2
OBJECTIVE: To evaluate the performance of the Eluvia Drug-Eluting Vascular Stent System in the treatment of superficial femoral (SFA) and/or proximal popliteal artery (PPA) lesions. TRIAL DESIGN: • Prospective, single-arm, non-randomized, multi-center, core lab adjudicated • Primary patency, ankle-brachial index (ABI), Rutherford classification and stent fracture evaluated at 12 and 24 months • Freedom from TLR evaluated at 12, 24 and 36 months • Eligible patients with chronic, symptomatic (Rutherford categories 2, 3 or 4) lower limb ischemia and stenotic, restenotic or occlusive lesions in the native superficial femoral artery or proximal popliteal artery (n=57) • Degree of stenosis 70% (visual angiographic assessment) • Vessel diameter 4 mm and 6 mm • Total lesion length 30 mm and 110 mm BASELINE CHARACTERISTICS: MAJESTIC Stenting of the Superficial Femoral and/or Proximal Popliteal Artery Project with Boston Scientific’s (ELUVIA TM ) Drug-Eluting Stent MAJESTIC Clinical Trial 3-Year Follow-Up 1 1 Müller-Hülsbeck S, et al. Long-Term Results from the MAJESTIC Trial of the Eluvia Paclitaxel-Eluting Stent for Femoropopliteal Treatment: 3 Year Follow up. Cardiovasc Interv Radiol. 2017, in press. Note: Kaplan-Meier Estimates. Per study protocol, primary patency was not evaluated at 36 months. a Duplex ultrasound peak systolic velocity ratio 2.5 and abscence of TLR or bypass. b No TLR and those with TLR not for complete occlusion or bypass who were free of restenosis at 24 months. 3-YEAR RESULTS: The Eluvia Stent continues to demonstrate unprecedented clinical outcomes with an 85.3% freedom from TLR at 3 years, one of the highest reported in comparable SFA clinical trials. Patient Demographics n = 57 subjects Lesion Characteristics (Core Lab) n = 57 lesions Age (Years) 69.3 ± 9.3 Reference Vessel Diameter 5.2 ± 0.8 Male Gender 82.5% Target Lesion Length 70.8 ± 28.1 Diabetes Mellitus 35.1% Severely Calcified 64.9% History of Smoking 87.7% Percent Diameter Stenosis 86.3% ± 16.2% Hypertension 73.7% Total Occlusions 46.2% Hyperlipidemia 63.2% % Extending into Distal SFA 77.2% Coronary Artery Disease 38.6% % Extending into PPA 8.8% 12 Months 24 Months Primary Patency a 96.4 % 83.5 % Assisted Primary Patency b 98.2 % 88.9 % 100 % 80 % 60 % 40 % 20 % 0 % 0 16 8 24 32 4 Freedom from TLR Rate 20 12 28 36 2 18 10 26 34 6 22 14 30 38 Months Since Index Procedure 100 % 80 % 60 % 40 % 20 % 0 % Freedom from TLR Rate 0 16 8 24 32 4 20 12 28 36 2 18 10 26 34 6 22 14 30 38 Months Since Index Procedure Sev Calc Occlusions Diabetes Mellitus Freedom from TLR: Full Cohort 36 Months Freedom from TLR: Sub-analysis 36 Months 85.3% FV_BVS287517_3years_Majestic_Data_Sheet.indd 1 07.09.17KW36 10:44

MAJESTIC Clinical Trial 3-Year Follow-Up...MAJESTIC Stenting of the Superficial Femoral and/or Proximal Popliteal Artery Project with Boston Scientific’s (ELUVIA TM) Drug-Eluting

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Page 1: MAJESTIC Clinical Trial 3-Year Follow-Up...MAJESTIC Stenting of the Superficial Femoral and/or Proximal Popliteal Artery Project with Boston Scientific’s (ELUVIA TM) Drug-Eluting

OBJECTIVE: To evaluate the performance of the Eluvia Drug-Eluting Vascular Stent System in the treatment of superficial femoral (SFA) and/or proximal popliteal artery (PPA) lesions.

TrIal DEsIgn: • Prospective, single-arm, non-randomized, multi-center, core lab adjudicated• Primary patency, ankle-brachial index (ABI), Rutherford classification and stent fracture evaluated at 12 and 24 months• Freedom from TLR evaluated at 12, 24 and 36 months• Eligible patients with chronic, symptomatic (Rutherford categories 2, 3 or 4) lower limb ischemia and stenotic,

restenotic or occlusive lesions in the native superficial femoral artery or proximal popliteal artery (n=57)• Degree of stenosis ≥ 70% (visual angiographic assessment)• Vessel diameter ≥ 4 mm and ≤ 6 mm• Total lesion length ≥ 30 mm and ≤ 110 mm

BasElInE CHaraCTErIsTICs:

MAJESTIC Stenting of the Superficial Femoral and/or Proximal PoplitealArtery Project with Boston Scientific’s (ELUVIATM) Drug-Eluting Stent

MAJESTIC Clinical Trial 3-Year Follow-Up1

1 Müller-Hülsbeck S, et al. Long-Term Results from the MAJESTIC Trial of the Eluvia Paclitaxel-Eluting Stent for Femoropopliteal Treatment: 3 Year Follow up. Cardiovasc Interv Radiol. 2017, in press.

Note: Kaplan-Meier Estimates. Per study protocol, primary patency was not evaluated at 36 months.a Duplex ultrasound peak systolic velocity ratio ≤ 2.5 and

abscence of TLR or bypass.b No TLR and those with TLR not for complete occlusion

or bypass who were free of restenosis at 24 months.

3-YEar rEsUlTs: The Eluvia Stent continues to demonstrate unprecedented clinical outcomes with an 85.3% freedom from TLR at 3 years, one of the highest reported in comparable SFA clinical trials.

Patient Demographics n = 57 subjects lesion Characteristics (Core lab) n = 57 lesions

Age (Years) 69.3 ± 9.3 Reference Vessel Diameter 5.2 ± 0.8

Male Gender 82.5% Target Lesion Length 70.8 ± 28.1

Diabetes Mellitus 35.1% Severely Calcified 64.9%

History of Smoking 87.7% Percent Diameter Stenosis 86.3% ± 16.2%

Hypertension 73.7% Total Occlusions 46.2%

Hyperlipidemia 63.2% % Extending into Distal SFA 77.2%

Coronary Artery Disease 38.6% % Extending into PPA 8.8%

12 Months 24 Months

Primary Patencya 96.4 % 83.5 %

Assisted Primary Patencyb 98.2 % 88.9 %

100 %

80 %

60 %

40 %

20 %

0 %

0 168 24 324

Free

do

m f

rom

TLR

Rat

e

2012 28 362 1810 26 346 2214 30 38Months Since Index Procedure

100 %

80 %

60 %

40 %

20 %

0 %Free

do

m f

rom

TLR

Rat

e

0 168 24 324 2012 28 362 1810 26 346 2214 30 38Months Since Index Procedure

— Sev Calc

— Occlusions

— Diabetes Mellitus

Freedom from Tlr: Full Cohort 36 Months Freedom from Tlr: sub-analysis 36 Months

85.3%

FV_BVS287517_3years_Majestic_Data_Sheet.indd 1 07.09.17KW36 10:44

Page 2: MAJESTIC Clinical Trial 3-Year Follow-Up...MAJESTIC Stenting of the Superficial Femoral and/or Proximal Popliteal Artery Project with Boston Scientific’s (ELUVIA TM) Drug-Eluting

1 Müller-Hülsbeck S, et al. Long-Term Results from the MAJESTIC Trial of the Eluvia Paclitaxel-Eluting Stent for Femoropopliteal Treatment: 3 Year Follow up. Cardiovasc Interv Radiol. 2017, in press.

2 Per study protocol, duplex ultrasound (DUS), systematic x-ray fracture evaluation, ankle-brachial index (ABI), and Rutherford classification assessments were not evaluated at 3 years.

MAJESTIC Clinical Trial3-Year Follow-Up1

Overall

36-Month MaE 15.1 %

All-Cause Death at 1 Month 0.0 %

Target Limb Major Amputation 0.0 %

Target Lesion Revascularization (TLR) 15.1 %

saFETY rEsUlTs: • 15.1% composite major adverse event rate at 36 months• No deaths or amputations; 8 TLRs (8/53)

sTEnT InTEgrITY: • No stent fractures at 24 months upon angiographic core lab analysis2

PaTIEnT OUTCOMEs: • 91% of patients presented with no or minimal claudication (Rutherford 0-1) at 24 months2

• 91% of patients sustained clinical improvement through 24 months• Mean ABI improved from 0.73 ± 0.22 at baseline to 0.93 ± 0.26 at 24 months

COnClUsIOns: • Long-term results from the MAJESTIC study of the Eluvia stent continue to demonstrate good clinical

outcomes (assessed through 2 years) and a low reintervention rate (through 3 years).• Subgroup analysis suggests that the low TLR rate was representative of outcomes for patients with

risk factors such as diabetes, severe calcification, and occlusion

rUTHErFOrD CaTEgOrY

www.bostonscientific.eu

© 2017 Boston Scientific Corporationor its affiliates. All rights reserved.DINPER4753EA

CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings and instructions for use can be found in the product labeling supplied with each device. Information for use only in countries with applicable health authority product registrations.This material is not for use or distribution in France. Eluvia is a registered or unregistered trademark of Boston Scientific Corporation or its affiliates. All other trademarks are property of their respective owners.

PI-494010-AA AUG2017 Printed in Germany by medicalvision.

100 %

80 %

60 %

40 %

20 %

0 %

5

4

3

2

1

0

Baseline (n = 57)

1 Months (n = 56)

12 Months (n = 53)

24 Months (n = 53)

FV_BVS287517_3years_Majestic_Data_Sheet.indd 2 07.09.17KW36 10:44