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AngioDynamics Announces Publication of APEX-AV Trial Results in JSCAI

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AngioDynamics (NASDAQ: ANGO) announced the publication of the APEX-AV trial results in the Journal of the Society for Cardiovascular Angiography & Interventions (JSCAI). The trial evaluated the AlphaVac F1885 System for treating acute intermediate-risk pulmonary embolism (PE). Results showed a 35.5% reduction in clot burden and significant reduction in RV/LV ratio with low adverse event rates. The study, involving 122 patients across 25 sites, demonstrated the device's safety and efficacy. The trial was conducted in partnership with the PERT Consortium and led by Dr. William Brent Keeling and Dr. Mona Ranade. The device's unique features, such as its funnel tip and optional wireless navigation, contributed to its success. The AlphaVac F1885 System received FDA clearance in April 2024.

AngioDynamics (NASDAQ: ANGO) ha annunciato la pubblicazione dei risultati dello studio APEX-AV nel Journal of the Society for Cardiovascular Angiography & Interventions (JSCAI). Lo studio ha valutato il Sistema AlphaVac F1885 per il trattamento dell'embolia polmonare acuta a rischio intermedio. I risultati hanno mostrato una riduzione del 35,5% del carico di coagulazione e una significativa riduzione del rapporto RV/LV con basse percentuali di eventi avversi. Lo studio, che ha coinvolto 122 pazienti in 25 centri, ha dimostrato la sicurezza e l'efficacia del dispositivo. La sperimentazione è stata condotta in collaborazione con il PERT Consortium e guidata dal Dr. William Brent Keeling e dalla Dr.ssa Mona Ranade. Le caratteristiche uniche del dispositivo, come la punta a imbuto e la navigazione wireless opzionale, hanno contribuito al suo successo. Il Sistema AlphaVac F1885 ha ricevuto l'approvazione della FDA nell'aprile 2024.

AngioDynamics (NASDAQ: ANGO) anunció la publicación de los resultados del estudio APEX-AV en el Journal of the Society for Cardiovascular Angiography & Interventions (JSCAI). El estudio evaluó el Sistema AlphaVac F1885 para el tratamiento de la embolia pulmonar aguda de riesgo intermedio. Los resultados mostraron una reducción del 35.5% en la carga de coágulos y una reducción significativa en la razón RV/LV, con bajas tasas de eventos adversos. El estudio, que involucró a 122 pacientes en 25 sitios, demostró la seguridad y eficacia del dispositivo. La prueba fue realizada en colaboración con el PERT Consortium y dirigida por el Dr. William Brent Keeling y la Dr. Mona Ranade. Las características únicas del dispositivo, como su punta en embudo y la navegación inalámbrica opcional, contribuyeron a su éxito. El Sistema AlphaVac F1885 recibió la autorización de la FDA en abril de 2024.

AngioDynamics (NASDAQ: ANGO)은 Journal of the Society for Cardiovascular Angiography & Interventions (JSCAI)에 APEX-AV 시험 결과의 발표를 알렸습니다. 이 연구는 급성 중간 위험 폐색전증(PE) 치료를 위해 AlphaVac F1885 시스템을 평가했습니다. 결과는 혈전 부담에서 35.5%의 감소와 RV/LV 비율의 유의미한 감소를 보여주었으며, 부작용 발생률이 낮았습니다. 이 연구는 25개 사이트에서 122명의 환자를 대상으로 진행되어, 장치의 안전성과 효과성을 입증했습니다. 연구는 PERT Consortium과 협력하여 Dr. William Brent Keeling과 Dr. Mona Ranade가 주도하였습니다. 이 장치의 독특한 특징인 깔때기 팁과 선택적 무선 내비게이션이 성공에 기여했습니다. AlphaVac F1885 시스템은 2024년 4월에 FDA 승인을 받았습니다.

AngioDynamics (NASDAQ: ANGO) a annoncé la publication des résultats de l'essai APEX-AV dans le Journal of the Society for Cardiovascular Angiography & Interventions (JSCAI). L'essai a évalué le système AlphaVac F1885 pour le traitement de l'embolie pulmonaire aiguë à risque intermédiaire. Les résultats ont montré une réduction de 35,5 % de la charge thrombotique et une diminution significative du rapport RV/LV avec de faibles taux d'événements indésirables. L'étude, impliquant 122 patients sur 25 sites, a démontré la sécurité et l'efficacité du dispositif. L'essai a été réalisé en partenariat avec le PERT Consortium et dirigé par le Dr William Brent Keeling et la Dr Mona Ranade. Les caractéristiques uniques du dispositif, telles que sa pointe en entonnoir et la navigation sans fil optionnelle, ont contribué à son succès. Le système AlphaVac F1885 a reçu l'approbation de la FDA en avril 2024.

AngioDynamics (NASDAQ: ANGO) gab die Veröffentlichung der Ergebnisse der APEX-AV-Studie im Journal of the Society for Cardiovascular Angiography & Interventions (JSCAI) bekannt. Die Studie bewertete das AlphaVac F1885 System zur Behandlung von akuter pulmonaler Embolie mit mittlerem Risiko. Die Ergebnisse zeigten eine Reduktion der Thrombuslast um 35,5 % und eine signifikante Reduzierung des RV/LV-Verhältnisses bei niedrigen Raten unerwünschter Ereignisse. Die Studie, an der 122 Patienten an 25 Standorten beteiligt waren, demonstrierte die Sicherheit und Wirksamkeit des Geräts. Die Studie wurde in Zusammenarbeit mit dem PERT Consortium durchgeführt und von Dr. William Brent Keeling und Dr. Mona Ranade geleitet. Die einzigartigen Merkmale des Geräts, wie die Trichterspitze und die optionale drahtlose Navigation, trugen zu seinem Erfolg bei. Das AlphaVac F1885 System erhielt im April 2024 die FDA-Zulassung.

Positive
  • 35.5% reduction in clot burden using the AlphaVac F1885 System.
  • Significant reduction in RV/LV ratio post-procedure.
  • Low rate of adverse events reported in the APEX-AV trial.
  • FDA clearance for the AlphaVac F1885 System in April 2024.
Negative
  • None.

Insights

The publication of the APEX-AV trial results in JSCAI represents a significant clinical milestone for AngioDynamics' AlphaVac F1885 System. The 35.5% clot burden reduction demonstrates superior efficacy compared to existing mechanical aspiration devices, positioning ANGO competitively in the $2.6 billion thrombectomy market.

The trial's robust design, involving 122 patients across 25 U.S. sites, coupled with the FDA clearance received in April 2024, establishes strong clinical validation. With approximately 900,000 annual PE cases in the U.S. and a concerning 10-30% mortality rate within one month, this represents a substantial market opportunity. The device's unique features, including funnel tip design and wireless navigation, create notable competitive advantages in the interventional devices space.

Think of this device as a highly efficient vacuum cleaner for blood clots - it's faster, safer and more effective than traditional methods, which could drive significant market adoption and revenue growth for ANGO in the coming quarters.

The successful trial results and subsequent publication create multiple value drivers for ANGO's market position. With a current market cap of $499.8 million, the company is well-positioned to capture market share in the expanding thrombectomy market. The low rate of adverse events and significant efficacy improvements should accelerate insurance coverage and hospital adoption rates.

Key financial catalysts include: 1) Potential revenue acceleration from broader adoption of the AlphaVac F1885 System, 2) Improved gross margins through premium pricing supported by superior clinical data and 3) Enhanced competitive positioning against larger medical device players. The addressable market opportunity, considering PE treatment costs and procedure volumes, could translate to meaningful revenue growth for ANGO's vascular access portfolio.

Peer-reviewed data highlights successful clinical study with 35.5% clot burden reduction, validating the safety, efficacy, and efficiency of AlphaVac F1885 System in pulmonary embolism treatment.

LATHAM, N.Y.--(BUSINESS WIRE)-- AngioDynamics, Inc. (NASDAQ: ANGO), a leading and transformative medical technology company focused on restoring healthy blood flow in the body’s vascular system, expanding cancer treatment options and improving patient quality of life, today announced the publication of the results from the Acute Pulmonary Embolism Extraction Trial with the AlphaVac System (APEX-AV) in the Journal of the Society for Cardiovascular Angiography & Interventions (JSCAI). The article, “Novel Mechanical Aspiration Thrombectomy in Patients with Acute Pulmonary Embolism: Results from the Prospective APEX-AV Trial,” was published December 27, 2024.

Pulmonary embolism (PE), a potentially life-threatening condition, affects approximately 900,000 individuals annually in the United States, with 10-30% of cases resulting in death within one month of diagnosis, according to the American Lung Association.1

The primary efficacy endpoint of the APEX-AV trial was the reduction in RV/LV ratio between baseline and 48 hours post-procedure. The primary safety endpoint was the rate of MAEs, including events such as major bleeding and serious device-related clinical deterioration, pulmonary vascular injury, and cardiac injury within the first 48 hours. Patients were followed for 30 days post-index procedure. The results demonstrated the device as a safe and effective treatment for acute intermediate-risk PE with a significant reduction in RV/LV ratio and clot burden with a low rate of adverse events.

The APEX-AV trial demonstrated a 35.5% reduction in clot burden (via the Modified Miller index score), comparing favorably to other mechanical aspiration devices on the market.2 The unique design features of the device, including its funnel tip, optional wireless navigation, and blood loss mitigation, contributed to clinically significant improvements in both safety and efficacy.

"Achieving publication in a respected, peer-reviewed journal underscores the strength and importance of the APEX-AV trial findings and their potential impact on patient outcomes," said Juan Carlos Serna, AngioDynamics Senior Vice President of Scientific and Clinical Affairs. "The inclusion of the AlphaVac F1885 System in JSCAI validates our commitment to advancing meaningful solutions for pulmonary embolism, a life-threatening condition affecting hundreds of thousands of people each year. This milestone caps a transformative year for the AlphaVac F1885 System, following its FDA clearance for PE thrombectomy and its spotlight at the SCAI Scientific Sessions. We are proud to deliver innovations that equip physicians with effective tools to improve care and save lives."

The APEX-AV trial was initiated in partnership with the widely respected Pulmonary Embolism Response Team (PERT) Consortium™ and was led by co-Principal Investigators William Brent Keeling, MD, Associate Professor at the Emory School of Medicine in Atlanta, Georgia, and Mona Ranade, MD, Assistant Professor, Interventional Radiology, at the David Geffen School of Medicine at UCLA. The trial results were initially presented at The Society for Cardiovascular Angiography & Interventions (SCAI) 2024 Scientific Sessions hosted in Long Beach, California in May.

“We are incredibly excited by the results of the APEX-AV trial, which demonstrate the safety and efficacy of the AlphaVac F1885 System in treating patients with pulmonary embolism,” said William Brent Keeling, MD, Associate Professor of Surgery, Department of Surgery, at the Emory University School of Medicine, and Immediate Past President, The PERT Consortium™. “These outcomes are critical for PE patients, where timely and efficient intervention can greatly improve long-term health outcomes and reduce the risk of complications.”

In December 2023, AngioDynamics announced the completion of patient enrollment in its APEX-AV trial, a single-arm Investigational Device Exemption study that enrolled 122 patients with confirmed acute, intermediate-risk PE across 25 hospital-based sites in the United States to assess the AlphaVac F18⁸⁵ System for the treatment of PE. In April 2024, the United States Food and Drug Administration (FDA) cleared the AlphaVac F1885 System for the treatment of PE.

“The results from the APEX-AV trial demonstrate the significant impact of the AlphaVac F1885 technology in treating pulmonary embolism,” said Mona Ranade, MD, Assistant Professor, Interventional Radiology, at the David Geffen School of Medicine at UCLA. “We observed a significant reduction in clot burden pre- and post-treatment, and saw a notable improvement in pulmonary artery pressures, underscoring the efficacy of this innovative approach. The procedure was completed with remarkable efficiency, with a short procedure time, making it a promising option for patients in need of rapid and effective intervention.”

The published article concluded that “Percutaneous mechanical aspiration thrombectomy with the AlphaVac system provided a safe and effective treatment for acute intermediate-risk PE with a significant reduction in RV/LV ratio and clot burden with a low rate of adverse events.”

JSCAI publishes original research, comprehensive reviews, meta-analyses, study designs, society guidelines, editorials, research letters, case reports, and images. The subject matter includes all interventional subspecialities including coronary, peripheral, structural, and congenital heart disease.

To access the published material, visit: https://www.sciencedirect.com/science/article/pii/S2772930324021525.

About the AlphaVac F1885 System

The AlphaVac F1885 System is an emergent first-line device that is currently cleared for the removal of thromboemboli from the venous system and for the treatment of PE. The System includes an ergonomic handle, an 18F cannula with an 85-degree angle, an obturator and a waste bag assembly. The APEX-AV Study was designed to provide safety and efficacy data for a clearance specific to PE. For risk information, visit https://bit.ly/Angio-risk-info.

About AngioDynamics, Inc.

AngioDynamics is a leading and transformative medical technology company focused on restoring healthy blood flow in the body’s vascular system, expanding cancer treatment options and improving patient quality of life.

The Company’s innovative technologies and devices are chosen by talented physicians in fast-growing healthcare markets to treat unmet patient needs. For more information, visit www.angiodynamics.com.

Safe Harbor

This release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements regarding AngioDynamics’ expected future financial position, results of operations, cash flows, business strategy, budgets, projected costs, capital expenditures, products, competitive positions, growth opportunities, plans and objectives of management for future operations, as well as statements that include the words such as “expects,” “reaffirms,” “intends,” “anticipates,” “plans,” “believes,” “seeks,” “estimates,” “projects,” “optimistic,” or variations of such words and similar expressions, are forward-looking statements. These forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties. Investors are cautioned that actual events or results may differ materially from AngioDynamics’ expectations, expressed or implied. Factors that may affect the actual results achieved by AngioDynamics include, without limitation, the scale and scope of the COVID-19 global pandemic, the ability of AngioDynamics to develop its existing and new products, technological advances and patents attained by competitors, infringement of AngioDynamics’ technology or assertions that AngioDynamics’ technology infringes the technology of third parties, the ability of AngioDynamics to effectively compete against competitors that have substantially greater resources, future actions by the FDA or other regulatory agencies, domestic and foreign healthcare reforms and government regulations, results of pending or future clinical trials, overall economic conditions (including inflation, labor shortages and supply chain challenges including the cost and availability of raw materials), the results of on-going litigation, challenges with respect to third-party distributors or joint venture partners or collaborators, the results of sales efforts, the effects of product recalls and product liability claims, changes in key personnel, the ability of AngioDynamics to execute on strategic initiatives, the effects of economic, credit and capital market conditions, general market conditions, market acceptance, foreign currency exchange rate fluctuations, the effects on pricing from group purchasing organizations and competition, the ability of AngioDynamics to obtain regulatory clearances or approval of its products, or to integrate acquired businesses, as well as the risk factors listed from time to time in AngioDynamics’ SEC filings, including but not limited to its Annual Report on Form 10-K for the year ended May 31, 2024. AngioDynamics does not assume any obligation to publicly update or revise any forward-looking statements for any reason.

AngioDynamics, the AngioDynamics logo and AlphaVac are trademarks and/or registered trademarks of AngioDynamics, Inc., an affiliate or subsidiary. All other trademarks are property of their respective owners.

____________________________
1 https://ihpi.umich.edu/news/pulmonary-embolism-deaths-disparities-high-despite-advancements-care
2 https://www.sciencedirect.com/science/article/pii/S2772930324021525

Investor Contact:

Stephen Trowbridge

Executive Vice President & CFO

518-795-1408

strowbridge@angiodynamics.com

Media Contact:

Saleem Cheeks

Vice President, Communications

518-795-1174

scheeks@angiodynamics.com

Source: AngioDynamics, Inc.

FAQ

What were the primary results of the APEX-AV trial for ANGO?

The APEX-AV trial showed a 35.5% reduction in clot burden and significant reduction in RV/LV ratio with low adverse event rates.

When was the AlphaVac F1885 System cleared by the FDA?

The AlphaVac F1885 System was cleared by the FDA in April 2024.

How many patients were enrolled in the APEX-AV trial?

The APEX-AV trial enrolled 122 patients with confirmed acute intermediate-risk PE.

What is the significance of the AlphaVac F1885 System's publication in JSCAI for ANGO?

The publication in JSCAI highlights the safety, efficacy, and efficiency of the AlphaVac F1885 System, validating its use in treating pulmonary embolism.

What unique features contributed to the AlphaVac F1885 System's success in the APEX-AV trial?

The AlphaVac F1885 System's unique features include its funnel tip, optional wireless navigation, and blood loss mitigation.

Who led the APEX-AV trial for ANGO?

The APEX-AV trial was led by Dr. William Brent Keeling and Dr. Mona Ranade.

What was the primary safety endpoint in the APEX-AV trial?

The primary safety endpoint was the rate of major adverse events (MAEs) within the first 48 hours post-procedure.

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