Status:
COMPLETED
Safety and Efficacy of the Propel Mini and Propel Nova Steroid-Eluting Sinus Implant in Frontal Sinus
Lead Sponsor:
Intersect ENT
Collaborating Sponsors:
Advance Research Associates
Conditions:
Chronic Sinusitis
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
The objective of the PROGRESS Study is to assess the safety and efficacy of the Propel Mini and Propel Nova steroid-eluting Sinus Implants when placed in the frontal sinus opening following frontal si...
Detailed Description
This is a prospective, randomized, blinded, controlled, multicenter study enrolling two consecutive cohorts of up to 80 patients each (Propel Mini cohort followed by Propel Nova cohort). The study pat...
Eligibility Criteria
Inclusion
- Patient has CRS confirmed by CT scan and defined as symptoms lasting longer than 12 consecutive weeks in duration with inflammation of the mucosa of the nose and paranasal sinuses.
- Patient has a clinical indication for and has consented to ESS including bilateral frontal sinus surgery.
- Chronic sinusitis diagnosis confirmed and documented by CT scan within 6 months of the procedure.
- Patient has bilateral disease in both frontal sinuses confirmed by Lund-Mackay score of ≥1 on each side.
- Planned sinus surgery includes bilateral ethmoidectomy (if judged necessary) and frontal sinus enlargement using Draf II (A or B) dissection or balloon dilation, with minimum of 5-mm diameter opening created.
- Technique used for frontal sinus surgery is the same on both sides (e.g. surgical dissection alone bilaterally, balloon dilation alone bilaterally, or both bilaterally)
- Septoplasty for access to the ostio-meatal complex is permitted.
- ESS including bilateral frontal sinus surgery has been successfully completed without significant complication that, in the opinion of the investigator, would confound study results, and the patient's anatomy remains amenable to implant placement.
Exclusion
- Known history of immune deficiency such as immunoglobin G or A subclass deficiency, or Human Immunodeficiency Virus (HIV)
- Oral-steroid dependent condition such as chronic obstructive pulmonary disease (COPD) or asthma or other condition
- Known history of allergy or intolerance to corticosteroids or mometasone furoate
- Clinical evidence of acute bacterial sinusitis
- Clinical evidence or suspicion of invasive fungal sinusitis (e.g., bone erosion on CT scan, necrotic sinus tissue)
- Active viral illness
- Concurrent condition requiring active chemotherapy and/or immunotherapy management for the disease
- Clinical evidence of disease or condition expected to compromise survival or ability to complete follow-up assessments during the 90 day follow-up period
- Currently participating in another clinical trial
- History of insulin dependent diabetes mellitus
- Patient has previously undergone ESS and experienced a CSF leak or has compromised vision as a result of a complication in a prior ESS procedure
- Significant complication during the current frontal sinus surgery procedure such as excessive blood loss, CSF leak or punctured lamina papyracea
- Current ESS including frontal sinus surgery is aborted for any reason.
- At least one side is not amenable for implant placement.
Key Trial Info
Start Date :
September 1 2014
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 1 2016
Estimated Enrollment :
160 Patients enrolled
Trial Details
Trial ID
NCT02266810
Start Date
September 1 2014
End Date
October 1 2016
Last Update
August 15 2018
Active Locations (10)
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1
Sacramento Ear, Nose and Throat
Sacramento, California, United States, 95815
2
Breathe Clear Institute of Sinus and Allergy Relief
Torrance, California, United States, 90503
3
The Connecticut Center for Advanced ENT Care
Norwalk, Connecticut, United States, 06851
4
George Washington University Medical Faculty Associates
Washington D.C., District of Columbia, United States, 20006