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Trial · NCT03781804

Study Evaluating the Efficacy and Safety of Intranasal Administration of OPN-375 in Subjects With Chronic Rhinosinusitis With or Without the Presence of Nasal Polyps

NCT03781804, Phase 3, Completed, Optinose US Inc.; results first posted 2023-09-18

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ConductScience Library. Study Evaluating the Efficacy and Safety of Intranasal Administration of OPN-375 in Subjects With Chronic Rhinosinusitis With or Without the Presence of Nasal Polyps. Trials, record NCT03781804. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03781804

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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 OPN-375 in Subjects With Chronic Rhinosinusitis With or Without the Presence of Nasal Polyps
NCT number
NCT03781804
Status
Completed
Phases
Phase 3
Enrollment
332 participants, actual
Lead sponsor
Optinose US Inc.
Conditions
Chronic Rhinosinusitis
Interventions
OPN-375
First posted
2018-12-20
Last updated
2024-05-29
Results first posted
2023-09-18

Source ClinicalTrials.gov

Registered outcomes41

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

ListOutcomeTime frameDescription
Primary
Change From Baseline in Symptoms as Measured by a Composite Score for Each Symptom of Nasal Congestion, Facial Pain or Pressure Sensation, and Nasal Discharge (Anterior and/or Posterior) at the End of Week 4
4 Weeks
Change from baseline to the end of Week 4 in average total instantaneous AM scores (evaluation of symptom severity immediately preceding the time of scoring) for each symptom: nasal congestion, nasal discharge (anterior and/or posterior), facial pain/pressure sensation. Baseline scores are the averaged total instantaneous AM scores over the last 7 days of the single blind run in period, and the end of Week 4, scores are averaged over the 7 days from the subject diary. Range of scores for each nasal symptom is 0= none, 1 = mild, 2 = moderate, 3 = severe. Composite score is a sum of the 3 symptom scores and will range from 0 to 9.
PrimaryChange From Baseline to Week 24/Early Termination (ET) in the Average Percent of the Volume Opacified in the Ethmoid and Maxillary SinusesBaseline, Week 24
Change from baseline to Week 24/ET in the average percent of ethmoid and maxillary sinus volume opacified as measured by CT. Percent volume opacified can range from 0% to 100%. Outcome measure is the percentage change from percent opacification at baseline to percent opacification at Week 24; therefore, change in opacification volume can range from -100% to 100%. For example, if Baseline opacification was 68.22% and Week 24 opacification was 66.11%, then the change would be reported as -2.11%.
SecondaryChange From Baseline to Defined Timepoint - Subject Symptoms and Functioning as Measured by the Sinonasal Outcome Test - 22-item (SNOT-22) Total Score and Sub DomainsWeek 24
The SNOT-22 is a subject-completed questionnaire that consists of 22 symptoms and social/emotional consequences of their nasal disorder across several domains including: rhinologic, ear/facial pain, psychological dysfunction, and sleep dysfunction. Total scores range from 0-110. Each item is rated as follows: 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.
SecondaryChange From Baseline in Symptoms as Measured by a Composite Score for Each Symptom of Nasal Congestion, Facial Pain or Pressure Sensation, and Nasal Discharge (Anterior and/or Posterior)Week 12
Change from baseline in average total instantaneous AM scores (evaluation of symptom severity immediately preceding the time of scoring) for each symptom: nasal congestion, nasal discharge (anterior and/or posterior), facial pain/pressure sensation. Baseline scores are the averaged total instantaneous AM scores over the last 7 days of the single blind run in period, and the end of Week 4, scores are averaged over the 7 days from the subject diary. Range of scores for each nasal symptom is 0= none, 1 = mild, 2 = moderate, 3 = severe. Composite score is a sum of the 3 symptom scores and will range from 0 to 9.
SecondaryChange From Baseline in Nasal Congestion Measured by AM and PM Diary Symptom Scores12 Weeks
Subjects will report both instantaneous (evaluation of symptom severity immediately preceding the time of scoring) and reflective (evaluation of symptom severity over the past 12 hours), The Nasal Symptom Scale scores as 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.
SecondaryChange in Sense of Smell Scores Measured by AM and PM Diary Symptom Scores12 Weeks
Subjects will report both instantaneous (evaluation of symptom severity immediately preceding the time of scoring) and reflective (evaluation of symptom severity over the past 12 hours) The sense of smell scored as 0= normal, 1=slightly impaired, 2=moderately impaired, 3=absent. The change reported in the results is calculated by subtracting the score reported at Baseline from the score reported at Visit 4 (Week 12).
SecondaryChange From Baseline in Nasal Discharge (Anterior and/or Posterior) Measured by AM and PM Diary Symptom Scores12 Weeks
Subjects will report both instantaneous (evaluation of symptom severity immediately preceding the time of scoring) and reflective (evaluation of symptom severity over the past 12 hours). The Nasal Symptom Scale scores as 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.
SecondaryChange in Facial Pain or Pressure Sensation Measured by AM and PM Diary Symptom Scores12 Weeks
Subjects will report both instantaneous (evaluation of symptom severity immediately preceding the time of scoring) and reflective (evaluation of symptom severity over the past 12 hours). The Nasal Symptom Scale scores as 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 value reported in the results is calculated by subtracting the score reported by the patient at Baseline from the score reported by the patient at Visit 4 (Week 12).
SecondaryChange From Baseline to Week 24/Early Termination (ET) in the Average Percent of the Volume Opacified in the Ethmoid and Maxillary Sinuses Among Patient Populations24 Weeks
Change from baseline to Week 24/ET in the average percent of ethmoid and maxillary sinus volume opacified as measured by CT for CRS with Nasal Polyps (NP) and without NP sub-groups and in patients with and without previous sinus surgery. Percent volume opacified can range from 0% to 100%. Outcome measure is percentage change from percent opacification at baseline to percent opacification at Week 24; therefor, change in opacification volume can range from -100% to 100%. For example, if Baseline opacification was 68.22% and Week 24 opacification was 66.11%, then the change would be reported as -2.11%.
SecondaryChange From Baseline to Week 24/ET in the Lund-Mackay Staging System Total ScoreBaseline, Week 24
Lund-Mackay Staging System: Lund-Mackay (LM) system (Lund and Mackay, 1993) assigns to each of 10 sinus cavities (left and right maxillary, anterior ethmoid, posterior ethmoid, sphenoid, and frontal) a score of 0 (no opacification), 1 (partial opacification), or 2 (total opacification), plus a 0-2 score for each of the left and right ostiomeatal complex (OMC). The total LM score for a CT scan ranges from 0-24.

Outcomes41

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Change From Baseline in Symptoms as Measured by a Composite Score for Each Symptom of Nasal Congestion, Facial Pain or Pressure Sensation, and Nasal Discharge (Anterior and/or Posterior) at the End of Week 4
4 WeeksFull analysis setscore on a scaleLEAST_SQUARES_MEAN
PRIMARYChange From Baseline to Week 24/Early Termination (ET) in the Average Percent of the Volume Opacified in the Ethmoid and Maxillary SinusesBaseline, Week 24Full analysis setPercentage of volume opacifiedLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Defined Timepoint - Subject Symptoms and Functioning as Measured by the Sinonasal Outcome Test - 22-item (SNOT-22) Total Score and Sub DomainsWeek 24Full analysis setscore on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Symptoms as Measured by a Composite Score for Each Symptom of Nasal Congestion, Facial Pain or Pressure Sensation, and Nasal Discharge (Anterior and/or Posterior)Week 12Full analysis setscore on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Nasal Congestion Measured by AM and PM Diary Symptom Scores12 WeeksFull analysis setscore on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Sense of Smell Scores Measured by AM and PM Diary Symptom Scores12 WeeksFull analysis setscore on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Nasal Discharge (Anterior and/or Posterior) Measured by AM and PM Diary Symptom Scores12 WeeksFull analysis setscore on a scaleLEAST_SQUARES_MEAN
SECONDARYChange in Facial Pain or Pressure Sensation Measured by AM and PM Diary Symptom Scores12 WeeksFull analysis setscore on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 24/Early Termination (ET) in the Average Percent of the Volume Opacified in the Ethmoid and Maxillary Sinuses Among Patient Populations24 WeeksFull analysis setpercentage of volume opacifiedLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 24/ET in the Lund-Mackay Staging System Total ScoreBaseline, Week 24Full analysis setscore on a scaleLEAST_SQUARES_MEAN

Results by group267

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

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in Symptoms as Measured by a Composite Score for Each Symptom of Nasal Congestion, Facial Pain or Pressure Sensation, and Nasal Discharge (Anterior and/or Posterior) at the End of Week 4
OPN-375 186 μg BID-1.58Standard Error 0.161score on a scale
Change From Baseline in Symptoms as Measured by a Composite Score for Each Symptom of Nasal Congestion, Facial Pain or Pressure Sensation, and Nasal Discharge (Anterior and/or Posterior) at the End of Week 4
OPN-375 372 μg BID-1.60Standard Error 0.163score on a scale
Change From Baseline in Symptoms as Measured by a Composite Score for Each Symptom of Nasal Congestion, Facial Pain or Pressure Sensation, and Nasal Discharge (Anterior and/or Posterior) at the End of Week 4
Placebo-0.62Standard Error 0.161score on a scale
Change From Baseline to Week 24/Early Termination (ET) in the Average Percent of the Volume Opacified in the Ethmoid and Maxillary SinusesOPN-375 186 μg BID-5.58Standard Error 1.436Percentage of volume opacified
Change From Baseline to Week 24/Early Termination (ET) in the Average Percent of the Volume Opacified in the Ethmoid and Maxillary SinusesOPN-375 372 μg BID-6.20Standard Error 1.412Percentage of volume opacified
Change From Baseline to Week 24/Early Termination (ET) in the Average Percent of the Volume Opacified in the Ethmoid and Maxillary SinusesPlacebo-1.60Standard Error 1.421Percentage of volume opacified
Change From Baseline to Defined Timepoint - Subject Symptoms and Functioning as Measured by the Sinonasal Outcome Test - 22-item (SNOT-22) Total Score and Sub DomainsOPN-375 186 μg BID-18.05Standard Error 1.687score on a scale
Change From Baseline to Defined Timepoint - Subject Symptoms and Functioning as Measured by the Sinonasal Outcome Test - 22-item (SNOT-22) Total Score and Sub DomainsOPN-375 372 μg BID-22.77Standard Error 1.709score on a scale
Change From Baseline to Defined Timepoint - Subject Symptoms and Functioning as Measured by the Sinonasal Outcome Test - 22-item (SNOT-22) Total Score and Sub DomainsPlacebo-10.16Standard Error 1.723score on a scale
Change From Baseline in Symptoms as Measured by a Composite Score for Each Symptom of Nasal Congestion, Facial Pain or Pressure Sensation, and Nasal Discharge (Anterior and/or Posterior)OPN-375 186 μg BID-1.89Standard Error 0.204score on a scale

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDOPN-375 186 μg BID111
Overall StudySTARTEDOPN-375 372 μg BID109
Overall StudySTARTEDPlacebo112
Overall StudyCOMPLETEDOPN-375 186 μg BID102
Overall StudyCOMPLETEDOPN-375 372 μg BID101
Overall StudyCOMPLETEDPlacebo96
Overall StudyNOT COMPLETEDOPN-375 186 μg BID9
Overall StudyNOT COMPLETEDOPN-375 372 μg BID8
Overall StudyNOT COMPLETEDPlacebo16

Adverse events54

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherEpistaxisRespiratory, thoracic and mediastinal disordersOPN-375 186 μg BID5111
otherEpistaxisRespiratory, thoracic and mediastinal disordersOPN-375 372 μg BID13109
otherEpistaxisRespiratory, thoracic and mediastinal disordersPlacebo1112
otherAsthmaRespiratory, thoracic and mediastinal disordersOPN-375 186 μg BID5111
otherAsthmaRespiratory, thoracic and mediastinal disordersOPN-375 372 μg BID4109
otherAsthmaRespiratory, thoracic and mediastinal disordersPlacebo1112
otherHeadacheNervous system disordersOPN-375 186 μg BID2111
otherHeadacheNervous system disordersOPN-375 372 μg BID3109
otherHeadacheNervous system disordersPlacebo1112
otherDizzinessNervous system disordersOPN-375 186 μg BID0111

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityOPN-375 186 μg BID0111
Total, all-cause mortalityOPN-375 372 μg BID0109
Total, all-cause mortalityPlacebo0112
Total, other adverse eventsOPN-375 186 μg BID37111
Total, other adverse eventsOPN-375 372 μg BID37109
Total, other adverse eventsPlacebo14112
Total, serious adverse eventsOPN-375 186 μg BID1111
Total, serious adverse eventsOPN-375 372 μg BID2109
Total, serious adverse eventsPlacebo3112

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
42647052DERIVEDPubMed
42692406DERIVEDPubMed

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.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03781804

GET https://conductscience.org/api/trials/v1/NCT03781804/registered?page=2