FANTOM II FANTOM II: Six-Month Clinical and Angiographic Results With a Radiopaque Desaminotyrosine Polycarbonate-Based Sirolimus-Eluting Bioresorbable.

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FANTOM II FANTOM II: Six-Month Clinical and Angiographic Results With a Radiopaque Desaminotyrosine Polycarbonate-Based Sirolimus-Eluting Bioresorbable Vascular Scaffold in Patients With Coronary Artery Disease Dr. Alexandre Abizaid Instituto Dante Pazzanese de Cardiologia Sao Paulo, Brazil On behalf of the FANTOM II investigators

Disclosure Statement of Financial Interest Within the past 12 months, I or my spouse/partner have had a financial interest/arrangement or affiliation with the organization(s) listed below. Affiliation/Financial Relationship Company Research Grants Consulting Fees/Honoraria Abbott Vascular Boston Scientific Elixir Medical Medtronic REVA Medical

Fantom Bioresorbable Scaffold Key Scaffold Features Complete scaffold visibility under x-ray Single-step continuous inflation Clinically significant expansion range Good radial strength at 125 µm thickness Vasomotion restoration ~1 year (Preclinical) No special storage or handling Fantom® (REVA Medical) Sirolimus-Eluting Bioresorbable Scaffold Desaminotyrosine Polycarbonate Visibility Deliverability Vessel Patency

FANTOM II Study Investigators Australia Dr. Muller, Dr. Jepson, Dr. Walters Belgium Dr. De Bruyne Brazil Dr. Abizaid, Dr. Costa, Dr. Chamie, Dr. Perin Denmark Dr. Christiansen, Dr. Lassen, Dr. Okkels-Jensen France Dr. Carrié, Dr. Chevalier, Dr. Fajadet, Dr. Collet Germany Dr. Weber-Albers, Dr. Naber, Dr. Achenbach, Dr. Frey, Dr. Lutz, Dr. Kische, Dr. Ince, Dr. Brachman Netherlands Dr. Amoroso, Dr. Wykrzykowska, Dr. Daemen Poland Dr. Dudek, Dr. Kochman, Dr. Koltowski, Dr. Lesiak, Dr. Wojdyla

FANTOM II Study Design and Endpoints Safety and Performance Trial 2.5mm to 3.5mm vessels Lesion length ≤ 20mm Primary Endpoint MACE & Late Loss at 6 Months Secondary Endpoints MACE all time points Late Loss at 9 Months Serial imaging sub-studies Cohort A: 24 months Cohort B: 48 months Study Population N= 240 Patients 28 Clinical Centers Participating Cohort A (117 Patients) Cohort B (123 Patients) 6 Mo Clinical Follow-up (MACE) 6 Mo Clinical Follow-up (MACE) 6 Mo Angio (Late Loss) OCT Sub-Study 9 Mo Angio (Late Loss) Includes OCT & IVUS Sub-study @ 48 months Annual Clinical Follow-up (5 yrs) Annual Clinical Follow-up (5 yrs)

FANTOM II – Cohort A & B Study Overview and Baseline Characteristics Study Population N= 240 Patients 28 Clinical Centers Patient Characteristics (N=240) Patient Age (mean ± SD) 62.7 ± 10.1 Male 70.4% Diabetes 23.8% Current/Former Smoker 59.6% Hypertension 73.3% Hyperlipidemia Prior PCI 43.8% Prior CABG 2.9% Prior MI 26.3% Recent LVEF <40% 0.4% (N=231) 6 & 9 Month Follow-up Imaging Angiographic (cohort A N=100) (cohort B ongoing) OCT (cohort A N=73) (cohort B ongoing) IVUS (cohort A N=45) (cohort B ongoing) 6 Month Follow-up Clinical Long Term Follow-up Clinical (annual through 5 years)

Lesion Characteristics FANTOM II – Cohort A & B Lesion Characteristics and Procedural Outcomes Lesion Characteristics Initial Outcomes Target Lesion Location (n=240) LAD 48.8% (117) LCX 30.8% (74) RCA 20.4% (49) ACC/AHA Lesion Class (n=238)* Type A 19.3% (46) Type B1 48.7% (116) Type B2 29.4% (70) Type C 2.5% (6) Acute Procedural Outcomes Acute Technical Success (1) 95.8% Acute Procedural Success (2) 99.1% Clinical Procedural Success (3) 99.6% Defined as successful delivery and deployment of the intended scaffold in the intended lesion without device related complications. Defined as acute technical success (see definition above), resulting in a residual stenosis of ≤50 percent with no immediate (in-hospital) MACE. Defined as acute procedural success (see definition above), with no MACE thirty days post-intervention and with a final diameter stenosis ≤50 percent. *As assessed by an independent core lab

FANTOM II – Cohort A & B Safety Results Components of the 6-Month Primary Endpoint (modified ITT): non-Hierarchical N=240 N, (%) MACE* 5 (2.1%) Cardiac Death 1 (0.4%) Target vessel MI 3 (1.3%) Clinically Driven TLR 2 (0.8%) 6 Month MACE Results Timeframe Event N, (%) In-Hospital 2 (0.8%) (Post Procedure MI) 30-Day Follow-up 1 (0.4%) (MI/TLR/SAT) 90-Day Follow-up 0 (0%) 6-Month Follow-up (1 cardiac death, 1 TLR) * As adjudicated by an independent Clinical Events Committee Note: Excludes 3 Non-Clinically Driven TLRs

FANTOM II – Cohort A Angiographic – QCA Results* In-Scaffold Analysis Baseline (n=115) Post Procedure (n=112) 6 Months (n=100) RVD (mm) 2.68 ± 0.37 2.75 ± 0.40 2.70 ± 0.36 MLD (mm) 0.79 ± 0.29 2.47 ± 0.37 2.23 ± 0.41 Diameter Stenosis (%) 70.3 ± 10.4 7.6 ± 9.7 15.3 ± 15.2 Acute Gain (mm) 1.67 ± 0.41 Acute Recoil (%) 2.9 ± 8.8 Mean LLL (mm) 0.5 ± 0.38 Median LLL (mm) 0.2 (-0.43, 2.62) In-Segment Analysis 0.17 ± 0.34 0.15 (-0.43, 2.47) 0.25 + 0.40 Notes: Binary restenosis at 6 months follow-up = 2.0% Data analyzed by an independent QCA core lab (Yale Cardiovascular Research Group, New Haven, US)

Scaffold Lumen Area Mean luminal area, mm2 Baseline Follow-up PCI Research Aarhus University Hospital Mean luminal area, mm2 Descr. pics, + graph : Matched patients are interconnected Expected due to healing response around the stented segment. This decrease in lumen area was comparable to what has been observed for both the ABSORB and the DESolve stent. Baseline Follow-up Baseline Follow-up Difference p-value Mean lumen area (mm2) 6.8 (1.7) 5.7 (1.4) -1.1 (-1.3;-0.9) <0.0001 Minimal lumen area (mm2) 5.3 (1.4) 4.4 (1.4) -1.0 (-1.3;-0.7) Mean(SD) Reference: As presented by Jo Simonsen TCT 2016

Stent Area Mean stent area, mm2 Baseline Follow-up Difference p-value PCI Research Aarhus University Hospital Mean stent area, mm2 Baseline Follow-up Stent area was assessed based on the abluminal stent contour. We observed no evidence of stent area shrinkage … . The reduction in molecular weitgh we start to see at the 6 months time point did importantly not affect the stent area. Baseline Follow-up Difference p-value Mean stent area (mm2) 7.1 (1.5) 7.2 (1.4) 0.1 (-0.02;0.24) 0.12 Minimal stent area (mm2) 5.9 (1.3) 6.0 (1.3) 0.1 (-0.02;0.25) 0.08 Mean(SD) Reference: As presented by Jo Simonsen TCT 2016

Strut Coverage Follow-up Covered struts 98.1% (95.9;99.4) PCI Research Aarhus University Hospital Strut coverage was assessed on strut level and estimated as percentage of covered struts per recording. We observed a high coverage of stent struts after 6 months. A standard limitation of OCT it is not possible to confidently detect layers of coverage below 10-15 um. Still 98% covereage is a good result. An even better coverage cannot be excluded. The meassure hwew is OCT coverage. Follow-up Covered struts 98.1% (95.9;99.4) Median(IQR) Reference: As presented by Jo Simonsen TCT 2016

FANTOM Program Clinical Summary Fantom offers new and clinically important features Radiopacity Deliverability Single-step inflation No special handling requirements Initial clinical data demonstrates Good acute performance Enhanced device deliverability Minimal residual stenosis and acute recoil (3%) Sustained performance and safety through 6 months Low MACE Rate (2.1%) Low late lumen loss (0.25mm)