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6-MONTH RESULTS OF THE
LEVANT I TRIAL
A Comparison of the
Moxy™ Drug Coated Balloon Catheter vs.
Standard PTA for Femoropopliteal Disease
NCT# 00930813

Dierk Scheinert, Principal Investigator
on behalf of the LEVANT I Investigators
Heart Center Leipzig/Park Hospital, Leipzig Germany
TECHNOLOGY OVERVIEW
                                                                                   • Proprietary 2 g/mm2
                                                                                     paclitaxel coating with
                                                                                     hydrophilic non-polymeric
                                                                                     carrier
                                                                                   • Formulation balances
                                                                                     drug retention during
                                                                                     transit and uptake upon
                              Lutonix                                                inflation
Paclitaxel Arterial




                             Optimized
                            Formulation                                            • Drug delivered during
Tissue Levels




                                                                                     single 30 second inflation
                           No                              Sub-Optimal
                         Carrier                             Carrier               • Robust, uniform coating


                                    Rate of Coating Release

                      CAUTION: Investigational Device – Limited by Federal (USA) Law to Investigational Use
LEVANT I STUDY SUMMARY

            A Prospective, Multicenter, Single
            Blind, Randomized, Controlled Trial Comparing the
DESIGN      Moxy™ Catheter
            vs. Standard Balloon Angioplasty for Treatment of
            Femoropopliteal Arteries With and Without Stenting

            Assess the safety and efficacy of the Moxy™ Catheter
OBJECTIVE   for treatment of stenosis of the femoropopliteal arteries
            by direct comparison to standard PTA

PRIMARY
            Late Lumen Loss at 6 Months
ENDPOINT

MAJOR
            TLR, TVR, Primary Patency, Safety
SECONDARY
LEVANT I TRIAL STUDY DESIGN
                  PROTOCOL DEFINED
                    PRE-DILATION
                       N=101


        BALLOON                      STENT
         GROUP                       GROUP
          N=75                        N=26



          1:1                         1:1
 MOXY             PTA         MOXY           PTA
 N=37             N=38        N=12           N=14
LEVANT I 6-MONTH RESULTS OVERVIEW

Primary endpoint
Late Lumen Loss objective was met.
   • ITT Analysis: 0.46 mm (Moxy) vs 1.09 (PTA) p=0.016
   • PP Analysis: 0.36 mm (Moxy) vs 1.08 (PTA) p=0.016
Secondary Endpoint
Target lesion revascularization
   • ITT Analysis: 13% (Moxy) vs. 22% (PTA)
   • PP Analysis: 6% (Moxy) vs. 21% (PTA)

1 month (no stent) and 3 month (stent) clopidogrel regimen
   •no reported incidents of acute or late thrombosis in Moxy group
LEVANT I LATE LUMEN LOSS AT 6 MONTHS
ITT ANALYSIS

     2

                P=0.016
                            Balloon Group    Stent Group
                                    N=24
                    N=35
mm




                                                    N=11




         N=39       1.09   N=31
                                    1.19    N=8
                                                     0.9
         0.46              0.45             0.49
     0
         MOXY       PTA    MOXY      PTA    MOXY      PTA
LEVANT I CONCLUSIONS
                                                 *ACHIEVED PRIMARY
 1. Strong biologic effect demonstrated on        ENDPOINT OF IMPROVED
    the inhibition of neointimal hyperplasia.     LATE LUMEN LOSS



 2. Data suggests the Moxy DCB is safe with a marked decrease
    in clinical events compared to PTA

 3. Shorter duration anti-platelet therapy appears feasible in the
    peripheral vasculature.

 4. Large pivotal trial is warranted to further confirm the benefit
    of treating SFA-popliteal lesions with a drug-coated balloon.
LEVANT II TRIAL: STUDY SUMMARY

DESIGN           Prospective, Randomized, Multicenter, Single Blind

                 Assess the safety and efficacy of the Moxy Catheter for
OBJECTIVE        treatment of stenosis of the femoropopliteal arteries by
                 direct comparison to standard PTA

                 Safety: Composite of freedom from all-cause
PRIMARY          perioperative and 1 year index limb amputation, index
ENDPOINT         limb re-intervention, and index-limb-related death.
                 Efficacy: Primary Patency of the target lesion at 1 year.
FOLLOW-UP        To 5 years
PRINCIPAL        Kenneth Rosenfield, MD, Boston
INVESTIGATORS    Dierk Scheinert MD, Leipzig

EXPECTED START   Dec 2010 (IDE pending)

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Levant i trial

  • 1. 6-MONTH RESULTS OF THE LEVANT I TRIAL A Comparison of the Moxy™ Drug Coated Balloon Catheter vs. Standard PTA for Femoropopliteal Disease NCT# 00930813 Dierk Scheinert, Principal Investigator on behalf of the LEVANT I Investigators Heart Center Leipzig/Park Hospital, Leipzig Germany
  • 2. TECHNOLOGY OVERVIEW • Proprietary 2 g/mm2 paclitaxel coating with hydrophilic non-polymeric carrier • Formulation balances drug retention during transit and uptake upon Lutonix inflation Paclitaxel Arterial Optimized Formulation • Drug delivered during Tissue Levels single 30 second inflation No Sub-Optimal Carrier Carrier • Robust, uniform coating Rate of Coating Release CAUTION: Investigational Device – Limited by Federal (USA) Law to Investigational Use
  • 3. LEVANT I STUDY SUMMARY A Prospective, Multicenter, Single Blind, Randomized, Controlled Trial Comparing the DESIGN Moxy™ Catheter vs. Standard Balloon Angioplasty for Treatment of Femoropopliteal Arteries With and Without Stenting Assess the safety and efficacy of the Moxy™ Catheter OBJECTIVE for treatment of stenosis of the femoropopliteal arteries by direct comparison to standard PTA PRIMARY Late Lumen Loss at 6 Months ENDPOINT MAJOR TLR, TVR, Primary Patency, Safety SECONDARY
  • 4. LEVANT I TRIAL STUDY DESIGN PROTOCOL DEFINED PRE-DILATION N=101 BALLOON STENT GROUP GROUP N=75 N=26 1:1 1:1 MOXY PTA MOXY PTA N=37 N=38 N=12 N=14
  • 5. LEVANT I 6-MONTH RESULTS OVERVIEW Primary endpoint Late Lumen Loss objective was met. • ITT Analysis: 0.46 mm (Moxy) vs 1.09 (PTA) p=0.016 • PP Analysis: 0.36 mm (Moxy) vs 1.08 (PTA) p=0.016 Secondary Endpoint Target lesion revascularization • ITT Analysis: 13% (Moxy) vs. 22% (PTA) • PP Analysis: 6% (Moxy) vs. 21% (PTA) 1 month (no stent) and 3 month (stent) clopidogrel regimen •no reported incidents of acute or late thrombosis in Moxy group
  • 6. LEVANT I LATE LUMEN LOSS AT 6 MONTHS ITT ANALYSIS 2 P=0.016 Balloon Group Stent Group N=24 N=35 mm N=11 N=39 1.09 N=31 1.19 N=8 0.9 0.46 0.45 0.49 0 MOXY PTA MOXY PTA MOXY PTA
  • 7. LEVANT I CONCLUSIONS *ACHIEVED PRIMARY 1. Strong biologic effect demonstrated on ENDPOINT OF IMPROVED the inhibition of neointimal hyperplasia. LATE LUMEN LOSS 2. Data suggests the Moxy DCB is safe with a marked decrease in clinical events compared to PTA 3. Shorter duration anti-platelet therapy appears feasible in the peripheral vasculature. 4. Large pivotal trial is warranted to further confirm the benefit of treating SFA-popliteal lesions with a drug-coated balloon.
  • 8. LEVANT II TRIAL: STUDY SUMMARY DESIGN Prospective, Randomized, Multicenter, Single Blind Assess the safety and efficacy of the Moxy Catheter for OBJECTIVE treatment of stenosis of the femoropopliteal arteries by direct comparison to standard PTA Safety: Composite of freedom from all-cause PRIMARY perioperative and 1 year index limb amputation, index ENDPOINT limb re-intervention, and index-limb-related death. Efficacy: Primary Patency of the target lesion at 1 year. FOLLOW-UP To 5 years PRINCIPAL Kenneth Rosenfield, MD, Boston INVESTIGATORS Dierk Scheinert MD, Leipzig EXPECTED START Dec 2010 (IDE pending)

Notas del editor

  1. Bailout stent rate = 8%
  2. number