S8 Sinus Implant in Chronic Sinusitis Patients With Recurrent Nasal Polyps

NCT ID: NCT02291549

Last Updated: 2018-08-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2016-10-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Chronic Sinusitis Nasal Polyposis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
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.

Study Groups

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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

Group Type EXPERIMENTAL

S8 Sinus Implant

Intervention Type DRUG

In-office bilateral placement of the S8 Sinus Implant (mometasone furoate, 1350 mcg) in the ethmoid sinuses

Mometasone furoate nasal spray

Intervention Type DRUG

Mometasone furoate nasal spray (200mcg) once daily

Control

In-office bilateral sham procedure

Mometasone furoate nasal spray (200mcg) once daily

Group Type SHAM_COMPARATOR

Mometasone furoate nasal spray

Intervention Type DRUG

Mometasone furoate nasal spray (200mcg) once daily

Sham

Intervention Type 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.

Interventions

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S8 Sinus Implant

In-office bilateral placement of the S8 Sinus Implant (mometasone furoate, 1350 mcg) in the ethmoid sinuses

Intervention Type DRUG

Mometasone furoate nasal spray

Mometasone furoate nasal spray (200mcg) once daily

Intervention Type DRUG

Sham

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.

Intervention Type PROCEDURE

Other Intervention Names

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SINUVA (mometasone furoate) sinus implant Nasonex Sham procedure

Eligibility Criteria

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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:

* Complaints of at least 2 symptoms of chronic sinusitis: nasal obstruction/congestion, post-nasal discharge, thick nasal discharge, facial pain/pressure, or decreased sense of smell
* Endoscopic evidence of bilateral sinus obstruction due to polyposis (minimum grade 2 on each side)
* History of high-dose steroid use and/or sinus steroid irrigations within the preceding 1 year

Exclusion Criteria

* Patient has presence of polyposis grade 1, 1.5 or 4 on either side
* Patient has presence of adhesions/synechiae grades 3 or 4
* Patient has known history of immune deficiency
* Patient has concurrent condition such as cancer or HIV requiring active chemotherapy and/or immunotherapy management for the disease
* Patient has oral-steroid dependent condition such as COPD, asthma or other condition
* Patient has known history of allergy or intolerance to corticosteroids or mometasone furoate
* Patient has presence of physical obstruction that would preclude access to either ethmoid sinus for implant delivery (e.g., severe septal deviation, septal spur, very small middle meatus, total obstruction of the nasal passage with severe scarring, polyposis)
* Patient has clinical evidence of acute bacterial sinusitis
* Patient has clinical evidence or suspicion of invasive fungal sinusitis
* Patient has evidence of disease or condition expected to compromise survival or ability to complete follow-up assessments during the 90-day follow-up period
* Patient is currently participating in another clinical trial or has already participated in this clinical trial
* Patient has history of insulin dependent diabetes mellitus
* Patient has previously undergone ESS and experienced a cerebrospinal fluid (CSF) leak or has residual compromised vision as a result of a complication in a prior ESS procedure
* Patient has known dehiscence of the lamina papyracea
* Patient has evidence of active viral illness
* Patient has known history or diagnosis of glaucoma or ocular hypertension (prior ocular exam with IOP\>21 mm Hg and pressure lowering medication given) or posterior subcapsular cataract
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Intersect ENT

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert C Kern, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Otolaryngology, Northwestern University, Chicago, IL

Jose P. Stolovitzky, MD

Role: PRINCIPAL_INVESTIGATOR

ENT of Georgia, Atlanta, GA

Locations

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The University of Alabama Birmingham

Birmingham, Alabama, United States

Site Status

Kaiser Permanente Orange County Irvine Medical Center

Irvine, California, United States

Site Status

Sacramento Ear, Nose and Throat Surgical and Medical Group, Inc.

Sacramento, California, United States

Site Status

Colorado ENT and Allergy

Colorado Springs, Colorado, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

GW Medical Facility Associates

Washington D.C., District of Columbia, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

South Florida ENT

Miami, Florida, United States

Site Status

& Facial Plastic Surgery

Riverview, Florida, United States

Site Status

ENT of Georgia

Atlanta, Georgia, United States

Site Status

Northwestern Medical Faculty Foundation, Department of Otolaryngology

Chicago, Illinois, United States

Site Status

DuPage Medical Group

Naperville, Illinois, United States

Site Status

Iowa ENT Center

West Des Moines, Iowa, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Advanced ENT and Allergy

Louisville, Kentucky, United States

Site Status

Associated Surgical Specialists

Covington, Louisiana, United States

Site Status

Johns Hopkins

Baltimore, Maryland, United States

Site Status

Rontal Akervall Clinic

Royal Oak, Michigan, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

Ear, Nose and Throat Consultants of Nevada

Las Vegas, Nevada, United States

Site Status

Summit Medical Group

Berkeley Heights, New Jersey, United States

Site Status

Breathe America/NM Sinus

Albuquerque, New Mexico, United States

Site Status

Albany ENT & Allergy

Albany, New York, United States

Site Status

Madison ENT & Facial Plastic Surgery

New York, New York, United States

Site Status

Mount Sinai Hospital

New York, New York, United States

Site Status

Charlotte Eye, Ear, Nose and Throat Associates

Concord, North Carolina, United States

Site Status

University of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status

Bethlehem Ear, Nose and Throat Associates

Bethlehem, Pennsylvania, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Vanderbilt University

Nashville, Tennessee, United States

Site Status

University of Texas

Houston, Texas, United States

Site Status

Cache Valley ENT

North Logan, Utah, United States

Site Status

Intermountain/ENT Center of UT

Salt Lake City, Utah, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

Eastern Virginia Medical School

Norfolk, Virginia, United States

Site Status

Reston ENT

Reston, Virginia, United States

Site Status

Virginia ENT

Richmond, Virginia, United States

Site Status

Medical College of Wisconsin - Greenway Clinic

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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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.

Reference Type BACKGROUND
PMID: 29350840 (View on PubMed)

Other Identifiers

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P500-1113

Identifier Type: -

Identifier Source: org_study_id

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