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ZEST trial. Objective: To evaluate the relative efficacy and safety of ZES in comparison with SES and PES Study: Multicenter, single blind randomized trial. Population: Stable angina or ACS patients. De novo native coronary lesions. (no STEMI , no LM stenosis, LVEF ≥ 25 %)
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ZEST trial Objective: To evaluate the relative efficacy and safety of ZES in comparison with SES and PES Study: Multicenter, single blind randomized trial. Population: Stable angina or ACS patients. De novo native coronary lesions. (no STEMI, no LM stenosis, LVEF ≥ 25%) Endpoint: MACE (death, MI, ischemia driven TVR) at 12 months.
Enrolled n=2645 ZES n=883 SES n=878 PES n=884 ZEST trial
ZEST trial Eventrate at 12 months % P<0.001 P=0.55 P=0.34 P<0.001 P=0.02 ZES vs SES: p fornoninferiority: 0.01 (noninferiority margin 5%) ZES vs SES: p forsuperiority: 0.17 ZES vs PES: p forsuperiority: 0.01
ZEST trial Conclusion: The use of ZES resulted in similar rates of MACE compared with SES and in fewer rates of MACE compared with PES. Park et al. J Am CollCardiol 2010;56:1187-95