Evidence map›Paper›PMID 32890442›Full record

Trial reportCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2021

Individual patient data analysis of the BIOFLOW study program comparing safety and efficacy of a bioresorbable polymer sirolimus eluting stent to a durable polymer everolimus eluting stent.

Ralph Toelg, Ton Slagboom, Johannes Waltenberger, Thierry Lefèvre, Shigeru Saito, David E Kandzari, Jacques Koolen, Gert Richardt

4 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
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.

NCT01356888 naunknown statusnot on this map

BIOTRONIK-Safety and Clinical PerFormance of the Drug ELuting Orsiro Stent in the Treatment of Subjects With Single de Novo Coronary Artery Lesions - II

TypeinterventionalSponsorBiotronik AGRan2011 to 2018Enrolled452ConditionsCoronary Artery DiseaseArmsPercutaneous Coronary Intervention (Abbott Laboratories - Xience Prime DES), Percutaneous Coronary Intervention (Orsiro DES)
NCT01553526 unknown statusnot on this map

BIOTRONIK - Safety and Performance Registry for an All-comers Patient Population With the Limus Eluting Orsiro Stent System Within Daily Clinical Practice - III

TypeobservationalSponsorBiotronik AGRan2011 to 2017Enrolled1,356ConditionsCoronary Artery Disease, Myocardial Ischemia
NCT01939249 naunknown statusnot on this map

BIOTRONIK-A Prospective, Randomized, Multicenter Study to Assess the Safety and Effectiveness of the Orsiro Sirolimus Eluting Stent in the Treatment of Subjects With up to Two de Novo Coronary Artery Lesions - IV

TypeinterventionalSponsorBiotronik AGRan2013 to 2020Enrolled585ConditionsCoronary Artery DiseaseArmsAbbott Laboratories Xience, Biotronik Orsiro
NCT02389946 nacompletednot on this map

BIOTRONIK - A Prospective Randomized Multicenter Study to Assess the SaFety and Effectiveness of the Orsiro SiroLimus Eluting Coronary Stent System in the Treatment Of Subjects With up to Three De Novo or Restenotic Coronary Artery Lesions - V

TypeinterventionalSponsorBiotronik, Inc.Ran2015 to 2021Enrolled1,334ConditionsCoronary Artery Disease, Atherosclerosis, Coronary, Myocardial Ischemia, Ischemic Heart DiseaseArmsOrsiro DES, Xience DES
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Individual patient data analysis of the BIOFLOW study program comparing safety and efficacy of a bioresorbable polymer sirolimus eluting stent to a durable polymer everolimus eluting stent.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2021
    Trial
  2. 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

8 authors at 7 institutions in 5 countries.

Ralph ToelgHerzzentrum, Segeberger Kliniken GmbH, Bad Segeberg, Germany.
Ton SlagboomHeartcenter, OLVG, Amsterdam, The Netherlands.
Johannes WaltenbergerKlinik für Innere Med. I, SRH Zentralklinikum Suhl gGmbH, Suhl, Germany.ORCID 0000-0002-2417-9880
Thierry LefèvreHospital Privé Jacques Cartier, Massy, France.
Shigeru SaitoDepartment of Cardiology, Okinawa Tokushukai Shonan Kamakura General Hospital, Kamakura, Japan.ORCID 0000-0001-9560-1228
David E KandzariPiedmont Heart Institute, Atlanta, Georgia, USA.ORCID 0000-0002-0868-6655
Jacques KoolenCatharina Hospital, Eindhoven, The Netherlands.
Gert RichardtHerzzentrum, Segeberger Kliniken GmbH, Bad Segeberg, Germany.
Segeberger Kliniken · DEHôpital Privé Jacques Cartier · FRKlinik für Psychosomatik · DEOLVG · NLPiedmont Atlanta Hospital · USRadboud University Nijmegen · NLShonan Kamakura General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis analysis of pooled individual patient data (IPD) aimed to evaluate the safety and efficacy of a bioresorbable polymer sirolimus eluting stent system (BP-SES; Orsiro) compared to a durable polymer everolimus eluting stent system (DP-EES; Xience) in the pooled population as well as in subgroups.

methodsIPD with up to 12 months follow-up of the randomized controlled trials BIOFLOW-II (NCT01356888), -IV (NCT01939249), and -V (NCT02389946) as well as the all comers registry BIOFLOW-III (NCT01553526) were pooled. A total of 3,717 subjects (2,923 in BP-SES and 794 in DP-EES) with 5,328 lesions (4,225 lesions in BP-SES and 1,103 in DP-EES) were included in the IPD. The primary endpoint was target lesion failure (TLF) at 12 months follow-up. Subgroups analyzed included diabetes, age (≥65 years), gender, complex lesions (B2/C), small vessels (reference vessel diameter ≤2.75 mm), multivessel treatment, renal disease, and patients with acute coronary syndrome.

resultsOverall, TLF at 12 months was significantly lower with 5.2%in the BP-SES group versus 7.6% in the DP-EES group (p = .0098). Similarly, target vessel myocardial infarction (TV-MI) was 3.1 versus 5.7% (p = .0005). The rate of stent thrombosis was similar in both groups (0.004%). By regression analysis, an independent stent effect in favor of BP-SES was observed for TLF (p = .0043) and TV-MI (p = .0364) in small vessels.

conclusionResults of this IPD analysis suggest that the BP-SES with ultrathin struts is as safe as and more efficacious than DP-EES in the overall cohort and especially in small vessels.

Indexed as

Coronary Artery DiseaseDrug-Eluting StentsEverolimusSirolimusAbsorbable ImplantsAgedData AnalysisHumansPolymersProsthesis DesignTreatment OutcomeEverolimusPolymersSirolimusdrug eluting stentpooled analysissmall vesselstrut thicknesstarget lesion failure

Identifiers

PMID32890442
PMCPMC9292184
OpenAlexW3083589196

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.