A Clinical Evaluation of a Steroid-Coated Sinus Stent When Used Following Functional Endoscopic Sinus Surgery in Patients With Chronic Sinusitis
ADVANCE II
1 other identifier
interventional
105
1 country
11
Brief Summary
The purpose of this study is to assess the safety and efficacy of the Propel mometasone furoate implant when used following Functional Endoscopic Sinus Surgery (FESS) in patients with Chronic Sinusitis (CS).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Dec 2009
Shorter than P25 for phase_3
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2010
CompletedFirst Submitted
Initial submission to the registry
December 2, 2010
CompletedFirst Posted
Study publicly available on registry
December 3, 2010
CompletedResults Posted
Study results publicly available
April 13, 2015
CompletedJune 22, 2015
May 1, 2015
10 months
December 2, 2010
December 11, 2012
May 26, 2015
Conditions
Outcome Measures
Primary Outcomes (2)
Percentage of Sinuses Requiring Post-operative Intervention
Post-operative interventions include either need for surgical adhesion lysis or the need for oral steroids prescription, as determined from video-endoscopies reviewed by a panel of independent blinded sinus surgeons.
30-days
Percentage of Patients With Clinically Significant Increase in Intra-ocular Pressure
clinically significant IOP elevation is a change from baseline of \>10 mm Hg on sinus side with drug-coated implant but not on side with control implant
90 days
Secondary Outcomes (1)
Percentage of Sinuses That Developed Frank Polyposis
30 days
Study Arms (2)
Drug Coated
ACTIVE COMPARATORSinus stent coated with steroid
Non coated
PLACEBO COMPARATORSinus stent without drug coating
Interventions
Sinus stent coated with 370 ug of the corticosteroid mometasone furoate
Eligibility Criteria
You may qualify if:
- Patient has bilateral chronic sinusitis confirmed by CT scan and defined as inflammation of the mucosa of the nose and paranasal sinuses of at least 8 consecutive weeks' duration.
- Patient is indicated for and has consented to FESS.
- FESS successfully completed without significant complication that in the opinion of the physician would confound study results and the patient's anatomy remains amenable to Sinus Stent placement.
- CS diagnosis confirmed and documented by CT Scan within 6 months of the procedure.
- Patient has minimum total CT score (Lund-Mackay method) of 6. • Patient has bilateral ethmoid sinus disease confirmed by CT.
You may not qualify if:
- insulin dependent diabetics
- oral steroid dependent condition
- glaucoma, ocular hypertension, posterior subcapsular cataracts
- middle turbinate resection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Intersect ENTlead
Study Sites (11)
Central California ENT
Fresno, California, 93720, United States
Colorado ENT & Allergy
Colorado Springs, Colorado, 80909, United States
Northwestern University
Chicago, Illinois, 60611, United States
Northshore University Health System
Evanston, Illinois, 60201, United States
Advanced ENT & Allergy
Louisville, Kentucky, 40207, United States
Charlotte Eye, ENT Associates
Charlotte, North Carolina, 28210, United States
Austin ENT Clinics
Austin, Texas, United States
University of Texas SW Medical School
Dallas, Texas, United States
University of Texas Medical School
Houston, Texas, 77098, United States
Intermountain ENT
Salt Lake City, Utah, 84102, United States
Eastern Virgina Medical School
Norfolk, Virginia, 23507, United States
Related Publications (1)
Han JK, Marple BF, Smith TL, Murr AH, Lanier BJ, Stambaugh JW, Mugglin AS. Effect of steroid-releasing sinus implants on postoperative medical and surgical interventions: an efficacy meta-analysis. Int Forum Allergy Rhinol. 2012 Jul-Aug;2(4):271-9. doi: 10.1002/alr.21044. Epub 2012 May 1.
PMID: 22550039RESULT
Results Point of Contact
- Title
- James Stambaugh, Vice President Clinical Affairs
- Organization
- Intersect ENT
Study Officials
- PRINCIPAL INVESTIGATOR
Bradley Marple, MD
University of Texas
- PRINCIPAL INVESTIGATOR
Neil Bhattacharyya, MD
Brighan & Women's Hospital
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- LTE60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 2, 2010
First Posted
December 3, 2010
Study Start
December 1, 2009
Primary Completion
October 1, 2010
Study Completion
October 1, 2010
Last Updated
June 22, 2015
Results First Posted
April 13, 2015
Record last verified: 2015-05