Coronary disease & ACS

Rationale and design of INFINITY-SWEDEHEART: A registry-based randomized clinical trial comparing clinical outcomes of the sirolimus-eluting DynamX bioadaptor to the zotarolimus-eluting Resolute Onyx stent

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients with ischemic heart disease with de novo native coronary artery lesions undergoing percutaneous coronary intervention (PCI)randomized
Participants
2,400 patients
Planned comparison
DynamX bioadaptor vs Resolute Onyx stent
Primary endpoint
Freedom from TLF (CV death, target vessel MI or ischemia-driven target lesion revascularization); noninferiority
Follow-up
1 year
Methodological detailsrationale and design, single-blind, registry-based, non-inferiority, 20 sites in Sweden, Baseline: age 68 years; 25% STEMI, 37% NSTEMI, Powered secondary endpoints tested sequentially for superiority from 6 months to 5 years: Target lesion failure (TLF), target vessel failure, TLF in acute coronary syndrome (ACS), Angina symptoms, function and quality of life assessed by Seattle Angina Questionnaire-short version
  • Rationale and design
  • Single-blind
  • Registry-based
  • Non-inferiority
  • 20 sites in Sweden
  • Baseline: age 68 years; 25% STEMI, 37% NSTEMI
  • Powered secondary endpoints tested sequentially for superiority from 6 months to 5 years: TLF, target vessel failure, TLF in ACS
  • Angina symptoms, function and quality of life assessed by Seattle Angina Questionnaire-short version

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

Original publication

Rationale and design of INFINITY-SWEDEHEART: A registry-based randomized clinical trial comparing clinical outcomes of the sirolimus-eluting DynamX bioadaptor to the zotarolimus-eluting Resolute Onyx stent. Am Heart J. Published 2 August 2024. doi:10.1016/j.ahj.2024.07.016

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