Effect of an anti-PDGF-beta-receptor-blocking antibody on restenosis in patients undergoing elective stent placement.
Int J Cardiovasc Intervent
; 5(4): 214-22, 2003.
Article
em En
| MEDLINE
| ID: mdl-14630567
ABSTRACT
AIM:
The aim of the study was to determine whether a single intravenous infusion of 25 mg/kg CDP860, a humanized di-Fab' fragment against PDGF-beta receptor, leads to a reduction of in-stent restenosis.METHODS:
In this phase II, double-blind, placebo-controlled, multicentre study 145 patients presenting with stable or unstable angina were randomized to a single infusion of placebo or active drug (CDP860) before undergoing stenting. Quantitative angiography and 3D intravascular ultrasound (IVUS) were obtained at baseline and follow-up. Primary endpoint was the IVUS assessment of percentage in-stent volume obstruction.RESULTS:
At six-month follow-up, the placebo group and CDP860 group did not differ significantly regarding minimal luminal diameter (1.75 +/- 0.68 versus 1.82 +/--0.66 mm), restenosis rate (16.2 versus 14.1%), minimal lumen area (4.71 +/- 1.85 versus 4.41 +/- 1.77 mm(2) ), in-stent neointimal volume (30 +/- 23 versus 31 +/- 31 mm(3)) and in-stent obstruction volume (23.8 +/- 14.4 versus 22.1 +/- 15.3%). Major adverse cardiac events at 210 days were similar in both groups death 1.5 versus 1.4%, myocardial infarction 5.9 versus 8.1% and target vessel revascularization 16.4 versus 17.6%.CONCLUSION:
A single intravenous administration of monoclonal antibody against PDGF-beta receptor failed to reduce the amount of neointimal hyperplasia after stent implantation.
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Base de dados:
MEDLINE
Assunto principal:
Stents
/
Receptores do Fator de Crescimento Derivado de Plaquetas
/
Reestenose Coronária
/
Angina Pectoris
/
Anticorpos Monoclonais
Idioma:
En
Ano de publicação:
2003
Tipo de documento:
Article