ClinicalTrials.gg
RecruitingNCT05573919Updated Feb 21, 2024

VivAer: A Correlation Between Symptom Scores and Objective Findings

An interventional study of VivAer Stylus in Nasal Obstruction, Medically Unexplained Symptoms and Airway Obstruction, sponsored by Endeavor Health. Recruiting at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-21.

Sponsored by Endeavor Health · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2024, 2 years 6 months ago, but the record still lists the study as recruiting.
  • Started Oct 2022; still recruiting 4 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective, single-center study. This study seeks to determine the objective improvement in nasal airflow in patients after undergoing the VivAer procedure, which involves the use of a stylus to deliver controlled and targeted low energy radiofrequency heating (heating by applying high-frequency radio waves) to the nasal sidewall to gently reshape the tissues. Patients who experience refractory, or medically unexplained, nasal obstruction often have symptoms that are not alleviated or resolved by standard non-surgical treatment options. VivAer, a recently developed, FDA-approved procedure, is one of the standard surgical treatments for nasal obstruction. Unlike most of the other established surgical treatments for nasal obstruction, however, VivAer is a minimally-invasive procedure, and it is an outpatient intervention that can be performed under local anesthetic. Eligible patients who are enrolled in the study will undergo the VivAer procedure, and will return to the clinic for three in-office follow-up visits at 4, 12, and 24 weeks after the procedure.

02

Conditions studied

  • Nasal Obstruction
  • Medically Unexplained Symptoms
  • Airway Obstruction
  • Airway Remodeling

Keywords

  • VivAer
  • Symptom Improvement
03

In context

Nasal Obstruction

173 studies on the registry are indexed under Nasal Obstruction; 31 are open to participants now.

This study's planned enrollment of 25 is below the median of 70 across 139 interventional studies indexed under Nasal Obstruction.

Browse Nasal Obstruction studies →

Lead sponsor

Endeavor Health is the lead sponsor of 111 studies on the registry; 34 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 9 (75%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults 18 years and older seeking treatment for nasal obstruction and willing to undergo an office-based procedure.
  • Nasal obstruction, defined as ≥60 by the NOSE scale.
  • The nasal valve is the primary or significant contributor to the subject's nasal obstruction as determined by the investigator, based on clinical presentation, physical examination, or nasal endoscopy.
  • Subjects has symptomatic improvement with use of external or internal nasal dilators, Q-Tip or curette test (manual intranasal lateralization), or the Cottle Maneuver (manual lateral retraction of the cheek).
  • Subject experienced minimal symptomatic improvement after the four-week fluticasone nasal spray regimen.

Exclusion criteria

Exclusion Criteria:

  • Prior surgery to the nasal valve, rhinoplasty, septoplasty, inferior turbinate reduction or other surgical nasal procedures within the past 12 months.
  • Severe and/or chronic sinusitis, recurrent sinusitis, or allergies leading to nasal obstruction and currently requiring oral therapy.
  • Severe case of any of the following; septal deviation, turbinate hypertrophy, polyps, or ptotic nasal tip believed to be the primary contributor to the subject's nasal obstruction symptoms and warranting surgical intervention.
  • Known or suspected allergies or to the anesthetic agents and/or antibiotic medications to be used during the study procedure session.
  • Known or suspected pregnancy, or lactation.
  • Other medical conditions that the investigator believed would predispose subject to poor wound healing or increased surgical risk.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Experimental
    VivAer Patients

    These patients will undergo the VivAer procedure, which involves the use of a stylus to deliver radiofrequency heating to the nasal sidewall to reshape the tissue. This will be done to resolve the patients' nasal obstruction. They will have PNIF measurements taken and will complete symptom assessment questionnaires before and after the VivAer procedure.

    Device: VivAer Stylus

Interventions

  • DeviceVivAer Stylus

    This device will be used to complete its corresponding procedure, which involves reshaping a patient's nasal sidewall tissue through the delivery of radiofrequency heating.

06

What researchers measure

Primary outcomes

  1. PNIF Measurement

    The change in the severity of the patients' nasal obstruction will be measured using a Peak Nasal Inspiratory Flow (PNIF) meter. This meter measures nasal patency by measuring the volume of air that is inhaled per minute during normal breathing.

    Time frame: This will be administered before the VivAer procedure and at 4, 12, and 24 weeks post procedure.

Secondary outcomes

  1. NOSE Score

    The patients will self-assess the degree of their symptoms with the Nasal Obstructive Symptom Evaluation (NOSE) questionnaire. The questionnaire consists of 5 questions ranking the severity of one's symptoms on a scale of 0-5. The responses are summed and multiplied by 20 to generate a symptom score out of 0-100. Higher scores indicate worse outcomes.

    Time frame: This will be administered before the VivAer procedure and at 4, 12, and 24 weeks post procedure.

  2. SNOT-22 Score

    The patients will self-assess the degree of their symptoms with the SinoNasal Outcome Test (SNOT-22) questionnaire. The questionnaire consists of 22 questions ranking the impact of a patient's symptoms on their quality of life on a scale of 0-5. The responses are summed to generate a score out of 110. Higher scores indicate worse outcomes.

    Time frame: This will be administered before the VivAer procedure and at 4, 12, and 24 weeks post procedure.

07

Study locations

2 of 2 sites recruiting
  • Swedish Covenant Hospital
    Chicago, Illinois 60625, United States
    Recruiting
  • NorthShore Skokie Hospital
    Skokie, Illinois 60076, United States
    Recruiting
    • Auddie Sweis, MD · ContactASweis@northshore.org
    • Auddie Sweis, MD · Principal investigator
    • Joseph Raviv, MD · Principal investigator
08

References and documents

Publications

  • Jacobowitz O, Driver M, Ephrat M. In-office treatment of nasal valve obstruction using a novel, bipolar radiofrequency device. Laryngoscope Investig Otolaryngol. 2019 Feb 4;4(2):211-217. doi: 10.1002/lio2.247. eCollection 2019 Apr. PubMed 31024989 ↗
  • Ephrat M, Jacobowitz O, Driver M. Quality-of-life impact after in-office treatment of nasal valve obstruction with a radiofrequency device: 2-year results from a multicenter, prospective clinical trial. Int Forum Allergy Rhinol. 2021 Apr;11(4):755-765. doi: 10.1002/alr.22667. Epub 2020 Aug 9. PubMed 32810380 ↗
  • Stewart MG, Smith TL, Weaver EM, Witsell DL, Yueh B, Hannley MT, Johnson JT. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg. 2004 Mar;130(3):283-90. doi: 10.1016/j.otohns.2003.12.004. PubMed 15054368 ↗
  • Lipan MJ, Most SP. Development of a severity classification system for subjective nasal obstruction. JAMA Facial Plast Surg. 2013 Sep-Oct;15(5):358-61. doi: 10.1001/jamafacial.2013.344. PubMed 23846399 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05573919
Lead sponsor
Endeavor Health
Responsible party
Auddie Sweis (Principal Investigator, Endeavor Health) — Principal investigator
First posted
Oct 10, 2022
Start date
Oct 7, 2022
Primary completion
May 2024 (estimated)
Completion
Oct 2024 (estimated)
Last update
Feb 21, 2024

Study contacts

Riley J Medenwald, BS
Contact
RMedenwald@northshore.org
874-570-3944
Auddie Sweis, MD
principal investigator · Endeavor Health
Joseph Raviv, MD
principal investigator · Endeavor Health

Oversight

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

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