Sustained Release. Superior Results.

Transcription

1 ELUVIA Drug-Eluting Vascular Stent System Sustained Release. Superior Results. Superiority determined in Post Hoc Superiority Analysis. 12-Month Primary Patency rate of 86.8% in the Eluvia arm (n=309) vs. 77.5% in the Zilver PTX (n=156) arm (p-value= ). IMPERIAL IDE trial. BSC data on file.

2 The Challenge: A Harsh SFA Environment Flexion Torsion Extension/ Contraction Compression Significant mechanical forces in the SFA prolong the response to injury and make the SFA susceptible to restenosis. CLINICAL HISTORY OF RESTENOSIS % PROBABILITY DENSITY OF RESTENOSIS Time (months) Post-Procedure Restenosis following nitinol stenting peaks at about 12 months in the SFA Iida, O. et al. Catheterization and Cardiovascular Interventions. 2011; 78:

3 The Solution: Sustained Drug Release Only Eluvia sustains drug release beyond one year to match the restenotic process in the SFA 8 DRUG TISSUE CONCENTRATIONS OVER TIME PACLITAXEL TISSUE CONCENTRATION (ng/mg) Traditional Drug-Coated Stent (Zilver PTX) ELUVIA DCB Time (days) Post-Procedure Polymer-based technology with proven biocompatibility Implanted in more than 20 million vessels 1 More than 100,000 patients studied in clinical trials 2 Built on the Innova Stent platform, designed to optimize: Flexibility Radial strength Fracture resistance While providing uniform scaffolding for drug delivery. 1. Data on file at Boston Scientific. Represents total global sales of the PROMUS (Boston Scientific) and XIENCE (Abbott) stents since Data on file at Boston Scientific. Represents total population of patients studied in the PROMUS and XIENCE series of clinical trials. Based on pre-clinical PK analysis. Data on file at Boston Scientific. Dake MD, et al. J Vasc Interv Radiol. 2011;22(5):

4 The Outcome: Superior Results in the SFA 1 Statistically Significant Difference in Primary Patency (p=0.0119) Cumulative Event-Free (%) PRIMARY PATENCY RATE* IMPERIAL Trial 12-Month Results Eluvia Zilver PTX ELUVIA 88.5% vs Zilver PTX 79.5% Months Since Index Procedure Kaplan-Meier Estimate 10% 8% 6% 4% 2% 0% CLINICALLY-DRIVEN TLR RATE IMPERIAL Trial 12-Month Results 4.5% Eluvia 9.0% Zilver PTX ELUVIA demonstrated HALF the target lesion revascularization rate of Zilver PTX at 12 months * Defined as a binary endpoint determined to be patent when the duplex ultrasound (DUS) Peak Systolic Velocity Ratio (PSVR) is 2.4 at the 12-month follow-up visit, in the absence of clinically-driven TLR or bypass of the target lesion. 1. Superiority determined in Post Hoc Superiority Analysis. 12-Month Primary Patency rate of 86.8% in the Eluvia arm (n=309) vs. 77.5% in the Zilver PTX (n=156) are (p-value= ).

5 Unprecedented results and consistent outcomes in challenging SFA lesions 12-MONTH PRIMARY PATENCY RATES IN SFA STENT STUDIES 100% 80% 88.5% 79.5% 96.4% 87.0% 81.3% 79.5% 77.2% 60% 40% 20% 0% IMPERIAL 1 Eluvia Zilver PTX MAJESTIC 2 (Eluvia) MÜNSTER REGISTRY 3 (Eluvia) RESILIENT 4 (LifeStent ) STROLL 5 (S.M.A.R.T. ) DURABILITY II 6 (EverFlex ) Target lesion length 8.7 cm 8.2 cm 7.1 cm 20.0 cm 7.1 cm 7.7 cm 8.9 cm Distal SFA 66% 65% 77% 76% 50% 20% 70% Proximal popliteal Severely calcified Total occlusions 18% 13% 9% 44% 5% 16% 2% 40% 32% 65% 42% * 25% 19% 43% 31% 30% 46% 79% 17% 24% 48% Rutherford 3 67% 72% 65% 100% 56% 54% 61% * Moderate and severely calcified 1. Gray W. Presented at TCT Müller-Hülsbeck, S., et al. CVIR Dec;40(12): Bisdas, T., et al. JACC:IC Vol. 11, No. 10, 2018, May 28, 2018: Laird et al. J Endovasc Ther. 2012;19(1): Gray, W., J Vasc Interv Radiol 2015; 26: Matsumura et al. J Vasc Surg. 2013;58(1):73-83.e1. Results from different trials are not directly comparable.

6 ELUVIA TM Drug-Eluting Vascular Stent System Triaxial delivery system for more precise and predictable stent placement Safety lock Radiopaque tip Inner shaft Thumbwheel Flushing luer Radiopaque stent markers Middle shaft Outer blue stabilizing shaft Pull grip Middle shaft radiopaque marker band Ergonomic handle Stent diameter (mm) 6 7 Delivery system working length (cm) 130 Minimum sheath size 40 H H Stent Length (mm) H H H H H H H H ELUVIA DRUG-ELUTING VASCULAR STENT SYSTEM CAUTION: Federal law (USA) restricts this device to sale by or on the order of a physician. Rx only. Prior to use, please see the complete Directions for Use for more information on Indications, Contraindications, Warnings, Precautions, Adverse Events, and Operator s Instructions. INTENDED USE/INDICATIONS FOR USE: The ELUVIA Drug-Eluting Vascular Stent System is intended to improve luminal diameter in the treatment of symptomatic de-novo or restenotic lesions in the native superficial femoral artery (SFA) and/or proximal popliteal artery with reference vessel diameters (RVD) ranging from mm and total lesion lengths up to 190 mm. CONTRAINDICATIONS: Women who are pregnant, breastfeeding, or plan to become pregnant in the next 5 years should not receive an ELUVIA Drug-Eluting Stent. It is unknown whether paclitaxel will be excreted in human milk, and there is a potential for adverse reaction in nursing infants from paclitaxel exposure. Patients who cannot receive recommended anti-platelet and/or anti-coagulant therapy. Patients judged to have a lesion that prevents proper placement of the stent or stent delivery system. WARNINGS: The delivery system is not designed for use with power injection systems. Only advance the stent delivery system over a guidewire. The stent delivery system is not intended for arterial blood monitoring. In the event of complications such as infection, pseudoaneurysm or fistula formation, surgical removal of the stent may be required. Do not remove the thumbwheel lock prior to deployment. Premature removal of the thumbwheel lock may result in an unintended deployment of the stent. It is strongly advised that the treating physician follow the Inter-Society Consensus (TASC II) Guidelines recommendations (or other applicable country guidelines) for antiplatelet therapy pre-procedure to reduce the risk of thrombosis. Post-procedure dual antiplatelet therapy is required for a minimum of 60 days. PRECAUTIONS: Stenting across a bifurcation or side branch could compromise future diagnostic or therapeutic procedures. The stent is not designed for repositioning. Once the stent is partially deployed, it cannot be recaptured or reconstrained using the stent delivery system. The stent may cause embolization from the site of the implant down the arterial lumen. This product should not be used in patients with uncorrected bleeding disorders or patients who cannot receive anticoagulation or antiplatelet aggregation therapy. Persons with a known hypersensitivity to paclitaxel (or structurally-related compounds), to the polymer or its individual components (see details in Primer Polymer and Drug Matrix Copolymer Carrier section), nickel, or titanium may suffer an allergic response to this implant. Persons with poor kidney function may not be good candidates for stenting procedures. PROBABLE ADVERSE EVENTS: Probable adverse events which may be associated with the use of a peripheral stent include but are not limited to: Allergic reaction (to drug/polymer, contrast, device or other) Amputation Arterial aneurysm Arteriovenous fistula Death Embolization (air, plaque, thrombus, device, tissue, or other) Hematoma Hemorrhage (bleeding) Infection/Sepsis Ischemia Need for urgent intervention or surgery Pseudoaneurysm formation Renal insufficiency or failure Restenosis of stented artery Thrombosis/thrombus Transient hemodynamic instability (hypotensive/hypertensive episodes) Vasospasm Vessel injury, including perforation, trauma, rupture and dissection Vessel occlusion Probable adverse events not captured above that may be unique to the paclitaxel drug coating: Allergic/immunologic reaction to drug (paclitaxel or structurally-related compounds) or the polymer stent coating (or its individual components) Alopecia Anemia Gastrointestinal symptoms Hematologic dyscrasia (including leukopenia, neutropenia, thrombocytopenia) Hepatic enzyme changes Histologic changes in vessel wall, including inflammation, cellular damage or necrosis Myalgia/Arthralgia Peripheral neuropathy There may be other potential adverse events that are unforeseen at this time. Eluvia is a registered or unregistered trademark of Boston Scientific Corporation or its affiliates. All other trademarks are property of their respective owners. Peripheral Interventions 300 Boston Scientific Way Marlborough, MA To order product or for more information contact customer service at Boston Scientific Corporation or its affiliates. All rights reserved. PI AA