Table 2.
Angiographic and clinical efficacy endpoints
| Trevo group | Merci group | Odds ratio (95% CI) | p value | |
|---|---|---|---|---|
| Primary efficacy endpoint | ||||
| Assigned device TICI ≥2 reperfusion as per core laboratory (intra-arterial lytic equals failure) |
76/88 (86%) | 54/90 (60%) | 4·22 (1·92–9·69) | <0·0001*; <0·0001† |
| Angiographic efficacy endpoints | ||||
| Assigned device TICI ≥2 as per site investigator | 73/86 (85%) | 58/88 (66%) | 2·90 (1·32–6·61) | 0·0047‡ |
| Adjuvant therapy after assigned device | 16/88 (18%) | 28/90 (31%) | 049 (0·23–1·05) | 0·0851‡ |
| Final TICI ≥2 reperfusion as per core laboratory | 81/88 (92%) | 69/90 (77%) | 3·52 (1·33–10·35) | 0·0068‡ |
| Assigned device TICI§ reperfusion as per core laboratory | 0·0001¶ | |||
| 0 | 8% | 17% | 0·44 (0·14–1·22) | |
| 1 | 2% | 20% | 0·09 (0·01–0·42) | |
| 2a | 22% | 20% | 1·12 (0·51–2·47) | |
| 2b | 54% | 38% | 1·93 (1·02–3·68) | |
| 3 | 14% | 6% | 2·68 (0·83–10·13) | |
| Mean time to TICI ≥2 reperfusion or end of procedure | 47·8 (44·2) | 47·3 (38·8) | NA | 0·53† |
| Clinical efficacy endpoint | ||||
| 90 day good outcome (modified Rankin score 0–2) | 34/85 (40%) | 19/87 (22%) | 2·39 (1·16–4·95) | 0·0130‡ |
TICI=thrombolysis in cerebral infarction grading scale score. NA=not applicable.
Non-inferiority hypothesis with Blackwelder’s method and a non-inferiority margin of 10%.
One-sided Wald test of superiority.
Fisher’s exact test.
TICI grade 0 is no perfusion; grade 1 is perfusion past the initial obstruction but limited distal branch filling with little or slow distal perfusion; grade 2a is perfusion of less than two-thirds of the vascular distribution of the occluded artery; grade 2b is perfusion of two-thirds or more of the vascular distribution of the occluded artery; grade 3 is full perfusion with filling of all distal branches.
Wilcoxon rank sum.