CClinicalTrials.gg
Active, not recruitingNCT06922955CompAerUpdated Mar 23, 2026

A Prospective Study Comparing VivAer to Alternative Surgical Procedures to Treat Nasal Airway Obstruction in Patients With Nasal Valve Dysfunction.

An observational study in Nasal Airway Obstruction, sponsored by Aerin Medical. Active, not recruiting at 35 sites in United States. Open to participants aged 22 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-03-23.

Sponsored by Aerin Medical · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
400
Ages
22 Years to 85 Years
Sex
All
01

Study summary

The purpose of this study is to compare the clinical outcomes of the VivAer procedure to functional rhinoplasty and septoplasty surgery for the treatment of nasal airway obstruction (NAO) to establish non-inferiority.

Read the detailed description

The purpose of this study is to compare the clinical outcomes of the VivAer procedure to functional rhinoplasty and septoplasty surgery for the treatment of nasal airway obstruction (NAO) to establish non-inferiority by using the NOSE scale to evaluate the significance of a patient's nasal obstruction both before and after the procedure for the primary endpoint.

02

Conditions studied

  • Nasal Airway Obstruction

Browse trials for

Keywords

  • NAO
  • Nasal Airway Obstruction
  • Nasal
  • Nasal Airway
  • CompAer
  • VivAer
  • nasal valve dysfunction
  • NOSE
03

Who can participate

Ages eligible
22 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients between the ages of 22-85 seeking treatments for nasal airway obstruction.

Inclusion criteria

  • Age 22 to 85 years old (inclusively).
  • Willing and able to provide consent.
  • Willing and able to comply with the patient-specific requirements outlined in the study protocol.
  • Has access to a mobile device, tablet, or computer with internet access and has access to an email address.
  • Seeking treatment for NAO
  • Has a NOSE Score of ≥55 indicating severe to extreme NAO.
  • Have a positive modified Cottle maneuver.
  • Planning either to undergo an intervention for NAO that includes one of the following as the primary approach:

    1. VivAer procedure for repair of nasal valve dysfunction (may include inferior turbinate and septal swell body as additional treated areas)
    2. Functional rhinoplasty surgery addressing the nasal valve and/or lateral nasal wall (may be combined with septoplasty with/without turbinoplasty performed alone or in combination).
    3. Septoplasty surgery with turbinate reduction.

Exclusion criteria

Exclusion Criteria:

  • Has had nasal surgery (including sinus surgery) within the last 3 months.
  • Has had a previous rhinoplasty (functional or cosmetic), septoplasty, inferior turbinate reduction, or VivAer procedure.
  • Has extreme nasal pathology, a history of extreme nasal injuries, or an abnormal nasal condition (e.g. septal perforation or empty nose syndrome) that may be exacerbated by surgery.
  • Has a medical condition(s) that may impair normal healing processes or be exacerbated by the stress of surgery.
  • Has chronic rhinitis that is refractory to medications or rhinitis medicamentosa.
  • Has poorly controlled chronic rhinosinusitis disease.
  • Rhinoplasty is being performed primarily for cosmesis.
  • Is receiving, planning to receive, or has received a Latera absorbable nasal implant at any time.
  • Planning to have sinus or cosmetic surgery (e.g., functional endoscopic sinus surgery, cosmetic rhinoplasty) or a surgery involving the airway (e.g., hypoglossal nerve stimulation surgery, uvuloplasty, tonsillectomy, tongue base or soft palate interventions) within 6 months following enrollment.
  • Is having an adjunctive surgical procedure performed with the primary NAO procedure (e.g. functional rhinoplasty with concha bullosa reduction, septoplasty with turbinate reduction performed with functional endoscopic sinus surgery)
04

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
400 participants (estimated)
Target follow-up
24 Months
Patient registry
Yes

Groups and cohorts

  • VivAer Arm

    The VivAer treatment arm will be comprised of patients undergoing the minimally invasive VivAer procedure using the VivAer Stylus and Aerin Console. The VivAer Stylus is a disposable handheld device capable of delivering bipolar radiofrequency (RF) energy to tissue when connected to the Aerin Console radiofrequency generating device. Treatments will be performed using the VivAer Stylus and Aerin Console using non-overlapping and device default settings (temperature 60° C, power 4 watts, treatment time 18 seconds, and cooling time 12 seconds). VivAer treatment areas will include at minimum the lateral nasal wall in the area of the upper lateral cartilage and may also involve treatment of the inferior turbinate and/or septal swell body at the discretion of the investigator according to individual patient needs.

  • Surgical Comparator Arm

    The two surgical intervention arms will be comprised of patients undergoing surgical intervention for the treatment of NAO as follows: * Functional Rhinoplasty Arm: This arm will include patients undergoing primary functional rhinoplasty surgery for NAO addressing the nasal valve and/or lateral nasal wall and may be performed with septoplasty or turbinoplasty performed alone or in combination). This procedure may include minor aspects of cosmesis (e.g., dorsal hump reduction) at the discretion of the investigator. * Septoplasty arm: This arm will include patients undergoing a septoplasty with or without turbinate reduction as the only procedures performed for NAO.

05

What researchers measure

Primary outcomes

  1. Nasal Obstruction Symptom Evaluation (NOSE) Scale

    To evaluate the significance of a patient's nasal obstruction both before and after the procedure for the primary endpoint, this study will use the well-known subjective patient-reported outcome measure, the NOSE Scale. The NOSE Scale is a validated disease-specific health status instrument used by clinicians to measure outcomes of participants treated for nasal obstruction. The NOSE Scale consists of 5 items, each scored using a 5-point Likert scale with a total score range of 0 through 100, where higher scores indicate worse obstruction. Severity of symptoms can be classified as mild (range, 5-25), moderate (range, 30-50), severe (range, 55-75), or extreme (range, 80-100) nasal obstruction, based on responses to the NOSE survey. Individual participant success (treatment responder) is based on NOSE Scale improvement defined as a ≥ 24 point improvement (decrease) in NOSE Scale score from baseline to the 3-month evaluation.

    Time frame: 3 months, 6 months, 12 months and 24 months post-procedure.

Secondary outcomes

  1. Epworth Sleepiness Scale (ESS)

    The ESS evaluates the self-reported likelihood of dozing or falling asleep in 8 daytime situations with likelihood rated as No Chance (0), Slight (1), Moderate (2), or High Chance (3).

    Time frame: 3 months, 6 months, 12 months and 24 months post-procedure.

  2. 12-item Short Form (SF-12) Survey

    The SF-12 is one of the most widely used instruments for assessing self-reported health-related quality of life, and has been validated in numerous studies.40 The SF-12 is a general health questionnaire that consists of 12 questions which investigates the patient's perception about their state of health via 8 different dimensions: General health perception - 1 question, Physical health - 2 questions, Limited physical role function - 2 questions, Physical pain - 1 question, Vitality - 1 question, Mental health - 2 questions, Limited emotional role function - 2 questions, and Social functioning - 1 question. Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12). Scores range from 0 to 100, with higher scores indicating better physical and mental health functioning. A score above 50 indicates better than average health-related quality of life and scores less than 50 suggest below-average health.41

    Time frame: 3 months, 6 months, 12 months and 24 months post-procedure.

  3. Visual Analogy Scale (VAS) Score

    The Visual Analogue Scale (VAS) is a unidimensional measure of pain intensity that will be used to measure nasal pain associated with the procedure.39 A VAS is usually a 100-mm long horizontal line with verbal descriptors (word anchors) at each end to express the extremes of the feeling. Scores are obtained by measuring the distance in millimeters from the left origin of the line (0) to the point indicated with a slash placed by the patient to indicate their current level of pain in and around the nose. Results are then assigned a score between 0 and 100.

    Time frame: 1 week post procedure

  4. Return to Work

    Assessment of the number of workdays missed within the first month due to the receiving the procedure will be collected.

    Time frame: 3 months post procedure.

  5. Patient Satisfaction with Procedure

    Satisfaction with the procedure is measured with a five-question, self-reported survey using a 5-point scale to assess tolerability of the procedure, ease of recovery, change in NAO symptoms, overall satisfaction with the procedure, and recommendation to others.

    Time frame: 3 months, 6 months, 12 months and 24 months post-procedure.

  6. Adverse Events

    Physician and patient reported adverse events will be collected.

    Time frame: Through study completion, minimum 2 years

06

Study locations

35 sites
  • Southern Head and Neck Surgery
    Alexander City, Alabama 35010, United States
  • ExcelENT
    Birmingham, Alabama 35244, United States
  • North Alabama ENT
    Huntsville, Alabama 35801, United States
  • East Alabama ENT
    Opelika, Alabama 36801, United States
  • Arizona Desert ENT Specialists
    Goodyear, Arizona 85395, United States
  • Honor Health ENT
    Scottsdale, Arizona 85255, United States
  • Tucson ENT
    Tucson, Arizona 85704, United States
  • Cedars Sinai Medical Center
    Los Angeles, California 90048, United States
  • Alexis Furze, MD Inc
    Newport Beach, California 92663, United States
  • Sacramento ENT (DaVinci Research)
    Roseville, California 95661, United States
  • Mercy Medical Group
    Sacramento, California 95816, United States
  • Breathe Clear Institute
    Torrance, California 90503, United States
  • IMMUNOe Research Center
    Denver, Colorado 80249, United States
  • ENT & Allergy Associates of Florida (Boynton Beach)
    Boynton Beach, Florida 33472, United States
  • Advanced ENT and Allergy
    Fernandina Beach, Florida 32034, United States
  • ENT and Allergy Associates of Florida
    Plantation, Florida 33324, United States
  • ENT and Allergy Associates Of Florida
    Port Saint Lucie, Florida 34952, United States
  • ENT and Allergy Associates of Florida (West Palm Beach)
    West Palm Beach, Florida 33407, United States
  • Chicago Nasal and Sinus Center
    Chicago, Illinois 60602, United States
  • Chicago ENT
    Chicago, Illinois 60657, United States
  • Kentuckia Ear Nose & Throat
    Louisville, Kentucky 40205, United States
  • Dearborn ENT
    Dearborn, Michigan 48124, United States
  • Dearborn ENT Livonia
    Livonia, Michigan 48154, United States
  • Maddison ENT
    New York, New York 10016, United States
  • Madison ENT
    New York, New York 10016, United States
  • Open Sinus
    New York, New York 10019, United States
  • University of Rochester
    Rochester, New York 14627, United States
  • Bethlehem ENT /Specialty Physician Associates
    Bethlehem, Pennsylvania 18017, United States
  • ENT Associates of Texas
    McKinney, Texas 75070, United States
  • Hill Country ENT
    New Braunfels, Texas 78130, United States
  • Endormir Sleep Solution LLC
    San Antonio, Texas 78230, United States
  • Texas Facial Plastic Surgery & ENT
    San Antonio, Texas 78230, United States
  • Alamo ENT Associates
    San Antonio, Texas 78258, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • ENT & Allergy Associates
    Puyallup, Washington 98373, United States
07

References and documents

Publications

  • Davis G, Aziz Z, Barrera J, Blythe W, Davis C, Davis S, Higgins T, Lano C, Levitin G, Lopatin F, Oyer S, Silvers S, Waitzman A, Ow R. Temperature-Controlled Radiofrequency for Severe Nasal Airway Obstruction: A Non-Inferiority Comparison With Surgical Intervention. Int Forum Allergy Rhinol. 2026 Apr 14. doi: 10.1002/alr.70165. Online ahead of print. PubMed 41979070 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT06922955
Lead sponsor
Aerin Medical
Responsible party
Sponsor
First posted
Apr 11, 2025
Start date
Feb 28, 2025
Primary completion
Jun 2026 (estimated)
Completion
Dec 2027 (estimated)
Last update
Mar 23, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion