Last reviewed · How we verify

NCT03350542: EVOLVE48

A Clinical Trial to Assess the SYNERGY 48 mm Stent System for the Treatment of Atherosclerotic Lesion(s)

Completed Phase 3 Results posted Last updated 14 May 2021
What this trial tests

Phase 3 trial testing SYNERGY 48 mm in Coronary Artery Disease in 100 participants. Completed in 8 January 2021.

Timeline
12 April 2018
Primary endpoint
16 January 2020
8 January 2021

Quick facts

Lead sponsorBoston Scientific Corporation
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment100
Start date12 April 2018
Primary completion16 January 2020
Estimated completion8 January 2021
Sites15 locations across New Zealand, United Kingdom, United States, Latvia

Drugs / interventions tested

Conditions studied

Sponsor

Boston Scientific Corporation — full company profile →

Who can join

18 and older, any sex, with 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.

Target Lesion Failure Rate at 12-months Primary · 12-month

The primary endpoint is the 12-month Target Lesion Failure (TLF) rate, defined as any ischemia-driven revascularization of the target lesion (TLR), myocardial infarction (MI, Q-wave and non-Q-wave) related to the target vessel, or cardiac death.

GroupValue95% CI
SYNERGY 48 mm4
Target Lesion Revascularization (TLR) Rate at 12 Months Secondary · 12 months

The TLR overall rate includes: TLR Percutaneous Coronary Intervention (PCI) and TLR Coronary Artery Bypass Graft (CABG)

GroupValue95% CI
SYNERGY 48 mm1
Target Vessel Revascularization (TVR) Rate at 12 Months. Secondary · 12 months

TVR overall includes: TVR PCI and TVR CABG

GroupValue95% CI
SYNERGY 48 mm1
Target Vessel Failure (TVF) Rate at 12 Months Secondary · 12 months

Target Vessel Failure is defined as any ischemic-driven revascularization of the target vessel, MI related to the target vessel, or any cardiac death.

GroupValue95% CI
SYNERGY 48 mm4
MI (Q-wave and Non-Q-wave) Rate Secondary · 12 months

The MI rate includes: MIs related to the Target Vessel, MIs with unknown relationship to the Target Vessel and MIs not related to the Target Vessel.

GroupValue95% CI
SYNERGY 48 mm2
Cardiac Death Rate Secondary · 12 months

Cardiac death is defined as death due to any of the following; acute MI, cardiac perforation/pericardial tamponade, arrhythmia or conduction abnormality, CVA through hospital discharge or CVA suspected of being related to the procedure, death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery and any death in which a cardiac cause cannot be excluded.

GroupValue95% CI
SYNERGY 48 mm1
Non-cardiac Death Rate Secondary · 12 months

Non-cardiac death is defined as a death not due to cardiac causes as previously defined.

GroupValue95% CI
SYNERGY 48 mm4
All Death Rate Secondary · 12 months
GroupValue95% CI
SYNERGY 48 mm5
Cardiac Death or MI Rate Secondary · 12 months
GroupValue95% CI
SYNERGY 48 mm3
All Death or MI Rate Secondary · 12 months
GroupValue95% CI
SYNERGY 48 mm6
All Death/MI/TVR Rate Secondary · 12 months
GroupValue95% CI
SYNERGY 48 mm7
Stent Thrombosis Rate Secondary · 12 months
GroupValue95% CI
SYNERGY 48 mm0

Adverse events — posted to ClinicalTrials.gov

Time frame: Site-Reported Serious Adverse Events (SAE) to 12 Months. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

SYNERGY 48 mm
Serious: 31/100 (31%)
Deaths: 5/100

Serious adverse events (45 terms)

ReactionSystemSYNERGY 48 mm
Coronary artery dissectionCardiac disorders
Acute kidney injuryRenal and urinary disorders
Angina pectorisCardiac disorders
Plaque shiftInjury, poisoning and procedural complications
Carotid artery stenosisNervous system disorders
Acute coronary syndromeCardiac disorders
Cardiac failure congestiveCardiac disorders
ColitisGastrointestinal disorders
OsteomyelitisInfections and infestations
Intermittent claudicationVascular disorders
Haemorrhagic anaemiaBlood and lymphatic system disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Non-cardiac chest painGeneral disorders
Bile duct stoneHepatobiliary disorders
Fluid overloadMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Metastases to central nervous systemNeoplasms benign, malignant and unspecified (incl cysts and polyps)
AnxietyPsychiatric disorders
Acute myocardial infarctionCardiac disorders
Angina unstableCardiac disorders
Cardiac arrestCardiac disorders
Cardiogenic shockCardiac disorders
CardiomyopathyCardiac disorders
Chronic left ventricular failureCardiac disorders
Coronary artery diseaseCardiac disorders
Other adverse events (4 terms — click to expand)

ReactionSystemSYNERGY 48 mm
Angina unstableCardiac disorders
Blood creatine phosphokinase MB increasedInvestigations
Coronary artery occlusionCardiac disorders
Electrocardiogram T wave abnormalInvestigations

Most-reported serious reactions: Coronary artery dissection, Acute kidney injury, Angina pectoris, Plaque shift, Carotid artery stenosis, Acute coronary syndrome, Cardiac failure congestive, Colitis.

Data from ClinicalTrials.gov NCT03350542 adverse events section.

Sponsor's own description

EVOLVE 48 is a prospective, open label, single arm, multi-center trial. The purpose of this study is to assess the FDA requirement for safety and effectiveness of the SYNERGY 48 mm Coronary Stent System for the treatment of subjects with atherosclerotic lesion(s) \> 34 mm and ≤ 44 mm in length (by visual estimate) in native coronary arteries ≥2.5 mm to ≤4.0 mm in diameter (by visual estimate).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Safety and efficacy of Everolimus-Eluting bioabsorbable Polymer-Coated stent in patients with long coronary lesions: The EVOLVE 48 study.
    Karmpaliotis D, Stoler R, Walsh S, El-Jack S, et al · · 2022 · cited 4× · PMID 34051049 · DOI 10.1002/ccd.29798

Verify or expand the search:

Other trials of SYNERGY 48 mm

Trials testing the same drug.

Other recruiting trials for Coronary Artery Disease

Currently open trials in the same condition.

Other Boston Scientific Corporation trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT03350542.

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