Coronary disease & ACS

Comparison of Ultrathin- Versus Thin-Strut Stents in Patients With High Bleeding Risk PCI: Results From the COMPARE 60/80 High Bleeding Risk (HBR) Trial: An Open-Label, Randomized, Controlled Trial

Circ Cardiovasc IntervPublished Randomised controlled trial

Primary resultResult — go to the resultRisk difference −1.65% 1-sided 95% CI 3.74

Authors' conclusion

Among patients at HBR with abbreviated dual antiplatelet therapy post-stenting, the use of an ultrathin-strut biodegradable-polymer sirolimus-eluting Supraflex Cruz stent was noninferior compared with the use of a thin-strut biodegradable-polymer sirolimus-eluting Ultimaster Tansei stent.

Study context

Population
Patients at HBR (Academic Research Consortium HBR criteria) undergoing PCI with abbreviated DAPT
Participants
741 patients
Comparison
Ultrathin-strut Supraflex Cruz vs thin-strut Ultimaster Tansei stent
  • Supraflex Cruzn = 371
  • Ultimaster Tansein = 370reference
Primary endpoint
Net adverse clinical events:
  • CV death
  • MI
  • Target vessel revascularization
  • Stroke
  • Major bleeding
Follow-up
1 year
Methodological detailsinvestigator-initiated, open-label, non-inferiority, 11 sites in the Netherlands, Enrolment September 2020 to August 2022
  • Investigator-initiated
  • Open-label
  • Non-inferiority
  • 11 sites in the Netherlands
  • Enrolment September 2020 to August 2022

Primary result

As reported in the abstract

Risk difference

−1.65%

1-sided 95% CI 3.74

P = 0.02 for noninferiority

Events by treatment group

Supraflex Cruz vs Ultimaster Tansei
risk difference −1.65% (1-sided 95% CI 3.74); P = 0.02 for noninferiority

Original publication

Comparison of Ultrathin- Versus Thin-Strut Stents in Patients With High Bleeding Risk PCI: Results From the COMPARE 60/80 HBR Trial: An Open-Label, Randomized, Controlled Trial. Circ Cardiovasc Interv. Published 1 October 2024. doi:10.1161/circinterventions.123.014042

Summarised from the published abstract; every number is checked against it

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