Clinical evidence
IN.PACT™ Admiral drug-coated balloon
A clinical review of the IN.PACT™ Admiral™ drug-coated balloon (DCB) and competitive DCBs available on the market
IN.PACT™ Admiral™ has demonstrated:
Data comes from different individual studies and may differ in a head-to-head comparison, and therefore may not be predictive of clinical results.
IN.PACT Admiral DCB†,1
Stellarex™* DCB†,3,4
Ranger™* DCB†,5–7
IN.PACT™ Global Study full cohort five-year freedom from CD-TLR rate: 69.4%2
12-month primary patency in long lesions
12-month primary patency in in-stent restenosis (ISR)
Note: Provisional stent rate for IN.PACT Admiral is 42.5% and is for Lutonix 65.2%.9,12
Japan Trial 12-month primary patency
Females 12-month primary patency
Major adverse events | 48.5% (5891/1,215) |
All-cause death | 20.1% (244/1,215) |
Major target limb amputation | 1.6% (19/1,215) |
Thrombosis | 6.0% (73/1,215) |
DCB (N=220) | PTA (n=11) | PValue | |
30-day device and procedure-related death | 0.0 (0/218) | 0.0 (0/111) | >0.999 |
Target limb major amputation | 0.0 (0/207) | 0.0 (0/107) | >0.999 |
All-cause death | 1.9 (4/207) | 0.0 (0/107) | 0.93 |
Thrombosis⁺ | 1.4 (3/207) | 3.7 (4/107) | 0.10 |
⁺ Defined as an occlusion attributable to thrombus formation that is rapidly evolving as confirmed by the sudden onset of symptoms within 14 days of imaging, and documented by duplex ultrasound and angiography of the index vessel.
Primary safety composite† | 65/68 (96) | 26/32 (81) | 0.028 |
30-day device and procedure-related death | 0/68 (0) | 0/32 (0) | — |
Target limb major amputation | 0/68 (0) | 0/32 (0) | — |
All-cause death | 0/68 (0) | 0/32 (0) | — |
Thrombosis⁺ | 0/68 (0) | 0/32 (0) | — |
† Defined as no 30-day device and procedure-related death, target limb major amputation, or CD-TVR through 12 months
TM* Third-party brands are trademarks of their respective owners. All other brands are trademarks of a Medtronic company.
† Patency rates from clinical trials may be calculated differently. Chart is for illustrative purposes only and results may differ in head-to-head comparison, and therefore may not be predictive of clinical results.
‡ Primary patency is defined as freedom from CEC-adjudicated clinically driven TLR and from core lab-adjudicated binary restenosis. Patency per Kaplan-Meier estimates at 12 months (day 365).
§ Primary patency based on intent-to-treat (ITT) analysis. Primary patency is defined as freedom from clinically driven target lesion revascularization and freedom from restenosis as determined by duplex ultrasound-derived PSVR ≤ 2.4. Indication statement for IN.PACT Admiral (Japan): This device, IN.PACT™ Admiral drug-coated balloon catheter, is indicated for percutaneous transluminal angioplasty of de novo and non-stented restenotic lesions with length ≤ 200 mm in superficial femoral and popliteal arteries with reference vessel diameters of ≥ 4 mm and ≤ 7 mm.
|| Primary patency based on intent-to-treat (ITT) analysis. Primary patency per Kaplan-Meier estimate is not available. Primary patency is defined as the absence of binary restenosis (as adjudicated by a blinded core lab) and freedom from target lesion revascularization. Indication statement for Lutonix (Japan): This device, Lutonix™* drug-coated balloon catheter, is indicated for treatment of de novo or restenotic lesion with a reference vessel diameter ≥ 4 mm and ≤ 6 mm and a length ≤ 15 cm in the native femoropopliteal artery (excluding in-stent lesion) to improve luminal diameter and to reduce restenosis.