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. 2019 May 23;33(5):545–558. doi: 10.1177/1945892419850924

Table 1.

Description of 2 RCTs Conducted to Assess the Safety and Efficacy of In-office Placement of an MF Sinus Implant.

Study Trial Design Randomized/Completed Study Treatment and Control Follow-up Duration Diagnosis and Eligibility Criteria Coprimary Efficacy End Points Secondary Efficacy End Points
RESOLVE14,15 Phase 2/3Randomized 1:1, parallel group, double-blind (patients, assessors), concurrently controlled, multicenter (18 sites in United States) n = 100/98T: n = 53/52C: n = 47/46 T: in-office bilateral placement of the MF sinus implant in the ethmoid sinuses plus daily MFNSC: in-office bilateral sham procedure plus daily MFNS 6 monthsImplant removal by day 60 to ensure blinding
  • CRS with NP

  • Prior ESS with bilateral total ethmoidectomy

  • Indicated for repeat ESS:

    • NO/C symptoms despite ongoing use of INCS

    • Bilateral NP (grade ≥ 2 on at least 1 side) by clinical investigators

    • Ongoing use of INCS

    • Recent systemic steroids

  • Grade 4 polyps excluded

  • Change from baseline to day 90 in NO/C score (scale 0–5) as determined by patients using a reflective questionnaire

  • Change from baseline to day 90 in BPG (scale 0–8), as determined by an independent panel of 3 sinus surgeons based on a centralized blinded video-endoscopy review

Prespecified, not-adjusted for multiplicity:
  • Proportion of patients indicated for repeat ESS at day 90 and month 6 by clinical investigators

  • Change from baseline to day 90 by panel and each time point by clinical investigators in ESO (VAS 0–100)

  • Change from baseline to each time point in NO/C score (scale 0–5) as determined by patients using a reflective questionnaire

  • Change from baseline to month 6 in NOSE score

RESOLVE II 16 Phase 3 pivotalRandomized 2:1, parallel group, double-blind (patients, assessors), concurrently controlled, multicenter (34 sites in United States) n = 300/298T: n = 201/200C: n = 99/98 T: in-office bilateral placement of the MF sinus implant in the ethmoid sinuses plus daily MFNSC: in-office bilateral sham procedure plus daily MFNS 90 daysImplant removal by day 60 to ensure blinding
  • CRS with NP

  • Prior ESS with bilateral total ethmoidectomy

  • Indicated for repeat ESS
    • NO/C symptoms despite ongoing use of INCS (score ≥ 2 on 5 of 7 days by electronic diary)
    • Bilateral NP (grade ≥2 on each side) by an independent reviewer
    • Ongoing use of INCS
    • Recent systemic steroids
  • Grade 4 polyps excluded

  • Change from baseline to day 30 in NO/C score (scale 0–3) as determined by patients using a daily diary

  • Change from baseline to day 90 in BPG (scale 0–8), as determined by an independent panel of 3 sinus surgeons based on a centralized blinded video-endoscopy review

Prespecified and adjusted for multiplicity:
  • Proportion of patients indicated for RESS at day 90 by clinical investigators

  • Change from baseline to day 90 in ESO (VAS 0–100) by an independent panel

  • Change from baseline to day 90 in NO/C score (scale 0–3)

  • Change from baseline to day 90 in decreased sense of smell score (scale 0–5)

  • Change from baseline to day 90 in facial pain/pressure score (scale 0–5) using a reflective questionnaire (note: this end point was the only one that did not meet study objective)

Abbreviations: BPG, bilateral polyp grade; C, control group; CRS, chronic rhinosinusitis; ESO, ethmoid sinus obstruction; ESS, endoscopic sinus surgery; INCS, intranasal corticosteroid spray; MF, mometasone furoate; MFNS, MF nasal spray; NO/C, nasal obstruction/congestion; NOSE, Nasal Obstruction Symptom Evaluation; NP, nasal polyps; RCT, randomized control trial; RESS, revision ESS; T, treatment group; VAS, visual analog scale.

For all scales, higher scores indicate worse outcomes.