Coronary disease & ACS

Rationale and design of the TUXEDO-2 India study: Ultra-Thin strUt Supraflex Cruz versus XiencE in a Diabetic pOpulation with multi-vessel disease–2

Am Heart JPublished Randomised controlled trial

Study context

Population
Indian patients with DM and multi-vessel disease with indication for coronary revascularization (inclusion criteria similar to FREEDOM)planned
Participants
1,800 patients
Planned comparison
Supraflex Cruz vs Xience stents; ticagrelor vs prasugrel
Primary endpoint
Target lesion failure, non-inferiority Supraflex Cruz vs Xience (expected event rate 11%, non-inferiority margin 4.5%)
Follow-up
one-year
Methodological detailsdesign paper, prospective, open-label, multi-centre, 2 × 2 factorial, non-inferiority, Follow-up through five years, Pooled percutaneous coronary interventions (PCI) arm vs coronary artery bypass graft (CABG) compared for major adverse cardiac events (MACE) (all-cause death, nonfatal MI or stroke) at one-year and yearly up to five years against a performance goal of 21.6% from the FREEDOM CABG arm, Ticagrelor vs prasugrel: composite of death, MI, stroke and Bleeding Academic Research Consortium (BARC) major bleeding at one-year (expected event rate 15%, non-inferiority margin 5%)
  • Design paper
  • Prospective
  • Open-label
  • Multi-centre
  • 2 × 2 factorial
  • Non-inferiority
  • Follow-up through five years
  • Pooled PCI arm vs CABG compared for MACE (all-cause death, nonfatal MI or stroke) at one-year and yearly up to five years against a performance goal of 21.6% from the FREEDOM CABG arm
  • Ticagrelor vs prasugrel: composite of death, MI, stroke and BARC major bleeding at one-year (expected event rate 15%, non-inferiority margin 5%)

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Rationale and design of the TUXEDO-2 India study: Ultra-Thin strUt Supraflex Cruz versus XiencE in a Diabetic pOpulation with multi-vessel disease–2. Am Heart J. Published 28 October 2022. doi:10.1016/j.ahj.2022.10.082

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

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