Paclitaxel-Coated Nasal Balloon for the Treatment of Recurrent Chronic Rhinosinusitis With or Without Nasal Polyps (FIH)

Launched by AIRIVER MEDICAL, INC. · May 30, 2023

Keywords

ClinConnect Summary

This clinical trial is studying a new treatment called the Airiver Nasal drug-coated balloon for people with chronic rhinosinusitis (CRS). This condition can cause persistent nasal congestion, difficulty smelling, and other uncomfortable symptoms. The trial aims to see if this new treatment is safe and effective for adults aged 18 and older who have recurrent symptoms of CRS, with or without nasal polyps. Participants will receive the Airiver treatment, which is designed to help relieve their nasal blockage and improve their quality of life.

To join the trial, individuals must have ongoing nasal issues despite previous treatments and be willing to give their consent to participate. However, certain health conditions may exclude someone from participating, such as having severe asthma or recent infections. If eligible, participants will undergo procedures to assess how well the treatment works and monitor their health throughout the study. This trial is currently recruiting participants, and being part of it could provide access to a potentially helpful new therapy for chronic sinus issues.

Gender

ALL

Eligibility criteria

• • Inclusion Criteria: Up to 45 CRS subjects with recurrent symptomatic nasal obstruction eligible for Airiver Nasal DCB treatment
• • 1. Males or females, ≥18 years
• • 2. Signed written informed consent
• 3. Recurrent, symptomatic CRS (with or without nasal polyps, with or without prior sinus surgery), have:
• • Moderate or severe nasal congestion/blockage/obstruction
• • AND decreased or loss of smell (hyposmia or anosmia),
• • Or rhinorrhea (anterior/posterior)
• * For recurrent CRSwNP:
• • 1. candidates for RESS or other treatment due to recurrent symptom, and endoscopically confirmed present with unilateral or bilateral polyps, and/or unilateral or bilateral mucosal disease confirmed by nasal endoscopy and/or CT
• • 2. bilateral sinonasal polyposis that despite prior treatment with systemic corticosteroids (SCS) anytime within the past 2 years; and/or had a medical contraindication / intolerance to SCS
• • 3. with or without Aspirin-Exacerbated Respiratory Disease (AERD)
• • For recurrent CRSsNP: refractory to optimal medical treatment and/or previous surgery with positive CT scan of the sinuses mucosal thickening and obstruction or positive nasal endoscopic finding (purulence or edema)
• • 4. Acute Exacerbation of CRS (AECRS)
• • 5. Subjects with comorbid asthma or COPD must be stable with no exacerbations (e.g., no emergency room visits, hospitalizations) for 6 months before the screening visit
• Exclusion Criteria:
• • 1. Pediatric CRS (PCRS)
• • 2. Acute bacterial sinusitis (ABRS), acute rhinosinusitis (ARS), or mycetoma and invasive fungal sinusitis
• • 3. Malignancy
• • 4. Experienced a cerebrospinal fluid (CSF) leak in prior skull-based dehiscence
• • 5. Symptomatic without positive CT findings or an asymptomatic
• • 6. Subjects whose symptoms are too severe (eg, temperature \>102.58F or extrasinus manifestations, such as orbital cellulitis; dental or facial or brain abscess; cavernous vein thrombosis; or altered mental status
• • 7. Primary ciliary dyskinesia (PCD)
• • 8. Unable to have nasal cavity examination due to septal deviation or spur. Participants who had a sinonasal or sinus surgery changing the lateral wall structure of the nose making impossible the evaluation of NP
• • 9. Have evidence of significant baseline mucosal injury, ulceration, or erosion (eg, exposed cartilage, perforation) on baseline nasal examination
• • 10. Purulent nasal infection, or upper respiratory tract infection within 2 weeks before the screening visit. Potential subjects presenting with any of these infections may be rescreened 4 weeks after symptom resolution
• • 11. Allergy or hypersensitivity to any excipients and paclitaxel.
• • 12. Patient has an inability to tolerate endoscopy
• • 13. Suffering or recovering from COVID-19 (Fully recovered Covid-19 patients is not excluded)
• • 14. Study subject has any disease or condition that interferes with safe completion of the study, such as severe COPD or severe asthma
• • 15. Subjects with abnormal screening laboratory/imaging test results that compromise the ability to assess the benefits/risks (eg, abnormal ECG)
• • 16. Pregnancy or planning on pregnant during the first 12 months of enrollment in the study
• • 17. Life expectancy \<1 year
• • 18. Patient is currently enrolled in other current investigational studies. Participation in studies for products approved in the US are not considered investigational.
• • 19. Lack of informed consent
• • 20. Allergic granulomatous angiitis (Churg-Strauss syndrome), granulomatosis with polyangiitis (Wegener's granulomatosis), Young's syndrome, Kartagener's syndrome or other dyskinetic ciliary syndromes
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