Boston Scientific's BEACH Trial Shows Promising Safety Data on Carotid Stenting

Results from Boston Scientific Corp's BEACH trial on carotid stenting have been hailed as "exciting" by lead investigators, with early safety data indicating a favorable outcome for patients with high-risk carotid artery disease. The trial, which is evaluating the benefits of stenting in conjunction with embolic protection, has enrolled 747 patients at 47 US sites and has a composite primary endpoint of cumulative mortality and morbidity at 30 days and one year. According to Christopher White, Co-Principal Investigator of the trial, the findings should generate interest in less-invasive alternatives for treating carotid artery disease.

Key Takeaways:

  • The BEACH trial is evaluating the benefits of stenting in conjunction with embolic protection for patients with high-risk carotid artery disease, with a focus on symptomatic patients with stenosis of 50% or greater and asymptomatic patients with stenosis of 80% or greater.
  • The trial has enrolled 747 patients at 47 US sites, with 480 patients in the pivotal phase of the trial.
  • The primary endpoint of the trial is a composite of cumulative mortality and morbidity at 30 days and one year, which includes stroke, death, and myocardial infarction (MI).
  • The early safety data from the trial are consistent with the primary endpoints and compare favorably with other high-risk carotid artery stenting trials.
  • The trial's findings support the addition of embolic protection to carotid stenting procedures, which is a less-invasive alternative for treating carotid artery disease.
  • The one-year BEACH trial results will be available in the second quarter of 2005.

Statistics:

  • 747 patients have been enrolled in the BEACH trial at 47 US sites.
  • 480 patients are in the pivotal phase of the trial.
  • The trial includes patients with stenosis of 50% or greater (symptomatic) and stenosis of 80% or greater (asymptomatic).
  • The primary endpoint of the trial includes a composite of cumulative mortality and morbidity at 30 days and one year, which includes stroke, death, and myocardial infarction (MI).
  • The early safety data from the trial are consistent with the primary endpoints and compare favorably with other high-risk carotid artery stenting trials.
  • 30-day safety data have been released, with one-year results expected in the second quarter of 2005.

Sources:

  • Boston Scientific Corp press release: not available online
  • 13th Annual Peripheral Angioplasty and All That Jazz meeting, New Orleans, USA
  • Christopher White, Co-Principal Investigator of the BEACH trial, Director of the Ochsner Heart and Vascular Institute in New Orleans, and Chairman of Ochsner's Department of Cardiology.