Researchers Find No Excess Deaths in Paclitaxel-Coated Devices
Swedish researchers say that an interim analysis of data from a clinical trial in which patients with peripheral artery disease received treatment with either paclitaxel-coated or uncoated endovascular devices found no difference in all-cause mortality between the groups in the incidence of death during one to four years of follow-up. The researchers reported in the New England Journal of Medicine that they published their results before the trial’s end to reduce patients’ and physicians’ concerns about the safety of paclitaxel-coated devices and because they consider the data to be important to support completion of ongoing trials investigating the efficacy of such devices in peripheral artery disease.
In 8/2019, FDA said that because of ongoing concerns about a late mortality signal in patients treated for peripheral artery disease with paclitaxel-coated balloons and paclitaxel-eluding stents, it was working with manufacturers on updated device labeling and clinical trial informed consent documents. An 8/7/19 letter to doctors said the agency was also continuing to push for additional clinical evidence development for assessing the long-term safety of paclitaxel-coated devices.