XprESS ET Registry
XprESS Eustachian Tube Balloon Dilation Registry
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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California
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Torrance, California, United States, 90503
- Breathe Clear Institute
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Colorado
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Colorado Springs, Colorado, United States, 80909
- Colorado ENT and Allergy
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Georgia
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Evans, Georgia, United States, 30809
- Augusta ENT and Allergy
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Indiana
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Anderson, Indiana, United States, 46016
- St. Vincent Anderson Hospital
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Louisiana
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New Orleans, Louisiana, United States, 70121
- Ochsner Clinic Foundation
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Michigan
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Southfield, Michigan, United States, 48934
- Ear Nose and Throat Consultants
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Minnesota
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Saint Cloud, Minnesota, United States, 56303
- St Cloud ENT
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Nevada
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Las Vegas, Nevada, United States, 89128
- ENT Consultants of Nevada
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New York
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Canandaigua, New York, United States, 14424
- Lakeside ENT
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South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
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Charleston, South Carolina, United States, 29420
- National Allergy and ENT
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Be at least 18 years old
- Have been diagnosed with persistent/chronic Eustachian tube dysfunction (duration 3 months or more)
- Be a candidate for unilateral or bilateral Eustachian tube balloon dilation using the XprESS device
- Be able to read and understand English
- Be willing and able to provide informed consent
- Be willing to comply with the protocol requirements
Exclusion Criteria:
- Have a history of patulous Eustachian tube
- Require additional ear surgery (eg, myringotomy, tympanostomy) at the time of study procedure
- Have evidence of internal carotid artery dehiscence
- Be currently participating in any other drug or device clinical studies, excluding postapproval or marketing registry studies
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in mean Eustachian Tube Dysfunction Questionnaire (ETDQ-7) score
Time Frame: 6 Months
|
Change from baseline to follow-up in the mean overall ETDQ-7 score.
The ETDQ-7 is a validated 7-item patient-reported questionnaire reporting the presence and severity of symptoms associated with Eustachian tube dysfunction.
Each item is scored from 1 (normal) to 7 (severe).
The overall score is the mean score of the 7 items.
|
6 Months
|
|
Complication rate
Time Frame: 6 Months
|
Percentage of participants who experience 1 or more serious adverse events that are related to the device and/or procedure.
|
6 Months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Procedural information
Time Frame: Procedure through 6-week follow-up
|
Details of the balloon dilation procedure, including setting, anesthesia, technical success, concomitant procedures, procedure/device-related adverse events, and recovery time.
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Procedure through 6-week follow-up
|
|
Minimal clinically important difference in ETDQ-7 score
Time Frame: 6 Months
|
Percentage of participants achieving the minimal clinical important difference in overall ETDQ-7 score (reduction from baseline of 0.5 points or more).
The ETDQ-7 is a validated 7-item patient-reported questionnaire reporting the presence and severity of symptoms associated with Eustachian tube dysfunction.
Each item is scored from 1 (normal) to 7 (severe).
The overall score is the mean score of the 7 items.
|
6 Months
|
|
Revision Eustachian tube dilation
Time Frame: 6 Months
|
Percentage of participants who require revision dilation on an ear that was treated in the initial procedure.
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6 Months
|
|
Surgical interventions
Time Frame: 6 Months
|
Percentage of participants requiring surgical ear intervention (other than balloon dilation) on an ear that was treated in the initial procedure but has recurrent or continuing ETD symptoms.
|
6 Months
|
|
Participant satisfaction: Proportion of participants indicating satisfaction and willing to recommend the procedure to friends or family
Time Frame: 6 Months
|
Percentage of participants indicating satisfaction and willing to recommend the procedure to friends or family.
|
6 Months
|
|
Change in work productivity/activity impairment
Time Frame: 6 Months
|
Participants complete the validated Work Productivity and Activity Impairment (WPAI) at baseline and 6 month follow-up.
The questionnaire consists of 6 questions that evaluate absenteeism, presenteeism, work productivity loss, and activity impairment over the previous week.
Results are expressed as the percentage of impairment from 0 to 100, for which higher numbers indicate worse outcomes (ie, greater impairment and less productivity).
Absenteeism is calculated by dividing the number of hours missed by the sum of the numbers of hours missed plus the number of hours worked.
Presenteeism, is calculated by dividing the response to productivity at work question by 10, while activity impairment is calculated by dividing the response to the ability to carry out daily activities question by 10.
Finally, the overall work impairment/productivity loss is calculated as the sum of absenteeism and the product of presenteeism and time at work.
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6 Months
|
|
Change from baseline in chronic rhinosinusitis symptoms
Time Frame: 6 Months
|
Participants will complete the validated 22-item SinoNasal Outcomes Test (SNOT-22) to evaluate change in chronic rhinosinusitis symptoms.
Each of the 22 symptoms on the questionnaire are rated by the participant from 0 (no problem) to 5 (bad).
A sum of the 22 item scores provides the overall score, which can range from 0 to 110.
|
6 Months
|
|
Improvement in tympanogram
Time Frame: 6 Months
|
Percentage of participants with an abnormal tympanogram (type B or C) at baseline who have a normal (type A) or improved (type B to type C) tympanogram at follow-up.
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6 Months
|
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Improvement in ability to perform a Valsalva maneuver
Time Frame: 6 Months
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Percentage of participants unable to perform the Valsalva maneuver (negative) at baseline who are able to perform the maneuver (positive) at follow-up.
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6 Months
|
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Improvement in tympanic membrane position
Time Frame: 6 Months
|
Percentage of participants with a retracted tympanic membrane at baseline who have a normal tympanic membrane position at follow-up.
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6 Months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Edward D McCoul, MD, PhD, Ochsner Health System, New Orleans, LA
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ACTUAL)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 4079-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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