Issue: February 2010
February 01, 2010
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COMPARE

Trial of Everolimus-eluting Stents and Paclitaxel-eluting Stents for Coronary Revascularization in Daily Practice

Issue: February 2010
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Trial compared safety and efficacy of everolimus-eluting stent vs. paclitaxel-eluting stent in patients undergoing elective or emergent PCI.

Design: randomized
Patients: 1,800
Centers: single
Countries: The Netherlands

RESULTS: There was no difference in the occurrence of the combined primary endpoint between the everolimus group and paclitaxel group at 30 days (3% vs. 4%, P=.20). Target vessel revascularization and target lesion revascularization were both lower in the everolimus group vs. paclitaxel group (0.6% vs. 2%, P=.004) at 30 days. At one year, the combined primary endpoint occurred in fewer patients receiving everolimus-eluting stents vs. those receiving paclitaxel-eluting stents (6% vs. 9%, P=.02). Target vessel revascularization was lower in patients receiving everolimus-eluting stents (2% vs. 6%, P<.0001), as was target lesion revascularization (2% vs. 5%, P<.0001). All-cause mortality (5% vs. 7%, P=.05) and stent thrombosis (0.7% vs. 3%, P=.002) were also lower in the everolimus group vs. the paclitaxel group at one year.

Published in: Lancet. 2009;doi:10.1016/S0140-6736(09)62127-9.

Click here to read more about the COMPARE trial.