Abbott, Medtronic: Heart Stents Top Rival In 3-Year Study Data
September 21 2009 - 11:31AM
Dow Jones News
Stent heart devices from Abbott Laboratories (ABT) and Medtronic
Inc. (MDT) outperformed an older device from Boston Scientific
Corp. (BSX) in three-year data from two studies by better helping
patients avoid serious events, Abbott and Medtronic said
Monday.
Abbott and Medtronic each released fresh study details during
the Transcatheter Cardiovascular Therapeutics conference in San
Francisco. The data came from separate, company-funded studies that
the companies used to win approval for their drug-coated stents in
the U.S. last year. The scaffolds for heart arteries use medication
to fight renarrowing and comprise a roughly $4 billion global
market.
Abbott's Xience stent leads the domestic market behind solid
study data, and Medtronic has been working to improve modest sales
for its Endeavor stent by highlighting the device's long-term
safety profile.
In both studies released Monday, the companies measured their
devices against the Taxus Express stent from Boston Scientific that
formerly led in the U.S. and has since been replaced by a newer
version called Taxus Liberte. Abbott and Medtronic have argued that
their studies remain relevant, however, because of similarities
between the newer and older Boston Scientific devices.
The Spirit III study for Abbott's Xience stent has previously
shown Xience outperforming the Boston Scientific device on certain
fronts, including a composite measurement of serious events
including death and heart attacks.
In the three-year data from the 1,002-patient study, Abbott's
stent had a 9.1% rate of so-called major adverse cardiac events,
compared with a 15.7% rate for Taxus Express, Abbott said. In
addition to cardiac death and heart attacks, that composite
measurement includes retreatment of the same area in the affected
artery.
On another combined measure of events called target lesion
failure, the rate was 8.3% with Xience and 14.4% with the Boston
Scientific stent, Abbott said.
The company also noted that Xience had no additional cases of
late-developing, stent-related clots in the study between years two
and three.
The rise of Xience has both helped and hurt Boston Scientific.
While its Taxus device lost the market lead, Boston Scientific has
maintained a strong position because it also sells the Xience stent
under the name Promus and a profit sharing deal with Abbott.
Abbott cited market-share estimates for July from an outside
firm that show Xience and Promus holding more than half the U.S.
market combined. Taxus Liberte is next at 20%, followed by a
Johnson & Johnson (JNJ) stent and Medtronic's Endeavor.
Endeavor's share has been squeezed by the popularity of Xience
and Promus, but also the perception created by some earlier study
data that Endeavor isn't a strong performer when it comes to
avoiding renarrowing that can lead to repeat procedures to clear
heart arteries.
The fresh evidence from Medtronic's 1,548-patient Endeavor IV
study doesn't show a difference between Endeavor and Taxus Express
at three years on measures of retreatment. But it does show fewer
late-developing clots for Endeavor between years one and three, and
this fuels a finding of fewer heart attacks with the Medtronic
stent at three years, the company said.
Medtronic also noted better performance for Endeavor on a
combined measure of death due to heart events and heart
attacks.
Avoiding rare but potentially deadly clots that develop after a
year became a serious concern in the coated-stent market after
evidence arose three years ago about the dangers of such
developments. While clotting worries have since eased, the need to
keep coated-stent patients on long courses of anti-clotting drugs
has kept doctors from using those devices in many cases.
In the Endeavor IV study, Endeavor had more cases of clots
through 360 days than Boston Scientific's stent. But there was one
case among Endeavor patients between 360 days and 1,080 days, and
11 cases among Taxus Express patients in that span.
-By Jon Kamp, Dow Jones Newswires; 617-654-6728;
jon.kamp@dowjones.com