Breakthrough treatment successful for blocked arteries
The world's first clinical trial of a new treatment for patients with blocked coronary arteries has shown the novel approach to be safe with promising success rates.
The involved 20 patients with a coronary artery completely blocked by plaque, a condition called chronic total occlusion (CTO). Each patient received an injection of an investigational drug called MZ-004, an enzyme that softens the plaque over a 24 hour period so that a traditional angioplasty may be performed by advancing a guide-wire through the otherwise impenetrable blockage, then inserting a stent to re-open the artery and restoring blood flow.
Fifteen subjects, or 75 per cent, were able to successfully undergo angioplasty despite previous failed attempts. The findings are poised to change the way patients with blocked arteries are treated throughout the world, with a large multi-site, international clinical trial to begin later this year.
"Due to the traditionally low success rate of angioplasty in patients with completely blocked arteries, many patients turn to bypass surgery or treatment with medications alone," says Dr. Bradley Strauss, principal investigator and Chief of Schulich Heart Centre at Sunnybrook, who developed the novel formulation and approach." This treatment provides patients with the option of receiving angioplasty, rather than having more invasive treatment with bypass surgery or living with pain and discomfort."
For patient Louis Waldman, a 49 year-old police officer and father of five, a successful angioplasty after receiving collagenase in March 2011 had immediate results.
"I was feeling tired and worn out and a trip to my family doctor revealed that I had a clogged right artery. After one angioplasty attempt that didn't work, I found Dr. Strauss," says Waldman. "My discomfort went away almost immediately after the successful angioplasty. I could breathe and had no chest pains. It's a vast improvement, I'm pretty much back to normal."