This post-market study aims to compare health outcomes for Recurrent Acute Rhinosinusitis (RARS) patients treated with balloon sinus dilation (BSD) versus medical management alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
59
Unnamed facility
Birmingham, Alabama, United States
Unnamed facility
Atlanta, Georgia, United States
Unnamed facility
Las Vegas, Nevada, United States
Unnamed facility
Dallas, Texas, United States
Unnamed facility
CSS Total Score Change From Baseline to 24 Week Visit
The Chronic Sinusitis Survey (CSS) is a 6 question, duration-based survey to evaluate surgical outcomes for CRS patients. The CSS asks three questions about symptoms and three questions about medication usage and yields a symptom subscore, a medication subscore, and a total score. Scale values include "0 Weeks" (minimum), "1-2 Weeks", "3-4 Weeks", "5-6 Weeks", and "7-8 Weeks" (maximum). The severity of symptoms is scored 0 (none) to 4 (severe), and a total score is calculated from 0 (worst) to 100 (best). Subscores are averaged to calculate a total score. Higher score indicates better outcomes. The Primary Endpoint is the comparison of change in total CSS score over 24 weeks for subjects randomized to BSD versus medical management only. Change is assessed by using the Mean Change for the CSS total score at 24 weeks compared to baseline. (24-week CSS total score minus Baseline CSS total score). Higher score indicates greater improvement.
Time frame: 24 Week Visit
CSS Sub-score Changes From Baseline Over 48 Weeks, and CSS Total Score Over 48 Weeks
The Chronic Sinusitis Survey (CSS) is a 6 question, duration-based survey ("0 Weeks" (minimum) to "7-8 Weeks" (maximum)) used to evaluate surgical outcomes for CRS patients. The CSS asks 3 questions each about symptoms and medication usage, yielding a symptom subscore, a medication subscore, and a total score. The symptom-based section contains pain or pressure, nasal congestion or difficulty to breathe through the nose, and rhinorrhea or postnasal drip. The medication-based section contains: antibiotics, prescription nasal sprays, and sinus medications in pill form. The severity of symptoms is scored 0 (none) to 4 (severe), and a total score is calculated from 0 (worst) to 100 (best). The Secondary Endpoint is the comparison of change as measured by average CSS medication and sinusitis symptom sub-scores over 24 and 48 weeks, and average total CSS score over 48 weeks for subjects randomized to BSD versus medical management. Higher score indicates greater improvement.
Time frame: 8, 16, 24, 32, 40, and 48 Weeks
RSDI Total and Sub-score Changes From Baseline Over 48 Weeks
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McKinney, Texas, United States
The Rhinosinusitis Disability Index (RSDI) is a 30-question survey which includes 3 individual subscales to measure physical, functional, and emotional scores as well as a total score. There is no specified recall period. Scale values include "Never" (minimum), "Almost Never", "Sometimes", "Almost Always", "Always" (maximum). RSDI scores range from 0 to 120. Subscores are averaged to calculate a total score. Higher score indicates increased impact of sinus disease. The Secondary Endpoint is comparison of change in patient-reported QOL as measured by RSDI total, physical, functional, and emotional sub-scores at 8, 24 and 48 weeks for subjects randomized to BSD versus medical management. Lower score indicates greater improvement (decreased impact of sinus disease).
Time frame: 8, 24, and 48 Weeks
Medication Usage at 24 and 48 Weeks
Comparison of medication usage at 24 and 48 weeks (days oral antibiotics, oral steroids, topical intranasal steroid sprays, and 'atypical' topical steroids (drops or respules)) for subjects randomized to BSD versus medical management.
Time frame: 24 Weeks and 48 Weeks
Unscheduled Medical Care Visits Due to Sinusitis
Comparison of unscheduled medical care visits due to sinusitis at 24 and 48 weeks for subjects randomized to BSD versus medical management.
Time frame: 24 Weeks and 48 Weeks
Sinus Infections and Sinus Severity - Part 1
Comparison of number of post-enrollment sinus infections for subjects randomized to BSD versus medical management.
Time frame: 24 Weeks and 48 Weeks
Sinus Infections and Sinus Severity - Part 2
Comparison of patient-reported sinus infection severity for subjects randomized to BSD versus medical management.
Time frame: 24 Weeks
Frequency of Second Procedure
Frequency of second procedure, ie the number of medical management subjects (sham arm) electing cross-over procedure.
Time frame: Up to 24 weeks
Return to Normal Activity
Days until return to normal activity (RTNA) assessed at 2 weeks post-procedure
Time frame: 2 week