A Study of RhinAer Stylus for Treating Chronic Rhinitis (BIOKLEAR)
Effect of Temperature-Controlled Radiofrequency Ablation of the Posterior Nasal Nerve on Inflammatory Biomarkers in Patients With Allergic and Nonallergic Chronic Rhinitis
Post-market study to continue to evaluate the effectiveness of the RhinAer Stylus for chronic rhinitis and the effect of treatment on inflammatory biomarkers.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Prospective, Open Label, Multicenter Study of the Aerin Medical RhinAer® Stylus for Chronic Rhinitis to continue to evaluate the effectiveness of the RhinAer® Stylus for treating the posterior nasal nerve area to improve symptoms in adults diagnosed with chronic rhinitis.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Colorado
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Colorado Springs, Colorado, United States, 80923
- Colorado ENT & Allergy
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Ohio
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Cincinnati, Ohio, United States, 45267
- University of Cincinnati
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
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Age 22 to 85 years (inclusively).
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Willing and able to provide informed consent.
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Willing and able to comply with the patient-specific requirements outlined in the study protocol.
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Presenting to the ENT office seeking evaluation and/or treatment for chronic rhinitis (allergic or nonallergic) of at least 12 months duration
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Willing to undergo the RhinAer procedure
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Has a baseline rTNSS symptom score of ≥6 at time of screening
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If on anticoagulation therapy, anticoagulant medications can be withheld during the perioperative period (at least 3-day window pre- and post-procedure).
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Has been diagnosed with either allergic or non-allergic chronic rhinitis and meet the following criteria:
- a. Allergic rhinitis: diagnosed with perennial (non-seasonal) allergic rhinitis and has demonstrated sensitization to specific allergens through skin prick testing, specific IgE blood testing, or other allergy testing methods, confirming the allergic nature of their rhinitis within the past 24 months.
OR
-b. Nonallergic rhinitis: diagnosed with nonallergic rhinitis with demonstration of a negative skin prick testing, specific IgE blood testing, or other allergy testing methods, confirming the nonallergic nature of their rhinitis within the past 24 months.
Exclusion Criteria:
- Anatomic obstructions in the nasal passage(s) that in the investigator's opinion limits access to the posterior nasal nerve treatment area.
- Has seasonal rhinitis symptoms.
- Current or recent use of biologic therapy within past 3 months.
- History of chronic epistaxis or has had episodes of significant nose bleeds in the past 3 months.
- Known or suspected allergies or contraindications to the anesthetic agents and/or antibiotic medications to be used during the study procedure.
- Known or suspected to be pregnant or is lactating.
- Has any condition resulting in a predisposition to excessive bleeding (e.g., hereditary hemorrhagic telangiectasia [HHT]).
- Has diagnosis of rhinitis medicamentosa, an active nasal or sinus infection or has a history of 'dry eye.'
- Has had previous procedure or surgery for chronic rhinitis (e.g., PNN ablation).
- Has had a nasal or sinus surgical procedure in the past six (6) months.
- Currently participating in another clinical research study or has participated in an interventional study within the past 3 months.
- Has a planned adjunctive procedure at the time of the study procedure or within the 6-month study follow-up period
- Other medical conditions which in the opinion of the investigator would predispose the patient to poor wound healing, increased surgical risk, or poor compliance with the requirements of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: RhinAer Stylus treatment
The RhinAer procedure will be performed in the study clinic using the RhinAer Stylus and Aerin Console. The RhinAer Stylus is a disposable handheld device capable of delivering bipolar radiofrequency energy to tissue when connected to the Aerin Console radiofrequency generating device. Participants will have both nostrils treated in the portion of the nasal cavity mucosa overlying the region of the posterior nasal nerve. |
The RhinAer procedure incorporates use of the RhinAer Stylus (Model FG1393, CAT1394), which is a 510(k) cleared (FDA - K221907) disposable handheld device capable of delivering bipolar radiofrequency energy to tissue. The Aerin Console (Model FG226) RF generator with temperature control capable of delivering very low doses of energy is also cleared for use in the US (FDA - K162810). |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Nasal Secretion Inflammatory Biomarker Levels at 3 Months Following Temperature-Controlled Radiofrequency (TCRF) Treatment
Time Frame: Baseline (pre-procedure) and 3 months post-procedure
|
Changes from baseline to 3 months post-procedure in nasal secretion inflammatory biomarker levels were evaluated in patients with allergic and nonallergic chronic rhinitis by assessing the change from baseline in mean fluorescence intensity (MFI) for each biomarker. The following biomarkers were assessed: epidermal growth factor (EGF), interferon-gamma (IFNγ), interleukins (IL-1β, IL-4, IL-5, IL-6, IL-8, IL-10, IL-13, IL-17A, IL-17F, IL-22, IL-25), tumor necrosis factor-alpha (TNFα), transient receptor potential vanilloid 1 (TRPV-1), and immunoglobulin E (IgE). |
Baseline (pre-procedure) and 3 months post-procedure
|
Collaborators and Investigators
Sponsor
Sponsor
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
- CTP1938
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
No data collected will be shared with other researchers participating in the study.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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