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| Name | Class |
|---|---|
| ISS AG | UNKNOWN |
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The purpose of this clinical trial is to assess the safety and efficacy of SDX-3101 for treatment of adult patients with chronic rhinosinusitis without nasal polyps (CRSsNP) by investigating a vibration pattern of SDX-3101 compared to a control
Chronic rhinosinusitis (CRS) is a common disease (e.g. 11% of adults in the UK report symptoms of CRS) leading to substantial health and socioeconomic burden with estimated healthcare costs in the USA of $772/patient/year (2011).
CRS is characterised by the long-term presence of multiple symptoms including facial pain/pressure in about 80% of CRS patients. Factors contributing to the pathophysiology of adult CRS include allergies, bacterial biofilms, asthma and exposure to various environmental pollutants. Computed tomography (CT) scans are often used to identify mucosal thickening and to identify any comorbid factors such as anatomic abnormalities.
It is known from the literature that low vibration frequency can improve blood flow, significantly reduce inflammation, and increase the fibroblast activity [13]. Therefore, SynDermix AG created the innovative high-technology, portable medical device SDX-3101 targeting a disease with high unmet medical need. The device offers a drug-free or eventually an add on treatment complying with the maximum demands of safety for the patients potentially avoiding undesirable drug effects or surgery. SDX-3101 is indicated for treatment of CRSsNP in adults
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment | Experimental | The applied therapeutic vibrations generated by an acoustic coil have a defined sweeping frequency range. |
|
| Control | Active Comparator | A control device with a different vibration pattern will be used as comparator intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vibration Therapy | Device | SDX-3101 is used for drug-free treatment of CRSsNP in adults. |
|
| Measure | Description | Time Frame |
|---|---|---|
| SNOT-20 GAV | The primary endpoint is the change in subjective symptoms as quantified by the German validated disease-specific 20-item Sino-nasal Outcome Test (SNOT-20 GAV) after 12 weeks. Superiority is defined as more than minimal clinically important difference (MCID) of 8.9 points to active control of SNOT-20 score at 12 weeks. | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Lund-Kennedy Score | We use the Lund-Kennedy endoscopic scoring system to measure the patient's nasal cavity based on there were edema, vesicles, adhesions, scars and polyps | day 0, day 14, week 6, 12 and at 6, 9 and 12 months |
| Overall disease control |
| Measure | Description | Time Frame |
|---|---|---|
| Saccharine test | Evaluate muco-ciliary clearance time | day 0, week 6, 12 weeks and at 12 months |
| Reduction in inflammatory markers | Assessed by Biomarkers: IL-1β, IL-2, IL-4, IL-10, IL-12 and IgE in nasal secretion |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Carlos R Camozzi, MD | SynDermix AG | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kardinal Schwarzenberg Klinikum GmbH | Schwarzach im Pongau | 5620 | Austria | |||
| Praxis Dr.med. Decot |
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Need for systemic medication, steroid or antibiotic, number of days
| day 14, week 6, 12 and at 6, 9 and 12 months |
| Need for surgical intervention | Capture surgical intervention | day 14, week 6, 12 and at 6, 9 and 12 months |
| Ability to perform normal activities | Measured with the SNOT-20 GAV | day 0, day 14, week 6, 12 and at 6, 9 and 12 months, |
| Acceptability of treatment | Measurement of Visual Analogue Scale 0 to 5, 0 is unacceptable to 5 fully accepted | day 14, week 6, 12 and at 6, 9 and 12 months |
| Overall score SNOT-20 | The SNOT-20 has a maximum score of 100 and a minimum score of 0. Higher values represent a worse outcome | day 0, day 14, week 6, 12 and at 6, 9 and 12 months |
| Pain in the face | Measured on a 4-point scale, (0=no symptoms; 1=mild symptoms present, but not troublesome; 2=moderate symptoms that were frequently troublesome but not sufficiently so to interfere with normal daily activities or sleep; 3=severe symptoms that interfered with normal daily activities or sleep) | day 0, day 14, week 6, 12 and at 6, 9 and 12 months |
| Global impression by investigator | Measured with Visual Analogue Scale 0 to 10, 0 is unsatisfactory 10 is optimal outcome | day 0, week 6, 12 and at 12 months, |
| day 0, day 14, week 6, 12 |
| Exhaled nasal Nitric Oxide (nNO) levels | only in a subpopulation in selected site/s | day 0, day 14, week 6, 12 and 12 months |
| Dreieich |
| 63303 |
| Germany |
| ENT Research Institut für Klinische Studien | Essen | 45355 | Germany |
| HNO Praxis am Neckar | Heidelberg | 69120 | Germany |
| HNO - Arzt Allergologe Studienzentrum | Viernheim | 68519 | Germany |
| Helios Universitätsklinikum Wuppertal | Wuppertal | 42283 | Germany |
| Universitätsklinik für Hals-, Nasen- und Ohrenkrankheiten, Kopf- und Halschirurgie, Inselspital, | Bern | 3010 | Switzerland |
| Department of ENT, Head and Neck Surgery Universitätsspital Zürich | Zurich | 8091 | Switzerland |