Trial Outcomes & Findings for Study of Polyester Implants for the Treatment of External Nasal Valve Collapse (NVC) (NCT NCT00729781)

NCT ID: NCT00729781

Last Updated: 2012-01-06

Results Overview

Functional improvement was defined as a subject who achieves both 1) an improvement in the physical condition of the collapsed nasal valve as evidenced by an increase of \>= 10% in the change in volume during inspiration as measured by Vectra 3D photography from baseline to 12 weeks post-procedure; and 2) a reduction of at least 30% in the symptoms of nasal obstruction as measured by the Nasal Obstruction Symptom Evaluation Scale (NOSE) scale (5 questions with 0-4 scale from "Not a problem" to "Severe problem," possible score 0-100 via raw score × 5) from baseline to 12 weeks post-procedure.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

45 participants

Primary outcome timeframe

12 weeks after implantation

Results posted on

2012-01-06

Participant Flow

Participant milestones

Participant milestones
Measure
Polyester Implants
There was one arm for this study. All subjects in this study received the investigational polyethylene terephthalate (PET) implants after enrollment in the original study. Subjects who could be reached and consented were enrolled in the long-term follow-up study, which was initiated to collect adverse events. See the detailed description for procedure information.
Original Study
STARTED
45
Original Study
COMPLETED
45
Original Study
NOT COMPLETED
0
Long-term Follow-up Study
STARTED
42
Long-term Follow-up Study
COMPLETED
42
Long-term Follow-up Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Polyester Implants for the Treatment of External Nasal Valve Collapse (NVC)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Polyester Implants
n=45 Participants
There was one arm for this study. All subjects in this study received the investigational polyethylene terephthalate (PET) implants after enrollment in the original study. Subjects who could be reached and consented were enrolled in the long-term follow-up study, which was initiated to collect adverse events. See the detailed description for procedure information.
Age Continuous
All subjects
45.0 years
STANDARD_DEVIATION 12.2 • n=93 Participants
Sex: Female, Male
Female
23 Participants
n=93 Participants
Sex: Female, Male
Male
22 Participants
n=93 Participants
Race/Ethnicity, Customized
White
43 participants
n=93 Participants
Race/Ethnicity, Customized
Hispanic
2 participants
n=93 Participants

PRIMARY outcome

Timeframe: 12 weeks after implantation

Population: An implanted subject with missing data at 12 weeks of follow-up had the 6-week data carried forward to 12 weeks for analysis. If the 6-week data was unavailable, the subject's treatment was considered a failure.

Functional improvement was defined as a subject who achieves both 1) an improvement in the physical condition of the collapsed nasal valve as evidenced by an increase of \>= 10% in the change in volume during inspiration as measured by Vectra 3D photography from baseline to 12 weeks post-procedure; and 2) a reduction of at least 30% in the symptoms of nasal obstruction as measured by the Nasal Obstruction Symptom Evaluation Scale (NOSE) scale (5 questions with 0-4 scale from "Not a problem" to "Severe problem," possible score 0-100 via raw score × 5) from baseline to 12 weeks post-procedure.

Outcome measures

Outcome measures
Measure
Polyester Implants
n=45 Participants
There was one arm for this study. All subjects in this study received the investigational polyethylene terephthalate (PET) implants after enrollment in the original study. Subjects who could be reached and consented were enrolled in the long-term follow-up study, which was initiated to collect adverse events. See the detailed description for procedure information.
Functional Improvement
≥ 30% reduction in NOSE score
40 participants
Functional Improvement
≥ 10% increase in volume deflection (Vectra 3D)
30 participants
Functional Improvement
≥ 30% NOSE reduction and ≥ 10% Vectra 3D increase
26 participants

PRIMARY outcome

Timeframe: 12 weeks after implantation

Population: An implanted subject with missing data at 12 weeks of follow-up had the 6-week data carried forward to 12 weeks for analysis. If the 6-week data was unavailable, the subject's treatment was considered a failure.

An independent clinician will review Vectra 3D photographs of each subject at baseline and at 12 weeks post-procedure to assess physical appearance of the external nasal wall. The clinician will be asked to determine which photographs are pre-treatment and which are post-treatment in the correct order. The clinician will then rate the photograph chosen as post-treatment using the Global Aesthetic Improvement Scale (GAIS; relative scale from "Worse" to "Very much improved"). If the post-treatment photograph was not correctly identified, that procedure will receive a "worse" on the rating scale.

Outcome measures

Outcome measures
Measure
Polyester Implants
n=45 Participants
There was one arm for this study. All subjects in this study received the investigational polyethylene terephthalate (PET) implants after enrollment in the original study. Subjects who could be reached and consented were enrolled in the long-term follow-up study, which was initiated to collect adverse events. See the detailed description for procedure information.
Cosmetic Improvement
Order of photos: Could not evaluate
11 participants
Cosmetic Improvement
GAIS: Worse (After correct order ID)
4 participants
Cosmetic Improvement
GAIS: No change (After correct order ID)
15 participants
Cosmetic Improvement
GAIS: Improved (After correct order ID)
7 participants
Cosmetic Improvement
GAIS: Much improved (After correct order ID)
0 participants
Cosmetic Improvement
GAIS: Very much improved (After correct order ID)
0 participants
Cosmetic Improvement
GAIS: Could not evaluate (After correct order ID)
0 participants
Cosmetic Improvement
GAIS: Worse (After incorrect order ID)
8 participants

PRIMARY outcome

Timeframe: During 12-week original study and at long-term follow-up of 11 months or longer

Population: All enrolled subjects' adverse events were collected.

Evaluate complications and adverse events. Events are presented descriptively with no statistical analysis.

Outcome measures

Outcome measures
Measure
Polyester Implants
n=45 Participants
There was one arm for this study. All subjects in this study received the investigational polyethylene terephthalate (PET) implants after enrollment in the original study. Subjects who could be reached and consented were enrolled in the long-term follow-up study, which was initiated to collect adverse events. See the detailed description for procedure information.
Safety
Redness of skin
2 events
Safety
Tenderness
2 events
Safety
Vestibulitis
2 events
Safety
Temporary pain implant site
39 events
Safety
Partial extrusion
17 events
Safety
Foreign body sensation
11 events
Safety
Upper respiratory infection/viral cold
8 events
Safety
Cosmetic contour deformity
7 events
Safety
Swelling/edema
7 events
Safety
Minimal bleeding
4 events
Safety
Cellulitis
3 events
Safety
Fever
2 events
Safety
Sinus infection
2 events
Safety
Vomiting
2 events
Safety
Full extrusion
1 events
Safety
Infection
1 events
Safety
Bronchitis
1 events
Safety
Ecchymosis right cheek
1 events
Safety
Halitosis dysgusia
1 events
Safety
Herniated disc
1 events
Safety
Intranasal irritation/crust
1 events
Safety
Mild bruising perinasal
1 events
Safety
Numbness to tip of nose
1 events
Safety
Post inflammatory neuralgia
1 events
Safety
Pustule w/ implant exposure
1 events
Safety
Surface irritation sensation
1 events
Safety
Scarring
1 events

Adverse Events

Polyester Implants

Serious events: 0 serious events
Other events: 36 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Polyester Implants
n=45 participants at risk
There was one arm for this study. All subjects in this study received the investigational polyethylene terephthalate (PET) implants after enrollment in the original study. Subjects who could be reached and consented were enrolled in the long-term follow-up study, which was initiated to collect adverse events. See the detailed description for procedure information.
Skin and subcutaneous tissue disorders
Temporary pain implant site
62.2%
28/45 • Number of events 39
Surgical and medical procedures
Partial extrusion
20.0%
9/45 • Number of events 17
Skin and subcutaneous tissue disorders
Foreign body sensation
24.4%
11/45 • Number of events 11
Respiratory, thoracic and mediastinal disorders
Upper respiratory infection/viral cold
15.6%
7/45 • Number of events 8
Surgical and medical procedures
Cosmetic contour deformity
13.3%
6/45 • Number of events 7
Skin and subcutaneous tissue disorders
Swelling/edema
15.6%
7/45 • Number of events 7
Surgical and medical procedures
Minimal bleeding
6.7%
3/45 • Number of events 4
Skin and subcutaneous tissue disorders
Cellulitis
6.7%
3/45 • Number of events 3

Additional Information

David Hodge, Project Manager

Medtronic Xomed, Inc.

Phone: (+1-904) 281-2774

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60