St. Jude Medical Announces IDE Approval to begin ESCAPE Migraine Study
August 24 2005 - 9:56AM
Business Wire
St. Jude Medical, Inc. (NYSE:STJ) announced today that it has
received conditional approval from the U.S. Food and Drug
Administration (FDA) of an Investigational Device Exemption (IDE)
to begin enrollment in the ESCAPE (Effect of Septal Closure of
Atrial PFO on Events of Migraine with Premere(TM)) migraine trial.
St. Jude Medical believes it is the first company to receive FDA
conditional approval to study the potential connection between
Patent Foramen Ovale (PFO) closure and migraine headaches. A PFO is
a structural defect of the heart where a small hole between the
right and left atria (upper chambers of the heart) fails to close
in infancy. An estimated 25% of the adult population has a PFO but
in most people it is usually considered benign. The ESCAPE clinical
trial is a prospective, randomized, two-arm, double-blind
multi-center trial. The objective is to determine if patients who
undergo a PFO closure procedure have a decreased number of
migraines over a one year follow-up period as compared to those who
are maintained only on drug therapy. Enrollment in the study is
expected to begin by the end of 2005. "We are very pleased to
receive conditional approval to begin this important effort to
study the effects of PFO closure on migraine sufferers," said Paul
Buckman, President of St. Jude Medical's Cardiology Division.
"Recurrent migraines are very difficult for physicians to manage
and are debilitating for many patients. We believe that this study
could provide important clinical insights into their future
treatment." Migraines are a neurological disorder characterized by
chronic and disabling headaches. Approximately 10-12% of the
population is estimated to suffer from this disorder. It is the
most common type of headache in young adults and has a prevalence
rate estimated as high as 25% in young women. While there is
currently only anecdotal proof of a cause-effect relationship
between migraine and PFO, several clinical experiences have
confirmed a strong association between the presence of PFO and
migraines. Analysis by several physicians have shown that closure
of PFO in patients with migraine and a previous stroke has been
associated with a reduction in both intensity and frequency of
migraine attacks. The ESCAPE trial will be conducted using the
Premere PFO closure system, which is a percutaneous transcatheter
device that closes the PFO. This device incorporates unique
features for PFO closure including: -- Flexible, low profile
anchors that conform to the septal wall; -- Independent anchors to
position for precise placement; -- Limited surface area and
prosthetic material designed to encourage rapid endothelialization
and minimize the incidence of thromboembolic complications; and --
Adjustable tether to adapt to the varying patient anatomies. St.
Jude Medical added the Premere PFO closure system to its portfolio
through the acquisition of Velocimed, LLC in April 2005. The
Premere PFO closure system already has CE Mark approval in Europe
but is not labeled for the treatment of migraines. St. Jude
Medical, Inc. (www.sjm.com) is dedicated to the design, manufacture
and distribution of innovative medical devices of the highest
quality, offering physicians, patients and payers outstanding
clinical performance and demonstrated economic value. Any
statements made regarding the Company's anticipated future product
launches, regulatory approvals, revenues, earnings, market shares,
and potential clinical success are forward-looking statements which
are subject to risks and uncertainties, such as those described in
the Financial Section of the Company's Annual Report to
Shareholders for the fiscal year ended December 31, 2004 (see page
16). Actual results may differ materially from anticipated results.
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