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NCT01205776: EXCEL

EXCEL Clinical Trial

Completed NA Results posted Last updated 7 April 2020
What this trial tests

NA trial testing Percutaneous Coronary Intervention in Chronic Coronary Occlusion in 1,905 participants. Completed in 28 June 2019.

Timeline
29 September 2010
Primary endpoint
3 May 2019
28 June 2019

Quick facts

Lead sponsorAbbott Medical Devices
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment1,905
Start date29 September 2010
Primary completion3 May 2019
Estimated completion28 June 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Abbott Medical Devices — full company profile →

Who can join

18 and older, any sex, with Chronic Coronary Occlusion or Unprotected Left Main Coronary Artery Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke Primary · 5 years

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)203
Coronary Artery Bypass Graft (CABG)176
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke Secondary · In-hospital (≤ 7 days of index-procedure)

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)40
Coronary Artery Bypass Graft (CABG)77
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke Secondary · 30 days

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)46
Coronary Artery Bypass Graft (CABG)75
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke Secondary · 0 to 6 months

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)66
Coronary Artery Bypass Graft (CABG)97
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke Secondary · 0 to 1 year

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)80
Coronary Artery Bypass Graft (CABG)106
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke Secondary · 0 to 2 years

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)115
Coronary Artery Bypass Graft (CABG)122
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke Secondary · 0 to 3 years

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)137
Coronary Artery Bypass Graft (CABG)135
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke Secondary · 0 to 4 years

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)173
Coronary Artery Bypass Graft (CABG)154
Number of Participants With All-cause Death, Protocol Defined MI or Protocol Defined Stroke Secondary · 0 to 5 years

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)203
Coronary Artery Bypass Graft (CABG)176
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia Secondary · In-hospital (≤ 7 days of index-procedure)

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)40
Coronary Artery Bypass Graft (CABG)82
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia Secondary · 0 to 30 days

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)46
Coronary Artery Bypass Graft (CABG)80
Number of Participants With Death, Protocol Defined MI, Protocol Defined Stroke or Unplanned Revascularization for Ischemia Secondary · 0 to 6 months

All deaths includes Cardiac death, Vascular death and Non-cardiovascular death. Myocardial Infarction (MI): * Q wave MI: Development of new, pathological Q wave on the ECG. * Non-Q wave MI: Elevation of CK levels to ≥ two times the upper limit of normal (ULN) with elevated CK-MB in the absence of new pathological Q waves. Stroke is defined as the rapid onset of a new persistent neurologic deficit attributed to an obstruction in cerebral blood flow and/or cerebral hemorrhage with no apparent non-vascular cause (e.g., trauma, tumor, or infection).

GroupValue95% CI
Percutaneous Coronary Intervention (PCI)79
Coronary Artery Bypass Graft (CABG)112

Adverse events — posted to ClinicalTrials.gov

Time frame: 5 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Percutaneous Coronary Intervention (PCI)
Serious: 535/948 (56%)
Deaths: 119/948
Coronary Artery Bypass Graft (CABG)
Serious: 550/957 (57%)
Deaths: 89/957

Serious adverse events (173 terms)

ReactionSystemPercutaneous Coronary Inte…Coronary Artery Bypass Gra…
Angina pectoris (includes atypical angina and cardiac chest pain)Cardiac disorders
Myocardial infarctionCardiac disorders
Cardiac : OtherCardiac disorders
BleedingBlood and lymphatic system disorders
Congestive heart failureCardiac disorders
Atrial fibrillationCardiac disorders
Cerebrovascular accident (CVA)Nervous system disorders
Angina unstableCardiac disorders
Coronary artery graft occlusionCardiac disorders
Other : Respiratory disorderRespiratory, thoracic and mediastinal disorders
Other : Gastrointestinal disorderGastrointestinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Coronary artery in-stent restenosisCardiac disorders
Other : InfectionInfections and infestations
Gastrointestinal bleedingBlood and lymphatic system disorders
Acute coronary syndromeCardiac disorders
FractureMusculoskeletal and connective tissue disorders
Coronary artery stenosisCardiac disorders
Peripheral artery disease/peripheral venous diseaseVascular disorders
AnemiaBlood and lymphatic system disorders
Renal failureRenal and urinary disorders
Renal insufficiency/impairmentRenal and urinary disorders
Lower respiratory tract infectionInfections and infestations
Musculoskeletal painMusculoskeletal and connective tissue disorders
OtherGeneral disorders
Other adverse events (194 terms — click to expand)

ReactionSystemPercutaneous Coronary Inte…Coronary Artery Bypass Gra…
Angina pectoris (includes atypical angina and cardiac chest pain)Cardiac disorders
Atrial fibrillationCardiac disorders
BleedingBlood and lymphatic system disorders
OtherCardiac disorders
OtherRespiratory, thoracic and mediastinal disorders
Elevated cardiac enzymesInvestigations
AnemiaBlood and lymphatic system disorders
Myocardial infarctionCardiac disorders
OtherGastrointestinal disorders
OtherMusculoskeletal and connective tissue disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
OtherInfections and infestations
Musculoskeletal painMusculoskeletal and connective tissue disorders
Dyspnea/shortness of breathRespiratory, thoracic and mediastinal disorders
Lower respiratory tract infectionInfections and infestations
OtherGeneral disorders
Other : Neurological/psychiatric disordersNervous system disorders
Congestive heart failureCardiac disorders
OtherBlood and lymphatic system disorders
Genitourinary infectionInfections and infestations
Angina unstableCardiac disorders
HypertensionCardiac disorders
OtherRenal and urinary disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
OtherInvestigations
Gastrointestinal bleedingBlood and lymphatic system disorders
Cerebrovascular accident (CVA)Nervous system disorders
Hemoglobin decreasedInvestigations
Coronary artery graft occlusionCardiac disorders
Skin and subcutaneous infectionInfections and infestations
HypotensionCardiac disorders
Chest pain (non-cardiac or non-specific)General disorders
FractureMusculoskeletal and connective tissue disorders
Renal insufficiency/impairmentRenal and urinary disorders
Coronary artery in-stent restenosisCardiac disorders
Peripheral artery disease/peripheral venous diseaseVascular disorders
Upper respiratory tract infectionInfections and infestations
BradycardiaCardiac disorders
Fatigue/WeaknessGeneral disorders
Catheter site hematomaInjury, poisoning and procedural complications

Most-reported serious reactions: Angina pectoris (includes atypical angina and cardiac chest pain), Myocardial infarction, Cardiac : Other, Bleeding, Congestive heart failure, Atrial fibrillation, Cerebrovascular accident (CVA), Angina unstable.

Data from ClinicalTrials.gov NCT01205776 adverse events section.

Sponsor's own description

To establish the safety and efficacy of the commercially approved XIENCE Family Stent System (inclusive of XIENCE PRIME, XIENCE V, XIENCE Xpedition and XIENCE PRO \[for use outside the United States \[OUS\] only\]) in subjects with unprotected left main coronary artery disease by comparing to coronary artery bypass graft surgery.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Everolimus-Eluting Stents or Bypass Surgery for Left Main Coronary Artery Disease.
    Stone GW, Sabik JF, Serruys PW, Simonton CA, et al · · 2016 · cited 677× · PMID 27797291 · DOI 10.1056/nejmoa1610227
  2. Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease.
    Stone GW, Kappetein AP, Sabik JF, Pocock SJ, et al · · 2019 · cited 513× · PMID 31562798 · DOI 10.1056/nejmoa1909406
  3. New-Onset Atrial Fibrillation After PCI or CABG for Left Main Disease: The EXCEL Trial.
    Kosmidou I, Chen S, Kappetein AP, Serruys PW, et al · · 2018 · cited 85× · PMID 29447735 · DOI 10.1016/j.jacc.2017.12.012
  4. Implications of Alternative Definitions of Peri-Procedural Myocardial Infarction After Coronary Revascularization.
    Gregson J, Stone GW, Ben-Yehuda O, Redfors B, et al · · 2020 · cited 83× · PMID 33004126 · DOI 10.1016/j.jacc.2020.08.016
  5. Quality-of-Life After Everolimus-Eluting Stents or Bypass Surgery for Left-Main Disease: Results From the EXCEL Trial.
    Baron SJ, Chinnakondepalli K, Magnuson EA, Kandzari DE, et al · · 2017 · cited 72× · PMID 29097293 · DOI 10.1016/j.jacc.2017.10.036
  6. Percutaneous Coronary Intervention vs Coronary Artery Bypass Grafting in Patients With Left Main Coronary Artery Stenosis: A Systematic Review and Meta-analysis.
    Giacoppo D, Colleran R, Cassese S, Frangieh AH, et al · · 2017 · cited 68× · PMID 28903139 · DOI 10.1001/jamacardio.2017.2895
  7. Abbreviated Antiplatelet Therapy in Patients at High Bleeding Risk With or Without Oral Anticoagulant Therapy After Coronary Stenting: An Open-Label, Randomized, Controlled Trial.
    Smits PC, Frigoli E, Tijssen J, Jüni P, et al · · 2021 · cited 65× · PMID 34455849 · DOI 10.1161/circulationaha.121.056680
  8. Mortality After Repeat Revascularization Following PCI or CABG for Left Main Disease: The EXCEL Trial.
    Giustino G, Serruys PW, Sabik JF, Mehran R, et al · · 2020 · cited 55× · PMID 31954680 · DOI 10.1016/j.jcin.2019.09.019

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01205776.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing