Miami Lakes,
FL (March 12, 2006) -- Data appearing today suggests that patients
who received the CYPHER® Sirolimus-eluting Coronary Stent had a significantly
lower incidence of target vessel failure (TVF) -- defined as cardiac death,
heart attack (myocardial infarction) or the need to re-open the artery (target
vessel revascularization or TLR) -- compared with patients who received
radiation from within a vessel (brachytherapy). In this trial, the CYPHER®
Stent was compared to brachytherapy for the treatment of blockage (restenosis)
in patients who already have a bare metal stent. These data appeared today in
the prestigious Journal of the American Medical Association.
The SISR Trial (A Randomized Trial Comparing Sirolimus-Eluting Stent
with Vascular Brachytherapy for the Treatment of In-Stent Restenosis
Within Bare Metal Stents) is a multi-center, randomized study of 384 patients
from 26 academic and community health centers in the United States. Cordis
Corporation sponsored the trial.
"In-stent restenosis following placement of a bare metal stent remains a
significant clinical problem, and while brachytherapy remains the only
approved therapy for this condition, the results of this study indicate that
the CYPHER® Stent produced better outcomes than brachytherapy at nine months,"
said David R. Holmes, Jr., M.D., principal investigator and professor of
Medicine, The Mayo Clinic College of Medicine, Rochester, MN. "The CYPHER®
Stent showed excellent results in these complex patients."
In this study, the rate of TVF, the primary endpoint of the study, was reduced
from 21.6 percent in patients receiving brachytherapy to 12.4 percent in
patients receiving the CYPHER® Stent (p=0.023) at nine months post procedure.
According to the study authors, this reduction was driven largely by the
decrease in the need for TLR in patients receiving the CYPHER® Stent (8.5
percent for the CYPHER® Stent arm vs. 19.2 percent for the brachytherapy arm;
p=0.004).
Major Adverse Cardiac Events (MACE), which are defined as death, either Q-wave
or non-Q-wave heart attack (myocardial infarction), emergency bypass surgery
or TLR, was also lower in patients receiving the CYPHER® Stent compared to
those receiving brachytherapy (10 percent in the CYPHER® Stent arm vs. 19.2
percent in the brachytherapy arm; p=0.015).
"The results from this trial continue to build on our body of evidence for
treating complex patients with the CYPHER® Stent," said Dennis Donohoe, M.D.,
vice president, Clinical and Regulatory Affairs, Cordis Corporation. "The
CYPHER® Stent continues to demonstrate excellent outcomes in clinical trials
and in the real world."
About the CYPHER® Stent
The CYPHER® Stent has been chosen by cardiologists worldwide to treat more
than 1.7 million patients with coronary artery disease. The safety and
efficacy of the device is supported by a robust clinical trial program that
includes more than 40 Cordis Corporation sponsored clinical trials, in
addition to many independent clinical trials, that examine the performance of
the CYPHER® Stent in a broad range of patients. Developed and manufactured by
Cordis Corporation, the CYPHER® Stent is currently available in more than 80
countries and has the longest-term clinical follow-up of any drug-eluting
stent. The CYPHER® SELECT™ Sirolimus-eluting Coronary Stent, which is the
first next generation drug-eluting stent, was launched in Europe, Asia
Pacific, Latin America and Canada in 2003. More information about the CYPHER® Stent
can be found at www.cypherusa.com.
About Cordis Corporation
Cordis Corporation, a Johnson & Johnson
company, is a worldwide leader in developing and manufacturing interventional
vascular technology. Through the
company's innovation, research and development, physicians worldwide are
better able to treat the millions of patients who suffer from vascular disease.
Cordis Corporation has entered into an exclusive worldwide license with Wyeth
for the localized delivery of sirolimus in certain fields of use, including
delivery via vascular stenting. Sirolimus, the active drug released for the
stent, is marketed by Wyeth Pharmaceuticals, a division of Wyeth, under the
name Rapamune®. Rapamune® is a trademark of Wyeth Pharmaceuticals.