Nasal Polyps
Conditions
Keywords
functional, endoscopic, sinus, surgery
Brief summary
This study was conducted to evaluate the effectiveness of mometasone nasal spray in preventing polyp relapse/symptom worsening in patients after surgical treatment of nasal polyps. Patients who met Screening eligibility underwent endoscopic sino-nasal surgery (FESS) on visit 2. Mometasone nasal spray or placebo was started about 2 weeks after surgery and continued for up to 24 weeks or until relapse.
Interventions
MFNS 200 mcg (2 sprays of 50 mcg in each nostril) once daily in the morning for up to 24 weeks or until relapse
Sponsors
Study design
Eligibility
Inclusion criteria
* At least 18 years of age * Bilateral nasal polyps * Fulfill criteria for polypectomy (be indicated for surgical - FESS - treatment)
Exclusion criteria
* Polypectomy within the last 6 months * Unhealed nasal surgery/trauma * \>5 previous polypectomies * Female of childbearing age who is pregnant, lactating, or not using active contraceptive methods * Nasal infection * Pulmonary tuberculosis * Cystic fibrosis, glaucoma, clinically significant cardiovascular, pulmonary, renal, hepatic, metabolic, hematological, or neurological disease * Immunocompromised * Rhinitis medicamentosa (rebound congestion following misuse of nasal decongestants) * Known hereditary mucociliary dysfunction * Significant nasal structure abnormalities * Asthmatic attack within the past 30 days * Asthmatic patients requiring \>1000 mcg beclomethasone or equivalent * Asthmatic patients not stable on corticosteroid therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to relapse in polyp score after surgery | Assessment for relapse was performed at every study visit (up to 24 weeks of treatment) |
Secondary
| Measure | Time frame |
|---|---|
| Signs and symptom scores | All study visits (up to 24 weeks of treatment) |
| Quality of life, peak nasal inspiratory flow, olfaction threshold | Measured starting 1 week after treatment up to 24 weeks of treatment |
| Adverse events | Throughout the whole study after the Screening period. |