CENTURY Trial
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First-in-man angiographic and OCT single arm assessment

Prospective trial at 8 sites in Europe:

  • Primary endpoint: late loss at 6 months
  • Main secondary endpoints: TLF (cardiac death, TV-related MI, clinically indicated TLR), and stent thrombosis
  • Angio/IVUS: angiographic in-stent and in-segment binary restenosis rate; in-stent, in-segment, proximal, and distal MLD; IVUS-assessed neointimal hyperplasia volume and percentage volume obstruction; OCT-assessed stent strut coverage and malapposition

Stage: Published and completed

Featured products: Ultimaster™ Tansei™ Sirolimus Eluting Coronary Stent System, Ultimaster Nagomi™ Sirolimus Eluting Coronary Stent System

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Objectives
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  • To investigate the 6-month angiographic and long-term clinical outcomes for Ultimaster

    • Effect on arterial vessel wall assessed with sophisticated imaging techniques: IVUS and OCT
    • Short- and long-term safety and efficacy evaluated by predefined endpoints
  • To compare the results for Ultimaster with data from a historical BMS cohort

IVUS, intravascular ultrasound; OCT, optical coherence tomography MI, myocardial infarction; MLD, minimal lumen diameter; TLR, target lesion revascularisation; TV, target vessel.

Barbato E et al. EuroIntervention 2015;11:541–8.

Beleslin B. Presented at EuroPCR 2017, abstract OP0028.

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Study design
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Primary endpoint: clinically significant and superior efficacy at 6 months with Ultimaster vs a historical BMS groups
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A high degree of stent coverage was achieved at 6 months with Ultimaster
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Low rates of stent-related events with Ultimaster up to 5 years
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Similar rates of TVF* at 5 years for both stents
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  • Ultimaster was superior to the BMS withrespect to in-stent late loss: achieving a 95% late loss reduction

  • IVUS and OCT data support the efficacy and safety profile of Ultimaster:

    • Thin and homogeneous layer of neointima covered stent struts 6 months after implantation
    • Average strut coverage rate of 96.2%
  • Rates of clinical events remained low with Ultimaster up to 5 years after implantation, with a low TLR rate, and just one acute ST reported due to untreated dissection

Barbato E. Presented at EuroPCR 2015, abstract OP047; Barbato E et al. EuroIntervention 2015;11:541–8; Beleslin B. Presented at EuroPCR 2017, abstract OP0028.

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Featured products
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