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SUPRAFLEX CRUZ STENT Main characteristics and studies

SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

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Page 1: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

SUPRAFLEX CRUZ STENT

Main characteristics and studies

Page 2: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Stent details

Page 3: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Stent details

LDZ = Long Dual Z link

Page 4: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Platform

Page 5: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Platform – LDZ link

Page 6: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Deliverability

Page 7: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Strut thickness

Main benefits related to lower strut thickness

Page 8: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Cell opening

Page 9: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Post-Dilatation

Page 10: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Polmer and drug release

Page 11: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Clinical studies

Page 12: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

General details of the study

▪ Hypothesis

▪ Non-inferiority of device-oriented endpoint (DOCE) – a composite of cardiac

death, target vessel myocardial infarction, and clinically-indicated target

lesion revascularization – in the Supraflex arm compared with the Xience

arm at 12 months post-procedure.

▪ Sample size calculation

▪ Expected DOCE rate of Xience at 12 months: 8.3% (Resolute All-comers

(Xience arm)*

▪ Non-inferiority margin of 4.0%

▪ One-sided type I error of 0.05

▪ 85% power to detect non-inferiority

▪ Assume lost to follow-up of 3%

• A total of 1435 subjects were to be randomized.

Page 13: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Non inferiority

Page 14: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Baseline Characteristics

Page 15: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Procedural details

Page 16: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Lesion details

Page 17: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Device success

Page 18: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Device success

Page 19: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Primary endpoint

Page 20: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Non inferiority

Original Hypothesis

Post-Hoc Hypothesis

Page 21: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Cardiac death

Page 22: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Cardiac death

Page 23: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Target vessel MI

Page 24: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Stent thrombosis

Page 25: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Clinically indicated TLR

Page 26: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Per protocol analysis

Page 27: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Future clinical studies

Page 28: SUPRAFLEX CRUZ STENT - The FIRE Trial · 2019. 7. 1. · (STEMI, NSTEMI, UAP, SAP) Any type of lesions Left main, SVG, CTO, Bifurcation, ISR, etc. Unrestricted use of DES (number,

Future clinical studies