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Trial · NCT01622569

Study Evaluating the Efficacy and Safety of Intranasal Administration of 100, 200, and 400 μg of Fluticasone Propionate Twice a Day (BID) Using a Novel Bi Directional Device in Subjects With Bilateral Nasal Polyposis Followed by an 8-Week Open-Label Extension Phase to Assess Safety

NCT01622569, Phase 3, Completed, Optinose US Inc.; results first posted 2018-12-05

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study Evaluating the Efficacy and Safety of Intranasal Administration of 100, 200, and 400 μg of Fluticasone Propionate Twice a Day (BID) Using a Novel Bi Directional Device in Subjects With Bilateral Nasal Polyposis Followed by an 8-Week Open-Label Extension Phase to Assess Safety. Trials, record NCT01622569. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01622569

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study Evaluating the Efficacy and Safety of Intranasal Administration of 100, 200, and 400 μg of Fluticasone Propionate Twice a Day (BID) Using a Novel Bi Directional Device in Subjects With Bilateral Nasal Polyposis Followed by an 8-Week Open-Label Extension Phase to Assess Safety
NCT number
NCT01622569
Status
Completed
Phases
Phase 3
Enrollment
323 participants, actual
Lead sponsor
Optinose US Inc.
Conditions
Bilateral Nasal Polyposis
Interventions
Fluticasone Propionate
First posted
2012-06-19
Last updated
2018-12-26
Results first posted
2018-12-05

Source ClinicalTrials.gov

Registered outcomes15

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange in 7-day Average Instantaneous Morning Diary Congestion/Obstruction SymptomsBaseline, Week 4 of the double-blind treatment phase
Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing. 0: None 1. Mild, symptoms clearly present, but minimal awareness, and easily tolerated 2. Moderate, definite awareness of symptoms that is bothersome but tolerable 3. Severe, symptoms that are hard to tolerate, cause interference with activities or daily living The change from baseline in instantaneous morning diary symptom scores averaged over 7 days prior to the Week 4 Visit of the double-blind treatment phase
PrimaryChange in Total Polyp GradeBaseline, Week 16 of the double-blind treatment phase
Polyp grading of each nasal cavity was determined by a nasal polyp grading scale score measured by nasoendoscopy. A summary of the changes from baseline to Week 16 in total polyp grade. 0: No polyps 1. Mild polyposis: polyps not reaching below the inferior border of the middle turbinate 2. Moderate polyposis: polyps reaching below the inferior border of the middle concha, but not the inferior border of the inferior turbinate 3. Severe polyposis large polyps reaching below the lower inferior border of the inferior turbinate Reduction in total polyp grade (sum of scores from both nasal cavities) at Week 16 of double-blind treatment phase; Included patients with nasal polyps at baseline
SecondaryCongestion/Obstruction Scores (7-day Instantaneous Morning)Baseline, Week 16 of the double-blind treatment phase
Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing. 0: None 1. Mild, symptoms clearly present, but minimal awareness, and easily tolerated 2. Moderate, definite awareness of symptoms that is bothersome but tolerable 3. Severe, symptoms that are hard to tolerate, cause interference with activities or daily living The change from baseline in instantaneous morning diary symptom scores averaged over 7 days prior to the Week 16 Visit of the double-blind treatment phase
SecondaryChange in Rhinorrhea Score (7-day Instantaneous Morning)Baseline, Week 16 of the double-blind treatment phase
Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing. 0: None 1. Mild, symptoms clearly present, but minimal awareness, and easily tolerated 2. Moderate, definite awareness of symptoms that is bothersome but tolerable 3. Severe, symptoms that are hard to tolerate, cause interference with activities or daily living The change from baseline in instantaneous morning diary symptom scores averaged over 7 days prior to the Week 16 Visit of the double-blind treatment phase
SecondaryFacial Pain or Pressure Score (7-day Instantaneous Morning)Baseline, Week 16 of the double-blind treatment phase
Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing. 0: None 1. Mild, symptoms clearly present, but minimal awareness, and easily tolerated 2. Moderate, definite awareness of symptoms that is bothersome but tolerable 3. Severe, symptoms that are hard to tolerate, cause interference with activities or daily living The change from baseline in instantaneous morning diary symptom scores averaged over 7 days prior to the Week 16 Visit of the double-blind treatment phase
SecondaryHyposmia Score (7-day Instantaneous Morning)Baseline, Week 16 of the double-blind treatment phase
Subjects reported nasal symptoms using the electronic diary twice daily immediately before dosing. 0: None 1. Mild, symptoms clearly present, but minimal awareness, and easily tolerated 2. Moderate, definite awareness of symptoms that is bothersome but tolerable 3. Severe, symptoms that are hard to tolerate, cause interference with activities or daily living The change from baseline in instantaneous morning diary symptom scores averaged over 7 days prior to the Week 16 Visit of the double-blind treatment phase
SecondarySinonasal Outcome Test 22 (SNOT-22) Total ScoreBaseline, Week 16 of the double-blind treatment phase, Week 24 of the end of open-label treatment phase
SNOT-22 is a subject-completed questionnaire that consists of 22 questions. The questions on the SNOT-22 efficacy evaluation were used to calculate a total score. 22 questions are divided among 4 subscales: Rhinologic (7 questions), Ear/Facial Symptoms (4 questions), Sleep Function (3 questions), and Psychological Issues (6 questions). Each item was rated on the 5-point scale. The total score can range from 0-110, 0 being the best and 110 being the worst. 0: No problem 1. Very mild problem 2. Mild or slight problem 3. Moderate problem 4. Severe problem 5. Problem as bad as it can be
SecondaryMOS Sleep-R ScoreBaseline, Week 16 of the double-blind treatment phase
The MOS Sleep-R is a brief, self-administered, validated questionnaire designed to measure key aspects of sleep, such as disturbance, adequacy, somnolence, and quantity. The 12-item version with a 4-week recall was used in this study. The score range for the 12-item version is 0 to 100, lower scores indicating better sleep and higher scores indicating worse sleep. The scale yields a Sleep Problem Index and scores on the following 6 subscales: Sleep Disturbance, Snoring, Shortness of Breath or Headache, Sleep Adequacy, Sleep Somnolence, and Sleep Quantity.
SecondaryRhinosinusitis Disability Index (RSDI) Total ScoreBaseline, Week 16 of the double-blind treatment phase
The RSDI is a subject-completed instrument that evaluates the self-perceived impact of disease specific head and neck disorders. The RSDI has 30 items in 3 domains: Physical (11 items), Functional (9 items), and Emotional (10 items). The RSDI scale ranges from 0-120, 0 being better quality of life and less impact of CRS on daily function and 120 being worse quality of life and more impact of CRS on daily function.
SecondarySF-36v2 - Mental ComponentBaseline, Week 16 of the double-blind treatment phase, Week 24 of the end of open-label treatment phase
The SF-36v2 is a multipurpose, scaled, 36-item, subject-completed validated questionnaire that measures 8 domains of health: limitations in physical activities, limitations in social activities, limitations in usual role activities, bodily pain, general mental health, limitations in usual role activities, vitality, and general health. It yields scale scores for each of the 8 health domains, and 2 summary measures of physical and mental health. Each scale range is from 0-100. A lower score means more disability and a higher score means less disability.

Outcomes15

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in 7-day Average Instantaneous Morning Diary Congestion/Obstruction SymptomsBaseline, Week 4 of the double-blind treatment phaseMissing data were imputed using the multiple imputation method in the primary analyses for the co-primary efficacy variables. For other efficacy analyses, missing or invalid values were not imputed.units on a scaleLEAST_SQUARES_MEAN
PRIMARYChange in Total Polyp GradeBaseline, Week 16 of the double-blind treatment phaseunits on a scaleLEAST_SQUARES_MEAN
SECONDARYCongestion/Obstruction Scores (7-day Instantaneous Morning)Baseline, Week 16 of the double-blind treatment phaseunits on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Rhinorrhea Score (7-day Instantaneous Morning)Baseline, Week 16 of the double-blind treatment phaseunits on a scaleLEAST_SQUARES_MEAN
SECONDARYFacial Pain or Pressure Score (7-day Instantaneous Morning)Baseline, Week 16 of the double-blind treatment phaseunits on a scaleLEAST_SQUARES_MEAN
SECONDARYHyposmia Score (7-day Instantaneous Morning)Baseline, Week 16 of the double-blind treatment phaseunits on a scaleLEAST_SQUARES_MEAN
SECONDARYSinonasal Outcome Test 22 (SNOT-22) Total ScoreBaseline, Week 16 of the double-blind treatment phase, Week 24 of the end of open-label treatment phaseNumber of patients analyzed at Week 24 is lower as some patients elected not to participate in the open-label extension phase or withdrew during the open-label extension phase.units on a scaleLEAST_SQUARES_MEAN
SECONDARYMOS Sleep-R ScoreBaseline, Week 16 of the double-blind treatment phaseunits on a scaleLEAST_SQUARES_MEAN
SECONDARYRhinosinusitis Disability Index (RSDI) Total ScoreBaseline, Week 16 of the double-blind treatment phaseunits on a scaleLEAST_SQUARES_MEAN
SECONDARYSF-36v2 - Mental ComponentBaseline, Week 16 of the double-blind treatment phase, Week 24 of the end of open-label treatment phaseNumber of patients analyzed at Week 24 is lower as some patients elected not to participate in the open-label extension phase or withdrew during the open-label extension phase.units on a scaleLEAST_SQUARES_MEAN

Results by group88

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change in 7-day Average Instantaneous Morning Diary Congestion/Obstruction SymptomsPlacebo-0.26Standard Deviation 0.08units on a scale
Change in 7-day Average Instantaneous Morning Diary Congestion/Obstruction SymptomsOPN-375 100 μg BID-0.53Standard Deviation 0.08units on a scale
Change in 7-day Average Instantaneous Morning Diary Congestion/Obstruction SymptomsOPN-375 200 μg BID-0.56Standard Deviation 0.08units on a scale
Change in 7-day Average Instantaneous Morning Diary Congestion/Obstruction SymptomsOPN-375 400 μg BID-0.67Standard Deviation 0.08units on a scale
Change in Total Polyp GradePlacebo-0.57Standard Deviation 0.14units on a scale
Change in Total Polyp GradeOPN-375 100 μg BID-1.04Standard Deviation 0.14units on a scale
Change in Total Polyp GradeOPN-375 200 μg BID-1.14Standard Deviation 0.14units on a scale
Change in Total Polyp GradeOPN-375 400 μg BID-1.14Standard Deviation 0.14units on a scale
Congestion/Obstruction Scores (7-day Instantaneous Morning)Placebo-0.53Standard Deviation 0.11units on a scale
Congestion/Obstruction Scores (7-day Instantaneous Morning)OPN-375 100 μg Twice Daily-0.93Standard Deviation 0.10units on a scale

Participant flow24

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Double-Blind Treatment Phase (Wks 1-16)STARTEDPlacebo82
Double-Blind Treatment Phase (Wks 1-16)STARTED100 μg OPN-37581
Double-Blind Treatment Phase (Wks 1-16)STARTED200 μg OPN-37580
Double-Blind Treatment Phase (Wks 1-16)STARTED400 μg EDS-FLU80
Double-Blind Treatment Phase (Wks 1-16)COMPLETEDPlacebo70
Double-Blind Treatment Phase (Wks 1-16)COMPLETED100 μg OPN-37575
Double-Blind Treatment Phase (Wks 1-16)COMPLETED200 μg OPN-37571
Double-Blind Treatment Phase (Wks 1-16)COMPLETED400 μg EDS-FLU76
Double-Blind Treatment Phase (Wks 1-16)NOT COMPLETEDPlacebo12
Double-Blind Treatment Phase (Wks 1-16)NOT COMPLETED100 μg OPN-3756

Adverse events135

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherEar PainEar and labyrinth disordersPlacebo (Double-Blind Phase)182
otherEar PainEar and labyrinth disordersOPN-375 100 μg BID (Double-Blind Phase)281
otherEar PainEar and labyrinth disordersOPN-375 200 μg BID (Double-Blind Phase)080
otherEar PainEar and labyrinth disordersOPN-375 400 μg BID (Double-Blind Phase)079
otherEar PainEar and labyrinth disordersOPN-375 400 μg (Open-Label Phase)1282
otherCataract NuclearEye disordersPlacebo (Double-Blind Phase)282
otherCataract NuclearEye disordersOPN-375 100 μg BID (Double-Blind Phase)181
otherCataract NuclearEye disordersOPN-375 200 μg BID (Double-Blind Phase)080
otherCataract NuclearEye disordersOPN-375 400 μg BID (Double-Blind Phase)079
otherCataract NuclearEye disordersOPN-375 400 μg (Open-Label Phase)0282

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo (Double-Blind Phase)082
Total, all-cause mortalityOPN-375 100 μg BID (Double-Blind Phase)081
Total, all-cause mortalityOPN-375 200 μg BID (Double-Blind Phase)080
Total, all-cause mortalityOPN-375 400 μg BID (Double-Blind Phase)079
Total, all-cause mortalityOPN-375 400 μg (Open-Label Phase)0282
Total, other adverse eventsPlacebo (Double-Blind Phase)4282
Total, other adverse eventsOPN-375 100 μg BID (Double-Blind Phase)4081
Total, other adverse eventsOPN-375 200 μg BID (Double-Blind Phase)4580
Total, other adverse eventsOPN-375 400 μg BID (Double-Blind Phase)5079
Total, other adverse eventsOPN-375 400 μg (Open-Label Phase)38282

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
34753535DERIVEDPubMed
35437059DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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