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The RESOLVE II Study is a randomized, single-blind, parallel arm, concurrently controlled, multicenter study with 300 chronic sinusitis patients who had prior endoscopic sinus surgery but present with recurrent sinus obstruction.
The RESOLVE II Study is a randomized, sham-controlled, double-blind, parallel arm multicenter trial conducted in up to 45 clinical centers (academic and private) across the United States in 300 adults with chronic sinusitis, who are indicated for revision surgery because of recurring nasal obstruction/congestion symptoms and bilateral ethmoid polyposis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment | Experimental | In-office bilateral placement of the S8 Sinus Implant (mometasone furoate, 1350 mcg) in the ethmoid sinuses Mometasone furoate nasal spray (200mcg) once daily |
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| Control | Sham Comparator | In-office bilateral sham procedure Mometasone furoate nasal spray (200mcg) once daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| S8 Sinus Implant | Drug | In-office bilateral placement of the S8 Sinus Implant (mometasone furoate, 1350 mcg) in the ethmoid sinuses |
|
| Measure | Description | Time Frame |
|---|---|---|
| Nasal Obstruction/Congestion Score | Determined by patients using a daily diary on a scale from 0 (no symptoms) to 3 (severe symptoms) over a period of 7 days prior to the baseline and Day 30 visits. Negative values for change from baseline indicate reduction (improvement) in nasal obstruction/congestion symptoms. | Day 30 |
| Bilateral Polyp Grade | Polyp grade was determined by an independent panel of 3 sinus surgeons based on a centralized, blinded videoendoscopy review. Each sinus was graded from 0 (no visible polyps) to 4 (nasal polyps completely obstructing nasal cavity) and then the left and right values were added to obtain a total bilateral polyp grade, ranging from 0 to 8. Negative values for change from baseline indicated reduction (improvement) in bilateral polyp grade. | Day 90 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Patients Indicated for Repeat Endoscopic Sinus Surgery (RESS) | Proportion of patients still indicated for RESS at day 90 despite ongoing use of mometasone furoate nasal spray based on clinical investigator assessment using study-specific criteria. To be indicated for RESS, patients had to: (1) complain of nasal obstruction/congestion (moderate to severe) and postnasal discharge, facial pain/pressure/fullness, or altered sense of smell/taste; (2) have endoscopic evidence of persisting nasal polyps (grade >= 2 on each side); and (3) have received (required at baseline) or need a systemic steroid as noted during endoscopy. |
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Key inclusion criteria:
Confirmed diagnosis of chronic sinusitis
Patient has undergone bilateral total ethmoidectomy at least 90 days prior to screening
Patient has Nasal Obstruction/Congestion score of at least 2 (scale from 0 to 3) on at least 5 days during the 7 days following informed consent, despite use of topical intranasal steroid irrigations or sprays for at least 14 days preceding scoring, as documented in medication records
Indication for repeat ESS:
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robert C Kern, MD | Department of Otolaryngology, Northwestern University, Chicago, IL | Principal Investigator |
| Jose P. Stolovitzky, MD | ENT of Georgia, Atlanta, GA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Alabama Birmingham | Birmingham | Alabama | 35233 | United States | ||
| Kaiser Permanente Orange County Irvine Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29350840 | Background | Kern RC, Stolovitzky JP, Silvers SL, Singh A, Lee JT, Yen DM, Iloreta AMC Jr, Langford FPJ, Karanfilov B, Matheny KE, Stambaugh JW, Gawlicka AK; RESOLVE II study investigators. A phase 3 trial of mometasone furoate sinus implants for chronic sinusitis with recurrent nasal polyps. Int Forum Allergy Rhinol. 2018 Apr;8(4):471-481. doi: 10.1002/alr.22084. Epub 2018 Jan 19. |
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Patients were considered enrolled into the study after signing the ICF and entered a 2-week screening period. A video-recorded screening endoscopy and symptom scoring, using a daily diary, were required to confirm patient eligibility. Video-endoscopies were assessed by an independent reviewer in order to confirm bilateral polyposis.
Patients were recruited at 40 sites across the US between December 2014 and May 2016, of which 34 sites enrolled at least 1 patient.
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| ID | Title | Description |
|---|---|---|
| FG000 | S8 Sinus Implant | Bilateral in-office placement of the S8 Sinus Implant (mometasone furoate, 1350 mcg) in the ethmoid sinuses Mometasone furoate nasal spray (200 mcg) once daily |
| FG001 | Control |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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Participants were blindfolded and earmuffed during the baseline procedure and follow-up endoscopic examinations. Implants were removed at Day 60 to allow blinded assessment of bilateral polyp grade at Day 90 by a centralized videoendoscopy review by a panel of 3 independent sinus surgeons.
| Mometasone furoate nasal spray | Drug | Mometasone furoate nasal spray (200mcg) once daily |
|
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| Sham | Procedure | In-office bilateral sham procedure, consisting of advancement of a delivery system with the S8 Sinus Implant into the ethmoid sinuses followed by removal without deployment. |
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| Day 90 |
| Ethmoid Sinus Obstruction | Percentage of the ethmoid sinus volume obstructed by scarring, polyps, or edema on endoscopy, as determined by an independent panel of 3 sinus surgeons based on a centralized, blinded videoendoscopy review using a 100-mm visual analogue scale (VAS), ranging from 0 (absence of obstruction) to 100 (complete obstruction). Negative values for change from baseline indicated reduction (improvement) in ethmoid sinus obstruction. | Day 90 |
| Nasal Obstruction/Congestion Score | Determined by patients using a daily diary on a scale from 0 (no symptoms) to 3 (severe symptoms) over a period of 7 days prior to baseline and Day 90. Negative values for change from baseline indicated reduction (improvement) in nasal obstruction/congestion symptoms. | Day 90 |
| Decreased Sense of Smell Score | Determined by patients on a 6-point Likert scale from 0 (absent) to 5 (very severe). Negative values for change from baseline indicated reduction (improvement) in sense of smell. | Day 90 |
| Facial Pain/Pressure Score | Determined by patients on a 6-point Likert scale from 0 (absent) to 5 (very severe). Negative values for change from baseline indicated reduction (improvement) in facial pain/pressure symptoms. | Day 90 |
| Irvine |
| California |
| 92618 |
| United States |
| Sacramento Ear, Nose and Throat Surgical and Medical Group, Inc. | Sacramento | California | 95815 | United States |
| Colorado ENT and Allergy | Colorado Springs | Colorado | 80909 | United States |
| Yale University School of Medicine | New Haven | Connecticut | 06519 | United States |
| GW Medical Facility Associates | Washington D.C. | District of Columbia | 20037 | United States |
| University of Miami | Miami | Florida | 33136 | United States |
| South Florida ENT | Miami | Florida | 33176 | United States |
| & Facial Plastic Surgery | Riverview | Florida | 33578 | United States |
| ENT of Georgia | Atlanta | Georgia | 30342 | United States |
| Northwestern Medical Faculty Foundation, Department of Otolaryngology | Chicago | Illinois | 60611 | United States |
| DuPage Medical Group | Naperville | Illinois | 60540 | United States |
| Iowa ENT Center | West Des Moines | Iowa | 50265 | United States |
| University of Kansas Medical Center | Kansas City | Kansas | 66160 | United States |
| Advanced ENT and Allergy | Louisville | Kentucky | 40207 | United States |
| Associated Surgical Specialists | Covington | Louisiana | 70433 | United States |
| Johns Hopkins | Baltimore | Maryland | 21287 | United States |
| Rontal Akervall Clinic | Royal Oak | Michigan | 48073 | United States |
| University of Mississippi Medical Center | Jackson | Mississippi | 39216 | United States |
| Ear, Nose and Throat Consultants of Nevada | Las Vegas | Nevada | 89128 | United States |
| Summit Medical Group | Berkeley Heights | New Jersey | 07922 | United States |
| Breathe America/NM Sinus | Albuquerque | New Mexico | 87109 | United States |
| Albany ENT & Allergy | Albany | New York | 12206 | United States |
| Madison ENT & Facial Plastic Surgery | New York | New York | 10016 | United States |
| Mount Sinai Hospital | New York | New York | 10029 | United States |
| Charlotte Eye, Ear, Nose and Throat Associates | Concord | North Carolina | 29025 | United States |
| University of Oklahoma | Oklahoma City | Oklahoma | 73104 | United States |
| Bethlehem Ear, Nose and Throat Associates | Bethlehem | Pennsylvania | 18017 | United States |
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| Thomas Jefferson University Hospital | Philadelphia | Pennsylvania | 19107 | United States |
| Medical University of South Carolina | Charleston | South Carolina | 29425 | United States |
| Vanderbilt University | Nashville | Tennessee | 37232 | United States |
| University of Texas | Houston | Texas | 77030 | United States |
| Cache Valley ENT | North Logan | Utah | 84341 | United States |
| Intermountain/ENT Center of UT | Salt Lake City | Utah | 84102 | United States |
| University of Utah | Salt Lake City | Utah | 84132 | United States |
| Eastern Virginia Medical School | Norfolk | Virginia | 23507 | United States |
| Reston ENT | Reston | Virginia | 20190 | United States |
| Virginia ENT | Richmond | Virginia | 23233 | United States |
| Medical College of Wisconsin - Greenway Clinic | Milwaukee | Wisconsin | 53227 | United States |
Bilateral in-office sham procedure
Mometasone furoate nasal spray (200 mcg) once daily
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Treatment | In-office bilateral placement of the S8 Sinus Implant (mometasone furoate, 1350 mcg) in the ethmoid sinuses Mometasone furoate nasal spray (200mcg) once daily |
| BG001 | Control | In-office bilateral sham procedure Mometasone furoate nasal spray (200mcg) once daily |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Nasal Obstruction/Congestion Score | Determined by patients using a daily diary on a scale from 0 (no symptoms) to 3 (severe symptoms) over a period of 7 days prior to the baseline and Day 30 visits. Negative values for change from baseline indicate reduction (improvement) in nasal obstruction/congestion symptoms. | Intent-to-treat population. Scoring for >=4 days in 7 days before the baseline and Day 30 visits was required. Sensitivity analyses, including tipping point, were prespecified if missing values exceed 5%. There were 4 (1.3%) participants (2 treatment, 2 control) with missing values at Day 30. No imputation of missing values was performed. | Posted | Mean | Standard Deviation | units on a scale | Day 30 |
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| Primary | Bilateral Polyp Grade | Polyp grade was determined by an independent panel of 3 sinus surgeons based on a centralized, blinded videoendoscopy review. Each sinus was graded from 0 (no visible polyps) to 4 (nasal polyps completely obstructing nasal cavity) and then the left and right values were added to obtain a total bilateral polyp grade, ranging from 0 to 8. Negative values for change from baseline indicated reduction (improvement) in bilateral polyp grade. | Intent-to-treat population. Values were adjusted for steroid and surgical interventions by LOCF approach. Sensitivity analyses, including tipping point, were prespecified if missing values exceed 5%. There were 8 (2.7%) participants (6 treatment, 2 control) with missing values at Day 90. No imputation of missing values was performed. | Posted | Mean | Standard Deviation | units on a scale | Day 90 |
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| Secondary | Percentage of Patients Indicated for Repeat Endoscopic Sinus Surgery (RESS) | Proportion of patients still indicated for RESS at day 90 despite ongoing use of mometasone furoate nasal spray based on clinical investigator assessment using study-specific criteria. To be indicated for RESS, patients had to: (1) complain of nasal obstruction/congestion (moderate to severe) and postnasal discharge, facial pain/pressure/fullness, or altered sense of smell/taste; (2) have endoscopic evidence of persisting nasal polyps (grade >= 2 on each side); and (3) have received (required at baseline) or need a systemic steroid as noted during endoscopy. | Intent-to-treat population, consisting of all patients in whom an implant or sham procedure was attempted. 2 participants did not complete Day 90 visit. No imputation of missing values was performed. | Posted | Count of Participants | Participants | Day 90 |
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| Secondary | Ethmoid Sinus Obstruction | Percentage of the ethmoid sinus volume obstructed by scarring, polyps, or edema on endoscopy, as determined by an independent panel of 3 sinus surgeons based on a centralized, blinded videoendoscopy review using a 100-mm visual analogue scale (VAS), ranging from 0 (absence of obstruction) to 100 (complete obstruction). Negative values for change from baseline indicated reduction (improvement) in ethmoid sinus obstruction. | Intent-to-treat population. Values were adjusted for steroid and surgical interventions by LOCF approach. There were 8 (2.7%) participants (6 treatment, 2 control) with missing values at Day 90. No imputation of missing values was performed. | Posted | Mean | Standard Deviation | units on a scale | Day 90 |
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| Secondary | Nasal Obstruction/Congestion Score | Determined by patients using a daily diary on a scale from 0 (no symptoms) to 3 (severe symptoms) over a period of 7 days prior to baseline and Day 90. Negative values for change from baseline indicated reduction (improvement) in nasal obstruction/congestion symptoms. | Intent-to-treat population. Scoring for >=4 of 7 days immediately preceding the baseline and Day 90 visits was required. There were 34 (11.3%) participants with missing scores: 23 treatment and 10 control at Day 90 and 1 (treatment) at baseline. No imputation of missing values was performed. | Posted | Mean | Standard Deviation | units on a scale | Day 90 |
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| Secondary | Decreased Sense of Smell Score | Determined by patients on a 6-point Likert scale from 0 (absent) to 5 (very severe). Negative values for change from baseline indicated reduction (improvement) in sense of smell. | Intent-to-treat population. Values were adjusted for steroid and surgical interventions by LOCF approach. There were 5 (1.7%) participants (3 treatment, 2 control) with missing values at Day 90. No imputation of missing values was performed. | Posted | Mean | Standard Deviation | units on a scale | Day 90 |
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| Secondary | Facial Pain/Pressure Score | Determined by patients on a 6-point Likert scale from 0 (absent) to 5 (very severe). Negative values for change from baseline indicated reduction (improvement) in facial pain/pressure symptoms. | Intent-to-treat population. Values were adjusted for steroid and surgical interventions by LOCF approach. There were 5 (1.7%) participants (3 treatment, 2 control) with missing values: 3 at baseline (1 treatment, 1 control)) and 2 at Day 90 (1 treatment, 1 control) No imputation of missing values was performed. | Posted | Mean | Standard Deviation | units on a scale | Day 90 |
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90 days
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Treatment | In-office bilateral placement of the S8 Sinus Implant (mometasone furoate, 1350 mcg) in the ethmoid sinuses Mometasone furoate nasal spray (200mcg) once daily | 0 | 201 | 1 | 201 | 53 | 201 |
| EG001 | Control | In-office bilateral sham procedure Mometasone furoate nasal spray (200mcg) once daily | 0 | 99 | 0 | 99 | 28 | 99 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA | Systematic Assessment | SAE that was judged to be related to the S8 Sinus Implant |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute Sinusitis | Infections and infestations | MedDRA | Systematic Assessment |
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| Chronic Sinusitis | Infections and infestations | MedDRA | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA | Systematic Assessment |
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| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| James Stambaugh, Vice President of Clinical & Medical Affairs | Intersect ENT, Inc. | 650-641-2103 | jstambaugh@intersectent.com |
| ID | Term |
|---|---|
| D009298 | Nasal Polyps |
| ID | Term |
|---|---|
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D011127 | Polyps |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000068656 | Mometasone Furoate |
| C005703 | salicylhydroxamic acid |
| ID | Term |
|---|---|
| D011244 | Pregnadienediols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
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| Black |
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| Asian |
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| Other |
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