Title

LYR-210 Depot (LYR-210) for Adult Subjects With Chronic Sinusitis (LANTERN Study)
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)
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    LYR-210 ...
  • Study Participants

    71
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.
LYR-210 is a drug depot, which contains the anti-inflammatory medication mometasone furoate (MF) pre-loaded in a single use applicator. LYR-210 is intended to be placed bilaterally into the sino-nasal passages by an otolaryngologist. Once in place, each LYR-210 drug depot is designed to gradually deliver sustained topical doses of MF to the inflamed mucosal sinus tissue over 24 weeks.
Study Started
May 09
2019
Primary Completion
Mar 25
2020
Study Completion
Feb 04
2021
Results Posted
Jun 06
2023
Last Update
Jul 25
2023

Drug LYR-210

A single administration of LYR-210 depot

Other Sham comparator

Sham comparator

LYR-210 (Low Dose) Experimental

In-office bilateral placement of the LYR-210 drug depot (mometasone furoate low dose) in the middle meatus

LYR-210 (High Dose) Experimental

In-office bilateral placement of the LYR-210 drug depot (mometasone furoate high dose) in the middle meatus

Sham Procedure Sham Comparator

In-office bilateral sham procedure

Criteria

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.

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

Summary

LYR-210 (Low Dose)

LYR-210 (High Dose)

Sham Procedure

All Events

Event Type Organ System Event Term LYR-210 (Low Dose) LYR-210 (High Dose) Sham Procedure

Change From Baseline (CFBL) in Chronic Sinusitis Symptom Scores at Week 4

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.

LYR-210 (Low Dose)

-2.24
score on a scale (Least Squares Mean)
Standard Error: 0.637

LYR-210 (High Dose)

-2.65
score on a scale (Least Squares Mean)
Standard Error: 0.651

Sham Procedure

-2.28
score on a scale (Least Squares Mean)
Standard Error: 0.611

Change From Baseline in the 22-item Sino-nasal Outcome Test (SNOT-22) Total Score at Week 24

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.

LYR-210 (Low Dose)

-30.0
score on a scale (Least Squares Mean)
Standard Error: 5.32

LYR-210 (High Dose)

-40.7
score on a scale (Least Squares Mean)
Standard Error: 5.76

Sham Procedure

-21.7
score on a scale (Least Squares Mean)
Standard Error: 5.10

CFBL in Chronic Sinusitis Symptom Scores at Week 24

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.

LYR-210 (Low Dose)

-3.36
score on a scale (Least Squares Mean)
Standard Error: 0.668

LYR-210 (High Dose)

-4.32
score on a scale (Least Squares Mean)
Standard Error: 0.682

Sham Procedure

-2.68
score on a scale (Least Squares Mean)
Standard Error: 0.640

Participants With Improved Bilateral Zinreich Score at Week 24

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.

LYR-210 (Low Dose)

LYR-210 (High Dose)

Sham Procedure

The Number of Participants With Treatment-related Adverse Events for up to 24 Weeks

To evaluate the safety and tolerability of LYR-210

LYR-210 (Low Dose)

LYR-210 (High Dose)

Sham Procedure

Plasma Drug Concentrations of MF at Week 4

To evaluate the pharmacokinetics of LYR-210

LYR-210 (Low Dose)

13.611
pg/mL (Mean)
Standard Deviation: 5.21710

LYR-210 (High Dose)

45.35
pg/mL (Mean)
Standard Deviation: 11.40783

Sham Procedure

Plasma Drug Concentrations of MF at Week 12

To evaluate the pharmacokinetics of LYR-210

LYR-210 (Low Dose)

21.65
pg/mL (Mean)
Standard Deviation: 7.77869

LYR-210 (High Dose)

30.9143
pg/mL (Mean)
Standard Deviation: 12.04657

Sham Procedure

Total

67
Participants

Age, Continuous

43.4
Years (Mean)
Standard Deviation: 13.44

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

LYR-210 (Low Dose)

LYR-210 (High Dose)

Sham Procedure