SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

Date of Report (Date of earliest event reported): June 18, 2015

 

 

C. R. BARD, INC.

(Exact Name of Registrant as Specified in Charter)

 

 

 

New Jersey   001-6926   22-1454160

(State or Other Jurisdiction of

Incorporation or Organization)

 

(Commission

File Number)

 

(IRS Employer

Identification No.)

 

730 Central Avenue

Murray Hill, New Jersey

  07974
(Address of Principal Executive Office)   (Zip Code)

(908) 277-8000

(Registrant’s Telephone Number, Including Area Code)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 


Item 7.01 Other Events

On June 18, 2015, the attached materials were presented as part of a scientific session at the 2015 Vascular Annual Meeting of the Society for Vascular Surgery. The presentation materials attached hereto as Exhibits 99.1 – 99.2 are incorporated herein by reference.

The information in this Current Report on Form 8-K, including Exhibits 99.1 – 99.2, is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities and Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to liabilities under that section, nor shall it be deemed to be incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as otherwise stated in such filing.

 

Item 9.01 Financial Statements and Exhibits

 

 

  (d)                 Exhibits.

Exhibit

    

Description

  99.1       Presentation by Patrick Geraghty, MD, FACS, entitled, Clinical Design of the FIRST and ONLY Approved IDE BTK Trial for a Drug Coated Balloon
  99.2       Presentation by Chad Laurich, MD, entitled, Lutonix Global Real World SFA Registry - Interim Results & First Look at LEVANT 2 24 Month Results


SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

C. R. BARD, INC.
(Registrant)
Date: June 18, 2015

/s/ Richard C. Rosenzweig

Richard C. Rosenzweig

Vice President, Law and Assistant Secretary


INDEX TO EXHIBITS

 

Exhibit 99.1 Presentation by Patrick Geraghty, MD, FACS, entitled, Clinical Design of the FIRST and ONLY Approved IDE BTK Trial for a Drug Coated Balloon
Exhibit 99.2 Presentation by Chad Laurich, MD, entitled, Lutonix Global Real World SFA Registry - Interim Results & First Look at LEVANT 2 24 Month Results


Clinical Design of the FIRST
and ONLY Approved IDE BTK Trial for
a Drug Coated Balloon
Caution –
Investigational Device, Limited by Federal (USA) Law to Investigational Use
Patrick Geraghty, MD, FACS
Associate Professor of Surgery and Radiology
Co-Director, Limb Preservation Center
Washington University Medical School
St. Louis, MO
Exhibit 99.1


Disclaimer
This presentation is on behalf of Lutonix, Inc., a
subsidiary of C.R. Bard, Inc. It is intended as an update
and exchange of scientific and clinical trial information.
The presenter is a consultant of Lutonix, Inc. and Bard
Peripheral Vascular, Inc.
The opinions and clinical experiences presented herein
are for informational purposes only.  The results
presented may not be predictive for all studies and
patients.  Results may vary depending on a variety of
experimental and clinical parameters.


Conflicts of Interest
Bard-Lutonix: BTK Trial PI, Advisory Board,
Consultant
Cook Medical: FORMAT Trial PI, Consultant
Boston Scientific: Advisory Board
Spectranetics: Steering Committee


Trial Summary
PRIMARY ENDPOINTS
Safety at 30 days
Limb salvage & primary patency at 12 months
NUMBER OF
PATIENTS/SITES
320 randomized patients at 55 global sites
FOLLOW-UP
Clinical: 1, 6, 12, 24, and 36 Months
Duplex Ultrasound (DUS):
1, 6,12, 24, & 36 months
Angiography :  12 months
Telephone: 48 and 60 Months
NATIONAL PRINCIPAL
INVESTIGATORS
Patrick Geraghty:  Washington University, St. Louis, MO
Jihad Mustapha:  Metro Health Hospital, Wyoming, MI
Marianne Brodmann:  Medical University Graz, Austria
SPONSOR
Lutonix Inc., Minneapolis, MN
Caution –
Investigational Device, Limited by Federal (USA) Law to Investigational Use


Primary Endpoints
New  bypass graft
Jump/Interposition graft revision
Thrombectomy/Thrombolysis
Caution
Investigational
Device,
Limited
by
Federal
(USA)
Law
to
Investigational
Use
SAFETY
Freedom from Major Adverse
Limb Events & All-Cause Death at
30 DAYS
Amputation (above ankle)
Major re-intervention
EFFICACY
Composite of Limb Salvage and
Primary Patency at 12 Months
Defined as freedom from the
composite of above ankle
amputation, target vessel
occlusion, and clinically-driven
target lesion re-intervention.


Patient Eligibility
Inclusion Criteria
Male or non-pregnant female
18 years of age
Rutherford 4-5
Life expectancy 
1 year
Significant stenosis
(
70%)
A patent inflow artery
Target vessel(s) diameter
between 2 and 4 mm
Target vessel(s) reconstitute(s)
at or above the ankle
Exclusion Criteria
Pregnant or planning on
becoming pregnant
History of stroke within 3
months
History of MI, thrombolysis or
angina within 30 days of
enrollment
Prior or planned major
amputation
GFR
30
ml/min
per
1.73m
In-stent restenosis
of target
lesion
Caution
Investigational
Device,
Limited
by
Federal
(USA)
Law
to
Investigational
Use
2
Acute limb ischemia


BTK Trial Design
Protocol Features
Randomized 2:1 versus POBA
Permits treatment of two tibial arteries (two flow pathways)
Combined lesion length of up to 32 cm treatable (36 cm balloon
length allowed)
Retrograde wire access permitted, but not retrograde intervention
Balloon lengths of up to 12 cm
First U.S. use of tibial patency assessment via duplex ultrasound
(VasCore)
Angiographic assessment of normal-risk subset at one year
(Synvacor)
Broad range of secondary endpoints including QOL instruments
Caution –
Investigational Device, Limited by Federal (USA) Law to Investigational Use


Study Flowchart
PTA Pre-Dilatation
With Uncoated Balloon
Successful PTA with
Outflow
Randomize 2:1
Test Arm:
Dilatation of ALL target lesions with
Drug Coated Balloon
Control Arm
:
Dilatation of ALL target lesions with
Uncoated Balloon
Suboptimal PTA
Absence of above ankle reconstitution
>75% residual stenosis
Treat per standard
practice
30 day follow-up for safety
Inflow Treatment
If needed
Caution –
Investigational Device, Limited by Federal (USA) Law to Investigational Use


DMC Monitoring
Caution –
Investigational Device, Limited by Federal (USA) Law to Investigational Use
What is the Data Monitoring Committee?
Unbiased panel of leading experts in peripheral
vascular disease, cardiovascular medicine and
biostatistics not associated with Lutonix or the trial
During the enrollment phase of the trial, DMC
reviews accumulating safety data to monitor for
incidence of serious vascular events that would
warrant termination of the trial


Safety Review
Caution –
Investigational Device, Limited by Federal (USA) Law to Investigational Use
6 Data Monitoring Committee meetings so far
213 randomized patients:
128 have completed 6 month follow-up
69 have completed 12 month follow-up
Only 7 major amputations (3.27% of enrolled pts)
recorded
Only approved and ongoing BTK trial in the US


Lutonix Global Real World SFA
Registry -
Interim Results
&
First Look at LEVANT 2
24 Month Results
Chad Laurich, MD
Vascular Physician & Surgeon
Sanford Health
Sioux Falls, South Dakota
Exhibit 99.2


Disclosures/Disclaimers
The speaker’s presentation today  is on behalf of Lutonix, Inc. Any
discussion  regarding Bard products during the presentation  today  is
limited to information that is consistent with the Bard labeling for
those products. Please consult Bard product  labels and inserts  for
any indications, contraindications, hazards, warnings, cautions and 
instructions for use.
The opinions and clinical experiences presented herein are for
informational purposes only.  The results presented may not be
predictive for all studies and patients.  Results may vary depending on
a variety of experimental and clinical parameters.
2


The LUTONIX
®
Global SFA Registry data reported herein:
Are
preliminary
/
interim
data
concerning
a
subset
of
691
enrolled
patients
with
follow-up
ongoing;
Are
subject
to
change
upon
completion
of
two-year
follow-up
and
full
adjudication;
Are
not
intended
to
be
compared
against
or
interpreted
to
be
superior
to
any
other
published
data
concerning
the
LUTONIX
®
035
DCB.
LUTONIX
®
Global Real World SFA
Registry
3


Conflicts of Interest
Speaker is a consultant for:
BARD
Medtronic
EKOS Corporation
4


To Demonstrate Safety and Assess the
Clinical
Outcomes
of
the
LUTONIX
®
DCB
in
Real-World Clinical Practice
LUTONIX
®
Global Real World SFA
Registry Objectives
5


Global Real World SFA Registry
Design
6
Enrollment
Up to 1000 patients with
femoro-popliteal lesions
Registry to include up to 75
sites
Follow up 1m, 6m, 12m and
24m by phone or at clinic
Patient consent for 5 year F/U
Inclusion
Male or non-pregnant  female
18
years
Rutherford Class
4
Stenotic
or obstructive vascular
lesions of the Fem-Pop artery
treated per IFU
At least one patent native outflow
artery to the ankle free from
significant lesion (
50% stenosis)
as confirmed by angiography


Global Real World SFA Registry
Primary End Points
7
Freedom at 30 days from
TVR
Major limb amputation
Device or procedure related   
death
Freedom from TLR at 12
months
Effectiveness
Safety


Global Real World SFA Registry Status
Enrollment ended with 691 patients
Global, real world, all comer data
Multi center participation: 38 sites
from 11 countries participated in
the Registry
Enrollment:
Dec
2012
Jul
2014
6
13
18
28
28
49
53
59
68
370
Enrollment by country
France
Spain
Switzerland
Poland
UK
Belgium
Greece
Italy
Austria
Germany
8


Global Real World SFA Registry
Rutherford Category Distribution
9
*Preliminary data are site reported and subject to change upon adjudication.
NA
11.0%
Class 2
17.6%
Class 3
62.5%
Class 4
7.3%
Class 5,6
1.6%


Global Real World SFA Registry
Lesion Characteristics
*
Target
Lesion
length
(mm),
mean
SD
(n)
100.9
84.2 (684)
Calcification % (n/N)
34.2% (235/687
)
Total Occlusion, % (n/N)
30.9% (212/686)
Number of Lesions treated
1
83.9% (577/688)
2
14.2%
(98/688)
3 or more
1.8% (13/688)
Lesion location
Proximal SFA
7.8% (53/678)
Mid SFA
25.1% (170/678)
Distal SFA
37.5% (254/678)
Proximal
Popliteal
16.8% (114/678)
Mid Popliteal
10.2% (69/678)
Distal Popliteal
2.7% (18/678)
10
*Preliminary data are site reported and subject to change upon adjudication.


Type A
34.1%
Type B
23.9%
Type C
9.5%
Type D
4.8%
Unknown
27.7%
Lesion Class TASC II
Global Real World SFA Registry
Lesion Characteristics
*
11
*Preliminary data are site reported and subject to change upon adjudication.


Baseline DCB Demographics
LEVANT 2 vs. Global Real World SFA Registry
LEVANT 2
DCB
(316)
Global SFA Registry*
(691)
Age, Mean ±
SD (n)
67.8
±
10.0
(316)
68.3
9.8 (691)
Male gender, % (n/N)
61.1% (193/316)
67.6% (467/691)
Obesity
34.8% (110/316)
Current Smoker
35.1% (111/316)
36.5% (252/690)
Dyslipidemia
89.6% (283/316)
69.9% (483/691)
Diabetes
43.4% (137/316)
39.5% (273/691)
Hypertension
89.2% (282/316)
85.2% (589/691)
Rutherford Grade
2
29.4% (93/316)
17.6%
3
62.7% (198/316)
62.5%
4
7.9% (25/316)
7.3%
5 and 6
0.0% (0/316)
1.6%
12
*Preliminary data are site reported and subject to change upon adjudication.


DCB Angiographic Demographics
LEVANT 2 vs. Global Real World SFA Registry
LEVANT 2 DCB
(316)
Global SFA
Registry* (691)
Two lesions treated
1.9% (6/316)
14.2% (98/688)
Total Lesion Length (mm)
62.7 ±
41.4 (315)
100.9 ±
84.2 (684)
Treated Length (mm)
107.9 ±
47.0 (316)
197.3 ±
133.2
(202)
Calcification
59.2% (187/316)
34.2% (235/687)
Total Occlusion
20.6% (65/316)
30.9% (212/686)
Lesion Locations
SFA
90% (285/316)
70% (477/678)
Proximal
Popliteal
4.7% (15/316)
16.8% (114/678)
Mid
& Distal Popliteal
5.0% (16/316)
12.8% (87/678)
%DS post-treatment
23.4
±
12.3
(316)
14.3
±
18.3
(680)
Bail-out Stenting
2.5% (8/316)
27.6% (191/691)
Dissection
63.7% (200/314)
38.1% (263/691)
13
*Preliminary data are site reported and subject to change upon adjudication.


Global Real World SFA Registry
Interim 12 Month Results


15
Global Real World SFA Registry
Updated Interim  12 Month Results
Measure
Lutonix
DCB%
(N)
Freedom from TLR
1,2
92.0% (460)
Primary Patency
1,2
91.0% (460)
30
Day Safety
1
99.1% (687)
1
Preliminary data are site reported and subject to change upon adjudication.
2
Kaplan Meier estimates @ 12 month survival


All Cause Death
1.9%
(13/691)
Device or procedure related death
1,2
0.0%
Major index limb amputation
1,2
0.3%
(N=490)
Minor index limb amputation
1,2
0.3%
(N=490)
Reintervention for treatment of embolization to its
distal vasculature
1,2
0.4%
(N=489)
Reintervention for treatment of thrombosis of the
target vessel
1,2
0.6%
(N=489)
16
Global Real World SFA Registry
Updated Interim 12 Month Select Secondary Safety
Endpoints
1
Preliminary data are site reported and subject to change upon adjudication.
2
Kaplan Meier estimates @ 12 month survival
1


Lutonix 24 Month Outcomes
LEVANT 2
&
Global Real World SFA Registry


LEVANT 2 Endpoint Summary
24 Month Outcomes
Composite
Safety
1
Lutonix
DCB
(N=315)
Standard
PTA
(N=160)
Difference
Log-Rank
P-value
@730 days
2
78.7%
70.9%
7.8%
0.08
Lutonix DCB Demonstrated
Non-inferiority AND trend towards
superiority  versus PTA
18
.
1
Composite
of
freedom
from
all-cause
perioperative
(<30
day)
death
and
freedom
from
the
following
at
1,
6,
24,
36,
48
&
60
months: 
index limb amputation, index limb re-intervention and index limb related death.
2
Primary Safety reported based on Kaplan-Meier Survival analysis, not pre-specified


LEVANT 2 Endpoint Summary
24 Month Outcomes
Efficacy,
Primary Patency
1
Lutonix
DCB
(N=316)
Standard
PTA
(N=160)
Difference
Log-Rank
P-value
@730 days
2
58.6%
53.0%
5.6%
0.05
Lutonix DCB Showed Sustained Benefit in
Primary Patency at 24 months
1
Primary patency is defined as the absence of target lesion restenosis (defined by DUS peak systolic velocity ratio (PSVR) >2.5) and
freedom from target lesion revascularization (TLR).
2
Primary Efficacy reported based on Kaplan-Meier Survival analysis, not pre-specified.
10.5% Improvement over PTA
19


Lutonix DCB freedom from TLR rate of 82% is consistent
with published stent freedom from TLR rates
“Stent Like TLR” Continued
at 24 Months
86.6
77.8
75.3
80.3
79.4
84.0
30
40
50
60
70
80
90
100
Zilver PTX
Resilient
(Lifestent)
Durability II
(Everflex)
Stroll
(SMART)
Viastar
(Viabahn w/
propaten)
Superb
(Supera)
LEVANT 2 DCB Freedom from TLR rate = 82%
*
20
*TLR is defined as Target Lesion Revascularization. This was a secondary endpoint in the LEVANT 2 trial.  Reported stent TLR rates are from Kaplan-Meier analyses at 24 months, not pre-
specified.  LEVANT 2 PTA arm 79%. These data are not from head-to-head clinical studies.  Comparing the results of different clinical trials can be misleading, as each study may have varying
patient profiles, protocol structures and other criteria that may affect reported outcomes. This presentation of data is provided for background and general education purposes only.


LEVANT 2
Other Selected Secondary Safety Endpoints
Outcome –
Lutonix DCB
24 Months
Death
19/277 (6.9%)
Major Amputation
1/261 (0.4%)
Reintervention
for Thrombosis
1/260
(0.4%)
21


22
Global Real World SFA Registry
24 Month Outcomes
Measure
Lutonix DCB
(N)
Freedom from TLR
1,2
76.4% (72)
Primary Patency
1,2
75.0% (72)
1
Preliminary data are site reported and subject to change upon adjudication.
2
Kaplan Meier estimates @  24 month survival


All Cause Death
1.9% (13/691)
Device or procedure related death
0.0% (0/691)
Major
index
limb
amputation
1,2
0.3% (N=76)
Minor
index
limb
amputation
1,2
0.3% (N=76)
0.5%
(N=75)
1.2% (N=74)
Global Real World SFA Registry
24 Month Selected Secondary Safety Endpoints
23
1
Preliminary data are site reported and subject to change upon adjudication.
2
Kaplan Meier estimates @ 24 month survival
Reintervention for treatment of thrombosis
of the target vessel
1,2
Reintervention for treatment of embolization to
its
distal
vasculature
1,2


Summary
24
*Preliminary data are site reported and subject to change upon adjudication.
In LEVANT 2, 24 month data demonstrated:
Non-inferiority AND trend towards superiority in safety versus
PTA
Sustained benefit in primary patency versus PTA
Freedom from TLR rate of 82% which is consistent with
published stent freedom from TLR rates
Global Real World SFA Registry interim primary patency data and
freedom from TLR rates demonstrated sustained benefits of the
Lutonix
DCB over 24 months
*


25
INDICATIONS FOR USE: The LUTONIX
®
035 Drug Coated Balloon PTA catheter is indicated for percutaneous transluminal angioplasty, after
pre-dilatation, of de novo or restenotic lesions up to 150mm in length in native superficial femoral or popliteal arteries with reference
vessel diameters of 4-6mm.
CONTRAINDICATIONS : The LUTONIX
®
Catheter is contraindicated for use in: 1) Patients who cannot receive recommended anti-platelet
and/or anticoagulant therapy. 2) Women who are breastfeeding, pregnant or are intending to become pregnant or men intending to
father children.  It is unknown whether paclitaxel will be excreted in human milk and there is a potential for adverse reaction in
nursing infants from paclitaxel exposure. 3) Patients judged to have a lesion that prevents complete inflation of an angioplasty
balloon or proper placement of the delivery system.
WARNINGS: Contents supplied STERILE using ethylene oxide (EO) process. Do not use if sterile barrier is damaged or opened prior to
intended use.  Do not use if product damage is evident. The LUTONIX
®
 
Catheter is for use in one patient only; do not reuse in another
patient, reprocess or resterilize. Risks of reuse in another patient, reprocessing, or resterilization include: Compromising the
structural integrity of the device and/or device failure which, in turn, may result in patient injury, illness or death.  Creating a risk of
device contamination and/or patient infection or cross-infection, including, but not limited to, the transmission of infectious
disease(s) from one patient to another. Contamination of the device may lead to patient injury, illness or death.  Do not exceed the
Rated Burst Pressure (RBP) recommended for this device. Balloon rupture may occur if the RBP rating is exceeded. To prevent over-
pressurization, use of a pressure monitoring device is recommended. Use the recommended balloon inflation medium of contrast
and sterile saline (< 50% contrast). Never use air or any gaseous medium to inflate the balloon. This product should not be used in
patients with known hypersensitivity to paclitaxel or structurally related compounds. The safety and effectiveness of the 
Lutonix
®
Catheter have not been established for treatment in cerebral, carotid, coronary, or renal vasculature. The safety and
effectiveness of using more than two Lutonix drug coated balloons (i.e., a maximum drug coating quantity of approximately 7.6 mg
paclitaxel) in a patient has not been clinically evaluated.
PRECAUTIONS : General Precautions: The LUTONIX
®
Catheter should only be used by physicians trained in percutaneous interventional
procedures. Consideration should be given to the risks and benefits of use in patients with a history of non-controllable allergies to
contrast agents.
POTENTIAL ADVERSE EVENTS: Potential adverse events which may be associated with a peripheral balloon dilatation procedure include:
Additional intervention, allergic reaction to drugs, excipients or contrast medium, amputation/loss of limb, aneurysm or
pseudoaneurysm, arrythmias, embolization; hematoma; hemorrhage, including bleeding at the puncture site,
hypotension/hypertension, inflammation, occlusion, pain or tenderness, pneumothorax or hemothorax, sepsis/infection, shock,
stroke, thrombosis, vessel dissection, perforation, rupture, or spasm. Although systemic effects are not anticipated, refer to the
Physicians’ Desk Reference for more information on the potential adverse events observed with paclitaxel. Potential adverse events,
not described in the above source, which may be unique to the paclitaxel drug coating include: Allergic/immunologic reaction to the
drug coating (paclitaxel), alopecia, anemia, blood product transfusion, gastrointestinal symptoms, hematologic dyscrasia (including
leukopenia, neutropenia, thrombocytopenia), hepatic enzyme changes, histologic changes in vessel wall, including inflammation,
cellular damage, or necrosis, myalgia/arthralgia, myelosuppression and peripheral neuropathy.
Bard, Advancing Lives and the Delivery of HealthCare and Lutonix are trademarks and/or registered trademarks of C. R. Bard, Inc., or an
affiliate. Copyright © 2014, C. R. Bard, Inc. All Rights Reserved.
Please consult product labels and instructions for use for indications, contraindications, hazards, warnings and precautions. RX Only.


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