Device Panel Votes Down Neovasc’s Reducer

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FDA’s Circulatory System Devices Advisory Panel has voted 13 to 3 against recommending PMA approval for Neovasc’s Reducer for treating patients with refractory angina pectoris despite guideline-directed medical therapy, and who are unsuitable for revascularization by coronary artery bypass grafting or by percutaneous coronary intervention.

 

Several committee members agreed with FDA reviewers that more data are needed before approval could be granted, especially long-term data on safety and effectiveness. An agency briefing document noted that the company provided limited data from three animal studies performed using the current device along with a prior model. The studies provided preliminary information and it “raised concerns regarding the quality and consistency of the data, the level of documentation, unclear timelines, and concerns regarding the degree of tissue coverage and endothelialization of the Reducer device,” it said.

 

The Neovasc Reducer System comprises an implantable Reducer device pre-mounted on a balloon catheter delivery system. The device is designed to establish a narrowing in the coronary sinus, which is intended to improve perfusion to ischemic myocardium in the presence of reversible ischemic heart disease to alleviate the symptoms of refractory angina, FDA says. Device implantation is performed through percutaneous access through the right internal jugular vein into the coronary sinus.

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