LEIPZIG, Germany, and BUELACH, Switzerland, BIOTRONIK, a global leader in cardio- and endovascular medical technology, presented new data regarding the Passeo-18 Lux drug- coated balloon (DCB) in a scientific symposium at LINC 2016. During the symposium, which focused on data emerging from Passeo-18 Lux’s rigorous clinical program, interim six-month data from the BIOLUX P-III registry was released for the first time. The prospective multicenter all-comers study is designed to provide further evidence for Passeo-18 Lux’s efficacy in treating peripheral artery disease in routine clinical practice; it is enrolling a minimum of 700 patients at 55 sites in 19 countries in Europe, Asia, Australia and the Pacific.

“Passeo-18 Lux proved its safety in earlier randomized, controlled trials for both superficial femoral artery (SFA) and below-the-knee (BTK) indications1,2. As these trials served as proof of concept for the technology, the next step was to extend these results in a population reflecting routine clinical practice. BIOLUX P-III is therefore an all- comers registry enrolling a large number of real-world patients,” commented coordinating clinical investigator for the trial Dr. Gunnar Tepe, Rosenheim Clinic, Germany. “The results seen in the small cohort of patients from earlier trials are now strengthened by an interim analysis of 200 patients, offering further support for DCB as a potential standard approach for treating lower limb disease.”

BIOLUX P-III’s primary endpoint is freedom from major adverse events (MAE) at six months, defined as a composite of freedom from mortality, major target limb amputation and target lesion revascularization (TLR). Of the 200 patients for whom data is available so far, the rate of freedom from MAE was high at 94.4% while the rate of freedom from clinically driven TLR was 96.8%.

In addition to the data from BIOLUX P-III, new data on a novel combination therapy approach supporting Passeo-18 Lux DCB with Pulsar-18 self-expanding stent (SES) was presented. The BIOFLEX PEACE all-comers registry, studying the Pulsar SES, reported six- month interim results for 126 patients. 55 patients were treated with combination therapy (Pulsar-18 plus DCB) and demonstrated a Primary Patency (PP) rate of 89.1% and a freedom from TLR rate of 90.9%. Furthermore, the BIOLUX 4EVER clinical trial, which is currently evaluating the outcome of Passeo-18 Lux treatment followed by Pulsar-18 implementation in the SFA, was also presented. Interim six-month data on 85 patients demonstrated a PP rate of 96.1% and a freedom from TLR rate of 98.8%.

“Preliminary results from the ongoing BIOFLEX PEACE and BIOLUX 4EVER trials confirm the trend seen in the earlier DEBAS trial3. All of them show the high potential of combination therapy with Passeo-18 Lux and Pulsar-18 in the SFA,” stated the symposium’s chairperson Dr. Marianne Brodmann, Graz Medical University, Austria. “These preliminary results indicate that combination therapy supporting Passeo-18 Lux DCB with the thin-strut Pulsar-18 SES may improve the treatment outcomes of the two individual technologies in challenging vessel morphologies and patient populations.”

“Passeo-18 Lux and Pulsar-18, which is now also available in 2.0 and

2.5 mm diameters, represent key technologies in the BIOTRONIK peripheral portfolio, each bringing unique clinical benefits,” commented Dr. Alexander Uhl, BIOTRONIK Vice President Marketing, Vascular Intervention. “We stand by their clinical proof as individual treatment options, and with these additional studies we hope to extend the highly encouraging 24 month results from the DEBAS trial, demonstrating that combination therapy with both devices can achieve even better clinical performance.”

About Passeo-18 Lux

Passeo-18 Lux is a novel combination device for treating de novo and restenotic lesions in the infrainguinal arteries. Its design is based on that of the proven Passeo-18 uncoated balloon catheter, combined with a balloon coating containing a matrix of anti-proliferative paclitaxel and butyryl-tri-hexyl citrate, a biocompatible excipient to enable optimal drug transfer to the target lesion tissue. This coating is also applied to Pantera Lux, a clinically proven coronary drug- coated balloon. Passeo-18 Lux also features the unique SafeGuard insertion aid, which improves ease of handling and protects the user and balloon coating from contact and damage. After use, SafeGuard can simply be peeled away.

About Pulsar-18

Pulsar-18 stents feature an innovative, highly flexible design coated with proBIO, a silicon carbide layer that improves the stent's hemocompatibility and biocompatibility, which is believed to contribute to its excellent clinical results. Pulsar-18 is available in diameters of 4 to 7 mm, all deliverable through a 4 F sheath.

About BIOTRONIK

A global leader in cardio- and endovascular medical technology, BIOTRONIK is headquartered in Berlin, Germany, and represented in over 100 countries. Several million patients have received BIOTRONIK implants designed to save and improve the quality of their lives, or have been treated with BIOTRONIK coronary and peripheral vascular intervention products. Since its development of the first German pacemaker in 1963, BIOTRONIK has engineered many innovations, including BIOTRONIK Home Monitoring®; Pulsar, the world’s first 4 F compatible stent for treating long lesions; Orsiro, the industry’s first hybrid drug-eluting stent; and the world’s first implantable cardioverter defibrillators and heart failure therapy devices with ProMRI® technology.

References:

1. Scheinert D, et al. J Endovasc Ther . 2015, 2(22)
2. Zeller T, et al. JACC Cardiovasc Interv. 2015, 8(12)
3. Mwipatayi P. Self-Expanding Thin Strut Nitinol Stents (Pulsar) Plus DEBs: 2-Year Results from The DEBAS Trial Are Promising. Presented at: Veith Symposium; November 19, 2015. ClinicalTrials.gov: NCT0187935

 Source: Biotronik

The 7th  Kowsar  Hospital congress on:
How to approach , how to manage cardiovascular diseases
with medical and nursing, paediatric and CMR sessions plus hypertension  workshop.
April 26-29,2016
Grand Shiraz Hotel , Shiraz,  Iran.

Treatment mediumCombining Passeo-18 Lux Drug-Coated Balloon with Pulsar-18 Stent Led to Excellent Patency and Safety

NEW YORK, US, and BUELACH, Switzerland, November 20, 2015 – BIOTRONIK, a leading manufacturer of cardio- and endovascular medical technology, has presented the 24-month results from the DEBAS clinical trial at the VEITH symposium. DEBAS is the first investigator-initiated trial to demonstrate the efficacy and safety of a novel combination therapy for peripheral artery disease (PAD) using Passeo-18 Lux drug-coated balloon (DCB) and Pulsar-18 self-expanding stent (SES) to treat peripheral artery disease in a complex patient population.

“BIOTRONIK’s DCB as well as SES have been proven to work as individual treatments for superficial artery disease. However, each approach has its respective limitations in certain vessel morphologies and clinical situations,” stated DEBAS principal investigator Dr. Patrice Mwipatayi, Royal Perth Hospital, Perth, Australia. “The results of DEBAS indicate that a hybrid approach combining Passeo-18 Lux with the thin-strut stent, Pulsar-18 may overcome some of these limitations and improve patients’ clinical outcomes, especially for the long and complex lesions seen in this trial.”

A total of 65 patients were enrolled in the prospective, multicenter, investigator-initiated DEBAS registry, with 24-month data available for 51 patients. More than half of the patients were treated for long, complex TASC D lesions, indicative of an advanced disease state. All patients were treated with the Pulsar-18 stent followed by Passeo-18 Lux DCB. The primary endpoint was primary patency at 12 months with follow-up to 24 months. At 12 months, primary patency was very high at 92.2 percent, sustained at 88.2 percent at 24 months. Major amputation was 1.96 percent at 24 months, confirming the safety of combination therapy with Passeo-18 Lux and Pulsar-18.

“Pulsar-18’s thin strut design makes this stent uniquely suited for adjunctive therapy with DCB, as thinner struts decrease the distance between the DCB’s coating and the vessel wall. A low metal-to-artery ratio guarantees that the drug can be delivered to the vessel wall following stent implantation,” explained Dr. Mwipatayi. “Additionally, Pulsar-18’s thin struts may have a ’scoring effect’ on the lesion when the Passeo-18 Lux is inflated within the stent, potentially reducing barotrauma, or injury caused by inflation of a DCB. These factors might improve drug uptake and lead to the outstanding primary patency seen in this trial.”

“Passeo-18 Lux and Pulsar-18 represent key technologies in the BIOTRONIK peripheral portfolio. They have a documented history of clinical success when used as individual treatment options, and the highly encouraging results of DEBAS show that combination therapy with both can achieve even better clinical performance,” commented Dr. Alexander Uhl, BIOTRONIK Vice President Marketing, Vascular Intervention. “BIOTRONIK has established a rigorous clinical program to more fully investigate combination therapy as an alternative to existing drug-eluting approaches.”

About Passeo-18 Lux

Passeo-18 Lux is a novel combination device for treating de novo and restenotic lesions in the infrainguinal arteries. Its design is based on that of the proven Passeo-18 uncoated balloon catheter, combined with a balloon coating containing a matrix of anti-proliferative paclitaxel and butyryl-tri-hexyl citrate, a biocompatible excipient to enable optimal drug transfer to the target lesion tissue. This coating is also applied to Pantera Lux, a clinically proven coronary drug-coated balloon. Passeo-18 Lux also features the unique SafeGuard insertion aid, which improves ease of handling and protects the user and balloon coating from contact and damage. After use, SafeGuard can simply be peeled away.

About Pulsar-18

Pulsar stents feature an innovative, highly flexible design coated with proBIO, a silicon carbide layer that improves the stent's hemocompatibility and biocompatibility, which is believed to contribute to its excellent clinical results. Pulsar-18 is available in diameters of 4 to 7 mm, all deliverable through a 4 F sheath.

About BIOTRONIK

One of the world’s leading manufacturers of cardio- and endovascular medical devices, BIOTRONIK is headquartered in Berlin, Germany, and represented in over 100 countries. Several million patients have received BIOTRONIK implants designed to save and improve the quality of their lives, or have been treated with BIOTRONIK coronary and peripheral vascular intervention products. Since its development of the first German pacemaker in 1963, BIOTRONIK has engineered many innovations, including BIOTRONIK Home Monitoring^®; the world’s first 4F-compatible 200 mm peripheral stent; Orsiro, the industry’s first hybrid drug-eluting stent; and the world’s first implantable cardioverter defibrillators and heart failure therapy devices with ProMRI^® technology.

For more information, visit: www.biotronik.com

4th Iranian heart Association Cardiovascular Joint Congress
1-4 March, 2016
Rajaie Conference Center
Tehran, Iran