Coronary Artery Disease
Conditions
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
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Target Vessel Failure (TVF) | 270 days | 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
| Measure | Time frame | Description |
|---|---|---|
| Cardiac Mortality | 30 days | 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 |
| Major Adverse Cardiac Events (MACE) | 30 days | Cardiac 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 days | 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 |
| Cardiac Death or MI (ARC Definition) | 30 days | Composite Endpoint of Cardiac Death or MI (ARC definition) |
| Clinically Driven TLR | 30 days | 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. |
| Clinically Driven TLR (Clinical and Angiographic Cohorts) | 360 days | 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. |
| Clinically Driven TLR (Clinical Cohorts) | 360 days | 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. |
| Clinically Driven TVR | 30 days | 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. |
| Target Vessel Failure (TVF) | 30 days | 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. |
| Stroke (Ischemic and Hemorrhagic) | 30 days | 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. |
| Device Success | 30 days | Attainment of \<30% final residual stenosis of the target lesion using only the COBRA PzF Coronary Stent System |
| Lesion Success | 30 days | Attainment of \<30% final residual stenosis of the target lesion using any percutaneous method |
| All Cause Mortality | 30 days | Death from any cause |
| Bleeding or Vascular Complications | 30 days | 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 |
| Early Stent Thrombosis (ARC Definition) | 30 days | Early Stent Thrombosis (ARC Definition) 0-30 days post index procedure |
| Late Stent Thrombosis | 180 days | Stent Thrombosis after 30 days and on or before 180 days |
| Definite and Probable Stent Thrombosis | 1800 days | 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. |
| In-Segment Percent Diameter Stenosis | 270 days | 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 |
| In-Stent and In-Segment MLD and Late Loss | 270 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 Endpoints | 270 days | Angiographic 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 days | in-stent neointimal thickness assessed by Optical Coherence Tomography |
| Percentage of Uncovered and/or Malapposed Struts | 270 days | This measure assess the average proportion of uncovered and or malapposed struts measured by Optical Coherence Tomography in participants |
| Lumen and Stent Area Measurements | 270 days | Optical Coherence Tomography assessment of the lumen and stent area after the clinical follow up at 270 days |
| Lumen and Stent Volume | 270 days | Optical Coherence Tomography assessment of the lumen and stent volume after the clinical follow up at 270 days |
| Procedure Success | 30 days | Attainment 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
| Arm | Count |
|---|---|
| COBRA PzF Stent COBRA PzF Coronary Stent System | 296 |
| Total | 296 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| 180 Days | Death | 2 |
| 180 Days | Withdrawal by Subject | 2 |
| 270 Days | Death | 2 |
| 270 Days | Protocol Violation | 3 |
Baseline characteristics
| Characteristic | COBRA PzF Stent |
|---|---|
| Age, Continuous | 66.46 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 type | EG000 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
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| COBRA PzF Stent | Target Vessel Failure (TVF) | 11.38 percentage of participants |
All Cause Mortality
Death from any cause
Time frame: 30 days
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | All Cause Mortality | 1 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | All Cause Mortality | 5 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | All Cause Mortality | 6 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | All Cause Mortality | 7 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | All Cause Mortality | 34 Participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| COBRA PzF Stent | Angiographic Endpoints | In-segment binary restenosis | 28.57 percentage of lesions |
| COBRA PzF Stent | Angiographic Endpoints | In-stent binary angiographic restenosis | 25.64 percentage of lesions |
| COBRA PzF Stent | Angiographic Endpoints | Stent fracture | 0.00 percentage of lesions |
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
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Bleeding or Vascular Complications | 0 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Cardiac Death or MI (ARC Definition) | 19 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Cardiac Death or MI (ARC Definition) | 25 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Cardiac Death or MI (ARC Definition) | 19 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Cardiac Death or MI (ARC Definition) | 19 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Cardiac Mortality | 1 Participants |
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
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Cardiac Mortality | 1 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Cardiac Mortality | 1 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| COBRA PzF Stent | Cardiac Mortality | 3.99 percentage of participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Cardiac Mortality | 1 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TLR | 7 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TLR | 0 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TLR | 13 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TLR (Clinical and Angiographic Cohorts) | 12 percentage of participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TLR (Clinical and Angiographic Cohorts) | 27 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TLR (Clinical Cohorts) | 8 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TLR (Clinical Cohorts) | 7.76 percentage of participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TVR | 17 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TVR | 34 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TVR | 1 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Clinically Driven TVR | 9 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| COBRA PzF Stent | Definite and Probable Stent Thrombosis | 0 percentage of participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Device Success | 291 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Early Stent Thrombosis (ARC Definition) | 0 Participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| COBRA PzF Stent | In-Segment Percent Diameter Stenosis | In-Segment percent diameter stenosis (%DS) | 38.34 percentage of vessel | Standard Deviation 17.03 |
| COBRA PzF Stent | In-Segment Percent Diameter Stenosis | In-Stent percent diameter stenosis (%DS) | 36.89 percentage of vessel | Standard Deviation 18.3 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| COBRA PzF Stent | In-Stent and In-Segment MLD and Late Loss | In-Stent Late Loss | 0.83 mm | Standard Deviation 0.48 |
| COBRA PzF Stent | In-Stent and In-Segment MLD and Late Loss | In-segment late loss | 0.52 mm | Standard Deviation 0.49 |
| COBRA PzF Stent | In-Stent and In-Segment MLD and Late Loss | In-stent minimum lumen diameter | 1.78 mm | Standard Deviation 0.63 |
| COBRA PzF Stent | In-Stent and In-Segment MLD and Late Loss | In-segment minimum lumen diameter | 1.72 mm | Standard Deviation 0.6 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| COBRA PzF Stent | In-stent Neointimal Thickness (INT) | 0.33 mm | Standard Deviation 0.15 |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Late Stent Thrombosis | 0 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Late Stent Thrombosis | 0 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Late Stent Thrombosis | 0 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Lesion Success | 254 Participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| COBRA PzF Stent | Lumen and Stent Area Measurements | Lumen Area | 5.52 mm^2 | Standard Deviation 2.52 |
| COBRA PzF Stent | Lumen and Stent Area Measurements | Stent Area | 8.41 mm^2 | Standard Deviation 2.69 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| COBRA PzF Stent | Lumen and Stent Volume | Lumen volume | 97.44 mm3 | Standard Deviation 61.27 |
| COBRA PzF Stent | Lumen and Stent Volume | Stent volume | 149.06 mm3 | Standard Deviation 75.99 |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Major Adverse Cardiac Events (MACE) | 44 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| COBRA PzF Stent | Major Adverse Cardiac Events (MACE) | 22 percentage of participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Major Adverse Cardiac Events (MACE) | 29 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Major Adverse Cardiac Events (MACE) | 23 Participants |
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
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Major Adverse Cardiac Events (MACE) | 19 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | Q-wave MI | 0 Participants |
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | Non Q-wave MI | 21 Participants |
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | MI-ARC Definition | 24 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | Q-wave MI | 0 Participants |
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | Non Q-wave MI | 18 Participants |
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | MI-ARC Definition | 20 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | Q-wave MI | 0 Participants |
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | Non Q-wave MI | 18 Participants |
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | MI-ARC Definition | 20 Participants |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | Non Q-wave MI | 18 Participants |
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | MI-ARC Definition | 18 Participants |
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | Q-wave MI | 0 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| COBRA PzF Stent | Myocardial Infarction (MI-ARC Definition) | 10.1 percentage of participants |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| COBRA PzF Stent | Percentage of Uncovered and/or Malapposed Struts | 0.00 % of Uncovered and/or Malapposed Struts | Standard Deviation 0.01 |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Procedure Success | 241 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Stroke (Ischemic and Hemorrhagic) | 1 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Stroke (Ischemic and Hemorrhagic) | 0 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Stroke (Ischemic and Hemorrhagic) | 2 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Stroke (Ischemic and Hemorrhagic) | 1 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Target Vessel Failure (TVF) | 25 Participants |
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
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Target Vessel Failure (TVF) | 20 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COBRA PzF Stent | Target Vessel Failure (TVF) | 50 Participants |