CClinicalTrials.gg
CompletedNCT03290300Updated Feb 15, 2024Results posted

Quality of Life Impact of Nasal Airway Treatment With Aerin Medical Device

An observational study in Nasal Obstruction, sponsored by Aerin Medical. Completed at 8 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2024-02-15.

Sponsored by Aerin Medical · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
39
Ages
22 Years and older
Sex
All
01

Study summary

Evaluation of long-term (5-year) quality of life after nasal airway obstruction treatment with the Aerin Vivaer Stylus

Read the detailed description

This is a prospective, non-randomized, multi-center follow-up study to collect long term quality of life (QOL) data on a cohort of patients who participated in the Aerin Medical TP258 study "A Prospective, Multi-Center, Non-Randomized Study to Evaluate Treatment of Nasal Airway Obstruction Using the Aerin Medical Device". The TP258 study followed subjects out to 26 weeks post-procedure. This QOL study will collect data at 12, 18, 24, 36, 48 and 60 months post-procedure.

02

Conditions studied

  • Nasal Obstruction

Keywords

  • Nasal valve
  • Nasal airway obstruction
  • Quality of Life
03

Who can participate

Ages eligible
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The subjects in this study will all have completed participation in the TP 258 Nasal Obstruction study.

Inclusion criteria

  • Received nasal obstruction treatment in Aerin Study TP 258

Exclusion criteria

Exclusion Criteria:

  • Unwilling to participate in this long-term study
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
39 participants (actual)
Patient registry
No

Groups and cohorts

  • Long-Term Study Subjects

    This cohort will consist of all subjects who were treated with the Vivaer Stylus in the 50-subject TP258 interventional study, who consent to continue to provide quality of life data.

    Device: Vivaer Stylus

Interventions

  • DeviceVivaer Stylus

    Previous nasal obstruction treatment with the Aerin Medical Vivaer Stylus

    Also known as: Aerin Medical Device

05

What researchers measure

Primary outcomes

  1. Change From Baseline NOSE Score

    Mean change in Nasal Obstruction Symptom Evaluation (NOSE) score from baseline. The NOSE scale ranges from 0 to 100, so a maximum change from baseline would be 100 points. A positive number reported for the change from baseline indicates an improved outcome.

    Time frame: Baseline, 12, 18, 24 months post-procedure

  2. Change From Baseline NOSE Score - Long Term Extended Follow-up

    Mean change in Nasal Obstruction Symptom Evaluation (NOSE) score from baseline. The NOSE scale ranges from 0 to 100, so a maximum change from baseline would be 100 points. A positive number reported for the change from baseline indicates an improved outcome.

    Time frame: Update to include Extended Follow up to 36-, 48- months post-procedure

  3. Number and Percentage of Participants With Positive Response on Quality of Life Assessment Items

    This 21-item QOL scale was developed by Aerin Medical for this study to assess durability of symptom relief after treatment for nasal obstruction. Each item had 5 possible answers to convey the following responses: very positive, positive, neutral, negative and very negative. For questions 1-14, those who answered "agree or agree strongly" when prompted with "Compared to before I had the Aerin Medical Nasal Procedure, I have experienced..." were considered to have a positive response. For questions 15-18, those who answered "rarely/very rarely/never" when prompted with "Compared to before you had the procedure, how often did you suffer from the following conditions?..." were considered to have a positive response. For questions 19-21, those who answered "less or much less frequently" when prompted with "Compared to the time prior procedure, how often have you used the following to help you with nasal congestion/difficulty breathing?..." were considered to have a positive response.

    Time frame: 12, 18, 24 months post-procedure

06

Results

Posted Aug 19, 2019
Limitations and caveats
use of a single-arm design without randomized control, no control of medication usage, and significant patient attrition relative to the primary study. Two nonparticipants were known to have undergone subsequent surgery for nasal obstruction and it is possible that the effectiveness declined in the extended follow-up nonparticipants, although participants and non-participants had similar baseline characteristics and both groups experienced robust NOSE score reductions at 6months.

Participant flow

Participant flow — Overall Study
MilestoneLong-Term Study Subjects
Started39
Completed36
Not completed3
Withdrew: Lost to follow-up3

Outcome measures

PrimaryChange From Baseline NOSE Score

Mean change in Nasal Obstruction Symptom Evaluation (NOSE) score from baseline. The NOSE scale ranges from 0 to 100, so a maximum change from baseline would be 100 points. A positive number reported for the change from baseline indicates an improved outcome.

Time frame:
Baseline, 12, 18, 24 months post-procedure
Reported as:
Mean · units on a scale
Change From Baseline NOSE Score
units on a scaleLong-Term Study Subjects - 12 Month DataLong-Term Study Subjects - 18 Month DataLong-Term Study Subjects - 24 Month Data
Change From Baseline NOSE Score53.3 ± 25.248.1 ± 30.253.5 ± 24.6
Statistical analysis
  • Long-Term Study Subjects - 12 Month Data vs Long-Term Study Subjects - 18 Month Data vs Long-Term Study Subjects - 24 Month Data · ANOVA · p = <0.0001 (The pre-specified threshold for statistical significance was p\<0.05.)Repeated measures ANOVA with multiple comparisons to baseline
PrimaryChange From Baseline NOSE Score - Long Term Extended Follow-up

Mean change in Nasal Obstruction Symptom Evaluation (NOSE) score from baseline. The NOSE scale ranges from 0 to 100, so a maximum change from baseline would be 100 points. A positive number reported for the change from baseline indicates an improved outcome.

Time frame:
Update to include Extended Follow up to 36-, 48- months post-procedure
Reported as:
Mean · score on a scale
Change From Baseline NOSE Score - Long Term Extended Follow-up
score on a scale36 MonthLong-Term Study Subjects - 48 Month Data
Change From Baseline NOSE Score - Long Term Extended Follow-up32.3 ± 21.425.7 ± 19.1
PrimaryNumber and Percentage of Participants With Positive Response on Quality of Life Assessment Items

This 21-item QOL scale was developed by Aerin Medical for this study to assess durability of symptom relief after treatment for nasal obstruction. Each item had 5 possible answers to convey the following responses: very positive, positive, neutral, negative and very negative. For questions 1-14, those who answered "agree or agree strongly" when prompted with "Compared to before I had the Aerin Medical Nasal Procedure, I have experienced..." were considered to have a positive response. For questions 15-18, those who answered "rarely/very rarely/never" when prompted with "Compared to before you had the procedure, how often did you suffer from the following conditions?..." were considered to have a positive response. For questions 19-21, those who answered "less or much less frequently" when prompted with "Compared to the time prior procedure, how often have you used the following to help you with nasal congestion/difficulty breathing?..." were considered to have a positive response.

Time frame:
12, 18, 24 months post-procedure
Reported as:
Count of participants · Participants
Number and Percentage of Participants With Positive Response on Quality of Life Assessment Items
ParticipantsLong-Term Study Subjects - 12 MonthLong-Term Study Subjects - 18 Month DataLong-Term Study Subjects - 24 Month Data
Q1: Less difficulty falling asleep252228
Q2: Less waking up at night202525
Q3: Better sleep throughout the night232726
Q4: Waking up feeling rested182122
Q5: Less fatigue during the day202419
Q6: Increased productivity131621
Q7: Increased energy181622
Q8: Increased ability to focus111822
Q9: Increased sense of overall well-being182123
Q10: Less feelings of frustration172118
Q11: Less feelings of sadness121317
Q12: Less feelings of embarrassment201316
Q13:Missing fewer activites with family/friends121317
Q14: Missing fewer days at work9815
Q15: Headaches222728
Q16: Sinus infections283233
Q17: Sore throat303330
Q18: Post nasal drip191921
Q19: Oral medications231924
Q20: Nasal sprays262023
Q21: Nasal breathing strips222729

Adverse events

Collected over Between 1 and 2 years post-procedure. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Long-Term Study Subjects0/39 (0%)0/39 (0%)0/39 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Long-Term Study Subjects
Mean51.7 ± 12.8
Sex: Female, Male
Sex: Female, Male(Participants)Long-Term Study Subjects
Female20
Male19
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Long-Term Study Subjects
Hispanic or Latino2
Not Hispanic or Latino37
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Long-Term Study Subjects
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White39
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Long-Term Study Subjects
United States39
Baseline NOSE Score
Baseline NOSE Score(units on a scale)Long-Term Study Subjects
Mean80.8 ± 10.7
26-week NOSE Score (end of previous study)
26-week NOSE Score (end of previous study)(units on a scale)Long-Term Study Subjects
Mean24.9 ± 21.3
Change in NOSE score from baseline to 26 weeks
Change in NOSE score from baseline to 26 weeks(units on a scale)Long-Term Study Subjects
Mean55.9 ± 23.6

1 further baseline measures are reported on the registry.

07

Study locations

8 sites
  • Central California Clinical Research
    Fresno, California 93720, United States
  • Colorado ENT and Allergy
    Colorado Springs, Colorado 80909, United States
  • ENT and Allergy Associates, LLP
    Oradell, New Jersey 07649, United States
  • ENT and Allergy Associates, LLP
    Bayside, New York 11360, United States
  • ENT and Allergy Associates, LLP
    Middletown, New York 10941, United States
  • ENT and Allergy Associates, LLP
    New Hyde Park, New York 11042, United States
  • Piedmont Ear, Nose and Throat Associates
    Winston-Salem, North Carolina 27103, United States
  • Ear, Nose and Throat Associates of Texas
    McKinney, Texas 75070, United States
08

References and documents

Study documents

  • Study protocol · Jan 25, 2018
  • Statistical analysis plan · Jan 22, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Registry details

Key details

Study ID
NCT03290300
Lead sponsor
Aerin Medical
Responsible party
Sponsor
First posted
Sep 21, 2017
Start date
Oct 30, 2017
Primary completion
Jul 9, 2022
Completion
Jul 9, 2022
Results posted
Aug 19, 2019
Last update
Feb 15, 2024

Study contacts

Scott Wolf, MD
study director · Aerin Medical
Ofer Jacobowitz, MD, PhD
principal investigator · ENT and Allergy Associates, Middletown, NY

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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