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A Clinical Evaluation of PROPEL® Contour Sinus Implant

The EXPAND Study: A Clinical Evaluation of PROPEL® Contour Sinus Implant Placement in the Frontal Sinus Ostium Following In-office Bilateral Balloon Dilation

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04858802
Acronym
EXPAND
Enrollment
80
Registered
2021-04-26
Start date
2021-05-12
Completion date
2022-06-20
Last updated
2023-04-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Rhinosinusitis (Diagnosis)

Keywords

Frontal Sinus, Balloon Dilation

Brief summary

The objective of this study is to evaluate the efficacy of PROPEL Contour placement following an in-office frontal sinus balloon dilation (SBD) in patients with chronic rhinosinusitis (CRS)

Detailed description

A post-market, randomized, intra-patient controlled, blinded multicenter study with 80 randomized subjects at up to 20 study centers. After successful in-office bilateral balloon dilation of the frontal sinus ostium (FSO) using the VenSure™ Nav Balloon Device and Fiagon Cube Navigation System, patients will be randomized to receive one PROPEL Contour Sinus Implant on one side while the contralateral side serves as the control.

Interventions

DEVICEPROPEL Contour Sinus Implant

370 mcg mometasone furoate-coated sinus implant

No PROPEL Contour Sinus Implant

Sponsors

Intersect ENT
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

Intervention model description

Intrapatient control in which eligible subjects will receive the PROPEL Contour Sinus Implant (Treatment) on one side, and no implant (Control) on the contralateral side.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

1. Patient is 18 years of age or older. 2. Patient is willing and able to comply with protocol requirements. 3. Patient has confirmed diagnosis of CRS per International Consensus Statement on Allergy and Rhinology, Rhinosinusitis 2021 (ICAR:RS) guidelines. 4. Bilateral disease in the frontal sinuses (Lund-Mackay CT score of ≥1 on each side) on CT scan within 90 days prior to the baseline. 5. A successfully completed in-office bilateral balloon dilation of the FSO with no complication on either side that, in the opinion of the clinical investigator is amenable for PROPEL Contour Sinus Implant placement in both FSO

Exclusion criteria

1. Patient has structural obstruction that precludes endoscopic visualization of one or both FSOs prior to implant placement. 2. Expanded amount of ethmoid sinonasal polyps extending beyond the middle meatus (grade \> 2) unless reduced 30 days prior to the baseline procedure 3. Oral-steroid dependent condition such as chronic obstructive pulmonary disease (COPD) or other conditions. 4. Known history of allergy or intolerance to corticosteroids or mometasone furoate. 5. Patients with a known hypersensitivity to lactide, glycolide or caprolactone copolymers. 6. Patients with electronic devices in direct connection to the brain or the nervous system such as implantable neurostimulators (e.g. deep brain stimulation), programmable cerebrospinal fluid (CSF) shunts. 7. Patients with monopolar pacemakers (older designs, with lower resistance to interference) or ICD's (implantable cardioverter defibrillator). 8. Patients with implantable, body worn devices such as insulin pumps. 9. Evidence of purulence coming from paranasal sinuses or ostiomeatal complex. 10. Clinical evidence of acute bacterial sinusitis or invasive fungal sinusitis (e.g. bone erosion on prior CT scan, necrotic sinus tissue). 11. Active viral illness (e.g., flu, shingles). 12. Use of parenteral or injected steroids (e.g. Kenalog) 30 days prior to the baseline procedure. 13. Use of oral steroids, budesonide or other sinus steroid irrigations/rinses or drops, nebulized steroids administered nasally 14 days prior to baseline procedure.

Design outcomes

Primary

MeasureTime frameDescription
Difference in FSO Patency by Blinded ReviewerDay 45Side-to-side difference in frontal sinus ostium (FSO) patency at Day 45 based on cross-sectional area of FSO by computed tomography (CT) measurements performed by an independent, blinded reviewer. Cross-sectional area of FSO was measured via computer-assisted segmentation of CT images.

Secondary

MeasureTime frameDescription
CT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded ReviewerDays 45 and 180FSOT, referring to the region of the frontal sinus surrounding the FSO, bordered superiorly by the frontal infundibulum and inferiorly by the frontal recess, is assessed by blinded reviewer. FSOT volume was measured via computer-assisted segmentation of CT images.
CT FSO Minimum Diameter by Blinded ReviewerDays 45 and 180CT FSO minimum diameter assessed by blinded independent reviewer to assess extent of the disease in the frontal sinuses. FSO minimum diameter was measured via computer-assisted segmentation of CT images.
CT Zinreich's Modified Lund-Mackay Score for the Frontal Sinus by Blinded ReviewerDays 45 and 180CT Zinreich's modified Lund-Mackay score for the frontal sinus assessed by blinded independent reviewer to assess extent of the disease in the frontal sinuses. Zinreich's modified Lund-Mackay scale ranges from 0 to 5. Higher scores indicate a worse outcome.
Number of Sinus Sides Requiring Post-operative Intervention by Clinical InvestigatorsDays 21, 45, 90 and 180Need for post-operative intervention as determined by clinical investigators per endoscopy.
CT Cross-sectional Area of FSO by Blinded ReviewerDay 180CT cross-sectional area of FSO assessed by blinded independent reviewer to assess extent of the disease in the frontal sinuses. Cross-sectional area of FSO was measured via computer-assisted segmentation of CT images.
CT Lund-Mackay Score for the Frontal Sinus by Blinded ReviewerDays 45 and 180CT Lund-Mackay score for the frontal sinus assessed by blinded independent reviewer to assess extent of the disease in the frontal sinuses. The Lund-Mackay scale ranges from 0 to 2. Higher scores indicate a worse outcome.
CT Lund-Mackay Score for the Frontal Sinus by Clinical InvestigatorsDays 45 and 180CT Lund-Mackay for the frontal sinus assessed by blinded independent reviewer to assess extent of the disease in the frontal sinuses. The Lund-Mackay scale ranges from 0 to 2. Higher scores indicate a worse outcome.
Adhesion/Scarring Grade in the Frontal Recess/FSO by Clinical InvestigatorsDays 21, 45, 90 and 180Endoscopic grading of adhesion/scarring grade in the frontal recess/FSO by clinical investigators. The adhesion/scarring grade in the frontal recess/FSO scale ranges from 0 to 4. Higher scores indicate a worse outcome.
FSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded ReviewerBaseline, Day 45, and Day 180FSO cross-sectional area change from baseline to Day 45 and change from baseline to Day 180 per CT assessment performed by an independent, blinded reviewer. FSO cross-sectional area was measured via computer-assisted segmentation of CT images.
Polypoid Edema in the Frontal Recess/FSO by Clinical InvestigatorsDays 21, 45, 90 and 180Endoscopic grading of polypoid edema in the frontal recess/FSO by clinical investigators. Polypoid edema in the frontal recess/FSO scale ranges from 0 to 3. Higher scores indicate a worse outcome.
Adhesion/Scarring Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 21, 45, 90, and 180Endoscopic grading of adhesion/scarring grade in the ethmoid sinus by clinical investigators. The adhesion/scarring grade in the ethmoid sinus scale ranges from 0 to 4. Higher scores indicate a worse outcome.
Polyp Grade in the Ethmoid Sinus by Clinical InvestigatorsDays 21, 45, 90 and 180Endoscopic grading of polyp grade in the ethmoid sinus by clinical investigators. Polyp grade in the ethmoid sinus scale ranges from 0 to 3. Higher scores indicate a worse outcome.
CRS Side-specific Symptom Score by SubjectDays 21, 45, 90 and 180Subject-reported outcome of chronic rhinosinusitis (CRS) side-specific symptom score. The chronic rhinosinusitis side-specific symptom score scale ranges from 0 to 30. Higher scores indicate a worse outcome.
SNOT-22 Score by SubjectDay 180Subject-reported outcome of SNOT-22 score. The Sino-Nasal Outcome Test, 22 item (SNOT-22) is a validated, disease-specific, symptom-scoring instrument consisting of 22 questions, each scored by the patient on a 6-point scale, ranging from a score of 0 (no problem) to 5 (problem as bad as it can be). The maximum total score for all symptoms is equal to 110. Higher scores indicate a worse outcome.
RSI Score by SubjectDay 180Subject-reported outcome of RSI score. The Rhinosinusitis Symptom Inventory (RSI) scale ranges from 0 to 60. Higher scores indicate a worse outcome.
Implant Delivery Success by Clinical InvestigatorsBaselineNumber of subjects who underwent successful access and deployment of the PROPEL Contour Sinus Implant into the FSO. Delivery is considered successful if the procedure concludes with correct implant placement on the intended side, even if a second attempt to place the implant is necessary. An attempted deployment occurs when the investigator introduces the delivery system into the subject's nostril with the intent of placing an implant.
Inflammation Score in the Frontal Recess/FSO by Clinical InvestigatorsDays 21, 45, 90 and 180Endoscopic grading of inflammation score in the frontal recess/FSO by clinical investigators. Inflammation score in the frontal recess/FSO ranges from 0 to 100. Higher scores indicate a worse outcome.

Countries

United States

Participant flow

Recruitment details

Participants were recruited from fourteen locations in the United States.

Pre-assignment details

A total of 89 patients were assessed for eligibility. Eight patients did not meet inclusion criteria or met exclusion criteria. One patient withdrew from the study prior to randomization. A total of 80 patients met final eligibility and were randomized.

Participants by arm

ArmCount
All Participants
Following successful in-office bilateral balloon dilation, placement of PROPEL Contour Sinus Implant in the frontal sinus ostium occurred on the randomized side. The opposing side served as control. PROPEL Contour Sinus Implant: 370 mcg mometasone furoate-coated sinus implant
80
Total80

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up11
Overall StudyWithdrawal by Subject11

Baseline characteristics

CharacteristicAll Participants
Age, Continuous52.5 years
STANDARD_DEVIATION 13.38
Allergic rhinitis diagnosed by physician
Yes, any severity
68 participants
Allergic rhinitis diagnosed by physician
Yes, mild
39 participants
Allergic rhinitis diagnosed by physician
Yes, moderate
27 participants
Allergic rhinitis diagnosed by physician
Yes, severe
2 participants
Aspirin intolerance or allergy2 participants
Asthma diagnosed by physician
Yes, any severity
15 participants
Asthma diagnosed by physician
Yes, mild
13 participants
Asthma diagnosed by physician
Yes, moderate
2 participants
Asthma diagnosed by physician
Yes, severe
0 participants
Lund-Mackay score
Frontal sinus score (left + right)
2.19 units on a scale
STANDARD_DEVIATION 0.48
Lund-Mackay score
Total score (left + right)
9.21 units on a scale
STANDARD_DEVIATION 3.83
Number of prior endoscopic sinus surgeries (ESS)
0
36 participants
Number of prior endoscopic sinus surgeries (ESS)
1
26 participants
Number of prior endoscopic sinus surgeries (ESS)
2
12 participants
Number of prior endoscopic sinus surgeries (ESS)
3
4 participants
Number of prior endoscopic sinus surgeries (ESS)
≥ 4
2 participants
Race/Ethnicity, Customized
Asian
7 participants
Race/Ethnicity, Customized
Black or African American
2 participants
Race/Ethnicity, Customized
Other
2 participants
Race/Ethnicity, Customized
White
69 participants
Region of Enrollment
United States
80 participants
Sex/Gender, Customized
Female
30 participants
Sex/Gender, Customized
Male
50 participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 800 / 80
other
Total, other adverse events
15 / 8016 / 80
serious
Total, serious adverse events
1 / 801 / 80

Outcome results

Primary

Difference in FSO Patency by Blinded Reviewer

Side-to-side difference in frontal sinus ostium (FSO) patency at Day 45 based on cross-sectional area of FSO by computed tomography (CT) measurements performed by an independent, blinded reviewer. Cross-sectional area of FSO was measured via computer-assisted segmentation of CT images.

Time frame: Day 45

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable.

ArmMeasureValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantDifference in FSO Patency by Blinded Reviewer16.54 mm^2Standard Deviation 20.83
Balloon Sinus Dilation AloneDifference in FSO Patency by Blinded Reviewer12.36 mm^2Standard Deviation 16.1
Comparison: The null hypothesis was that there would no difference in FSO cross-sectional area between treatment and control sides at Day 45.p-value: 0.05995% CI: [-0.2, 8.6]t-test, 2 sided
Secondary

Adhesion/Scarring Grade in the Ethmoid Sinus by Clinical Investigators

Endoscopic grading of adhesion/scarring grade in the ethmoid sinus by clinical investigators. The adhesion/scarring grade in the ethmoid sinus scale ranges from 0 to 4. Higher scores indicate a worse outcome.

Time frame: Day 21, 45, 90, and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantAdhesion/Scarring Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 210.28 score on a scaleStandard Deviation 0.67
PROPEL Contour Sinus ImplantAdhesion/Scarring Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 450.34 score on a scaleStandard Deviation 0.72
PROPEL Contour Sinus ImplantAdhesion/Scarring Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 900.26 score on a scaleStandard Deviation 0.66
PROPEL Contour Sinus ImplantAdhesion/Scarring Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 1800.29 score on a scaleStandard Deviation 0.78
Balloon Sinus Dilation AloneAdhesion/Scarring Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 1800.39 score on a scaleStandard Deviation 0.75
Balloon Sinus Dilation AloneAdhesion/Scarring Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 210.30 score on a scaleStandard Deviation 0.71
Balloon Sinus Dilation AloneAdhesion/Scarring Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 900.39 score on a scaleStandard Deviation 0.74
Balloon Sinus Dilation AloneAdhesion/Scarring Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 450.35 score on a scaleStandard Deviation 0.73
Comparison: Day 21p-value: 0.8395% CI: [-0.2, 0.2]t-test, 2 sided
Comparison: Day 45p-value: 0.82995% CI: [-0.2, 0.1]t-test, 2 sided
Comparison: Day 90p-value: 0.13295% CI: [-0.3, 0]t-test, 2 sided
Comparison: Day 180p-value: 0.3195% CI: [-0.3, 0.1]t-test, 2 sided
Secondary

Adhesion/Scarring Grade in the Frontal Recess/FSO by Clinical Investigators

Endoscopic grading of adhesion/scarring grade in the frontal recess/FSO by clinical investigators. The adhesion/scarring grade in the frontal recess/FSO scale ranges from 0 to 4. Higher scores indicate a worse outcome.

Time frame: Days 21, 45, 90 and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantAdhesion/Scarring Grade in the Frontal Recess/FSO by Clinical InvestigatorsDay 210.37 score on a scaleStandard Deviation 0.63
PROPEL Contour Sinus ImplantAdhesion/Scarring Grade in the Frontal Recess/FSO by Clinical InvestigatorsDay 450.30 score on a scaleStandard Deviation 0.62
PROPEL Contour Sinus ImplantAdhesion/Scarring Grade in the Frontal Recess/FSO by Clinical InvestigatorsDay 900.21 score on a scaleStandard Deviation 0.54
PROPEL Contour Sinus ImplantAdhesion/Scarring Grade in the Frontal Recess/FSO by Clinical InvestigatorsDay 1800.24 score on a scaleStandard Deviation 0.56
Balloon Sinus Dilation AloneAdhesion/Scarring Grade in the Frontal Recess/FSO by Clinical InvestigatorsDay 1800.45 score on a scaleStandard Deviation 0.74
Balloon Sinus Dilation AloneAdhesion/Scarring Grade in the Frontal Recess/FSO by Clinical InvestigatorsDay 210.41 score on a scaleStandard Deviation 0.61
Balloon Sinus Dilation AloneAdhesion/Scarring Grade in the Frontal Recess/FSO by Clinical InvestigatorsDay 900.48 score on a scaleStandard Deviation 0.78
Balloon Sinus Dilation AloneAdhesion/Scarring Grade in the Frontal Recess/FSO by Clinical InvestigatorsDay 450.48 score on a scaleStandard Deviation 0.75
Comparison: Day 21p-value: 0.53795% CI: [-0.2, 0.1]t-test, 2 sided
Comparison: Day 45p-value: 0.0195% CI: [-0.3, 0]t-test, 2 sided
Comparison: Day 90p-value: 0.00395% CI: [-0.4, -0.1]t-test, 2 sided
Comparison: Day 180p-value: 0.00795% CI: [-0.4, -0.1]t-test, 2 sided
Secondary

CRS Side-specific Symptom Score by Subject

Subject-reported outcome of chronic rhinosinusitis (CRS) side-specific symptom score. The chronic rhinosinusitis side-specific symptom score scale ranges from 0 to 30. Higher scores indicate a worse outcome.

Time frame: Days 21, 45, 90 and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantCRS Side-specific Symptom Score by SubjectDay 216.19 score on a scaleStandard Deviation 4.74
PROPEL Contour Sinus ImplantCRS Side-specific Symptom Score by SubjectDay 454.75 score on a scaleStandard Deviation 3.77
PROPEL Contour Sinus ImplantCRS Side-specific Symptom Score by SubjectDay 904.42 score on a scaleStandard Deviation 4.21
PROPEL Contour Sinus ImplantCRS Side-specific Symptom Score by SubjectDay 1803.86 score on a scaleStandard Deviation 4.32
Balloon Sinus Dilation AloneCRS Side-specific Symptom Score by SubjectDay 1804.22 score on a scaleStandard Deviation 4.76
Balloon Sinus Dilation AloneCRS Side-specific Symptom Score by SubjectDay 216.25 score on a scaleStandard Deviation 4.95
Balloon Sinus Dilation AloneCRS Side-specific Symptom Score by SubjectDay 904.42 score on a scaleStandard Deviation 4.46
Balloon Sinus Dilation AloneCRS Side-specific Symptom Score by SubjectDay 454.68 score on a scaleStandard Deviation 3.9
Comparison: Day 21p-value: 0.86895% CI: [-0.7, 0.6]t-test, 2 sided
Comparison: Day 45p-value: 0.82395% CI: [-0.5, 0.7]t-test, 2 sided
Comparison: Day 90p-value: 195% CI: [-0.5, 0.5]t-test, 2 sided
Comparison: Day 180p-value: 0.18895% CI: [-0.8, 0.2]t-test, 2 sided
Secondary

CT Cross-sectional Area of FSO by Blinded Reviewer

CT cross-sectional area of FSO assessed by blinded independent reviewer to assess extent of the disease in the frontal sinuses. Cross-sectional area of FSO was measured via computer-assisted segmentation of CT images.

Time frame: Day 180

ArmMeasureValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantCT Cross-sectional Area of FSO by Blinded Reviewer17.72 mm^2Standard Deviation 21.05
Balloon Sinus Dilation AloneCT Cross-sectional Area of FSO by Blinded Reviewer17.81 mm^2Standard Deviation 19.96
Comparison: Day 180p-value: 0.97195% CI: [-4.9, 4.8]t-test, 2 sided
Secondary

CT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded Reviewer

FSOT, referring to the region of the frontal sinus surrounding the FSO, bordered superiorly by the frontal infundibulum and inferiorly by the frontal recess, is assessed by blinded reviewer. FSOT volume was measured via computer-assisted segmentation of CT images.

Time frame: Days 45 and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantCT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded ReviewerDay 45383.11 mm^3Standard Deviation 437.19
PROPEL Contour Sinus ImplantCT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded ReviewerDay 180386.86 mm^3Standard Deviation 413.56
Balloon Sinus Dilation AloneCT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded ReviewerDay 45332.17 mm^3Standard Deviation 399.68
Balloon Sinus Dilation AloneCT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded ReviewerDay 180414.30 mm^3Standard Deviation 427.56
Comparison: Day 45p-value: 0.30695% CI: [-47.5, 149.4]t-test, 2 sided
Comparison: Day 180p-value: 0.56795% CI: [-122.5, 67.6]t-test, 2 sided
Secondary

CT FSO Minimum Diameter by Blinded Reviewer

CT FSO minimum diameter assessed by blinded independent reviewer to assess extent of the disease in the frontal sinuses. FSO minimum diameter was measured via computer-assisted segmentation of CT images.

Time frame: Days 45 and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantCT FSO Minimum Diameter by Blinded ReviewerDay 452.38 mmStandard Deviation 1.94
PROPEL Contour Sinus ImplantCT FSO Minimum Diameter by Blinded ReviewerDay 1802.56 mmStandard Deviation 2.23
Balloon Sinus Dilation AloneCT FSO Minimum Diameter by Blinded ReviewerDay 451.89 mmStandard Deviation 1.79
Balloon Sinus Dilation AloneCT FSO Minimum Diameter by Blinded ReviewerDay 1802.54 mmStandard Deviation 2.13
Comparison: Day 45p-value: 0.03195% CI: [0, 0.9]t-test, 2 sided
Comparison: Day 180p-value: 0.94395% CI: [-0.5, 0.5]t-test, 2 sided
Secondary

CT Lund-Mackay Score for the Frontal Sinus by Blinded Reviewer

CT Lund-Mackay score for the frontal sinus assessed by blinded independent reviewer to assess extent of the disease in the frontal sinuses. The Lund-Mackay scale ranges from 0 to 2. Higher scores indicate a worse outcome.

Time frame: Days 45 and 180

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantCT Lund-Mackay Score for the Frontal Sinus by Blinded ReviewerDay 450.77 score on a scaleStandard Deviation 0.48
PROPEL Contour Sinus ImplantCT Lund-Mackay Score for the Frontal Sinus by Blinded ReviewerDay 1800.72 score on a scaleStandard Deviation 0.56
Balloon Sinus Dilation AloneCT Lund-Mackay Score for the Frontal Sinus by Blinded ReviewerDay 450.77 score on a scaleStandard Deviation 0.56
Balloon Sinus Dilation AloneCT Lund-Mackay Score for the Frontal Sinus by Blinded ReviewerDay 1800.67 score on a scaleStandard Deviation 0.55
Comparison: Day 45p-value: 195% CI: [-0.1, 0.1]t-test, 2 sided
Comparison: Day 180p-value: 0.28895% CI: [0, 0.1]t-test, 2 sided
Secondary

CT Lund-Mackay Score for the Frontal Sinus by Clinical Investigators

CT Lund-Mackay for the frontal sinus assessed by blinded independent reviewer to assess extent of the disease in the frontal sinuses. The Lund-Mackay scale ranges from 0 to 2. Higher scores indicate a worse outcome.

Time frame: Days 45 and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantCT Lund-Mackay Score for the Frontal Sinus by Clinical InvestigatorsDay 450.59 score on a scaleStandard Deviation 0.59
PROPEL Contour Sinus ImplantCT Lund-Mackay Score for the Frontal Sinus by Clinical InvestigatorsDay 1800.53 score on a scaleStandard Deviation 0.64
Balloon Sinus Dilation AloneCT Lund-Mackay Score for the Frontal Sinus by Clinical InvestigatorsDay 450.68 score on a scaleStandard Deviation 0.59
Balloon Sinus Dilation AloneCT Lund-Mackay Score for the Frontal Sinus by Clinical InvestigatorsDay 1800.59 score on a scaleStandard Deviation 0.63
Comparison: Day 45p-value: 0.22595% CI: [-0.2, 0.1]t-test, 2 sided
Comparison: Day 180p-value: 0.38895% CI: [-0.2, 0.1]t-test, 2 sided
Secondary

CT Zinreich's Modified Lund-Mackay Score for the Frontal Sinus by Blinded Reviewer

CT Zinreich's modified Lund-Mackay score for the frontal sinus assessed by blinded independent reviewer to assess extent of the disease in the frontal sinuses. Zinreich's modified Lund-Mackay scale ranges from 0 to 5. Higher scores indicate a worse outcome.

Time frame: Days 45 and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantCT Zinreich's Modified Lund-Mackay Score for the Frontal Sinus by Blinded ReviewerDay 451.23 score on a scaleStandard Deviation 1.22
PROPEL Contour Sinus ImplantCT Zinreich's Modified Lund-Mackay Score for the Frontal Sinus by Blinded ReviewerDay 1801.22 score on a scaleStandard Deviation 1.4
Balloon Sinus Dilation AloneCT Zinreich's Modified Lund-Mackay Score for the Frontal Sinus by Blinded ReviewerDay 451.28 score on a scaleStandard Deviation 1.38
Balloon Sinus Dilation AloneCT Zinreich's Modified Lund-Mackay Score for the Frontal Sinus by Blinded ReviewerDay 1801.05 score on a scaleStandard Deviation 1.27
Comparison: Day 45p-value: 0.71595% CI: [-0.3, 0.2]t-test, 2 sided
Comparison: Day 180p-value: 0.12995% CI: [0, 0.4]t-test, 2 sided
Secondary

FSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded Reviewer

FSO cross-sectional area change from baseline to Day 45 and change from baseline to Day 180 per CT assessment performed by an independent, blinded reviewer. FSO cross-sectional area was measured via computer-assisted segmentation of CT images.

Time frame: Baseline, Day 45, and Day 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantFSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded ReviewerChange from baseline to Day 452.63 mm^2Standard Deviation 9.95
PROPEL Contour Sinus ImplantFSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded ReviewerChange from baseline to Day 1803.20 mm^2Standard Deviation 10.97
Balloon Sinus Dilation AloneFSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded ReviewerChange from baseline to Day 451.15 mm^2Standard Deviation 11.09
Balloon Sinus Dilation AloneFSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded ReviewerChange from baseline to Day 1805.95 mm^2Standard Deviation 13.78
Comparison: Day 45p-value: 0.32895% CI: [-1.5, 4.5]t-test, 2 sided
Comparison: Day 180p-value: 0.06395% CI: [-5.7, 0.2]t-test, 2 sided
Secondary

Implant Delivery Success by Clinical Investigators

Number of subjects who underwent successful access and deployment of the PROPEL Contour Sinus Implant into the FSO. Delivery is considered successful if the procedure concludes with correct implant placement on the intended side, even if a second attempt to place the implant is necessary. An attempted deployment occurs when the investigator introduces the delivery system into the subject's nostril with the intent of placing an implant.

Time frame: Baseline

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PROPEL Contour Sinus ImplantImplant Delivery Success by Clinical Investigators80 Participants
Secondary

Inflammation Score in the Frontal Recess/FSO by Clinical Investigators

Endoscopic grading of inflammation score in the frontal recess/FSO by clinical investigators. Inflammation score in the frontal recess/FSO ranges from 0 to 100. Higher scores indicate a worse outcome.

Time frame: Days 21, 45, 90 and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantInflammation Score in the Frontal Recess/FSO by Clinical InvestigatorsDay 2125.94 score on a scaleStandard Deviation 29.31
PROPEL Contour Sinus ImplantInflammation Score in the Frontal Recess/FSO by Clinical InvestigatorsDay 4519.17 score on a scaleStandard Deviation 27.68
PROPEL Contour Sinus ImplantInflammation Score in the Frontal Recess/FSO by Clinical InvestigatorsDay 9021.97 score on a scaleStandard Deviation 34.1
PROPEL Contour Sinus ImplantInflammation Score in the Frontal Recess/FSO by Clinical InvestigatorsDay 18017.30 score on a scaleStandard Deviation 31.45
Balloon Sinus Dilation AloneInflammation Score in the Frontal Recess/FSO by Clinical InvestigatorsDay 18024.46 score on a scaleStandard Deviation 33.45
Balloon Sinus Dilation AloneInflammation Score in the Frontal Recess/FSO by Clinical InvestigatorsDay 2128.85 score on a scaleStandard Deviation 30.86
Balloon Sinus Dilation AloneInflammation Score in the Frontal Recess/FSO by Clinical InvestigatorsDay 9028.62 score on a scaleStandard Deviation 33.8
Balloon Sinus Dilation AloneInflammation Score in the Frontal Recess/FSO by Clinical InvestigatorsDay 4526.67 score on a scaleStandard Deviation 32.16
Comparison: Day 21p-value: 0.63495% CI: [-12.8, 7.9]t-test, 2 sided
Comparison: Day 45p-value: 0.04895% CI: [-15.2, -0.1]t-test, 2 sided
Comparison: Day 90p-value: 0.02895% CI: [-14.7, -0.9]t-test, 2 sided
Comparison: Day 180p-value: 0.04195% CI: [-13.2, -0.3]t-test, 2 sided
Secondary

Number of Sinus Sides Requiring Post-operative Intervention by Clinical Investigators

Need for post-operative intervention as determined by clinical investigators per endoscopy.

Time frame: Days 21, 45, 90 and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (COUNT_OF_UNITS)
PROPEL Contour Sinus ImplantNumber of Sinus Sides Requiring Post-operative Intervention by Clinical InvestigatorsDay 215 sinus sides
PROPEL Contour Sinus ImplantNumber of Sinus Sides Requiring Post-operative Intervention by Clinical InvestigatorsDay 4514 sinus sides
PROPEL Contour Sinus ImplantNumber of Sinus Sides Requiring Post-operative Intervention by Clinical InvestigatorsDay 9012 sinus sides
PROPEL Contour Sinus ImplantNumber of Sinus Sides Requiring Post-operative Intervention by Clinical InvestigatorsDay 18012 sinus sides
Balloon Sinus Dilation AloneNumber of Sinus Sides Requiring Post-operative Intervention by Clinical InvestigatorsDay 18016 sinus sides
Balloon Sinus Dilation AloneNumber of Sinus Sides Requiring Post-operative Intervention by Clinical InvestigatorsDay 215 sinus sides
Balloon Sinus Dilation AloneNumber of Sinus Sides Requiring Post-operative Intervention by Clinical InvestigatorsDay 9016 sinus sides
Balloon Sinus Dilation AloneNumber of Sinus Sides Requiring Post-operative Intervention by Clinical InvestigatorsDay 4517 sinus sides
Comparison: Day 21p-value: 195% CI: [0.28, 3.6]t-test, 2 sided
Comparison: Day 45p-value: 0.45395% CI: [0.36, 1.73]t-test, 2 sided
Comparison: Day 90p-value: 0.21995% CI: [0.31, 1.61]t-test, 2 sided
Comparison: Day 180p-value: 0.28995% CI: [0.31, 1.61]t-test, 2 sided
Secondary

Polyp Grade in the Ethmoid Sinus by Clinical Investigators

Endoscopic grading of polyp grade in the ethmoid sinus by clinical investigators. Polyp grade in the ethmoid sinus scale ranges from 0 to 3. Higher scores indicate a worse outcome.

Time frame: Days 21, 45, 90 and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantPolyp Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 210.29 score on a scaleStandard Deviation 0.65
PROPEL Contour Sinus ImplantPolyp Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 450.30 score on a scaleStandard Deviation 0.61
PROPEL Contour Sinus ImplantPolyp Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 900.31 score on a scaleStandard Deviation 0.72
PROPEL Contour Sinus ImplantPolyp Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 1800.29 score on a scaleStandard Deviation 0.64
Balloon Sinus Dilation AlonePolyp Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 1800.31 score on a scaleStandard Deviation 0.64
Balloon Sinus Dilation AlonePolyp Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 210.32 score on a scaleStandard Deviation 0.62
Balloon Sinus Dilation AlonePolyp Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 900.39 score on a scaleStandard Deviation 0.73
Balloon Sinus Dilation AlonePolyp Grade in the Ethmoid Sinus by Clinical InvestigatorsDay 450.34 score on a scaleStandard Deviation 0.66
Comparison: Day 21p-value: 0.66695% CI: [-0.2, 0.1]t-test, 2 sided
Comparison: Day 45p-value: 0.49795% CI: [-0.2, 0.1]t-test, 2 sided
Comparison: Day 90p-value: 0.23595% CI: [-0.2, 0]t-test, 2 sided
Comparison: Day 180p-value: 0.67795% CI: [-0.1, 0.1]t-test, 2 sided
Secondary

Polypoid Edema in the Frontal Recess/FSO by Clinical Investigators

Endoscopic grading of polypoid edema in the frontal recess/FSO by clinical investigators. Polypoid edema in the frontal recess/FSO scale ranges from 0 to 3. Higher scores indicate a worse outcome.

Time frame: Days 21, 45, 90 and 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantPolypoid Edema in the Frontal Recess/FSO by Clinical InvestigatorsDay 210.63 score on a scaleStandard Deviation 0.82
PROPEL Contour Sinus ImplantPolypoid Edema in the Frontal Recess/FSO by Clinical InvestigatorsDay 450.53 score on a scaleStandard Deviation 0.87
PROPEL Contour Sinus ImplantPolypoid Edema in the Frontal Recess/FSO by Clinical InvestigatorsDay 900.53 score on a scaleStandard Deviation 0.93
PROPEL Contour Sinus ImplantPolypoid Edema in the Frontal Recess/FSO by Clinical InvestigatorsDay 1800.52 score on a scaleStandard Deviation 0.85
Balloon Sinus Dilation AlonePolypoid Edema in the Frontal Recess/FSO by Clinical InvestigatorsDay 1800.71 score on a scaleStandard Deviation 0.93
Balloon Sinus Dilation AlonePolypoid Edema in the Frontal Recess/FSO by Clinical InvestigatorsDay 210.88 score on a scaleStandard Deviation 1.04
Balloon Sinus Dilation AlonePolypoid Edema in the Frontal Recess/FSO by Clinical InvestigatorsDay 900.80 score on a scaleStandard Deviation 1.02
Balloon Sinus Dilation AlonePolypoid Edema in the Frontal Recess/FSO by Clinical InvestigatorsDay 450.77 score on a scaleStandard Deviation 1.01
Comparison: Day 21p-value: 0.06395% CI: [-0.5, 0]t-test, 2 sided
Comparison: Day 45p-value: 0.01595% CI: [-0.4, -0.1]t-test, 2 sided
Comparison: Day 90p-value: 0.00795% CI: [-0.4, -0.1]t-test, 2 sided
Comparison: Day 180p-value: 0.03495% CI: [-0.4, 0]t-test, 2 sided
Secondary

RSI Score by Subject

Subject-reported outcome of RSI score. The Rhinosinusitis Symptom Inventory (RSI) scale ranges from 0 to 60. Higher scores indicate a worse outcome.

Time frame: Day 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable.

ArmMeasureValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantRSI Score by Subject7.7 score on a scaleStandard Deviation 7.84
Balloon Sinus Dilation AloneRSI Score by Subject7.7 score on a scaleStandard Deviation 7.84
Secondary

SNOT-22 Score by Subject

Subject-reported outcome of SNOT-22 score. The Sino-Nasal Outcome Test, 22 item (SNOT-22) is a validated, disease-specific, symptom-scoring instrument consisting of 22 questions, each scored by the patient on a 6-point scale, ranging from a score of 0 (no problem) to 5 (problem as bad as it can be). The maximum total score for all symptoms is equal to 110. Higher scores indicate a worse outcome.

Time frame: Day 180

Population: Number of units (sinus sides) analyzed represents number of participants with data evaluable.

ArmMeasureValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantSNOT-22 Score by Subject17.84 score on a scaleStandard Deviation 17.62
Balloon Sinus Dilation AloneSNOT-22 Score by Subject17.84 score on a scaleStandard Deviation 17.62
Post Hoc

CT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer Subgroup

FSOT, referring to the region of the frontal sinus surrounding the FSO, bordered superiorly by the frontal infundibulum and inferiorly by the frontal recess, as assessed within the subgroup of participants with a baseline Zinreich's modified Lund-Mackay score ≥ 1 on both sides per independent, blinded reviewer. FSOT volume was measured via computer-assisted segmentation of CT images.

Time frame: Days 45 and 180

Population: Number of units (sinus sides) analyzed represents number of participants within the subgroup with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantCT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupDay 45306.06 mm^3Standard Deviation 389.9
PROPEL Contour Sinus ImplantCT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupDay 180282.89 mm^3Standard Deviation 394.99
Balloon Sinus Dilation AloneCT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupDay 45244.52 mm^3Standard Deviation 394.58
Balloon Sinus Dilation AloneCT Frontal Sinus Outflow Tract (FSOT) Volume by Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupDay 180334.86 mm^3Standard Deviation 451.2
Comparison: Day 45p-value: 0.37595% CI: [-76.7, 199.8]t-test, 2 sided
Comparison: Day 180p-value: 0.43295% CI: [-184.1, 80.2]t-test, 2 sided
Post Hoc

CT FSO Minimum Diameter by Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer Subgroup

CT FSO minimum diameter as assessed within the subgroup of participants with a baseline Zinreich's modified Lund-Mackay score ≥ 1 on both sides per independent, blinded reviewer. FSO minimum diameter was measured via computer-assisted segmentation of CT images.

Time frame: Days 45 and 180

Population: Number of units (sinus sides) analyzed represents number of participants within the subgroup with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantCT FSO Minimum Diameter by Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupDay 452.31 mmStandard Deviation 2.04
PROPEL Contour Sinus ImplantCT FSO Minimum Diameter by Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupDay 1802.18 mmStandard Deviation 2.07
Balloon Sinus Dilation AloneCT FSO Minimum Diameter by Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupDay 451.57 mmStandard Deviation 1.6
Balloon Sinus Dilation AloneCT FSO Minimum Diameter by Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupDay 1802.33 mmStandard Deviation 2.23
Comparison: Day 45p-value: 0.02395% CI: [0.1, 1.4]t-test, 2 sided
Comparison: Day 180p-value: 0.64695% CI: [-0.8, 0.5]t-test, 2 sided
Post Hoc

Difference in FSO Patency at Day 45 - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer Subgroup

Side-to-side difference in FSO patency at Day 45 based on cross-sectional area of FSO by CT measurements performed by an independent, blinded reviewer, as assessed within the subgroup of participants with a baseline Zinreich's modified Lund-Mackay score ≥ 1 on both sides per independent, blinded reviewer.

Time frame: Day 45

Population: Number of units (sinus sides) analyzed represents number of participants within the subgroup with data evaluable.

ArmMeasureValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantDifference in FSO Patency at Day 45 - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer Subgroup14.98 mm^2Standard Deviation 18.21
Balloon Sinus Dilation AloneDifference in FSO Patency at Day 45 - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer Subgroup8.70 mm^2Standard Deviation 12.88
p-value: 0.02595% CI: [0.8, 11.7]t-test, 2 sided
Post Hoc

FSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer Subgroup

FSO cross-sectional area change from baseline to Day 45 and change from baseline to Day 180 per CT assessment performed by an independent, blinded reviewer, as assessed within the subgroup of participants with a baseline Zinreich's modified Lund-Mackay score ≥ 1 on both sides per independent, blinded reviewer. Cross-sectional area of FSO was measured via computer-assisted segmentation of CT images.

Time frame: Baseline, Day 45, and Day 180

Population: Number of units (sinus sides) analyzed represents number of participants within the subgroup with data evaluable for the corresponding timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
PROPEL Contour Sinus ImplantFSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupChange from baseline to Day 454.87 mm^2Standard Deviation 9.59
PROPEL Contour Sinus ImplantFSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupChange from baseline to Day 1804.29 mm^2Standard Deviation 12.46
Balloon Sinus Dilation AloneFSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupChange from baseline to Day 450.89 mm^2Standard Deviation 10.87
Balloon Sinus Dilation AloneFSO Cross-sectional Area Change From Baseline on CT by an Independent, Blinded Reviewer - Baseline Zinreich's Modified Lund-Mackay Score ≥ 1 on Both Sides by Independent Reviewer SubgroupChange from baseline to Day 1807.74 mm^2Standard Deviation 16.12
Comparison: Day 45p-value: 0.0495% CI: [0.2, 7.8]t-test, 2 sided
Comparison: Day 180p-value: 0.0995% CI: [-7.5, 0.6]t-test, 2 sided

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026