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A randomized controlled trial
This is a prospective, randomized, single-blind, intra-patient controlled, multicenter trial with 50 subjects enrolled at up to 15 sites across the United States. Study subjects undergo implant placement on one side following in-office balloon dilation, while the contralateral side undergoes balloon dilation only and serves as a control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PROPEL Mini Sinus Implant | Experimental | Placement of the Propel Mini Sinus Implant in one frontal sinus ostia (FSO) assigned to the treatment group following in-office balloon dilation |
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| Balloon Sinus Dilation Alone | Active Comparator | In-office balloon dilation of the contralateral frontal sinus ostia (FSO) without implant placement |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PROPEL Mini Sinus Implant | Device | Sinus implant with 370 mcg of mometasone furoate released over 30 days |
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| Measure | Description | Time Frame |
|---|---|---|
| Patency Rate | Patency of the frontal recess/frontal sinus ostia (FSO) was evaluated on a 3-point grading scale from 0 to 2, with 0=Patent, 1=Restenosed/partially occluded, and 2=Occluded. The percentage of sinuses with patency grade 0 and 1 was used to calculate the patency rate. | Day 30 |
| Measure | Description | Time Frame |
|---|---|---|
| Inflammation Score | Inflammation visual analog scale (VAS) from 0 (no visible inflammation) to 100 (severe inflammation, involving significant and extensive erythema and edema and/or hypertrophy and/or polypoid changes) | Day 30 |
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Inclusion Criteria
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Stacey Silvers | Madison ENT | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sacramento ENT | Sacramento | California | 95815 | United States | ||
| ENT Assoicates of South Florida |
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An intra-patient control design was employed where left and right frontal sinuses of each patient were randomized to the treatment or control group after successful completion of in-office balloon dilation.
A total of 50 participants were recruited across 12 clinical sites.
| ID | Title | Description |
|---|---|---|
| FG000 | PROPEL Mini Sinus Implant | Placement of the Propel Mini Sinus Implant in one frontal sinus ostia (FSO) after a successful in-office balloon dilation |
| FG001 | Balloon Sinus Dilation Alone |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Balloon Sinus Dilation Alone | Procedure |
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| Boca Raton |
| Florida |
| 33487 |
| United States |
| ENT of Georgia | Atlanta | Georgia | 30342 | United States |
| Advanced ENT and Allergy | Louisville | Kentucky | 40207 | United States |
| Associated Surgical Specialists | Covington | Louisiana | 70433 | United States |
| St. Luke's ENT Specialists | Kansas City | Missouri | 64111 | United States |
| BreatheAmerica of Albuquerque | Albuquerque | New Mexico | 87109 | United States |
| Madison ENT | New York | New York | 10016 | United States |
| Ohio Sinus Institute | Dublin | Ohio | 43016 | United States |
Successful in-office balloon dilation of the frontal sinus ostia (FSO) without implant placement
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | All Study Participants | This study used an intra-patient design with each participant having one sinus side randomized to the treatment group and the other to the control group. |
| 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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| Lund-Mackay Total Score | The Lund-Mackay score is a method of radiologic staging of chronic rhinosinusitis based on computed tomography (CT) where each sinus is assigned a score of 0 (no abnormality), 1 (partial opacification), or 2 (complete opacification). The overall total score is the sum of scores from 6 sinuses on each side and ranges from 0 to 24 with higher score indicating greater disease burden. | Mean | Standard Deviation | units on a scale |
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| Lund-MacKay Frontal Score | The Lund-Mackay Frontal score is determined based on computed tomography (CT) of the frontal sinus on a 0 to 2 scale where 0 = no abnormality, 1 = partial opacification, and 2 = complete opacification. The frontal score is the sum of scores on the left and right side and ranges from 0 to 4 with higher score indicating greater disease burden. | Mean | Standard Deviation | units on a scale |
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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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Patency Rate | Patency of the frontal recess/frontal sinus ostia (FSO) was evaluated on a 3-point grading scale from 0 to 2, with 0=Patent, 1=Restenosed/partially occluded, and 2=Occluded. The percentage of sinuses with patency grade 0 and 1 was used to calculate the patency rate. | Outcome analyzed using the intent-to-treat population, which consisted of all randomized subjects and sinuses. Patency grade for 10 sinuses (6 treatment, 4 control) were missing as clinical investigators were unable to view the frontal recess/FSO, reducing the number of evaluable subjects to 44 in the treatment group and 46 in the control group. | Posted | Count of Units | sinus sides | Day 30 | sinus sides | sinus sides |
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| Secondary | Inflammation Score | Inflammation visual analog scale (VAS) from 0 (no visible inflammation) to 100 (severe inflammation, involving significant and extensive erythema and edema and/or hypertrophy and/or polypoid changes) | Inflammation score for 7 sinuses (4 treatment, 3 control) were missing as clinical investigators were unable to view the frontal recess/FSO for 3 treatment and 2 control sinuses, and 1 participant with 1 treatment and 1 control sinuses was lost to follow-up. | Posted | Mean | Standard Deviation | mm | Day 30 | Sinuses | Sinuses |
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Adverse event data were collected from enrollment through Day 180 post-procedure.
Adverse event data were collected by clinical investigators using MedDRA terms, organized by System Organ Class.
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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 | All Participants | An intra-patient control design with placement of the Propel Mini Sinus Implant in one frontal sinus ostia (FSO) assigned to the treatment group following in-office balloon dilation compared to in-office balloon dilation without implant placement of the contralateral frontal sinus ostia (FSO) assigned to the control group. | 0 | 50 | 0 | 50 | 5 | 50 |
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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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| Vision blurred | Nervous system disorders | MedDRA | Systematic Assessment |
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| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA | Systematic Assessment |
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One limitation of this study design is utilizing an intra-patient control. This precludes evaluation of patient-reported outcomes. However, it also minimizes interpatient variability, and the differences in surgical techniques.
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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 |
| Other |
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| Black or African American |
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| American Indian or Alaska Native |
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| Asian |
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| Native Hawaiian or other Pacific Islander |
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| Sinuses |
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