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Sinus Endoscopic SurgeryGaiaNCT07027267

Safety and Effectiveness of TurbAlign™ for Middle Turbinate Medialization After Functional Endoscopic Sinus Surgery

A study testing Implantation of Spirair device into the middle turbinates and TurbAlign in people with Sinus Endoscopic Surgery and Turbinate, run by Spirair, Inc at 5 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

A study of a bioabsorbable implant to separate the middle turbinate from the lateral nasal wall associated with nasal/sinus surgery Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Sinus Endoscopic Surgery, Turbinate
What is being tested?
Implantation of Spirair device into the middle turbinates and TurbAlign
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
5 sitesUnited States
Study dates
4 Aug 2025to 31 Jul 2026
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • ≥18 to ≤ 75 years of age at time of consent
  • Subject scheduled to undergo bilateral endoscopic sinus surgery
  • Willing and able to provide informed consent and comply with the study protocol

Who cannot join

  • History of removal of one or both middle turbinates
  • Presence of significant concha bullosa, which requires surgical excision
  • Presence of non-viable tissue at the implantation site
  • Active infection at the implantation site
  • Chronic nasal decongestant use (i.e. Afrin, etc)
  • Recreational intra-nasal drug use within 12 months of enrollment
  • Documented evidence of a history (e.g., liver testing) of drug/alcohol abuse within 12 months of enrollment
  • Hypersensitivity to any investigational device materials including known or suspected allergy to poly(dioxanone) (PDO) or other bioabsorbable materials

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Northwest Community Hospital

    Arlington Heights, Illinois, 60005

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • Houston Methodist ENT Specialists

    Houston, Texas, 77030

  • Tandem Clinical Research

    Marrero, Louisiana, 70072

  • LSU Health Science Center

    Shreveport, Louisiana, 71130

Other trials in United States

About this study

Official title: A Prospective, Multi-Center, Open-Label Study to Evaluate the Safety and Effectiveness of TurbAlign™ to Achieve Middle Turbinate Medialization After Functional Endoscopic Sinus Surgery (FESS) (GAIA)

A study of a bioabsorbable implant to separate the middle turbinate from the lateral nasal wall associated with nasal/sinus surgery

Read the detailed description

To evaluate the safety and effectiveness of the Spirair implant as a primary treatment to achieve medialization of the middle turbinate after functional endoscopic sinus surgery.

Being tested
Implantation of Spirair device into the middle turbinates, TurbAlign
Keywords
Sinus surgery, FESS, middle turbinate, TurbAlign

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Implantation of Spirair device into the middle turbinatesDevice

    Also called TurbAlign

    The Spirair implant is designed to separate the middle turbinate from the lateral nasal wall during the healing phase associated with nasal/sinus surgery.

  • TurbAlignDevice

    The Spirair implant is designed to separate the middle turbinate from the lateral nasal wall during the healing phase associated with nasal/sinus surgery

Study groups in NCT07027267
Study groupRoleWhat they receive
Open-labelExperimentalTreatment with the Spirair device as a treatment for medialization of the middle turbinates
Receives: Device: Implantation of Spirair device into the middle turbinates; Device: TurbAlign

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Miller Synechia Score

    Rate of lateral synechia formation resulting in occlusion of the middle meatus at each turbinate (Miller Synechia Score of 2 or 3) observed at 8 weeks.

    Measured: 8 Weeks

Secondary outcomes (3)
  1. Middle Turbinate Position Grade

    Rate of avoidance of the middle turbinate lateralization at 4 and 8 weeks using Middle Turbinate Position Grade

    Measured: 4 and 8 weeks

  2. Miller Synechia Score

    Rate of lateral synechia formation resulting gin occlusion of the middle meatus at each turbinate (Miller Synechia Score of 2 or 3) observed at 4 weeks

    Measured: 4 weeks

  3. Inflammation assessment

    Inflammation assessment of the gross tissue appearance at implantation site is assessed via live endoscopic video and graded I: None, II: Mild, III: Moderate, IV: Severe by investigator at 8 weeks

    Measured: 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jun 2025
  2. Study start4 Aug 2025
  3. Primary completion5 May 2026 (estimated)
  4. Study completion31 Jul 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07027267
Sponsor's protocol ID
CT-004
Acronym
Gaia
Status last verified
Apr 2026
First submitted
3 Jun 2025
Last updated
27 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

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