FOR: ATRIUM MEDICAL CORPORATION
Atrium Medical Corporation Announces Release of the Final Results of the "COCTAIL Study"
NOV 5, 2009 - 07:00 ET
HUDSON, NH--(Marketwire - November 5, 2009) - Atrium Medical Corporation is proud to announce
the release of the final results of the "COCTAIL Study," a clinical study
comparing local administration of an anti-platelet medication with the
company's proprietary infusion balloon technology. Dr. Francesco Prati of
San Giovanni Hospital and the European Imaging Laboratory in Rome, Italy
presented the results of this study at the recent TCT (Transcatheter
Cardiovascular Therapeutics) meeting held in San Francisco, California.
The final results demonstrated that super selective local intracoronary
infusion of an anti-platelet medication known as abciximab* through the
Atrium® ClearWay™ RX Local Therapeutic Infusion Catheter significantly
reduced occluded coronary thrombus burden as measured by Optical Coherence
Tomography (OCT) while infusion of the same dose of medication through a
traditional open-ended guide catheter did not.
This first of its kind coronary occlusion study is a multi-centered,
randomized, single blinded, controlled clinical trial comparing local
coronary administration of the drug abciximab through a guide catheter
compared with local coronary administration of abciximab using Atrium's
novel infusion balloon catheter. The primary objective is to verify
whether local intracoronary delivery (IC) with Atrium's ClearWay™ RX
infusion balloon catheter is capable of reducing thrombus burden, confirmed
by OCT imaging analysis, as compared to traditional IC guide catheter
infusion (no infusion balloon). The secondary objective is to address
whether the administration of abciximab by IC ClearWay™ RX, as compared
to IC guide catheter delivery, can improve macro and micro circulation post
intervention by measuring corrected TIMI Frame Count (cTFC) and Myocardial
Blush Grade imaging scores via angiography.
The study enrolled a total of 50 patients. The final results presented
were for 41 patients who entered the final analysis: 20 in the ClearWay™
RX group, and 21 in the Guide Catheter group.
The primary endpoint demonstrated infusion balloon delivery of the
anti-platelet medication abciximab through the Atrium ClearWay™ RX
catheter significantly reduced the thrombus volume or thrombus burden in
the coronary by over 34% (p = 0.0007) while local guide catheter infusion
only reduced the thrombus burden by 4% (p = ns). There was also
statistically significant improvement in the corrected TIMI Frame Count
(cTFC) in the ClearWay™ RX infusion group compared to the guide catheter
infusion group, indicating better patient outcomes by use of the Atrium
infusion balloon technology. The ClearWay™ RX infusion group had an
average cTFC of 15.29 versus 21.07 for the guide catheter infusion group (p
< 0.05). The ClearWay™ RX infusion group had more patients with
improvement of blood flow to the heart muscle, with the highest TIMI score
as possible at 3, which is an important measurement for heart muscle
perfusion following an acute myocardial infarction or heart attack.
The overall Myocardial Blush Grade scores in all ClearWay™ RX patients
also showed a positive improvement trend, but the blush grade score data
was not statistically significant. Another interesting finding from the
final study results was the fact the Atrium ClearWay™ treatment group
demonstrated a lower percent diameter stenosis of 5.9% vs. 11.2% for the
Guide Catheter group (p = 0.022) at immediate post-procedure angiography
review, demonstrating further evidence of efficacy in this study for the
ClearWay™ device.
These findings are considered to be very exciting for the management of
acute myocardial infarction (AMI) patients. This novel treatment strategy
with Atrium's infusion balloon technology for use in myocardial infarction
(MI) patients will be further tested in a large, multi-centered,
randomized, controlled trial known as INFUSE AMI. Principal Investigator
Gregg Stone, MD from New York and Co-Principal Investigator C. Michael
Gibson, MD from Boston will report their initial findings in the fall of
2010.
Disclaimer: ClearWay™ RX is manufactured & distributed by Atrium Medical
Corporation worldwide and is indicated for localized infusion of various
diagnostic and therapeutic agents into the coronary and peripheral
vasculature.
*Abciximab (ReoPro® - Lilly®) is indicated as an adjunct to PCI for the
prevention of cardiac ischemic complications: In patients undergoing PCI
and in patients with UA not responding to conventional medical therapy when
PCI is planned within 24 hours. It is not indicated for intracoronary
delivery.
About Atrium
Atrium's vast expertise in medical device technologies for the treatment of
coronary and vascular disease, chest trauma, hernia and soft tissue injury
has brought a number of breakthrough advances in several diversified
healthcare markets. Maintaining a commitment to the latest ISO13485 Quality
Standards, state-of-the-art manufacturing and automation, cell biology and
biomaterial discovery programs, Atrium continues to excel in those
healthcare segments that require more advanced surgical intervention for
improvements in patient outcomes. For more information please call Atrium's
Marketing Communications Dept. at 1-800-370-7899 or Google® Atrium
Medical, and visit us on the web at www.atriummed.com.
FOR FURTHER INFORMATION PLEASE CONTACT:
For more information:
Atrium's Marketing Communications Dept.
1-800-370-7899
Google® Atrium Medical
www.atriummed.com
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