Clinical and Industry News

TherOx Receives FDA Approval for First Heart Attack Treatment Since PCI to Reduce Infarct Size

TherOx, Inc., a privately held medical device company focused on improving treatment of acute myocardial infarction (AMI), announced that the U.S. Food and Drug Administration (FDA) granted premarket approval for its SuperSaturated Oxygen (SSO2) Therapy. SSO2 Therapy provides interventional cardiologists with an FDA-approved treatment beyond percutaneous coronary intervention (PCI) to significantly reduce muscle damage in heart attack patients.

SSO2 Therapy delivers hyperbaric levels of oxygen directly to the ischemic heart muscle immediately after the coronary artery has been successfully opened by PCI. It is indicated for patients who suffer the most serious kind of heart attacks, left anterior descending ST-elevation myocardial infarction (LAD STEMI) — also known as the widowmaker — treated within six hours of symptom onset. SSO2 Therapy is adjunctively administered immediately following successful stent placement, with no delay in PCI treatment.

“Even after angioplasty with stenting, many heart attack patients suffer from irreversible damage to the heart muscle, which carries a poor prognosis in terms of mortality and the potential for future heart failure,” said Gregg W. Stone, MD, professor of medicine, Columbia University Medical Center. “SuperSaturated Oxygen is the only therapy shown in a pivotal randomized trial to reduce infarct size in patients with large anterior myocardial infarction, offering the potential to further improve outcomes in these high-risk patients despite successful primary angioplasty.”

According to the American Heart Association, every year approximately 750,000 people in the U.S. have heart attacks. Although PCI has been the standard of care in treating acute MI for 25 years, many patients do not achieve maximum clinical benefit and suffer from reduced heart function. More than 30% of severe acute MI patients develop heart failure3 and of those, 50% will die within five years.4

SSO2 Therapy has been shown in multiple, randomized, prospective clinical trials to consistently and safely reduce infarct size in anterior acute MI patients and thereby improve outcomes.

  • A pivotal, randomized, controlled trial demonstrated a 26% relative reduction in infarct size compared to PCI alone.1
    • Infarct size reduction correlates strongly with reduction in future complications, including heart failure, hospitalizations and even death.2
  • Additional clinical trial data show left ventricular stability at 30 days with no deleterious enlargement.5,6

SSO2 Therapy is indicated for the preparation and delivery of supersaturated oxygen to targeted ischemic regions perfused by the patient’s left anterior descending coronary artery immediately following revascularization by means of PCI with stenting that has been completed within six hours after the onset of anterior acute myocardial infarction symptoms caused by a left anterior descending artery infarct lesion.

About SSO2 Therapy

A heart attack is typically caused when blood and oxygen flow to the heart is blocked or reduced and the heart’s tiny capillaries swell, further restricting blood flow. If not quickly restored, irreversible damage to the heart muscle, or infarction, will occur. SSO2 Therapy is based on the known benefits of hyperbaric oxygen treatment in improving the body’s ability to heal. SSO2 Therapy infuses superoxygenated blood to improve microvascular flow and has been shown to save heart muscle by reducing infarct size. Immediately after the coronary artery has been opened by PCI, SSO2 Therapy delivers a one-time, 60-minute infusion of the patient’s superoxygenated blood to the targeted ischemic area of the heart through a small catheter. The superoxygenated blood helps reduce capillary swelling to restore blood flow to surrounding tissue and decrease infarct size.7,8 SSO2 Therapy is aligned with current guidelines for interventional cardiology procedures.

About TherOx, Inc.

TherOx is a privately held medical device company based in Irvine, California. For more information about TherOx, visit www.therox.com. 

References
  1. Stone GW, et al. Effect of supersaturated oxygen delivery on infarct size after percutaneous coronary intervention in acute myocardial infarction. Circ Cardiovasc Interv. 2009 Sept; 2: 366-375.
  2. Stone GW, et al. Relationship between infarct size and outcomes following primary PCI: patient-Level Analysis From 10 Randomized Trials. J Am Coll Cardiol. 2016;67(14):1674–1683.
  3. Gerber et al. Atherosclerotic burden and heart failure after myocardial infarction. JAMA Cardiol. 2016;1(2):156-162.
  4. Fitch K, et al. The cost burden of worsening heart failure in the Medicare fee for service population: an actuarial analysis. Milliman Client Report. March 2017. Available online at http://us.milliman.com/insight/2017/The-cost-burden-of-worsening-heart-failure-in-the-Medicare-fee-for-service-population-An-actuarial-analysis/. Accessed May 21, 2019.
  5. Warda HM, et al. Effect of intracoronary aqueous oxygen on left ventricular remodeling after anterior wall ST-elevation acute myocardial infarction. Am J Cardiol. 2005; 96(1): 22-24.
  6. David SW, et al. Evaluation of intracoronary hyperoxemic oxygen therapy in acute anterior myocardial infarction: The IC-HOT study. Catheter Cardiovasc Interv. 2019 Apr 1;93(5):882-890.
  7. Spears JR, et al. Aqueous oxygen attenuation of reperfusion microvascular ischemia in a canine model of myocardial infarction. ASAIO Jour. 2003 Nov-Dec;49(6):716-720.
  8. Bartorelli A, et al. Hyperoxemic perfusion for treatment of reperfusion microvascular ischemia in patients with myocardial infarction. Am Jour of Cardio Drugs. 2003. 3(4); 253-263.