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CompletedNCT04154605CR RCTUpdated Mar 26, 2025Results posted

ClariFix Rhinitis RCT

An interventional study of ClariFix cryotherapy and Sham ClariFix cryotherapy in Chronic Rhinitis, sponsored by Stryker Instruments. Completed at 1 site in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2025-03-26.

Sponsored by Stryker Instruments · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
133
Allocation
Randomized
Ages
21 Years and older
Sex
All
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Study summary

A randomized, sham-controlled, single-blind study of cryotherapy as a treatment for chronic rhinitis.

Read the detailed description

A prospective, multicenter, randomized, sham-controlled, single-blind (participants) study to demonstrate the superiority of treatment with the ClariFix cryotherapy device for reducing symptoms when compared with a sham treatment in patients with chronic rhinitis. The ClariFix device is a Class II FDA-cleared medical device that is intended to be used as a cryosurgical tool for the destruction of unwanted tissue during surgical procedures, including in adults with chronic rhinitis.

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Conditions studied

  • Chronic Rhinitis

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Keywords

  • Cryotherapy
  • Cryoablation
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In context

Rhinitis

1,105 studies on the registry are indexed under Rhinitis; 65 are open to participants now.

This study's enrollment of 133 is above the median of 89 across 906 interventional studies indexed under Rhinitis.

Browse Rhinitis studies →

Lead sponsor

Stryker Instruments is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  1. Be ≥21 years of age.
  2. Has been diagnosed with chronic nonallergic or allergic rhinitis.
  3. Have moderate to severe symptoms of rhinorrhea (individual reflective Total Nasal Symptoms Score [rTNSS] symptom rating of 2 or 3), mild to severe symptoms of nasal congestion (individual rTNSS symptom rating of 1, 2, or 3), and a minimum total rTNSS of 4 (out of 12) at baseline.
  4. Have an allergy test (by skin prick or intradermal testing or by validated in vitro tests for specific Immunoglobin E [IgE]) on file within 12 months of the baseline visit.
  5. Be an appropriate candidate for bilateral ClariFix treatment performed under local anesthesia.
  6. Be willing and able to comply with all study elements, as indicated by their written informed consent.
  7. Be willing and able to comply with all study elements and provide written consent.

Exclusion criteria

Exclusion Criteria:

  1. Have clinically significant anatomic obstructions that in the investigator's opinion limit access to the posterior nose, including but not limited to severe septal deviation or perforation, nasal polyps, and/or sinonasal tumor.
  2. Have had previous sinus or nasal surgery within 6 months of study enrollment.
  3. Have previously undergone cryotherapy or other surgical interventions for rhinitis.
  4. Have an active nasal or sinus infection.
  5. Have rhinitis symptoms that are primarily due to seasonal allergies.
  6. Have plans to (or otherwise anticipates the need to) undergo an ENT (ear, nose, throat) procedure concurrently or within 3 months after the study procedure.
  7. Is on prescribed anticoagulants (eg, warfarin, Plavix) or 325 mg aspirin that cannot be discontinued before the procedure (81 mg aspirin and herbal supplements are acceptable).
  8. Be unable to discontinue ipratropium bromide (IB) at least 14 days before baseline and through the 90-day follow-up visit.
  9. Have a history of chronic epistaxis or experienced a significant epistaxis event (defined as epistaxis requiring medical intervention) in the past 3 months.
  10. Have a history of rhinitis medicamentosa.
  11. Have had previous head and/or neck irradiation.
  12. Have an allergy or intolerance to local anesthetic agents.
  13. Have cryoglobulinemia, paroxysmal cold hemoglobinuria, cold urticaria, Raynaud's disease, and/or open and/or infected wounds at or near the target tissue.
  14. Have a neurological, medical, psychiatric condition, or social circumstance that would potentially increase risk, interfere with study participation, or confound interpretation of study data.
  15. Be participating in another clinical research study.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
133 participants (actual)

Study arms

  • Active comparator
    ClariFix

    Cryotherapy of the nasal passages with the ClariFix device.

    Device: ClariFix cryotherapy

  • Sham comparator
    Sham

    Sham cryotherapy of the nasal passages with the ClariFix device

    Device: Sham ClariFix cryotherapy

Interventions

  • DeviceClariFix cryotherapy

    Bilateral freeze ablation of nasal tissue using the ClariFix device.

  • DeviceSham ClariFix cryotherapy

    Bilateral sham ablation procedure using the ClariFix device.

    Also known as: Sham

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What researchers measure

Primary outcomes

  1. rTNSS Responder Rate

    Responders are defined as participants with a 30% or greater reduction in reflective Total Nasal Symptom Score (rTNSS) relative to baseline. The active treatment will be compared with the sham treatment. The reflective Total Nasal Symptom Score (rTNSS) is a validated PRO consisting of 4 nasal symptom scores for rhinorrhea, nasal congestion, nasal itching, and sneezing that are assessed over the previous 2-week period. Each symptom is rated on a scale of 0 (no symptoms) to 3 (severe symptoms) and the scores are summed to provide a total rTNSS with a possible range of 0 to 12.

    Time frame: 90-days post treatment

Secondary outcomes

  1. rTNSS Responder Rate

    Mean change from baseline in the rTNSS. The reflective Total Nasal Symptom Score (rTNSS) is a validated PRO consisting of 4 nasal symptom scores for rhinorrhea, nasal congestion, nasal itching, and sneezing that are assessed over the previous 2-week period. Each symptom is rated on a scale of 0 (no symptoms) to 3 (severe symptoms) and the scores are summed to provide a total rTNSS with a possible range of 0 to 12.

    Time frame: Through 12 months post treatment

  2. Change in Total RQLQ(S)

    Mean change from baseline in the Standardized Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ(S)) score. The RQLQ(S) is a validated PRO that measures functional impairments due to allergic or non-allergic rhinoconjunctivitis. The assessment consists of 28 questions related to nose symptoms, eye symptoms, non-eye/nose symptoms, sleep problems, practical problems, activity limitations, and emotional function. Each item is scored from 0 (no impairment) to 6 (severely impaired). An overall score is calculated from the mean of the 28 item responses. Domain scores are the mean of the item scores within that domain.

    Time frame: Through 12 months post treatment

  3. Patient Satisfaction Questionnaire

    Percent of participants indicating satisfaction with the procedure outcome. The satisfaction questionnaire consists of 3 questions that the participant answers at each follow-up visit. The questions indicate whether the participant is satisfied with the procedure outcome, whether the participant would undergo the procedure again for similar results, and whether the participant would recommend the procedure to family or friends with a similar condition. For each item the participant indicates agreement/disagreement with each statement.

    Time frame: Through 12 months post treatment

  4. Serious Device- and/or Procedure-related Adverse Events

    The number of participants with one or more serious adverse events that are possibly, probably, or definitely related to the ClariFix device and/or procedure.

    Time frame: Through 12 months post procedure

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Results

Posted Sep 20, 2021
Limitations and caveats
Study follow up is ongoing. Only 90 day endpoints are available currently.

Participant flow

Participant flow — Overall Study
MilestoneClariFixSham
Started6865
Completed6563
Not completed32
Withdrew: Procedure canceled11
Withdrew: Missed follow up11
Withdrew: Withdrawal by subject10

Outcome measures

PrimaryrTNSS Responder Rate

Responders are defined as participants with a 30% or greater reduction in reflective Total Nasal Symptom Score (rTNSS) relative to baseline. The active treatment will be compared with the sham treatment. The reflective Total Nasal Symptom Score (rTNSS) is a validated PRO consisting of 4 nasal symptom scores for rhinorrhea, nasal congestion, nasal itching, and sneezing that are assessed over the previous 2-week period. Each symptom is rated on a scale of 0 (no symptoms) to 3 (severe symptoms) and the scores are summed to provide a total rTNSS with a possible range of 0 to 12.

Time frame:
90-days post treatment
Reported as:
Count of participants · Participants
rTNSS Responder Rate
ParticipantsClariFixSham
rTNSS Responder Rate4723
SecondaryrTNSS Responder Rate

Mean change from baseline in the rTNSS. The reflective Total Nasal Symptom Score (rTNSS) is a validated PRO consisting of 4 nasal symptom scores for rhinorrhea, nasal congestion, nasal itching, and sneezing that are assessed over the previous 2-week period. Each symptom is rated on a scale of 0 (no symptoms) to 3 (severe symptoms) and the scores are summed to provide a total rTNSS with a possible range of 0 to 12.

Time frame:
Through 12 months post treatment

Results for this outcome have not been posted.

SecondaryChange in Total RQLQ(S)

Mean change from baseline in the Standardized Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ(S)) score. The RQLQ(S) is a validated PRO that measures functional impairments due to allergic or non-allergic rhinoconjunctivitis. The assessment consists of 28 questions related to nose symptoms, eye symptoms, non-eye/nose symptoms, sleep problems, practical problems, activity limitations, and emotional function. Each item is scored from 0 (no impairment) to 6 (severely impaired). An overall score is calculated from the mean of the 28 item responses. Domain scores are the mean of the item scores within that domain.

Time frame:
Through 12 months post treatment

Results for this outcome have not been posted.

SecondaryPatient Satisfaction Questionnaire

Percent of participants indicating satisfaction with the procedure outcome. The satisfaction questionnaire consists of 3 questions that the participant answers at each follow-up visit. The questions indicate whether the participant is satisfied with the procedure outcome, whether the participant would undergo the procedure again for similar results, and whether the participant would recommend the procedure to family or friends with a similar condition. For each item the participant indicates agreement/disagreement with each statement.

Time frame:
Through 12 months post treatment

Results for this outcome have not been posted.

SecondarySerious Device- and/or Procedure-related Adverse Events

The number of participants with one or more serious adverse events that are possibly, probably, or definitely related to the ClariFix device and/or procedure.

Time frame:
Through 12 months post procedure

Results for this outcome have not been posted.

Adverse events

Collected over Screening through 90 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ClariFix33/68 (48.5%)1/68 (1.5%)33/68 (48.5%)
Sham4/65 (6.2%)1/65 (1.5%)4/65 (6.2%)
Most frequent serious events
Most frequent serious events
EventClariFixSham
HemoptysisRespiratory, thoracic and mediastinal disorders0/681/65
Panic AttackPsychiatric disorders1/680/65
Most frequent other events
Most frequent other events
EventClariFixSham
Pain/discomfort at treatment siteSurgical and medical procedures25/681/65
OtherGeneral disorders8/683/65

Baseline characteristics

Age, Continuous
Age, Continuous(years)ClariFixShamTotal
Median52.3 ± 15.858.3 ± 16.455.2 ± 16.3
Sex: Female, Male
Sex: Female, Male(Participants)ClariFixShamTotal
Female453277
Male233356
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ClariFixShamTotal
American Indian or Alaska Native101
Asian224
Native Hawaiian or Other Pacific Islander000
Black or African American358
White6157118
More than one race000
Unknown or Not Reported112
Region of Enrollment
Region of Enrollment(participants)ClariFixShamTotal
United States6865133
Type of rhinitis (nonallergic rhinitis)
Type of rhinitis (nonallergic rhinitis)(Participants)ClariFixShamTotal
Count of participants393776
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Study locations

1 site
  • ENT Associates of South Florida
    Coral Springs, Florida 33065, United States
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References and documents

Study documents

  • Protocol and statistical analysis plan · Aug 20, 2019

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

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 26, 2025, 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
NCT04154605
Lead sponsor
Stryker Instruments
Collaborators
North American Science Associates Inc.
Responsible party
Sponsor
First posted
Nov 6, 2019
Start date
Nov 5, 2019
Primary completion
Mar 31, 2021
Completion
Jan 19, 2025
Results posted
Sep 20, 2021
Last update
Mar 26, 2025

Study contacts

Anthony DelSignore, MD
principal investigator · Ichan School of Medicine, Mount Sinai, New York, NY

Oversight

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

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This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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