Evidence map›Paper›PMID 24847155›Full record

Trial reportEuropean heart journal2014

A randomized, prospective, intercontinental evaluation of a bioresorbable polymer sirolimus-eluting coronary stent system: the CENTURY II (Clinical Evaluation of New Terumo Drug-Eluting Coronary Stent System in the Treatment of Patients with Coronary Artery Disease) trial.

Shigeru Saito, Mariano Valdes-Chavarri, Gert Richardt, Raul Moreno, Andrés Iniguez Romo, Emanuele Barbato, Didier Carrie, Kenji Ando, Bela Merkely, Ran Kornowski and 4 more

Registry-linked trialAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European heart journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04475536 (A Prospective Study, Single-arm, Multicentre, Observational to Evaluate Safety and Effectiveness of Stent Ultimaster Tansei Coronary Stent in Complex Coronary Lesions.), which is not on this map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04475536 completednot on this mapstarted 2020, after this paper: background citation

A Prospective Study, Single-arm, Multicentre, Observational to Evaluate Safety and Effectiveness of Stent Ultimaster Tansei Coronary Stent in Complex Coronary Lesions.

Typeobservational_patient_registrySponsorFundación EPICRan2020 to 2024Enrolled501ConditionsIschemic Heart Disease, Coronary Artery DiseaseArmsTANSEI stent
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Individual patient data analysis of the BIOFLOW study program comparing safety and efficacy of a bioresorbable polymer sirolimus eluting stent to a durable polymer everolimus eluting stent.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2021
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  16. A prospective, multicentre first-in-man study of the polymer-free ultrathin-strut BIOrapid stent (BIOVITESSE).EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
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  18. Complete revascularization optimizes patient outcomes in multivessel coronary artery disease: Data from the e-Ultimaster registry.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Shigeru SaitoShonan Kamakura General Hospital, Kanagawa, Japan.
Mariano Valdes-ChavarriHospital Universitaria V. Arrixaca, Murcia, Spain.
Gert RichardtSegeberger Kliniken GmbH, Bad Segeberg, Germany.
Raul MorenoHospital La Paz, Madrid, Spain.
Andrés Iniguez RomoHospital Meixoeiro Galaria, Vigo, Spain.
Emanuele BarbatoCardiovascular Centre Aalst, OLV Hospital, Aalst, Belgium.
Didier CarrieCHU Toulouse Rangeuil, Toulouse, France.
Kenji AndoKokura Memorial Hospital, Fukuoka, Japan.
Bela MerkelySemmelweis University Hospital, Budapest, Hungary.
Ran KornowskiRabin Medical Centre, Petach-Tikva, Israel.
Hélène EltchaninoffCHU Charles Nicolle Rouen, Rouen, France.
Stefan JamesUppsala Akademiska Sjukhus, Uppsala, Sweden.
William WijnsCardiovascular Centre Aalst, OLV Hospital, Aalst, Belgium Cardiovascular Centre Aalst, OLV Hospital, Moorselbaan 165, 9301 Aalst, Belgium william.wijns@olvz-aalst.be.
CENTURY II Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to establish safety and efficacy of a new sirolimus-eluting stent with bioresorbable polymer, Ultimaster (BP-SES). Sirolimus-eluting stent with bioresorbable polymer was compared with everolimus-eluting, permanent polymer, Xience stent (PP-EES) in the frame of a CENTURY II clinical trial designed to make global clinical data compliant with regulatory requirements in Europe and Japan. METHODS AND

resultsThe CENTURY II is a prospective, multicentre, randomized (1 : 1), single blind, controlled, non-inferiority clinical trial conducted at 58 study sites in Japan, Europe, and Korea. A total of 1123 patients requiring a percutaneous coronary intervention (PCI) procedure, with implantation of drug-eluting stent (DES), were enrolled [total population (TP)]. Randomization of patients was stratified for the subset of patients matching requirements for DES in Japan (Cohort JR, n = 722). Baseline patient demographic and angiographic characteristics were similar in both study arms, with minimal differences between the TP and Cohort JR. The primary endpoint, freedom from target lesion failure (TLF) at 9 months-TLF [composite of cardiac death, target-vessel-related myocardial infarction (MI) and target lesion revascularization]-was 95.6% with BP-SES and 95.1% with PP-EES (Pnon-inferiority<0.0001). Composite of cardiac death and MI rate was 2.9 and 3.8% (P = 0.40) and target vessel revascularization was 4.5% with BP-SES and 4.2% with PP-EES (P = 0.77). The stent thrombosis rate was 0.9% in both arms. In Cohort JR, freedom from TLF was 95.9 and 94.6% (Pnon-inferiority < 0.0005) with BP-SES and PP-EES, respectively.

conclusionThe new bioresorbable polymer sirolimus-eluting stent showed safety and efficacy profiles similar to durable polymer everolimus-eluting stent at 9-month follow-up. STUDY REGISTRATION NUMBER: UMIN000006940.

Indexed as

Drug-Eluting StentsAbsorbable ImplantsAgedCoronary AngiographyCoronary StenosisEverolimusFemaleHumansImmunosuppressive AgentsMaleMyocardial IschemiaPercutaneous Coronary InterventionProspective StudiesSingle-Blind MethodSirolimusTreatment OutcomeEverolimusImmunosuppressive AgentsSirolimusBioresorbable polymerDrug-eluting stentEverolimusRandomized trialSirolimus

Identifiers

PMID24847155
PMCPMC4200026

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.