Coronary disease & ACS

Amphilimus-eluting versus zotarolimus-eluting stents in patients with diabetes mellitus and coronary artery disease: extended follow-up of the SUGAR randomised controlled trial

HeartPublished Randomised controlled trial

Primary result · TLFResult — go to the resultHazard ratio 0.84 95% CI 0.60–1.19

Authors' conclusion

The SUGAR trial demonstrates that AES and O-ZES provide comparable long-term efficacy in preventing TLF in patients with DM undergoing PCI.

Study context

Population
Patients with diabetes mellitus (DM) undergoing percutaneous coronary intervention (PCI)
Participants
1,175 patients
Comparison
Amphilimus-eluting stents vs onyx-zotarolimus-eluting stents
Primary endpoint
TLF (cardiac death, target vessel MI or ischaemia-driven target lesion revascularisation)
Follow-up
2 years
Methodological detailsassessor-blinded, multicentre (23 centres), extended follow-up
  • Assessor-blinded
  • Multicentre (23 centres)
  • Extended follow-up

Primary result

TLF

Hazard ratio

0.84

95% CI 0.60–1.19

P = 0.331

Events by treatment group

AESvs O-ZES
HR 0.84 (95% CI 0.60–1.19); P = 0.331

As reported in the abstract

Secondary outcomes

OutcomeAESO-ZESHR (95% CI)P value
TLF (extended follow-up) · 3 years11.4%14.9%0.77 (0.56–1.06)P = 0.106

Target lesion failure (TLF), landmark analysis 1–3 years · between 1 and 3 years

No significant differences in TLF rates between 1 and 3 years (HR 1.07; 95% CI 0.62 to 1.87)
P = 0.801

Individual components of TLF

Rates comparable between groups

Secondary endpoints (all-cause mortality, stent thrombosis, MACE)

No significant differences

Original publication

Amphilimus-eluting versus zotarolimus-eluting stents in patients with diabetes mellitus and coronary artery disease: extended follow-up of the SUGAR randomised controlled trial. Heart. Published 25 June 2025. doi:10.1136/heartjnl-2025-325773

Composed by AI from the published abstract and checked against it. How Briefs are made →

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