One-Year Results From ENDEAVOR-Five Registry and Five-Year Results
From ENDEAVOR-I Trial Demonstrate Consistency Across Patient Populations
Medtronic, Inc. (NYSE:MDT), today released new data from the ENDEAVOR
clinical program at the Transcatheter Cardiovascular Therapeutics (TCT)
meeting that reinforces the consistently strong performance of the
company’s Endeavor drug-eluting stent (DES)
across diverse patient populations affected by coronary artery disease.
One-year results from the ENDEAVOR-Five registry –
including those for subsets of diabetics and patients with acute
myocardial infarction (AMI) – demonstrate that
the Endeavor DES performs comparably in a real-world population of
patients with complex disease and in specific patient subsets.
“Registries generally enroll more challenging ‘real-world’
patients than randomized trials,” explained
Prof. Martin Rothman of the U.K.’s London
Chest Hospital and one of ENDEAVOR-Five’s
principal investigators. “Approximately 70
percent of the 8,314 patients enrolled in E-Five had complex
cardiovascular disease, including diabetes, small vessels and long
lesions, and a significant number were acute coronary syndrome or AMI.
Despite the higher complexity of the patients enrolled in this registry,
the outcomes at 12 months were excellent; the rates of MACE, TLR,
cardiac death, MI and stent thrombosis were remarkably low and
consistent with findings from the ENDEAVOR clinical trial program
overall.”
The 12-month target lesion revascularization (TLR) rate for all patients
in E-Five (n=8,314) was 4.5 percent; for the subset of diabetics
(n=2,563), 5.3 percent; for the AMI patients (n=1,077), 3.2 percent; and
for the high-risk patients (n=5,824), 5.0 percent.
ENDEAVOR-I Results Square with Overall Clinical Program
Five-year results from the ENDEAVOR-I trial complement and corroborate a
vast array of consistently compelling data which supports the durable
efficacy of the Endeavor DES over the long term.
Unprecedented in clinical DES efficacy trials, Medtronic’s
Endeavor stent is associated with TLR rates which stop increasing at
three years. Randomized controlled trials of other drug-eluting stents
show a continued increase in TLR, reducing the durability of benefit.
More compelling is how the ENDEAVOR-I TLR plateau is replicated on a
larger scale in ENDEAVOR-II, the device’s
pivotal study. With data out to four years, exactly the same curve is
apparent, and TLR stops increasing at 36 months.
Results of ongoing head-to-head trials will be required to these time
points for confirmation, but the Endeavor TLR plateau appears to be a
unique observation among available drug-eluting stents and has the
potential to redefine the standard by which efficacy is measured.
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TLR Rates (%) from Endeavor DES Studies
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Stent
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Study
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Study type
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12 Months
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24 Months
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36 Months
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48 Months
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60 Months
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Endeavor
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ENDEAVOR I
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FIM
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2.0
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2.0
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3.1
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3.1
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3.1
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Endeavor
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ENDEAVOR II
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Pivotal
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5.9
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6.5
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7.2
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7.2
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NA
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No change after 36 months
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ABOUT MEDTRONIC
Medtronic, Inc. (www.medtronic.com),
headquartered in Minneapolis, is the global leader in medical technology –
alleviating pain, restoring health and extending life for millions of
people around the world.
Any forward-looking statements are subject to risks and uncertainties
such as those described in Medtronic’s Annual
Report on Form 10-K for the year ended April 25, 2008. Actual results
may differ materially from anticipated results.
Medtronic, Inc.
Joseph McGrath, 707-591-7367
Public Relations
Jeff
Warren, 763-505-2696
Investor Relations