CClinicalTrials.gg
CompletedNCT00645762BREATHE IUpdated Jul 29, 2013Results posted

Balloon REmodeling Antrostomy THErapy Study

A Phase 2 interventional study of RS-Series Rhinosinusitis Treatment System and FinESS Balloon in Sinusitis, sponsored by Entellus Medical, Inc.. Completed at 13 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-07-29.

Sponsored by Entellus Medical, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
71
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study is designed to evaluate safety and effectiveness of a less invasive procedure to treat maxillary only, or maxillary and anterior ethmoid, chronic sinusitis. Additionally, this study will assess the feasibility of performing the procedure under local anesthesia.

02

Conditions studied

  • Sinusitis

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Keywords

  • Chronic rhinosinusitis
  • Chronic sinusitis
  • Maxillary sinus
  • Anterior ethmoid sinus
  • Ethmoid infundibulum
  • Balloon dilation
  • Endoscopic visualization
  • Local anesthesia
  • Canine fossa
  • Less invasive
03

In context

Sinusitis

415 studies on the registry are indexed under Sinusitis; 46 are open to participants now.

This study's enrollment of 71 is above the median of 60 across 313 interventional studies indexed under Sinusitis.

Browse Sinusitis studies →

Lead sponsor

Entellus Medical, Inc. is the lead sponsor of 11 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subjects age 18 or older with chronic rhinosinusitis of the maxillary or maxillary and anterior ethmoid sinuses
  • A CT scan taken after maximal medical therapy (e.g., local or systemic antibiotics, topical steroids, etc.) must show one of the following:

    1. Narrowing of the outflow tract of the maxillary sinus ostium or infundibulum with mucosal thickening of 2 mm or greater of the maxillary sinus antrum.
    2. Evidence of maxillary sinus air/liquid level.

Exclusion criteria

Exclusion Criteria:

  • Evidence of chronic posterior ethmoid, sphenoid or frontal sinusitis
  • Inability to understand the study or a history of non-compliance with medical advice
  • Unwilling or unable to sign Informed Consent Form (ICF)
  • Currently enrolled in any other pre-approval investigational study (does not apply to long-term post-market studies)
  • History of any cognitive or mental health status that would interfere with study participation
  • Previous sinus surgery or intervention including sinuplasty
  • Pregnant women
  • Severe septal deviation causing obstruction of the ostiomeatal unit
  • History of primary ciliary dysfunction
  • Hemophilia
  • Currently undergoing or in the past 6 months had undergone chemotherapy for cancer or radiation therapy in the head or neck region
  • History of cystic fibrosis
  • Known Sampter's Triad (aspirin sensitivity, asthma, sinonasal polyposis)
  • Known sinonasal tumors or obstructive lesions
  • History of mid facial fractures or orthognathic surgery (does not include nasal fracture)
  • History of insulin dependent diabetes
  • Not able to stop anti-coagulant (e.g., warfarin) until the International Normalized Ratio(INR) is below 1.5
  • Not able to stop anti-platelet (e.g., clopidogrel, aspirin, etc.) for at least 14 days prior to study procedure
  • Not able to stop any non-steroidal anti-inflammatory medications and homeopathic medications for at least 14 days prior to the study procedure
  • Presence of nasal polyps that may interfere with the treatment procedure
  • Presence of features consistent with sinus fungal disease on CT or physical examination
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
71 participants (actual)

Study arms

  • Active comparator
    Balloon Dilation

    Balloon dilation with FinESS device

    Device: RS-Series Rhinosinusitis Treatment System · Device: FinESS Balloon

Interventions

  • DeviceRS-Series Rhinosinusitis Treatment System

    Single arm

  • DeviceFinESS Balloon
06

What researchers measure

Primary outcomes

  1. Incidences of Device-related or Procedure-related Complications

    Time frame: Through 12 months post-procedure

  2. Patency of the Treated Area as Verified by CT Scan

    Post-procedure Patency was assessed using a CT scan 3 months post-procedure. The osteomeatal complex was assessed for patency by physicians.

    Time frame: Post-treatment at 3 months

  3. Symptomatic Score Change- Sinonasal Outcome (SNOT) 20 Score Improvement

    Symptomatic change in SNOT 20 scores on a 5-point Likert scale where "0" = no problem to "5" = problem as bad as it can be were calculated. Baseline scores and 12 month post-procedure follow-up scores were calculated and compared. A score reduction of at least 0.8 (-0.8) from baseline to 12 months is considered statistically significant and clinically impactful.

    Time frame: Post-treatment through 12 months

07

Results

Posted Jul 29, 2013

Participant flow

Enrolled patients with chronic rhinosinusitis (CRS) from Ear, Nose Throat (ENT) physician practices.

Participant flow — Overall Study
MilestoneFinESS Sisnus System Balloon Dilation
Started71
Completed67
Not completed4

Outcome measures

PrimaryIncidences of Device-related or Procedure-related Complications
Time frame:
Through 12 months post-procedure
Reported as:
Number · participants
Incidences of Device-related or Procedure-related Complications
participantsTreatment Group (ALL)
Incidences of Device-related or Procedure-related Complications1 ± 0.98
PrimaryPatency of the Treated Area as Verified by CT Scan

Post-procedure Patency was assessed using a CT scan 3 months post-procedure. The osteomeatal complex was assessed for patency by physicians.

Time frame:
Post-treatment at 3 months
Reported as:
Number · Ostia
Patency of the Treated Area as Verified by CT Scan
OstiaFinESS Balloon Dilation
Patency of the Treated Area as Verified by CT Scan106
PrimarySymptomatic Score Change- Sinonasal Outcome (SNOT) 20 Score Improvement

Symptomatic change in SNOT 20 scores on a 5-point Likert scale where "0" = no problem to "5" = problem as bad as it can be were calculated. Baseline scores and 12 month post-procedure follow-up scores were calculated and compared. A score reduction of at least 0.8 (-0.8) from baseline to 12 months is considered statistically significant and clinically impactful.

Time frame:
Post-treatment through 12 months
Reported as:
Number · Scores on a scale
Symptomatic Score Change- Sinonasal Outcome (SNOT) 20 Score Improvement
Scores on a scaleFinESS Balloon Arm
Symptomatic Score Change- Sinonasal Outcome (SNOT) 20 Score Improvement-1.8

Adverse events

Collected over 12 months post-procedure. Non-serious events are listed at a 1.4% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment Group (ALL)—1/71 (1.4%)0/71 (0%)
Most frequent serious events
Most frequent serious events
EventTreatment Group (ALL)
Subcutaneous emphysema of the neck and upper chestSkin and subcutaneous tissue disorders1/71

Baseline characteristics

Age Continuous
Age Continuous(years)Balloon Dilation
Mean47.3 ± 13.7
Sex: Female, Male
Sex: Female, Male(Participants)Balloon Dilation
Female45
Male26
Region of Enrollment
Region of Enrollment(participants)Balloon Dilation
United States71
08

Study locations

13 sites
  • Central California Ear, Nose and Throat Medical Group
    Fresno, California 93720, United States
  • NorthShore University HealthSystem
    Evanston, Illinois 60201, United States
  • Loyola University Medical Center
    Maywood, Illinois 60153, United States
  • St. Cloud Ear, Nose & Throat - Head and Neck Clinic
    Saint Cloud, Minnesota 56303, United States
  • Otolaryngology-Facial Plastic Surgery of Long Island P.C.
    Lake Success, New York 11042, United States
  • Charlotte Eye, Ear, Nose & Throat Associates
    Charlotte, North Carolina 28210, United States
  • Midwest Ear, Nose, and Throat
    Sioux Falls, South Dakota 57108, United States
  • Holston Medical Group
    Kingsport, Tennessee 37660, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
  • Austin Ear, Nose & Throat Clinic
    Austin, Texas 78705-1023, United States
  • Texas Sinus Center
    Boerne, Texas 78006, United States
  • San Antonio Ear, Nose, and Throat Research
    San Antonio, Texas 78229, United States
  • Ear, Nose, Throat & Plastic Surgery Associates, PS
    Auburn, Washington 98002, United States
09

References and documents

Publications

  • Stankiewicz J, Tami T, Truitt T, Atkins J, Liepert D, Winegar B. Transantral, endoscopically guided balloon dilatation of the ostiomeatal complex for chronic rhinosinusitis under local anesthesia. Am J Rhinol Allergy. 2009 May-Jun;23(3):321-7. doi: 10.2500/ajra.2009.23.3274. Epub 2009 Jan 16. PubMed 19419611 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 29, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00645762
Lead sponsor
Entellus Medical, Inc.
Responsible party
Sponsor
First posted
Mar 28, 2008
Start date
Sep 2007
Primary completion
Jun 2010
Completion
Jun 2010
Results posted
Jul 29, 2013
Last update
Jul 29, 2013

Study contacts

James Stankiewicz, MD
principal investigator · Loyola University Medical Center, Maywood, IL
Thomas Tami, MD
principal investigator · Cincinnati Sinus Institute, Cincinnati OH

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2013. You cannot join it, but the record below documents what was studied.

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