>=3 times site normal in the absence of pathological Q waves

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)Q-wave MI0 Participants
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)Non Q-wave MI21 Participants
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)MI-ARC Definition24 Participants
Secondary

Myocardial Infarction (MI-ARC Definition)

Defined as either a Q wave MI (QWMI) or Non-Q wave MI (NQMI). QWMI is defined as development of new, pathological Q waves in 2 or more contiguous leads (as assessed by the Clinical Events Committee) with post-procedure CK-MB levels elevated above normal. NQWMI is defined as any elevation of post-procedure CK-MB to \>=3 times site normal in the absence of pathological Q waves

Time frame: 270 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)Q-wave MI0 Participants
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)Non Q-wave MI18 Participants
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)MI-ARC Definition20 Participants
Secondary

Myocardial Infarction (MI-ARC Definition)

Defined as either a Q wave MI (QWMI) or Non-Q wave MI (NQMI). QWMI is defined as development of new, pathological Q waves in 2 or more contiguous leads (as assessed by the Clinical Events Committee) with post-procedure CK-MB levels elevated above normal. NQWMI is defined as any elevation of post-procedure CK-MB to \>=3 times site normal in the absence of pathological Q waves

Time frame: 180 days

Population: The denominator is comprised of all the patients who had enough follow-up for 180-days analysis (at least 150 days allowing for 30 days window) or patients who had an event within 180 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)Q-wave MI0 Participants
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)Non Q-wave MI18 Participants
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)MI-ARC Definition20 Participants
Secondary

Myocardial Infarction (MI-ARC Definition)

Defined as either a Q wave MI (QWMI) or Non-Q wave MI (NQMI). QWMI is defined as development of new, pathological Q waves in 2 or more contiguous leads (as assessed by the Clinical Events Committee) with post-procedure CK-MB levels elevated above normal. NQWMI is defined as any elevation of post-procedure CK-MB to \>=3 times site normal in the absence of pathological Q waves (historical definition). ARC definition includes Troponin or CK-MB \>3 x UNL

Time frame: 30 days

Population: The denominator is comprised of all the patients who had enough follow-up for 30-days analysis (at least 23 days allowing for 7 days window) or patients who had an event within 30 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)Non Q-wave MI18 Participants
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)MI-ARC Definition18 Participants
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)Q-wave MI0 Participants
Secondary

Myocardial Infarction (MI-ARC Definition)

Defined as either a Q wave MI (QWMI) or Non-Q wave MI (NQMI). QWMI is defined as development of new, pathological Q waves in 2 or more contiguous leads (as assessed by the Clinical Events Committee) with post-procedure CK-MB levels elevated above normal. NQWMI is defined as any elevation of post-procedure CK-MB to \>=3 times site normal in the absence of pathological Q waves

Time frame: 1800 days

Population: KM analysis estimate for patients in the ITT population who had enough follow-up for 1800-days analysis (at least 1770 days allowing for 30 days window) or patients who had an event within 1800 days post-procedure and censoring those not reaching the endpoint or sufficient follow up.

ArmMeasureValue (NUMBER)
COBRA PzF StentMyocardial Infarction (MI-ARC Definition)10.1 percentage of participants
Secondary

Percentage of Uncovered and/or Malapposed Struts

This measure assess the average proportion of uncovered and or malapposed struts measured by Optical Coherence Tomography in participants

Time frame: 270 days

Population: OCT subset included 57 of the 296 enrolled. Therefore, the overall number of participants analyzed for this outcome measure is 57.

ArmMeasureValue (MEAN)Dispersion
COBRA PzF StentPercentage of Uncovered and/or Malapposed Struts0.00 % of Uncovered and/or Malapposed StrutsStandard Deviation 0.01
Secondary

Procedure Success

Attainment of \<30% final residual stenosis of the target lesion and no in-hospital MACE

Time frame: 30 days

Population: The denominator is comprised of all the patients who had enough follow-up for 30-days analysis (at least 23 days allowing for 7 days window) or patients who had an event within 30 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentProcedure Success241 Participants
Secondary

Stroke (Ischemic and Hemorrhagic)

Defined as sudden onset of vertigo, numbness, dysphasia, weakness, visual field defects, dysarthria or other focal neurological deficits due to vascular lesions of the brain such as hemorrhage, embolism, thrombosis, or rupturing aneurysm, that persists more than 24 hours.

Time frame: 180 days

Population: The denominator is comprised of all the patients who had enough follow-up for 180-days analysis (at least 150 days allowing for 30 days window) or patients who had an event within 180 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentStroke (Ischemic and Hemorrhagic)1 Participants
Secondary

Stroke (Ischemic and Hemorrhagic)

Defined as sudden onset of vertigo, numbness, dysphasia, weakness, visual field defects, dysarthria or other focal neurological deficits due to vascular lesions of the brain such as hemorrhage, embolism, thrombosis, or rupturing aneurysm, that persists more than 24 hours.

Time frame: 30 days

Population: The denominator is comprised of all the patients who had enough follow-up for 30-days analysis (at least 23 days allowing for 7 days window) or patients who had an event within 30 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentStroke (Ischemic and Hemorrhagic)0 Participants
Secondary

Stroke (Ischemic and Hemorrhagic)

Defined as sudden onset of vertigo, numbness, dysphasia, weakness, visual field defects, dysarthria or other focal neurological deficits due to vascular lesions of the brain such as hemorrhage, embolism, thrombosis, or rupturing aneurysm, that persists more than 24 hours.

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 360-days analysis (at least 330 days allowing for 30 days window) or patients who had an event within 360 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentStroke (Ischemic and Hemorrhagic)2 Participants
Secondary

Stroke (Ischemic and Hemorrhagic)

Defined as sudden onset of vertigo, numbness, dysphasia, weakness, visual field defects, dysarthria or other focal neurological deficits due to vascular lesions of the brain such as hemorrhage, embolism, thrombosis, or rupturing aneurysm, that persists more than 24 hours.

Time frame: 270 days

Population: The denominator is comprised of all the patients who had enough follow-up for 270-days analysis (at least 240 days allowing for 30 days window) or patients who had an event within 270 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentStroke (Ischemic and Hemorrhagic)1 Participants
Secondary

Target Vessel Failure (TVF)

TVF defined as cardiac death, target vessel myocardial infarction (MI) \[Q wave or non-Q wave, ARC definition\], or clinically driven target vessel revascularization (TVR) by percutaneous or surgical methods.

Time frame: 180 days

Population: The denominator is comprised of all the patients who had enough follow-up for 180-days analysis (at least 150 days allowing for 30 days window) or patients who had an event within 180 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentTarget Vessel Failure (TVF)25 Participants
Secondary

Target Vessel Failure (TVF)

TVF defined as cardiac death, target vessel myocardial infarction (MI) \[Q wave or non-Q wave, ARC definition\], or clinically driven target vessel revascularization (TVR) by percutaneous or surgical methods.

Time frame: 30 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentTarget Vessel Failure (TVF)20 Participants
Secondary

Target Vessel Failure (TVF)

TVF defined as cardiac death, target vessel myocardial infarction (MI) \[Q wave or non-Q wave, ARC definition\], or clinically driven target vessel revascularization (TVR) by percutaneous or surgical methods.

Time frame: 360 days

Population: The denominator is comprised of all the patients who had enough follow-up for 360-days analysis (at least 330 days allowing for 30 days window) or patients who had an event within 360 days post-procedure. The number of events varies for each of the endpoints resulting in different denominators.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
COBRA PzF StentTarget Vessel Failure (TVF)50 Participants

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