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In-office Placement of the Propel Mini Sinus Implant in the Frontal Sinus Ostia (FRONTIER)

Primary Purpose

Chronic Sinusitis

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
PROPEL Mini Sinus Implant
Balloon Sinus Dilation Alone
Sponsored by
Intersect ENT
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Sinusitis focused on measuring Frontal Sinus, Balloon Dilation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria

  • Patient has provided written informed consent using a form approved by the reviewing IRB.
  • Patient is 18 years of age or older.
  • Patient is willing and able to comply with protocol requirements.
  • Patient has CRS defined as sinonasal inflammation persisting for more than 12 weeks and complains of at least 2 of the 4 following symptoms: nasal blockage/obstruction/congestion, nasal blockage/obstruction/congestion, nasal discharge (anterior/posterior), facial pain/pressure, reduction/loss of smell
  • CRS diagnosis confirmed by CT scan within 3 months prior to enrollment
  • Bilateral frontal sinusitis confirmed by Lund-Mackay score of ≥1 on each side
  • Post-endoscopic sinus surgery, patient has bilateral obstruction of the frontal sinus ostia by scarring and/or polypoid edema.
  • Patient is a candidate for an in-office balloon dilation procedure.
  • In the opinion of the investigator, treatment with the Propel Mini Sinus Implant as an adjunct to balloon sinus dilation is technically feasible and clinically indicated in the frontal sinus ostia.

Exclusion Criteria:

  • Expanded amount of ethmoid sinonasal polyps extending beyond the middle meatus of grade 3 or 4 unless reduced prior to randomization in the study.
  • Oral-steroid dependent condition such as chronic obstructive pulmonary disease (COPD) or other conditions.
  • Known history of allergy or intolerance to corticosteroids or mometasone furoate.
  • Clinical evidence of acute bacterial sinusitis or invasive fungal sinusitis.
  • Active viral illness (e.g., flu, shingles).
  • Clinical evidence of disease or condition expected to compromise survival or ability to complete follow-up assessments through Day 180 post-procedure.
  • Currently participating in another clinical trial.

Sites / Locations

  • Sacramento ENT
  • ENT Assoicates of South Florida
  • ENT of Georgia
  • Advanced ENT and Allergy
  • Associated Surgical Specialists
  • St. Luke's ENT Specialists
  • BreatheAmerica of Albuquerque
  • Madison ENT
  • Ohio Sinus Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

PROPEL Mini Sinus Implant

Balloon Sinus Dilation Alone

Arm Description

Placement of the Propel Mini Sinus Implant in one frontal sinus ostia (FSO) assigned to the treatment group following in-office balloon dilation

In-office balloon dilation of the contralateral frontal sinus ostia (FSO) without implant placement

Outcomes

Primary Outcome Measures

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.

Secondary Outcome Measures

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)

Full Information

First Posted
August 18, 2016
Last Updated
November 5, 2018
Sponsor
Intersect ENT
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1. Study Identification

Unique Protocol Identification Number
NCT02880514
Brief Title
In-office Placement of the Propel Mini Sinus Implant in the Frontal Sinus Ostia
Acronym
FRONTIER
Official Title
A Clinical Evaluation of Propel Mini Sinus Implant Placement in the Frontal Sinus Ostia Following In-office Dilation
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
August 2016 (undefined)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
June 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Intersect ENT

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A randomized controlled trial
Detailed Description
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Sinusitis
Keywords
Frontal Sinus, Balloon Dilation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PROPEL Mini Sinus Implant
Arm Type
Experimental
Arm Description
Placement of the Propel Mini Sinus Implant in one frontal sinus ostia (FSO) assigned to the treatment group following in-office balloon dilation
Arm Title
Balloon Sinus Dilation Alone
Arm Type
Active Comparator
Arm Description
In-office balloon dilation of the contralateral frontal sinus ostia (FSO) without implant placement
Intervention Type
Device
Intervention Name(s)
PROPEL Mini Sinus Implant
Other Intervention Name(s)
PROPEL Mini
Intervention Description
Sinus implant with 370 mcg of mometasone furoate released over 30 days
Intervention Type
Procedure
Intervention Name(s)
Balloon Sinus Dilation Alone
Primary Outcome Measure Information:
Title
Patency Rate
Description
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.
Time Frame
Day 30
Secondary Outcome Measure Information:
Title
Inflammation Score
Description
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)
Time Frame
Day 30

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria Patient has provided written informed consent using a form approved by the reviewing IRB. Patient is 18 years of age or older. Patient is willing and able to comply with protocol requirements. Patient has CRS defined as sinonasal inflammation persisting for more than 12 weeks and complains of at least 2 of the 4 following symptoms: nasal blockage/obstruction/congestion, nasal blockage/obstruction/congestion, nasal discharge (anterior/posterior), facial pain/pressure, reduction/loss of smell CRS diagnosis confirmed by CT scan within 3 months prior to enrollment Bilateral frontal sinusitis confirmed by Lund-Mackay score of ≥1 on each side Post-endoscopic sinus surgery, patient has bilateral obstruction of the frontal sinus ostia by scarring and/or polypoid edema. Patient is a candidate for an in-office balloon dilation procedure. In the opinion of the investigator, treatment with the Propel Mini Sinus Implant as an adjunct to balloon sinus dilation is technically feasible and clinically indicated in the frontal sinus ostia. Exclusion Criteria: Expanded amount of ethmoid sinonasal polyps extending beyond the middle meatus of grade 3 or 4 unless reduced prior to randomization in the study. Oral-steroid dependent condition such as chronic obstructive pulmonary disease (COPD) or other conditions. Known history of allergy or intolerance to corticosteroids or mometasone furoate. Clinical evidence of acute bacterial sinusitis or invasive fungal sinusitis. Active viral illness (e.g., flu, shingles). Clinical evidence of disease or condition expected to compromise survival or ability to complete follow-up assessments through Day 180 post-procedure. Currently participating in another clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stacey Silvers
Organizational Affiliation
Madison ENT
Official's Role
Principal Investigator
Facility Information:
Facility Name
Sacramento ENT
City
Sacramento
State/Province
California
ZIP/Postal Code
95815
Country
United States
Facility Name
ENT Assoicates of South Florida
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33487
Country
United States
Facility Name
ENT of Georgia
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30342
Country
United States
Facility Name
Advanced ENT and Allergy
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40207
Country
United States
Facility Name
Associated Surgical Specialists
City
Covington
State/Province
Louisiana
ZIP/Postal Code
70433
Country
United States
Facility Name
St. Luke's ENT Specialists
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64111
Country
United States
Facility Name
BreatheAmerica of Albuquerque
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87109
Country
United States
Facility Name
Madison ENT
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Ohio Sinus Institute
City
Dublin
State/Province
Ohio
ZIP/Postal Code
43016
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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In-office Placement of the Propel Mini Sinus Implant in the Frontal Sinus Ostia

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