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临床试验/NCT02964312
NCT02964312已完成不适用

Spirox Latera™ Implant Support of Lateral Nasal Wall Cartilage (LATERAL-OFFICE) Study

Spirox, Inc.18 个研究点 分布在 1 个国家目标入组 166 人开始时间: 2016年11月10日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
Spirox, Inc.
入组人数
166
试验地点
18
主要终点
Safety: Procedure- and/or Device-related Adverse Events

研究概览

简要总结

Prospective, multicenter, nonrandomized, single-arm controlled study to obtain outcomes data in participants with severe to extreme class NOSE scores who are undergoing placement of the Spirox Latera Implant with or without concurrent turbinate reduction procedures in an office setting.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • The subject has Nasal Obstruction Symptom Evaluation (NOSE) score ≥
  • The subject has dynamic lateral nasal wall insufficiency as confirmed by positive modified Cottle maneuver.
  • The subject is ≥18 years of age.
  • The subject is willing and able to provide informed consent and comply with the study protocol.
  • The subject is seeking treatment for nasal airway obstruction due to nasal valve collapse (NVC) and is willing to undergo an in-office nasal implant procedure alone or with a turbinate reduction procedure.
  • The subject has appropriate nasal and facial anatomy to receive the Latera Implant.
  • The subject agrees to follow-up examinations through 12 months post operatively.
  • The subject has failed to benefit from appropriate maximal medical management [eg, nasal steroids (at least 4 weeks); antihistamines; oral decongestants; nasal strips, stents, or cones]. Failure of maximal medical management may be from lack of effectiveness or tolerability.

排除标准

  • The subject is having a concurrent functional endoscopic sinus surgery (FESS) or sinuplasty.
  • The subject has had rhinoplasty within the past 12 months.
  • The subject is planning to have other concurrent rhinoplasty procedure.
  • The subject is planning to have other rhinoplasty procedures or will use external dilators within 12 months after the index procedure.
  • The subject has had septoplasty and/or inferior turbinate reduction within the past 6 months.
  • The subject has, in the view of the clinician, inappropriate fixation on their nasal airway.
  • The subject plans to have any surgical or nonsurgical treatment of their nasal valve, other than the index procedure, within 12 months of the study.
  • The subject has a permanent Implant or dilator in the nasal area.
  • The subject has concomitant inflammatory or infectious skin conditions or unhealed wounds in the treatment area.
  • The subject currently has active nasal vestibulitis.
  • The subject has a history of nasal vasculitis.
  • The subject is a chronic systemic steroid or recreational intranasal drug user.
  • The subject has had a cancerous or precancerous lesion and/or has had radiation exposure in the treatment area or chemotherapy.
  • The subject has polyps or pathology (ie, septal deviation) other than turbinate hypertrophy and/or lateral wall insufficiency that would contribute to airway obstruction.
  • The subject has a history of a significant bleeding disorder(s) that would prevent healing of the treatment area post procedure.
  • The subject has a known or suspected allergy to polylactide polymer (PLA) or other absorbable materials.
  • The subject has a significant systemic disease such as poorly controlled diabetes which, in the investigator's opinion, could predispose the subject to poor wound healing.
  • The subject is currently using nasal oxygen or continuous positive airway pressure (CPAP).
  • The subject is not a candidate for procedures conducted under local anesthesia and/or managed anesthesia care (MAC) or conscious sedation.
  • Female subjects of childbearing potential, known or suspected to be pregnant, or is lactating.

结局指标

主要结局

Safety: Procedure- and/or Device-related Adverse Events

时间窗: 6 months

Number of participants with 1 or more adverse events that are determined to be related to the Latera implant and/or procedure.

Efficacy: Percent of Treatment Responders

时间窗: 6 months

A responder is defined as a participant who has an improvement of at least 1 NOSE class or a NOSE score reduction of at least 20% compared with baseline. NOSE scores can range from 0 to 100 with higher scores indicating worse symptoms. Classes are mild (5-25), moderate (30-50), severe (55-75) and extreme (80-100).

次要结局

  • Change in Nasal Airway Obstruction From Baseline Using a Visual Analog Scale (VAS)(1, 3, 6, 12, 18, and 24 months post procedure)
  • Percent of Treatment Responders(1, 3, 12, 18, and 24 months post procedure.)
  • Subject Satisfaction Questionnaire(6 months)
  • Procedure and Device-related Adverse Events(After 6 months and up to 12 months post procedure)

研究者

发起方
Spirox, Inc.
申办方类型
Industry
责任方
Sponsor

研究点 (18)

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