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Prospective, randomized, active-control, single blind, parallel two-arm multi-center clinical trial comparing XIENCE V® Everolimus Eluting Coronary Stent System to the approved commercially available active control TAXUS™ EXPRESS2™ Paclitaxel Eluting Coronary Stent System.
TAXUS™ EXPRESS2™ Paclitaxel Eluting Coronary Stent System is manufactured by Boston Scientific.
The SPIRIT II trial was a randomized, single blind, active control, multi-center clinical evaluation. Subject eligibility criteria were similar to SPIRIT III and enrollment duration overlapped between studies. In this study, 300 subjects (3:1 randomization XIENCE V® EECSS: TAXUS™ PECSS were enrolled at 31 sites outside the United States. The primary endpoint was in-stent late loss at 6 months. Secondary endpoints included clinical outcomes at months 1, 6, and 9 months and 1, 2, 3, 4 and 5 years; angiographic results at 6 months and 2 years; and IVUS results at 6 months and 2 years. Follow-up through 3 years is currently available.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | XIENCE V® Everolimus Eluting Coronary Stent System |
|
| 2 | Active Comparator | TAXUS™ EXPRESS2™ Paclitaxel Eluting Coronary Stent |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| XIENCE V® Everolimus Eluting Coronary Stent | Device | Drug eluting stent implantation stent in the treatment of coronary artery disease. |
|
| Measure | Description | Time Frame |
|---|---|---|
| In-stent late loss (LL) | at 180 days |
| Measure | Description | Time Frame |
|---|---|---|
| In-segment Late Loss | at 180 days (all patients) and at 2 years (for a subset of 152 patients) | |
| In-stent Late Loss at 2 years (for a subset of 152 patients) | at 2 years (for a subset of 152 patients) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patrick Serruys | Erasmus Medical Center, Thoraxcenter, Rotterdam, the Netherlands | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wilheminenspital der Stadt Wien | Vienna | 1160 | Austria | |||
| A.Z. Middelheim |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20129545 | Background | Garg S, Serruys P, Onuma Y, Dorange C, Veldhof S, Miquel-Hebert K, Sudhir K, Boland J, Huber K, Garcia E, te Riele JA; SPIRIT II Investigators. 3-year clinical follow-up of the XIENCE V everolimus-eluting coronary stent system in the treatment of patients with de novo coronary artery lesions: the SPIRIT II trial (Clinical Evaluation of the Xience V Everolimus Eluting Coronary Stent System in the Treatment of Patients with de novo Native Coronary Artery Lesions). JACC Cardiovasc Interv. 2009 Dec;2(12):1190-8. doi: 10.1016/j.jcin.2009.10.002. | |
| 19755303 |
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| TAXUS™ EXPRESS2™ Paclitaxel Eluting Coronary Stent | Device | Drug eluting stent implantation stent in the treatment of coronary artery disease |
|
|
| Proximal and distal Late Loss | at 180 days (all patients) and at 2 years (for a subset of 152 patients) |
| In-stent and in-segment Angiographic Binary Restenosis (ABR) rate | at 180 days (all patients) and at 2 years (for a subset of 152 patients) |
| In-stent and in-segment percent Diameter Stenosis (% DS) | at 180 days (all patients) and at 2 years (for a subset of 152 patients) |
| In-stent percent Volume Obstruction (% VO) | at 180 days and at 2 years for a subset of 152 patients |
| Plaque behind the stent( by IVUS) | at 180 days and at 2 years for a subset of 152 patients |
| Ischemia Driven Major Adverse Cardiac Event (ID-MACE) rate | at 30, 180 and 270 days, 1, 2, 3, 4 and 5 years |
| Ischemia Driven Target Vessel Failure (ID-TVF) | at 30, 180 and 270 days, 1, 2, 3, 4 and 5 years |
| Ischemia Driven Target Lesion Revascularization (ID-TLR) | at 30, 180 and 270 days, 1, 2, 3, 4 and 5 years |
| Persisting incomplete stent apposition, late-acquired incomplete stent apposition | at 180 days and at 2 years for a subset of 152 patients |
| Aneurysm, thrombosis and persisting dissection | at 180 days (all patients) and at 2 years (for a subset of 152 patients) |
| Acute success(device, procedure and clinical) | Acute |
| Antwerp |
| 2020 |
| Belgium |
| C.H.R. La Citadelle | Liège | 4000 | Belgium |
| C.H.U. de Liège Sart Tilman | Liège | 4000 | Belgium |
| Aalborg Sygehus Syd | Aalborg | Denmark |
| Århus University Hospital | Aarhus | Denmark |
| Rigshospitalet | Copenhagen | Denmark |
| Hôpital Cochin | Paris | France |
| Clinique Saint Hilaire | Rouen | France |
| Clinique Pasteur | Toulouse | France |
| Hôpital de Rangueil CHU | Toulouse | France |
| Clinique Saint Gatien | Tours | France |
| Herzzentrum Bad Oeynhausen | Bad Oeynhausen | 32545 | Germany |
| Segeberger Kliniken GmbH | Bad Segeberg | 23795 | Germany |
| Amper Kliniken AG Klinikum Dachau | Dachau | Germany |
| Herz- und Gefäßzentrum Hamburg | Hamburg | Germany |
| Klinikum Kassel | Kassel | Germany |
| Max Devki Devi Heart & Vascular Institute | New Delhi | 110017 | India |
| Azienda Ospedaliera Santa Maria Nuova | Reggio Emilia | Italy |
| Academisch Medisch Centrum | Amsterdam | 1105 AZ | Netherlands |
| Amphia Hospital | Breda | Netherlands |
| St. Antonius Ziekenhuis Nieuwegein | Nieuwegein | Netherlands |
| Erasmus Medical Center | Rotterdam | Netherlands |
| Isala Klinieken - Locatie Weezenlanden | Zwolle | Netherlands |
| The Mercy Hospital | Auckland | Epsom | New Zealand |
| Auckland City Hospital | Auckland | Grafton | New Zealand |
| National Institute of Cardiology in Warsaw | Warsaw | Poland |
| Vergelegen Mediclinic | Cape Town | South Africa |
| Hospital Clinico San Carlos | Madrid | Spain |
| University Hospital Gregorio Maranon | Madrid | Spain |
| Kantonsspital Basel | Basel | Switzerland |
| R.V. Hôpital Cantonal Universitaire de Geneve | Geneva | Switzerland |
| Result |
| Serruys PW, Ruygrok P, Neuzner J, Piek JJ, Seth A, Schofer JJ, Richardt G, Wiemer M, Carrie D, Thuesen L, Boone E, Miquel-Herbert K, Daemen J. A randomised comparison of an everolimus-eluting coronary stent with a paclitaxel-eluting coronary stent:the SPIRIT II trial. EuroIntervention. 2006 Nov;2(3):286-94. |
| 19737711 | Result | Ruygrok PN, Desaga M, Van Den Branden F, Rasmussen K, Suryapranata H, Dorange C, Veldhof S, Serruys PW. One year clinical follow-up of the XIENCE V Everolimus-eluting stent system in the treatment of patients with de novo native coronary artery lesions: the SPIRIT II study. EuroIntervention. 2007 Nov;3(3):315-20. doi: 10.4244/eijv3i3a58. |
| 19608482 | Result | Khattab AA, Richardt G, Verin V, Kelbaek H, Macaya C, Berland J, Miquel-Hebert K, Dorange C, Serruys PW. Differentiated analysis of an everolimus-eluting stent and a paclitaxel-eluting stent among higher risk subgroups for restenosis: results from the SPIRIT II trial. EuroIntervention. 2008 Mar;3(5):566-73. doi: 10.4244/eijv3i5a102. |
| 18926156 | Result | Wiemer M, Seth A, Chandra P, Neuzner J, Richardt G, Piek JJ, Desaga M, Macaya C, Bol CJ, Miquel-Hebert K, De Roeck K, Serruys PW. Systemic exposure of everolimus after stent implantation: a pharmacokinetic study. Am Heart J. 2008 Oct;156(4):751.e1-7. doi: 10.1016/j.ahj.2008.07.005. |
| Result | SPIRIT II study: A clinical evaluation of the XIENCE V everolimus eluting coronary stent system in the treatment of patients with de novo native coronary artery lesions. Serruys Patrick W (Reprint). Erasmus MC, Ctr Thorax, Rotterdam, Netherlands. Journal of the American College of Cardiology 51 ( 10, Suppl. A ): p A261 MAR 11 2008 |
| Result | A clinical evaluation of the XIENCE V everolimus eluting coronary stent system in the treatment of patients with cle novo native coronary artery lesions. Ruygrok Peter(Reprint). Auckland City Hosp, Auckland, New Zealand Journal: Journal of the American College of Cardiology 49 ( 9, Suppl. B ): p 28B-29B MAR 6 2007 2007 i2 Summit 2007 on Innovation in Intervention New Orleans, LA, USA March 24 -27, 2007; 20070324 ISSN: 0735-1097 |
| Result | A clinical evaluation of the XIENCE V Everolimus Eluting CSS in the treatment of patients with de novo, native coronary artery lesions. Pharmaco kinetic substudy. Seth A (Reprint); Neuzner J; Richardt G; Wiemer M; Piek J J; Desaga M; Macaya C; Serruys P W; Spirit II Investigators (Reprint) Author Address: Max Hosp, Vasc Inst, New Delhi, India. European Heart Journal 27 ( Suppl. 1 ): p 767 AUG 2006 2006 World Congress of Cardiology Barcelona, SPAIN September 02 -06, 2006; 20060902 ISSN: 0195-668X Document Type: Meeting; Meeting Poster |
| Result | Serruys, P. SPIRIT II Study: A Clinical Evaluation of the XIENCE™ V Everolimus Eluting Coronary Stent System in the Treatment of Patients with de novo Native Coronary Artery Lesions. European Society of Cardiology - ESC Congress 2006 |
| Result | Serruys, P. SPIRIT II Clinical Study: A clinical evaluation of the XIENCE™ V Everolimus Eluting CSS in the treatment of patients with de novo, native coronary artery lesions - IVUS substudy. Transcatheter Cardiovascular Therapeutics - TCT Congress 2006 |
| 20031737 | Result | Claessen BE, Beijk MA, Legrand V, Ruzyllo W, Manari A, Varenne O, Suttorp MJ, Tijssen JG, Miquel-Hebert K, Veldhof S, Henriques JP, Serruys PW, Piek JJ. Two-year clinical, angiographic, and intravascular ultrasound follow-up of the XIENCE V everolimus-eluting stent in the treatment of patients with de novo native coronary artery lesions: the SPIRIT II trial. Circ Cardiovasc Interv. 2009 Aug;2(4):339-47. doi: 10.1161/CIRCINTERVENTIONS.108.831800.108.831800. Epub 2009 Jul 22. |
| Result | Onuma Y and Serruys P. The SPIRIT II Study - A Clinical Evaluation of the XIENCE V® Everolimus Eluting Coronary Stent System in the Treatment of Patients With De Novo Native Coronary Artery Lesions: 4 Year Clinical Results. American College of Cardiology - ACC '10& i2 Summit 2010. |
| 25940520 | Derived | Genereux P, Rutledge DR, Palmerini T, Caixeta A, Kedhi E, Hermiller JB, Wang J, Krucoff MW, Jones-McMeans J, Sudhir K, Simonton CA, Serruys PW, Stone GW. Stent Thrombosis and Dual Antiplatelet Therapy Interruption With Everolimus-Eluting Stents: Insights From the Xience V Coronary Stent System Trials. Circ Cardiovasc Interv. 2015 May;8(5):e001362. doi: 10.1161/CIRCINTERVENTIONS.114.001362. |
| 24746650 | Derived | Muramatsu T, Onuma Y, van Geuns RJ, Chevalier B, Patel TM, Seth A, Diletti R, Garcia-Garcia HM, Dorange CC, Veldhof S, Cheong WF, Ozaki Y, Whitbourn R, Bartorelli A, Stone GW, Abizaid A, Serruys PW; ABSORB Cohort B Investigators; ABSORB EXTEND Investigators; SPIRIT FIRST Investigators; SPIRIT II Investigators; SPIRIT III Investigators; SPIRIT IV Investigators. 1-year clinical outcomes of diabetic patients treated with everolimus-eluting bioresorbable vascular scaffolds: a pooled analysis of the ABSORB and the SPIRIT trials. JACC Cardiovasc Interv. 2014 May;7(5):482-93. doi: 10.1016/j.jcin.2014.01.155. Epub 2014 Apr 16. |
| 23339811 | Derived | Onuma Y, Miquel-Hebert K, Serruys PW; SPIRIT II Investigators. Five-year long-term clinical follow-up of the XIENCE V everolimus-eluting coronary stent system in the treatment of patients with de novo coronary artery disease: the SPIRIT II trial. EuroIntervention. 2013 Jan 22;8(9):1047-51. doi: 10.4244/EIJV8I9A161. |
| 22115661 | Derived | Claessen BE, Smits PC, Kereiakes DJ, Parise H, Fahy M, Kedhi E, Serruys PW, Lansky AJ, Cristea E, Sudhir K, Sood P, Simonton CA, Stone GW. Impact of lesion length and vessel size on clinical outcomes after percutaneous coronary intervention with everolimus- versus paclitaxel-eluting stents pooled analysis from the SPIRIT (Clinical Evaluation of the XIENCE V Everolimus Eluting Coronary Stent System) and COMPARE (Second-generation everolimus-eluting and paclitaxel-eluting stents in real-life practice) Randomized Trials. JACC Cardiovasc Interv. 2011 Nov;4(11):1209-15. doi: 10.1016/j.jcin.2011.07.016. |
| 22017936 | Derived | Planer D, Smits PC, Kereiakes DJ, Kedhi E, Fahy M, Xu K, Serruys PW, Stone GW. Comparison of everolimus- and paclitaxel-eluting stents in patients with acute and stable coronary syndromes: pooled results from the SPIRIT (A Clinical Evaluation of the XIENCE V Everolimus Eluting Coronary Stent System) and COMPARE (A Trial of Everolimus-Eluting Stents and Paclitaxel-Eluting Stents for Coronary Revascularization in Daily Practice) Trials. JACC Cardiovasc Interv. 2011 Oct;4(10):1104-15. doi: 10.1016/j.jcin.2011.06.018. |
| 21232715 | Derived | Caixeta A, Lansky AJ, Serruys PW, Hermiller JB, Ruygrok P, Onuma Y, Gordon P, Yaqub M, Miquel-Hebert K, Veldhof S, Sood P, Su X, Jonnavithula L, Sudhir K, Stone GW; SPIRIT II and III Investigators. Clinical follow-up 3 years after everolimus- and paclitaxel-eluting stents: a pooled analysis from the SPIRIT II (A Clinical Evaluation of the XIENCE V Everolimus Eluting Coronary Stent System in the Treatment of Patients With De Novo Native Coronary Artery Lesions) and SPIRIT III (A Clinical Evaluation of the Investigational Device XIENCE V Everolimus Eluting Coronary Stent System [EECSS] in the Treatment of Subjects With De Novo Native Coronary Artery Lesions) randomized trials. JACC Cardiovasc Interv. 2010 Dec;3(12):1220-8. doi: 10.1016/j.jcin.2010.07.017. |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D003324 | Coronary Artery Disease |
| D023903 | Coronary Restenosis |
| D014652 | Vascular Diseases |
| D017202 | Myocardial Ischemia |
| D023921 | Coronary Stenosis |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
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