December
8, 2004
Sirolimus-Eluting
vs Uncoated Stents for Prevention of Restenosis in
Small Coronary Arteries - A Randomized Trial
A report from the SES-SMART study, (chief invesigator: Diego Ardissino, MD; Division
of Cardiology, Ospedale Maggiore, University of Parma) concludes that "The
use of sirolimus-eluting stents to treat atherosclerotic lesions in small coronary
arteries reduces restenosis and may also reduce major adverse cardiac events." The
study pitted Johnson & Johnson/Cordis' CYPHER stent against its bare-metal
BX balloon-mounted stent in small diameter arteries, always considered a difficult
and sub-optimal population because of high restenosis rates. The resulting reduction
of restenosis from 53.1% to 9.8% with the CYPHER is further evidence that drug-eluting
stents may represent a revolution in the treatment of CAD. Further stats showed
a reduction in MACE (Major Adverse Cardiac Events) from 31.3% to 9.3%. An accompanying
editorial by David R. Holmes, Jr, MD of the Mayo Clinic discusses the encouraging
results.
(source: Journal of the American Medical Association)
November 11,
2004
Medtronic
Provides Update on Endeavor™ Drug Eluting Coronary
Stent Program
Medtronic says that its Endeavor drug-eluting stent is on track for European
CE Mark approval in early 2005 and that it is moving forward in the U.S. with
its ENDEAVOR IV Clinical Trial. The company plans to present eight and nine-month
clinical results from its ENDEAVOR II Clinical Trial at the American College
of Cardiology (ACC) annual conference in March 2005. The Medtronic Endeavor
Drug Eluting Coronary Stent system combines Medtronic’s Driver™ Coronary
Stent, the drug ABT-578 and a PC polymer into a drug eluting stent system designed
to reduce restenosis.
(source: Medtronic Inc.)
November 16, 2004
Boston
Scientific Announces Strategic Alliance with REVA
Medical, Inc.
Boston Scientific has made an investment and exclusive option to purchase arrangement
with REVA Medical, Inc. of San Diego -- which is developing a balloon- expandable,
bioresorbable drug-eluting stent that combines distinctive geometry and resorbable
polymer properties. The REVA stent is designed to perform comparably to metallic
drug-eluting stents and then be resorbed by the body once the artery has healed.
(source: Boston Scientific Corporation)
November
1, 2004
Angiotech
free to provide exclusive license to Boston Scientific
Company press release states that the antitrust law's waiting period has expired
and it is now free to grant an exclusive license to Boston Scientific for use
of paclitaxel and other agents on medical devices. Expiration of the period
also triggers a $25 million payment to Cook Incorporated.
(source: Angiotech Pharmaceuticals, Inc.)
November
1, 2004
J&J
May End Stent Shortcomings With Guidant Buy
Speculation in the financial publication that Johnson & Johnson may be
looking at acquiring Guidant, an action that would marry their sirolimus drug
coating with Guidant's state-of-the-art stent. More on this as it, and if it,
develops.
(source: Forbes)
October 27,
2004
Boston
Scientific Announces Start of Enrollment in ARRIVE
2 Drug-Eluting Stent Registry
The company states that it "plans to enroll 5,000 patients at approximately
60 centers in the United States. The program is designed to collect and analyze "real-world" safety
and clinical outcomes data from the TAXUS™ Express2™ paclitaxel-eluting
coronary stent system in the treatment of patients with coronary artery disease." Different
from a clinical trial, which uses very restricted patient groupings to establish
whether or not a products is worthy of approval, a registry can document a
wider range of information to see how a specific therapy is performing in a
number of "patient subsets".
(source: Boston Scientific Corporation)
October
21, 2004
New
Stents Tied to Rare Heart Attack Risk
The possibility of stents causing thrombosis, where the blood in the coronary
artery clots and causes a heart attack, has been a known complication, which
is why patients are prescribed anti-clotting drugs after stent implantation.
For bare metal stents, only a month or so of antiplatelet therapy is necessary;
aspirin and clopidogrel, or Plavix, are the most commonly used. But the newer
drug-eluting stents delay a process known as endothelialization, where cells
cover over the stent, as part their prevention of restenosis. That is why patients
who have received drug-eluting stents are asked to continue taking antiplatlet
medication for up to a year, and often lifelong for aspirin. Now, a study published
in The
Lancet, has detailed four cases where patients experienced a heart attack
from thrombosis of a drug-eluting stent about a year after implantation, and
shortly after stopping antiplatelet therapy. While still a rare occurrence,
this report emphasizes the need for continued study, the importance of patients
continuing antiplatlet therapy and the careful assessment needed by physicians
when deciding to stop this therapy.
(source: Ed Edelson, HealthDay)
October
21, 2004
One
Stent Maker Thrives; a Rival Gets the Kudos
From the Business Section of the New York Times, this article discusses how
Boston Scientific's Taxus stent has captured 70% of the marketplace, yet it
claims that there is "growing evidence that while Taxus is easier to insert,
Johnson & Johnson's Cypher...may produce better results for most patients." The
article posits that, while "...early studies directly comparing the medical
results of the two stents have been too small or too flawed in design to produce
thoroughly reliable statistics," there are some physicians who favor the
Cypher. While the data is still very limited, comparison between products may
well become possible when results from the larger scale REALITY trial are announced
at the annual American College of Cardiology session in March. The trial is
sponsored by Johnson & Johnson and endeavors to determine which of the
two currently available stents are better. (The results were to have been announced
in two weeks at the American Heart Association meeting, but were
delayed by Johnson & Johnson.) To date, a number of large-scale
one and two-year studies have been presented at various meetings, for both
Taxus and Cypher individually (in these trials, each stent was compared to
a control group of bare metal stents, but the two drug-eluting stents were
not compared to each other). These studies have shown that both drug-eluting
stents work quite well and that neither have radically different results when
measured against the older bare metal stents. There is also a controversy among
cardiologists as to what data should be used to measure success -- a highly
technical discussion that is being discussed at meetings such as the TCT. Stay
tuned.
(source: Barnaby J. Feder, New York Times -- free registration required)
October 18,
2004
FDA
Public Health Notification: CYPHER™ Stent Not
Associated With Higher Sub-Acute Thrombosis
The FDA has studied all the data regarding the concern over the CYPHER and
has concluded that it is safe and effective when used correctly and that the
rate of sub-acute thromboses in these stents, reported last fall, were within
the norm for bare metal stents. Angioplasty.Org's editorial of a year ago, "Unraveling
the Cypher", emphasized the same conclusion.
(source: U.S. Food & Drug Administration)
October
14, 2004
FDA
Expects No Action on Taxus Stent Recall
The FDA has reviewed the recall and has concluded that the Boston Scientific
has fixed the defect and that the stents now on the shelves are safe. Daniel
G. Schultz, director of the FDA's Center for Devices and Radiological Health,
states, "I am not contemplating any regulatory action...From our point
of view, it's pretty much the end of the story."
(source: Mark Jewell, AP Business Writer)
September 30,
2004
Boston
Scientific reports revival in sales of stents
Rebounding from three recalls, the company's Taxus stent has recovered its
popularity and now has more than 70% of the market.
(source: Laura Johannes, Wall Street Journal -- free registration
required)
September
29-October 1, 2004
Boston
Scientific Announces Two-Year Follow-Up Data from TAXUS
II Clinical Trial
Boston
Scientific Announces Two-Year Follow-Up Data from TAXUS
IV Clinical Trial
Boston
Scientific Announces Results From TAXUS Registries
Boston
Scientific Announces 30-Day Safety Data From Its TAXUS
V Drug-Eluting Stent Clinical Trial
A "flood" of company press releases that announce various positive
results presented at this year's Transcatheter Cardiovascular Therapeutics
(TCT) symposium, all regarding the Taxus drug-eluting stent. The results showed
that the coated stent was safe and effective -- low reclosure rates even in
diabetic patients. One concern over drug-eluting stents has been that they
only delay the reclosing of the blood vessels (restenosis). However, the long-term
data showed that the benefits of the Taxus actually improved over time, leading
Professor Antonio Colombo, M.D., the TAXUS II trial's Principal Investigator,
to state, "This data indicates that TAXUS stents may prevent -- rather than
merely delay -- in-stent restenosis." The registries in the third article
tracked over 7,000 patients worldwide and showed widespread safety of the device.
The final Taxus V clinical trial is of great interest because it deals with
narrow arteries and complex lesions that need multiple overlapping stents.
In an evening symposium, Dr. Gregg Stone speculated whether, if the final Taxus
V and VI results were comparable to the early indications, at some point in
the future, these minimally invasive procedures might end up replacing most
bypass surgery.
(source: Boston Scientific Corporation)
September 30, 2004
Study:
Cordis Cypher Stent Effective
Results of a small Korean study released Thursday show Cordis Corp.'s Cypher
drug-coated stent outperformed Boston Scientific Corp.'s Taxus Express2 stent
in a multicenter study of patients with long lesions (blockages longer than
24mm). The center said the study showed patients with the Cypher stent had
a 7.4 percent restenosis rate compared with a 21.3 percent rate for the Taxus
stent. These are significantly higher restenosis rates for Taxus stents than
have been reported in a number of other studies -- no explanation of this differential
was given..
(source: Associated Press)
September
28, 2004
Guidant
Reports Positive Six-Month Results from the SPIRIT FIRST
Everolimus Eluting Coronary Stent Trial
After an earlier unsuccessful trial of drug-eluting stents, Guidant's new coated
stent shows no restenosis at six months and a MACE (Major Adverse Cardiac Events)
of 7.7%, which was on par with previous studies. Notable for its use of the
immunosuppressant drug Everolimus, developed by Novartis, and its cobalt chromium
metal stent (most others are made of stainless steel). Although the trial was
very small, only 60 patients, the study's lead investigator, Prof. Patrick
W. Serruys, M.D., of the Thoraxcenter, Erasmus University Hospital, Rotterdam,
stated, “I believe this highly deliverable cobalt chromium drug eluting
stent will be an extremely competitive product when introduced to the marketplace.”
(source: Guidant Corporation)
September 27, 2004
Study:
Cypher Stent Comparable to Bypass in Tough Cases
Johnson & Johnson's Cypher drug-eluting stent works about as well as open-heart
surgery in patients with multi-vessel coronary disease, according the the ARTS
II study, presented at this year's TCT meeting in Washington. The first study
ARTS I compared patients who received bare metal stents with those who got
open heart bypass surgery. ARTS II added patients with the drug-eluting CYPHER
stent. After six months, event-free survival rate for Cypher patients was 93.6%;
for those who received bypass surgery, it was 91%; with bare metal stents,
down to 80%.
(source: Daniel Rosenberg, Dow Jones News))
September
24, 2004
Angiotech
and Cook Restructure License Agreement
"Stent Wars" has taken another shift. Cook has announced that it is
exiting from the coronary vascular field; Angiotech is now changing its agreement
with Cook (who had distributed a paclitaxel-coated stent in Europe) and is offering
Boston Scientific an exclusive use of their proprietary coating (now used in
the Boston Scientific's Taxus stent).
(source: Angiotech Pharmaceuticals, Inc.)
September
14, 2004
Johnson & Johnson
Delays Stent Study Release
Results of the much-touted comparison REALITY study of Boston Scientific's
Taxus stent and Johnson & Johnson's Cypher stent (an independent study
sponsored by Johnson & Johnson) have been delayed by the company until
the spring of 2005.
(source: Robert Steyer, TheStreet.com)
September 14, 2004
Abbott
Vascular Devices Enrolls First Patient in Clinical
Trial of the ZOMAXX™ Drug-Eluting Coronary
Stent
The company states in this press release that this "milestone demonstrates
Abbott's intent to become a key player in the drug-eluting stent arena. For
more background on Abbott's position, read "Abbott
seeks foothold in high-stakes stent business", an article
from Reuters.
(source: Abbott Laboratories / Julie Steenhuysen, Reuters)
September 8,
2004
FDA
Completes Galway Inspection; No Observations Reported
The U.S. Food and Drug Administration has now completed inspection of both
of Boston Scientific's plants that produced the Taxus and Express2 stent systems
and has reported no observations of any problems.
(source: Boston Scientific Corporation)
August 31,
2004
Milestone
II Registry Reaffirms Positive Safety Outcomes of
TAXUS™ Express2™ Stent System
At the European Society of Cardiology's (ESC) annual meeting in Munich, the
company presented 6-month data from the European component of the Registry
which reaffirmed the safety and effectiveness of the Taxus stent system, especially
in difficult lesions and patients with diabetes.
(source: Boston Scientific Corporation)
August
26, 2004
Boston
Scientific Announces Enrollment of First Patient in Clinical
Trial for Next-Generation Paclitaxel-Eluting Coronary Stent
System
The company has begun clinical trials on its second-generation drug-eluting
stent.
(source: Boston Scientific Corporation)
August 19,
2004
FDA
Approves Extension of Expiration Date for TAXUS™ Express2™ Paclitaxel-Eluting
Stent System to Nine Months
In good news for the company, the FDA has reviewed and accepted data that the
drug-eluting system remained stable and well within FDA specifications at nine
months -- this allows a longer shelf life for the system.
(source: Boston Scientific Corporation)
August 7,
2004
FDA
Seeks More Data From Boston Scientific a Day After
Expanded Month-Old Stent Recall
After meeting with Boston Scientific officials in Washington, the FDA's top
medical devices regulator, Dr. Daniel Schultz. said he did not immediately
see a need to widen the recall beyond the nearly 100,000 Taxus and Express
2 model stents already recalled. "The preliminary indication is that these
quality assurance measures are adequate to ensure the safety of the product," he
said in a conference call.
(source: Mark Jewell, AP Business Writer)
August 6, 2004
Boston
Scientific FDA Meeting Goes Well
The Food and Drug Administration met with Boston Scientific today and stated
that the company's quality controls are "adequate" and that its remediation
efforts appear to have succeeded in protecting patients. (Note to patients:
patients who have received a Taxus stent are not affected by the recall --
the problem was not with the stent, but with the catheter system used to deliver
the stent -- Editor, Angioplasty.org)
(source: TheStreet.com staff)
August 6, 2004
Boston
Scientific stock still weak amid skepticism
In the past 6 weeks, the company has issued 3 voluntary recalls to remove Taxus
stent systems that their new inspection process has identified as holding the
potential to cause slow or non-deflation of the balloon which could cause serious
problems and complications for the patient during delivery. (For
more information, read Angioplasty.org's feature article on the recall.)
There have been 95 non-deflation reports out of an estimated 1.1 million stents
placed. The company states that a new manufacturing process has eliminated
this potential, but physicians and patients are being cautious about the Taxus.
(source: Debra Sherman, Reuters)
August 5, 2004
Boston
Scientific Expands Recall of TAXUS Coronary Stent
System
The Company today announced that its own ongoing monitoring has revealed the
need to expand the July 16th recall nationwide to include approximately 3,000
additional TAXUS stent systems, predominantly in the United States. These stent
systems are within the parameters defined in the July 16th action.
(source: Boston Scientific Corporation)
July 30,
2004
Boston
Scientific Reports Stent Use: Company Says Half of
20 Hospitals That Halted Use of Stent Are Using Them
Again
"Boston Scientific appears to have performed a very detailed root-cause
analysis of the problem and has identified the issue," said Jeffrey J. Popma,
director of interventional cardiology at Brigham and Women's
(source: Associated Press)
July 22,
2004
Boston
Scientific Receives FDA Approval for Clinical Trial
of its Liberte™ Paclitaxel-Eluting Coronary
Stent System
A new drug-eluting stent is has been going through clinical studies in Europe.
Now, in the U.S., this pivotal study, the ATLAS trial, will assess safety and
efficacy of the Liberte™ next-generation drug-eluting stent system
(source: Boston Scientific Corporation)
July 20, 2004
Boston
Scientific Holds Conference Call With Doctors to
Dispel Fears About Heart Stents Recall
Paul LaViolette speaks to the details of the Taxus stent recall in this webcast (free
registration required -- if you want details, this hour-long webcast has them). "They're
reaching out to doctors, catheterization lab managers and others in hospitals,
seeking to reassure them about the safety and efficacy of our stent systems
and to answer any questions they have," stated Paul Donovan, Boston Scientific
spokesperson.
(source: Mark Jewell, AP Business Writer)
July 17,
2004
Boston
Scientific to Recall Additional Coronary Stent Systems
The company announced today that it is expanding its recall of the Taxus stent
system, as well as some lots of the Express2 bare metal stent. Problems had
occurred in a small number of stents, having to do with the deflation and subsequent
withdrawal of the delivery balloon on which the stent is mounted. An earlier
recall was limited to two manufacturing lots. Most important for patients is
that "...today's action does not affect patients who have already
received these stents, because the difficulty is with the delivery system and
occurs at the time of insertion, not afterward."
(source: Boston Scientific Corporation)
July 2, 2004
Boston
Scientific Recalls 200 TAXUS™ Stent Systems
The company announced today that it is voluntarily recalling nationwide approximately
200 units of its TAXUS™ Express2™ Paclitaxel- Eluting Coronary
Stent Systems due to characteristics in the delivery catheters that have the
potential to impede balloon deflation during a coronary angioplasty procedure.
The lot numbers are listed in the press release. The Company has notified the
U.S. Food and Drug Administration (FDA). FDA has received reports of one death
and 16 serious injuries associated with balloon deflation. Since the problem
is with the delivery system, the recall does not affect any patients who have
received the Taxus stent.
(source: Boston Scientific Corporation)
May 7, 2004
Boston
Scientific to modify Taxus -- Action aims to fix
complications with stent balloons
Boston Scientific Corp. will modify the way it makes parts of its new Taxus
coronary stent system, a spokesman said yesterday, to address medical complications
that have cropped up for its hot-selling device.
(source: Ross Kerber, Boston Globe)
May 4, 2004
Boston
Scientific Announces Preliminary Information on U.S.
TAXUS Sales for April
The Company estimates its share of the U.S. drug-eluting stent market -- as
of April 30th -- to be in excess of 70 percent, on a reorder basis.
(source: Boston Scientific Corporation)
April 8, 2004
FDA sends letter to Cordis
about Cypher stent; "Patients should not be
concerned"
On Friday, Cordis received a warning letter from the FDA regarding Good Manufacturing
Practice (GMP) guidelines that were found to be deficient at several plants
that manufactured the Cyper stent. What does this mean for patients?
(source: Angioplasty.org)
April 5, 2004
Boston
Scientific Announces Preliminary Results Related
to First Quarter Sales
The first 18 days of sales in the U.S. went well beyond company estimates,
showing that the Taxus stent is being adopted very quickly.
(source: Boston Scientific Corporation)
April 2, 2004
Cordis
Cardiology Issues Statement Regarding FDA GMP Warning
Letter
Cordis Cardiology reported today that it received a warning letter from the
U.S. Food and Drug Administration (FDA) regarding FDA's observations concerning
the Good Manufacturing Practice (GMP) regulations, following standard post-approval
site inspections completed in 2003, including sites involved in the production
of the CYPHER® Sirolimus-eluting Coronary Stent.
(source: Cordis Corporation)
April 1, 2004
European
Patent Office Declares Medinol Patent Invalid
In a decision that is final and not appealable, a patent held by Medinol has
been ruled invalid, and the injunction against sales of Boston Scientific's
Express™ and TAXUS™ stent systems in The Netherlands has been lifted.
(source: Boston Scientific Corporation)
March 31, 2004
Boston
Scientific Announces Conclusion of Enrollment in
TAXUS V Clinical Trial
"The lesions enrolled in TAXUS V are some
of the most challenging we face as interventional cardiologists," said
Gregg Stone, M.D., Principal Investigator of TAXUS
V. "We are hopeful that the outcomes of TAXUS
V in this higher-risk patient population will extend
the results from TAXUS IV, broadening the range of
patients who may benefit from this breakthrough technology." (For
background on drug-eluting stents, read our exclusive
interview with Dr. Stone.)
(source: Boston Scientific Corporation)
March 31, 2004
CYPHER® Sirolimus-eluting
Coronary Stent Approved for Marketing in Japan
CYPHER® Stent distribution in Japan is expected to begin mid-year, coincident
with government approval of reimbursement. Japan is the world's second largest
interventional cardiology market with approximately 166,000 angioplasties performed
annually, 70% of which involve stent placement.
(source: Cordis Corporation)
March 22, 2004
Boston
Scientific Announces Preliminary Information Related
to Sales of TAXUS Stent System
The company reports that in the first 10 days that its new coated stent has
been on the market, the adoption rate has been around 65%.
(source: Boston Scientific Corporation)
March 8, 2004
Drug-Coated
Stents Aid Angioplasties
Another study presented at the ACC showed how drug-eluting stents had a significant
effect in reducing restenosis (reblocking) of small vessels, 2mm and narrower.
These arteries in the heart historically have been very difficult to treat
successfully, but this new study from the University of Parma in Italy, and
sponsored by Johnson & Johnson / Cordis, showed that dramatic improvement
over bare metal stents.
(source: Daniel Haney, Associated Press)
March 8, 2004
Balloon
usually unneeded before stent, study finds (source:
Ransdell Pierson, Reuters)
Study
Shows CYPHER™ Sirolimus-eluting Coronary Stent
Yields Strong Results Without Pre-dilatation (source:
Cordis Corporation
A report on the DIRECT study, presented at this year's American College of
Cardiology session showed that "direct stenting" with the Cypher
drug-eluting stent may be preferable to the standard procedure, currently part
of the FDA protocol, where a plain balloon is used first to open up (pre-dilate)
the narrowed vessel. In this study, the restenosis rates were slightly lower
with direct stenting and the procedure was about 25% shorter. Of interest is
the finding that in cases of small vessels and diabetic patients, the difference
between the two techniques was even more significant. Also, as reported by
theHeart.org, since this study compared more recent patients with those done
earlier, it is possible that improved technique in the lab and familiarity
with the new drug-eluting stents had some effect. Certainly further study is
needed, but these findings may change the way cardiologists perform stent procedures
in the future.
March 5, 2004
Boston
Sci CEO Says Expect Quick Adoption Of New Stent
A discussion with Chief Executive Jim Tobin about the immediate outlook for
the new Taxus stent, approved yesterday by the FDA
(source: Daniel Rosenberg, Dow Jones News)
March
4, 2004
Boston
Scientific Announces FDA Approval for its TAXUS™ Express2™ Paclitaxel-Eluting
Coronary Stent System
The much-anticipated FDA approval of the company's drug-eluting stent occurred
today. "This approval is a breakthrough event for the treatment of cardiovascular
disease in the United States," said Jim Tobin, President and Chief Executive
Officer of Boston Scientific. "Broad, consistent clinical data and extensive
real-world experience have clearly demonstrated that polymer-based delivery
of paclitaxel is a safe and effective therapy that dramatically reduces restenosis." For
more information, read
our special feature about the Taxus stent.
(source: Boston Scientific Corporation)
February 26, 2004
Medtronic
Optimistic About Its Drug-Eluting Stent Effort
Medtronic management has said it expects to have a 20% market share worldwide
in drug-eluting stents during fiscal 2008.
(source: Daniel Rosenberg, Dow Jones Newswires)
February 25, 2004
Johnson
Scrambles to Hold Lead in Heart Stents
A good article containing Interviews with several interventional cardiologists
and Wall Street analysts about yesterday's announcement of the Cordis-Guidant
alliance, it begins, "With Boston Scientific poised to introduce a drug-coated
device to keep coronary arteries open, Johnson & Johnson is scrambling
to protect its lead in what is likely to soon be a $3 billion market."
(source: Reed Abelson, New York Times)
February 24, 2004
Stent
wars heat up as Guidant, J&J form pact
(source: Julie Steenhuysen, Reuters)
J&J,
Guidant Join Forces
(source: Alyce Lomax, The Motley Fool)
Guidant's
'Coup'
(source: Forbes.com)
Guidant
Deal With J&J Raises Its Stent Market Profile
(source: Daniel Rosenberg, Dow Jones Newswires)
Several articles about the Guidant-Cordis pact to market the CYPHER stent in
light of the much-anticipated of Boston Scientific's TAXUS drug-eluting stent.
February 24, 2004
Guidant
Gains Immediate Access to Drug Eluting Stent Market
Cordis
Corporation Announces Strategic Alliance with Guidant
Corporation to Combat Coronary Artery Disease
A pair of press releases from Guidant and Cordis announcing their alliance
to jointly market Cordis' CYPHER stent, currently the only drug-eluting stent
approved for use in the U.S. Guidant's stent in in trials and not expected
to become available until 2006. This partnering is seen as a strategic move
to slow down Boston Scientific whose TAXUS stent is expected to gain U.S. approval
very shortly. Read several analyses of this new skirmish in the "Stent
Wars" above.
(source: Guidant Corporation / Cordis Corporation)
February 20, 2004
Rival
wants a piece of Cypher
Article about the impact that competition in the drug-eluting stent field may
have on Cordis, from a newspaper in Florida, Cordis home state
(source: John Dorschner, Miami Herald)
February 20, 2004
Doctors,
Hospitals Eagerly Await Boston Sci's Taxus Stent
Article talks to a number of U.S. cardiologists about the choice they may soon
have with the anticipated approval of the Taxus drug-eluting stent.
(source: Daniel Rosenberg, Dow Jones Newswires)
February 18, 2004
Enrollment
Complete in First Randomized Head-to-Head Trial of
Drug-eluting Coronary Stents
Cordis announces completion of patient enrollment in the REALITY trial which
will compare their Cypher stent with Boston Scientific's Taxus. Both drug-eluting
stents have been shown effective in reducing restenosis -- the Cypher was approved
by the FDA last April; the Taxus approval is expected sometime early this year.
The stent comparison, results of which are expected by the end of 2004, will
measure performance, particularly in high-risk patient group subsets, such
as diabetics and patients with long lesions and small-diameter vessels. Diabetics
represent 32 percent of the study's population.
(source: Cordis Corporation)
February 12, 2004
Medtronic
Receives FDA Conditional Approval To Begin The Endeavor
III Drug Eluting Coronary Stent Clinical Trial
Company press release announces that it has received conditional approval from
the U.S. Food and Drug Administration (FDA) to begin its ENDEAVOR III Clinical
Trial, the third clinical trial in a series of studies to support global product
approval of Medtronic’s investigational Endeavor™ Drug Eluting
Coronary Stent.
(source: Medtronic, Inc.)
February 10, 2004
Stents
Rivalry to Intensify as Boston Scientific Enters
Market
Business-oriented article about the coming competition in drug-eluting stents.
(source: Jeff Karoub, Small Times)
February 10, 2004
MIV
Therapeutics Successfully Completes Government-sponsored
Drug-Eluting Stent Coating R&D Program
A company press release details the latest in their research program to develop
multilayer biocompatible and bioactive calcium phosphate functionally graded
coatings on stents.
(source: MIV Therapeutics, Inc.)
February 6, 2004
Boston
Scientific Announces Completion of FDA Inspection
of Minnesota Drug-Eluting Stent Manufacturing Facility
The FDA team reported no observations during the inspection and indicated it
intends to recommend to the FDA that the Maple Grove facility be approved to
manufacture the TAXUS™ Express2™ paclitaxel-eluting coronary stent
system for the U.S. market. "This brings us an important step closer to
approval of the TAXUS system in the U.S.," said Jim Tobin, President and
Chief Executive Officer of Boston Scientific.
(source: Boston Scientific Corporation)
February 4, 2004
Boston
Scientific Announces Start of Enrollment in U.S.-Based
Drug-Eluting Stent Registry
Company announces the ARRIVE registry, which plans to enroll 2,000 patients
at approximately 50 centers in the United States to collect and analyze "real-
world" safety and clinical outcomes data for the TAXUS™ Express2™ paclitaxel-eluting
stent system.
(source: Boston Scientific Corporation)
February 2, 2004
Boston
Scientific Announces Results for Fourth Quarter and
Year Ended December 31, 2003
The company's sales were up 15% over last year's 4th quarter. Jim Tobin, President
and Chief Executive Officer stated, " We further strengthened our market
leadership position in drug-eluting stents in Europe and other international
markets...Our impressive performance in these markets gives us further confidence
as we prepare to launch our TAXUS™ paclitaxel-eluting stent system in
the United States later this quarter."
(source: Boston Scientific Corporation)
February 2, 2004
Panelists
debate pathway to best drug-eluting stent use
A report on the drug-eluting stent panel at the 16th annual Piper Jaffray Health
Care Conference -- some "real-world" comments by interventional cardiologists
on the current use and future of these devices.
(source: Holland Johnson, BioWorld Today)
January 30, 2004
Court
Sets Schedule for Drug-Eluting Stent Litigation Between
Boston Scientific and Johnson & Johnson
Company announces details of June 2005 trial regarding patents on the Taxus
and Cypher drug-eluting stent systems.
(source: Boston Scientific Corporation)
January 29, 2004
Boston
Scientific Announces French Reimbursement for Taxus™ Express2™ Paclitaxel-Eluting
Stent System
Company press release announces that France has approved their drug-eluting
stent for reimbursement for patients treated in private clinics and hospitals.
France is the second largest market for coronary stents in Europe and more
than half these patients are treated in private clinics and hospitals.
(source: Boston Scientific Corporation)
January 21, 2004
J&J's
Cypher Sales Raise Concerns on Market Penetration
This business news article analyzes sales figures from J&J's drug-eluting
stent and discusses it in respect to the technology, cost and performance in
the light of its pending competition with other products.
(source: Daniel Rosenberg, Dow Jones Newswire)
January 20, 2004
When
It Comes to Drug Eluting Stents, Money Is No Object
In a survey of invasive cardiologists, MedCompare reports that price is only
rarely a consideration in the decision to use drug-eluting stents over bare
metal stents for angioplasty procedures; more often anatomy is the deciding
factor.
(source: Silicon Valley Business Ink)
January 20, 2004
CYPHER™ Sirolimus-eluting
Coronary Stent: Delivers on Clinical Promise
In the second company press release about the CYPHER stent in as many days,
the company states, "Nearly 500,000 patients have been treated with the
CYPHER™ Stent in more than 80 countries around the world, with more than
350,000 of them treated in the U.S. since Food and Drug Administration (FDA)
approval in April 2003." The CYPHER is the only drug-eluting (sometimes
called "drug-coated") stent currently approved for sale in the United
States. Boston Scientific's TAXUS stent was recommended for approval
by an FDA panel in November and is hoping for final approval in the first quarter
of this year. Other companies such as Guidant and Medtronic are in clinical
trials. All use different drugs in the coating.
(source: Cordis Corporation)
January 19, 2004
15,000-Patient
Interventional Cardiology Registry To Evaluate Impact
of Drug-Eluting Coronary Stents
In its press release, the company today "announced plans to initiate the D.E.S.cover(sm) Registry,
one of the most comprehensive interventional cardiology registries to date.
Enrollment in the registry is scheduled to begin in first quarter 2004, and
will include approximately 15,000 patients at more than 200 U.S. hospitals." The
idea is to track more comprehensively the outcomes of patients who have been
treated with stents and angioplasty. This registry seems to be an expansion
of the Fall 2003 follow-up ordered
by the FDA.
(source: Cordis Corporation)
January 15, 2004
A
Polymer-Based, Paclitaxel-Eluting Stent in Patients
with Coronary Artery Disease
Abstract of the journal article (the full-text version is available to NEJM
subscribers only) which details the data from the Taxus IV study, some of which
were presented at this fall's TCT meeting. The study contrasted patients who
received bare metal stents with those who received the Boston Scientific Taxus
drug-eluting stent. The restenosis (reclosure) rate was 26.6% for the bare
stents compared with 7.9% for the Taxus.
(source: New England Journal of Medicine)
January 14, 2004
Stent
With Cancer Drug Shines in Trial
This article expands upon the New England Journal report (above) regarding
the Taxus stent.
(source: Adam Marcus, HealthDay)
January 14, 2004
Medtronic
Stent Trial Enrollment Done, Re-Submits IDE
Company press release reports that they have completed enrollment in the Endeavor
II drug-eluting stent trial and hopes for a European launch in late 2004.
(source: Daniel Rosenberg, Dow Jones Newswire)
January 13, 2004
Boston
Sci CFO Hopes For Quick US Plant OK From FDA
Larry Best, CFO of Boston Scientific comments on the pending approval of the
Taxus drug-eluting stent in the U.S. He states, "We have our fingers crossed
for a February approval."
(source: Daniel Rosenberg, Dow Jones Newswire)
January 13, 2004
Boston
Scientific Announces Preliminary Results for Fourth
Quarter and Year Ended December 31, 2003
The company announces its financial information and also notes that the FDA
inspection team has recommended approval of Galway drug-eluting stent manufacturing
facility, which moves the pending approval of the Taxus drug-eluting stent
forward.
(source: Boston Scientific Corporation)
January 8, 2004
Boston
Scientific and NitroMed Extend Collaboration on the
Development of Nitric Oxide Coated Stents; Companies
Extend Development Agreement for Two Years
NitroMed has been conducting trials with their drug BiDil® that releases
nitric oxide, known to inhibit vascular smooth muscle proliferation, platelet
adhesion and aggregation, and local inflammation. The drug has been particularly
of interest for treating African-American patients who have lower nitric oxide
levels. Boston Scientific is collaborating with the company to develop drug-coated
stents using this agent.
(source: NitroMed, Inc.)
January 8, 2004
GenVec
Enters Into Collaboration With Cordis Corporation
The companies are exploring a catheter system, using GenVec's vascular endothelial
growth factor BIOBYPASS® to stimulate blood vessel growth in the coronary
arteries.
(source: GenVec, Inc.) |