Effects of Radiofrequency Ablation of Posterior Nasal Nerves on Inflammatory Cytokines, Peak Nasal Inspiratory Flow, and Nasal Blood Flow in Patients With Chronic Rhinitis
1 other identifier
interventional
17
1 country
1
Brief Summary
The purpose of this study is to assess the effectiveness of radiofrequency ablation (RFA) of the posterior nasal nerve (PNN) in chronic rhinitis (CR) patients by comparing patient reflective total nasal symptom score (rTNSS) and nasal obstruction symptom evaluation (NOSE) , peak nasal inspiratory flow (PNIF) , and levels of Type 2 cytokines pre- and post-procedure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2023
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 5, 2022
CompletedFirst Posted
Study publicly available on registry
December 13, 2022
CompletedStudy Start
First participant enrolled
January 10, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 20, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
February 20, 2024
CompletedResults Posted
Study results publicly available
April 3, 2025
CompletedApril 3, 2025
March 1, 2025
1.1 years
December 5, 2022
February 18, 2025
March 18, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (7)
Nasal Congestion as Assessed by the Peak Nasal Inspiratory Flow (PNIF)
PNIF is used to assess nasal air flow during maximal inspiration, and is reported in liters per minute.
Baseline
Nasal Congestion as Assessed by the Peak Nasal Inspiratory Flow (PNIF)
PNIF is used to assess nasal air flow during maximal inspiration, and is reported in liters per minute
4 weeks post intervention
Nasal Congestion as Assessed by the Peak Nasal Inspiratory Flow (PNIF)
PNIF is used to assess nasal air flow during maximal inspiration, and is reported in liters per minute
12 weeks post intervention
Interleukin-10 (IL-10)
cytokine
Baseline
Interleukin-22 (IL-22)
cytokine
Baseline
Interleukin-10 (IL-10)
cytokine
12 weeks post intervention
Interleukin-22 (IL-22)
cytokine
12 weeks post intervention
Secondary Outcomes (6)
Nasal Congestion as Assessed by the Reflective Total Nasal Symptom Score (rTNSS)
Baseline
Nasal Congestion as Assessed by the Reflective Total Nasal Symptom Score (rTNSS)
4 weeks post intervention
Nasal Congestion as Assessed by the Reflective Total Nasal Symptom Score (rTNSS)
12 weeks post intervention
Nasal Obstruction as Assessed by the Nasal Obstruction Symptom Evaluation Survey (NOSE)
Baseline
Nasal Obstruction as Assessed by the Nasal Obstruction Symptom Evaluation Survey (NOSE)
4 weeks post intervention
- +1 more secondary outcomes
Study Arms (1)
Radiofrequency ablation (RFA)
EXPERIMENTALInterventions
The NEUROMARK device is an in-office, disposable bipolar RFA device with a treatment tip consisting of micro electrodes which delivers RF energy while monitoring appropriate tissue contact to maximize delivery to posterior nasal nerve and its variable branching. After topical anesthesia consisting of oxymetazoline and 1% lido followed by 4% lidocaine, the device will be placed in the posterior inferior turbinate under endoscopic visualization. The device will be activated per manufacturer's instructions
Eligibility Criteria
You may qualify if:
- chronic rhinitis symptoms for at least 6 months (rhinorrhea, congestion, post-nasal drip)
- poor response to medical management that was attempted for at least 4 weeks
- a rTNSS score ≥6, as well as ≥2 for rhinorrhea, and ≥1 for congestion.
You may not qualify if:
- active sinusitis
- rhinitis medicamentosa
- recurrent and ongoing epistaxis
- immunodeficiency as defined by an illness or a history of sinus surgery.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The University of Texas Health Science Center at Houston
Houston, Texas, 77030, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- David Z. Allen
- Organization
- The University of Texas Health Science Center at Houston
Study Officials
- PRINCIPAL INVESTIGATOR
David Z Allen, MD
The University of Texas Health Science Center, Houston
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Resident
Study Record Dates
First Submitted
December 5, 2022
First Posted
December 13, 2022
Study Start
January 10, 2023
Primary Completion
February 20, 2024
Study Completion
February 20, 2024
Last Updated
April 3, 2025
Results First Posted
April 3, 2025
Record last verified: 2025-03
Data Sharing
- IPD Sharing
- Will not share