Evidence map›Paper›PMID 31567024›Full record

SynthesisCirculation2019

Mortality Assessment of Paclitaxel-Coated Balloons: Patient-Level Meta-Analysis of the ILLUMENATE Clinical Program at 3 Years.

William A Gray, Michael R Jaff, Sahil A Parikh, Gary M Ansel, Marianne Brodmann, Prakash Krishnan, Mahmood K Razavi, Frank Vermassen, Thomas Zeller, Roseann White and 3 more

7 registry-linked trialsAbstract readMeta-Analysis
In one paragraph

Synthesis in Circulation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01858363 nacompletednot on this map

Prospective, Randomized, Multi-center, Single-blinded Study for the Treatment of Subjects Presenting With De Novo Occluded/Stenotic or Re-occluded/Restenotic Lesions of the Superficial Femoral or Popliteal Arteries Using Paclitaxel or Bare Percutaneous Transluminal Angioplasty Balloon Catheter

TypeinterventionalSponsorSpectranetics CorporationRan2012 to 2020Enrolled294ConditionsPeripheral Arterial Disease, ClaudicationArmsCVI Paclitaxel-coated Percutaneous Transluminal Angioplasty Balloon Catheter, Bare Percutaneous Transluminal Angioplasty Balloon Catheter
NCT01858428 nacompletednot on this map

ILLUMENATE Pivotal: ProspectIve, Randomized, SingLe-Blind, U.S. MuLti-Center Study to EvalUate TreatMent of Obstructive SupErficial Femoral Artery or Popliteal LesioNs With A Novel PacliTaxel-CoatEd Percutaneous Angioplasty Balloon

TypeinterventionalSponsorSpectranetics CorporationRan2013 to 2018Enrolled300ConditionsPeripheral Arterial DiseaseArmsCardiovascular Ingenuity (CVI) Paclitaxel-coated Percutaneous Transluminal Angioplasty Balloon Catheter, EverCross Percutaneous Transluminal Balloon Catheter
NCT01912937 phase2 / phase3completednot on this map

ProspectIve, SingLe-Arm, MuLti-Center, Pharmacokinetic Study to EvalUate TreatMent of Obstructive SupErficial Femoral Artery or Popliteal LesioNs With A Novel PacliTaxel-CoatEd Percutaneous Angioplasty Balloon

TypeinterventionalSponsorSpectranetics CorporationRan2013 to 2017Enrolled25ConditionsPeripheral Artery DiseaseArmsAngioplasty treatment with the CVI Drug-coated Balloon (DCB)
NCT01927068 nacompletednot on this map

Prospective, Single-Arm, Global Multi-Center Study to Evaluate Treatment of Obstructive Superficial Femoral Artery (SFA) and/or Popliteal Lesions With a Novel Paclitaxel-Coated Percutaneous Angioplasty (PTA) Balloon and in In-Stent Restenosis

TypeinterventionalSponsorSpectranetics CorporationRan2013 to 2022Enrolled499ConditionsPeripheral Arterial DiseaseArmsStellarex 0.035" Over-the-Wire (OTW) drug-coated angioplasty balloon (Stellarex DCB)
NCT02110524 nacompletednot on this map

Prospective, Controlled, Multi-Center, Open, Single Arm Study for the Treatment of Subjects Presenting De Novo Occluded/Stenotic or Re-occluded/Restenotic Lesions of the Superficial Femoral or Popliteal Arteries Using a Paclitaxel-Coated Percutaneous Angioplasty Catheter

TypeinterventionalSponsorSpectranetics CorporationRan2011 to 2014Enrolled80ConditionsPeripheral Arterial DiseaseArmsPercutaneous Transluminal Angioplasty
NCT02769273 completednot on this map

Stellarex Vascular E-Registry

Typeobservational_patient_registrySponsorSpectranetics CorporationRan2016 to 2021Enrolled1,900ConditionsPeripheral Arterial DiseaseArmsPercutaneous Transluminal Angioplasty
NCT03421561 nacompletednot on this map

ProspectIve, Randomized, SingLe-Blind, U.S. MuLti-Center Study to EvalUate TreatMent of Obstructive SupErficial Femoral Artery or Popliteal LesioNs With A Novel PacliTaxel-CoatEd Percutaneous Angioplasty Balloon Pivotal Post-Approval Study

TypeinterventionalSponsorSpectranetics CorporationRan2013 to 2020Enrolled300ConditionsPeripheral Artery DiseaseArmsStellarex 0.035" OTW Drug-coated Angioplasty Balloon, EverCross™ 0.035 PTA Balloon Catheter
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Review
  8. Article
  9. Drug-eluting devices for lower limb peripheral arterial disease.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Review
  10. Device regulation and surveillance in vascular care: Challenges and opportunities.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2024
    Review
  11. Article
  12. Review
  13. Article
  14. Single-Center Study Evaluating Long-Term Major Adverse Outcomes with the Use of Paclitaxel-Coated Balloons in Treating Infrainguinal Arterial Disease.The International journal of angiology : official publication of the International College of Angiology, Inc · 2023
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

William A GrayLankenau Heart Institute/Main Line Health, Philadelphia, PA (W.A.G.).
Michael R JaffNewton-Wellesley Hospital, MA (M.R.J.).
Sahil A ParikhNew York Presbyterian Hospital, Columbia University Irving Medical Center (S.A.P.).
Gary M AnselOhioHealth Heart and Vascular Physicians, Columbus (G.M.A.).
Marianne BrodmannMedical University Graz, Austria (M.B.).
Prakash KrishnanMount Sinai Hospital, New York (P.K.).
Mahmood K RazaviSt. Joseph Health, Orange, CA (M.K.R.).
Frank VermassenGhent University Hospital, Belgium (F.V.).
Thomas ZellerUniversitäts - Herzzentrum, Freiburg, Germany (T.Z.).
Roseann WhiteSyntactx, New York (R.W., K.O., M.A.A.).
Kenneth OurielSyntactx, New York (R.W., K.O., M.A.A.).
Mark A AdelmanSyntactx, New York (R.W., K.O., M.A.A.).
Sean P LydenCleveland Clinic, OH (S.P.L.).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA recent summary-level meta-analysis comprising randomized, controlled trials (RCTs) of femoropopliteal paclitaxel-coated balloon and stent intervention identified excess late mortality in the paclitaxel-treated patients.

methodsWe evaluated the safety of the Stellarex drug-coated balloon (DCB) for femoropopliteal artery disease with an independently performed meta-analysis of patient-level data from all patients in the Stellarex femoropopliteal clinical program. To compare mortality after DCB or uncoated percutaneous transluminal angioplasty (PTA), we aggregated data from 2 RCTs comprising 419 patients treated with DCB and 170 patients treated with PTA. In an additional analysis, data were aggregated from 6 poolable Stellarex DCB studies (2 RCTs, 3 single-arm studies, and 1 registry). All serious adverse events including deaths were adjudicated by a blinded, third-party, independent Clinical Events Committee. Kaplan-Meier estimates in the RCTs were compared with restricted mean survival time. Predictors of death were assessed with hazard ratios (HRs) and Cox proportional hazards modeling.

resultsBaseline characteristics were similar in the patients treated with DCB and PTA in the pooled RCT analysis, with the exception that the DCB cohort was younger (67.4±9.7 versus 69.4±9.4 years,

conclusionsThe mortality rates for patients treated with the DCB and uncoated PTA were indistinguishable over 3-year follow-up. Additional patient-level, adequately powered meta-analyses with larger RCT data sets will be needed to confirm the generalizability of these findings. CLINICAL

trial registrationURL: http://www.clinicaltrials.gov. Unique identifiers: NCT02110524, NCT01858363, NCT01858428, NCT03421561, NCT01912937, NCT01927068, and NCT02769273.

Indexed as

AgedAngioplastyDrug-Eluting StentsFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPaclitaxelPeripheral Arterial DiseaseProportional Hazards ModelsRandomized Controlled Trials as TopicPaclitaxelmortalitypaclitaxelperipheral vascular diseases

Identifiers

PMID31567024
PMCPMC6784772

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

and 1 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.