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CompletedNCT02687438Updated Nov 17, 2016

The PIO (Propel In Office) III Study of In-office Placement of a Steroid-Eluting Implant Immediately Following Ethmoid Sinus Surgery

An interventional study of Steroid-releasing sinus implant and Post-op standard of care in Chronic Sinusitis, sponsored by ENT and Allergy Associates, LLP. Completed at 4 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-11-17.

Sponsored by ENT and Allergy Associates, LLP · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

Report on the technical feasibility and outcomes of in-office placement of PROPEL or PROPEL mini implants immediately following ethmoid sinus surgery

Read the detailed description

The PROPEL mometasone furoate-releasing implant (Intersect ENT, Menlo Park, CA) is the first FDA-approved device for reducing the need for post-operative interventions by maintaining patency and delivering steroid medication directly into the ethmoid cavity following surgery. Five recently published clinical trials have demonstrated that the mometasone furoate-releasing implant placed in the hospital operating room or in the office setting produces statistically significant reductions in inflammation, polyp formation, and postoperative adhesions. In addition, the implant has been found to significantly reduce the need for postoperative prescription of oral steroids and to decrease the frequency of postoperative lysis of adhesions. Minimal adverse effects were reported in these trials.

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Conditions studied

  • Chronic Sinusitis

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Keywords

  • Steroid-eluting implant Mometasone Furoate
03

In context

Sinusitis

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

This study's enrollment of 20 is below the median of 60 across 313 interventional studies indexed under Sinusitis.

Browse Sinusitis studies →

Lead sponsor

This is the only study on the registry with ENT and Allergy Associates, LLP as lead sponsor.

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
Yes

Inclusion criteria

  • Age ≥ 18 years
  • Confirmed diagnosis of CRS (Chronic Rhinosinusitis) based on the 2015 Clinical Practice Guideline for Adult Sinusitis [6]
  • Prior ESS (Ethmoid Sinus Surgery) including bilateral total ethmoidectomy at least 90 days prior to being considered for this study
  • Planned ESS includes bilateral polypectomy
  • ESS including bilateral polypectomy 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.
  • Bilateral polyposis (minimum grade 2 on each side) originating from the ethmoid sinus region
  • Complaints of at least 2 of the 5 hallmark symptoms of chronic sinusitis: nasal obstruction/congestion, post-nasal discharge, thick nasal discharge, facial pain/pressure, or decreased sense of smell.
  • Minimum symptom threshold (Nasal Obstruction/Congestion minimum score of 2 on scale from 0 to 3)
  • Failed medical therapy within the preceding 12 months

Exclusion criteria

Exclusion Criteria:

  • Not able to give consent
  • Oral-steroid dependent condition
  • Allergy or intolerance to corticosteroids
  • Clinical evidence of bacterial sinusitis or invasive fungal sinusitis
  • Pregnancy
05

Study design

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

Study arms

  • Experimental
    Treatment

    Steroid-releasing sinus implant placement following ethmoidectomy in addition to post-op standard of care (i.e. debridement, irrigation, and topical steroids)

    Device: Steroid-releasing sinus implant · Other: Post-op standard of care

Interventions

  • DeviceSteroid-releasing sinus implant

    PROPEL (Intersect ENT, Menlo Park, CA) containing 370mcg of mometasone furoate designed for gradual release over 30 days

    Also known as: PROPEL

  • OtherPost-op standard of care

    post-op standard of care including debridement, irrigation, and/or topical steroids

    Also known as: debridement, irrigation, topical steroids (e.g. mometasone furoate)

06

What researchers measure

Primary outcomes

  1. the change from baseline to day 90 in nasal obstruction / congestion score

    nasal obstruction/congestion scored by patients

    Time frame: baseline and 90 days from surgery

  2. the change from baseline to day 90 in bilateral polyp grade

    clinical investigator assessed and by an independent reviewer based on video-endoscopy review

    Time frame: baseline and 90 days from surgery

Secondary outcomes

  1. Ethmoid Sinus Obstruction

    100mm Visual Analogue Scale (VAS) assessed by clinical investigators and by an independent reviewer

    Time frame: Baseline, Day 14, Day 30, Day 90 and Month 6

  2. Bilateral Polyp Grading

    Bilateral polyp grade assessed by clinical investigator and by an independent reviewer based on video-endoscopy review

    Time frame: Day 14, Day 30, Month 6

  3. Adhesion Scarring Score

    assessed by clinical investigators and by an independent reviewer

    Time frame: Baseline, Day 14, Day 30, Day 90 and Month 6

  4. Inflammation Score

    100mm Visual Analogue Scale (VAS) assessed by clinical investigators and by an independent reviewer

    Time frame: Baseline, Day 14, Day 30, Day 90 and Month 6

  5. Coagulum/ Crusting Score

    100mm Visual Analogue Scale (VAS) assessed by clinical investigators and by an independent reviewer

    Time frame: Baseline, Day 14, Day 30, Day 90 and Month 6

  6. Nasal Obstruction/ Congestion Score

    scored by patients

    Time frame: Day 14, Day 30, Month 6

  7. Sino-Nasal Outcome Test (SNOT 22)

    scored by patients

    Time frame: Baseline, Day 14, Day 30, Day 90 and Month 6

  8. Medication Requirements

    evaluate the need for medication, assessed by clinical investigators

    Time frame: Month 6 post-surgery versus Month 6 post-baseline

  9. Patient Preference Questionnaire

    patient tolerability and satisfaction assessed by clinical investigators

    Time frame: Baseline procedure, Day 90

  10. Implant Placement Success Rate

    successful access to, and placement of PROPEL Sinus Implant to the target site

    Time frame: time of surgery

07

Study locations

4 sites
  • ENT and Allergy Associates, LLP
    Lake Success, New York 11042, United States
  • ENT and Allergy Associates, LLP
    New York, New York 10016, United States
  • ENT and Allergy Associates, LLP
    Port Jefferson, New York 11777, United States
  • ENT and Allergy Associates, LLP
    White Plains, New York 10601, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 17, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02687438
Lead sponsor
ENT and Allergy Associates, LLP
Collaborators
Intersect ENT
Responsible party
Sponsor
First posted
Feb 22, 2016
Start date
Dec 2015
Primary completion
Feb 2016
Completion
Feb 2016
Last update
Nov 17, 2016

Study contacts

B.Todd Schaeffer, MD
principal investigator · ENT and Allergy Associates, LLP

Oversight

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

Not currently enrolling

This study is completed, as verified in Nov 2016. You cannot join it, but the record below documents what was studied.

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