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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04041609
Registration number
NCT04041609
Ethics application status
Date submitted
12/07/2019
Date registered
1/08/2019
Titles & IDs
Public title
LYR-210 Depot (LYR-210) for Adult Subjects With Chronic Sinusitis (LANTERN Study)
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Scientific title
A Phase II, Randomized, Blinded, Sham Procedure-Controlled, Parallel-Group Trial to Evaluate the Efficacy, Safety and Tolerability of LYR-210 in Adult Subjects With Chronic Sinusitis (LANTERN Study)
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Secondary ID [1]
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2018-004621-89
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Secondary ID [2]
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LYR-210-2018-002
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Sinusitis
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Chronic Rhinosinusitis (Diagnosis)
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Condition category
Condition code
Infection
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Other infectious diseases
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Respiratory
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - LYR-210
Other interventions - Sham comparator
Experimental: LYR-210 (Low Dose) - In-office bilateral placement of the LYR-210 drug depot (mometasone furoate low dose) in the middle meatus
Experimental: LYR-210 (High Dose) - In-office bilateral placement of the LYR-210 drug depot (mometasone furoate high dose) in the middle meatus
Sham comparator: Sham Procedure - In-office bilateral sham procedure
Treatment: Drugs: LYR-210
A single administration of LYR-210 depot
Other interventions: Sham comparator
Sham comparator
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline (CFBL) in Chronic Sinusitis Symptom Scores at Week 4
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Assessment method [1]
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Participants score their CS symptoms on a 4-point scale as follows: 0 = absent symptoms (no sign/symptom evident), 1 = mild symptoms (sign/symptom present but minimal awareness; easily tolerated), 2 = moderate symptoms (definite awareness of sign/symptom that is bothersome but tolerable), 3 = severe symptoms (sign/symptom that is hard to tolerate; causes interference with activities of daily living and/or sleeping). The scores are summed and averaged over the proceeding 7 days; higher scores indicate higher severity of symptoms of CS.
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Timepoint [1]
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Week 4
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Secondary outcome [1]
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Change From Baseline in the 22-item Sino-nasal Outcome Test (SNOT-22) Total Score at Week 24
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Assessment method [1]
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Participants score the severity of their symptoms and social/emotional consequences of CS on a 6-point scale: 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. The scores are summed in the range of 0-110; higher scores indicate higher severity of symptoms or social/emotional consequences of CS.
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Timepoint [1]
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24 weeks
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Secondary outcome [2]
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CFBL in Chronic Sinusitis Symptom Scores at Week 24
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Assessment method [2]
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Participants score their CS symptoms on a 4-point scale as follows: 0 = absent symptoms (no sign/symptom evident), 1 = mild symptoms (sign/symptom present but minimal awareness; easily tolerated), 2 = moderate symptoms (definite awareness of sign/symptom that is bothersome but tolerable), 3 = severe symptoms (sign/symptom that is hard to tolerate; causes interference with activities of daily living and/or sleeping). The scores are summed and averaged over the proceeding 7 days; higher scores indicate higher severity of symptoms of CS.
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Timepoint [2]
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Week 24
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Secondary outcome [3]
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Participants With Improved Bilateral Zinreich Score at Week 24
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Assessment method [3]
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Each sinus is assigned a score based on the percentage of opacification as follows: 0 = 0%, 1 = 1% to 25%, 2 = 26% to 50%, 3 = 51% to 75%, 4 = 76 % to 99%, 5 = 100% or completely occluded. Each sinus pair has a bilateral score in the range of 0 to 10. Higher scores indicate higher severity of sinus opacification. Responder is defined as a participant with at least a 1-point decrease in the imaging score at Week 24 compared with baseline.
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Timepoint [3]
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Week 24
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Secondary outcome [4]
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The Number of Participants With Treatment-related Adverse Events for up to 24 Weeks
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Assessment method [4]
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To evaluate the safety and tolerability of LYR-210
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Timepoint [4]
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24 weeks
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Secondary outcome [5]
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Plasma Drug Concentrations of MF at Week 4
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Assessment method [5]
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To evaluate the pharmacokinetics of LYR-210
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Timepoint [5]
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4 Weeks
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Secondary outcome [6]
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Plasma Drug Concentrations of MF at Week 12
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Assessment method [6]
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To evaluate the pharmacokinetics of LYR-210
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Timepoint [6]
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12 weeks
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Eligibility
Key inclusion criteria
* Diagnosis of CS.
* Two trials of medical treatments for CS in the past.
* Minimum CS symptom score.
* Ability to tolerate topical anesthesia.
* Has been informed of the nature of the study and has provided written informed consent as approved by the Institutional Review Board (IRB)/Ethics Committee (EC) of the respective clinical site.
* Agrees to comply with all study requirements.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Have undergone previous sinus surgery.
* Pregnant or breast feeding.
* Known history of hypersensitivity or intolerance to corticosteroids.
* History or clinical evidence or suspicion of invasive fungal sinusitis, allergic fungal rhinosinusitis, or atrophic rhinitis.
* Known history of hypothalamic pituitary adrenal axial dysfunction or having a morning serum cortisol level at screening outside of the normal range.
* Had dental procedure/implant on maxillary dentition within 4 weeks of the Screening visit.
* Past or present functional vision in only one eye.
* Has cataracts
* Past, present, or planned organ transplant or chemotherapy with immunosuppression.
* Currently participating in an investigational drug or device study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
9/05/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
4/02/2021
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Sample size
Target
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Accrual to date
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Final
71
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Brisbane and Woman's Hospital - Brisbane
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Recruitment hospital [2]
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Monash Health - Clayton
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Recruitment hospital [3]
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The ENT Centre - Hornsby
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Recruitment hospital [4]
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
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- Brisbane
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Recruitment postcode(s) [2]
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3168 - Clayton
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Recruitment postcode(s) [3]
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2077 - Hornsby
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Recruitment postcode(s) [4]
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2145 - Westmead
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
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Wien
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Czechia
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State/province [2]
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Czech Republic
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Czechia
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State/province [3]
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Prague
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Country [4]
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Czechia
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State/province [4]
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Brno
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Country [5]
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New Zealand
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State/province [5]
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Auckland
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Country [6]
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New Zealand
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State/province [6]
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Christchurch
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Country [7]
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New Zealand
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State/province [7]
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Hamilton
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Country [8]
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New Zealand
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State/province [8]
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Papatoetoe
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Country [9]
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New Zealand
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State/province [9]
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Tauranga
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Country [10]
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New Zealand
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State/province [10]
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Wellington
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Country [11]
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Poland
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State/province [11]
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Katowice
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Country [12]
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Poland
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State/province [12]
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Kraków
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Country [13]
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Poland
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State/province [13]
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Warszawa
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Country [14]
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Poland
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State/province [14]
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Wroclaw
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Lyra Therapeutics
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase II, Randomized, Blinded, Sham Procedure-Controlled, Parallel-Group Trial to Evaluate the Efficacy, Safety and Tolerability of LYR-210 in Adult Subjects with Chronic Sinusitis.
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Trial website
https://clinicaltrials.gov/study/NCT04041609
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Trial related presentations / publications
Cervin A, Rimmer J, Wrobel A, Abelak Y, Brayton L, Kuang Y. Long-acting implantable corticosteroid matrix for chronic rhinosinusitis: Results of LANTERN Phase 2 randomized controlled study. Int Forum Allergy Rhinol. 2022 Feb;12(2):147-159. doi: 10.1002/alr.22883. Epub 2021 Sep 17.
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Public notes
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Contacts
Principal investigator
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Address
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
All Individual Participant Data (IPD) that underlie results in a publication may be available to other researchers.
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What supporting documents are/will be available?
No Supporting Document Provided
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Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/09/NCT04041609/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/09/NCT04041609/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT04041609