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Nasal ObstructionNCT07323888

Traditional vs. Posterior Nasal Radiofrequency Ablation for Chronic Rhinitis

A study testing Traditional Radiofrequency Ablation of Inferior Turbinates With Posterior Nasal Radiofrequency Ablation and Traditional Radiofrequency Ablation of Inferior Turbinates in people with Nasal Obstruction and Chronic Rhinitis, run by Chien Yu Huang at 1 site in Taiwan.

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

This study is a prospective, single-center, single-blinded randomized controlled trial designed to compare the clinical effectiveness of traditional radiofrequency ablation of the anterior inferior turbinate alone versus expanded radiofrequency ablation including the middle and posterior portions of the inferior… Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Traditional Radiofrequency Ablation of Inferior Turbinates With Posterior Nasal Radiofrequency Ablation and Traditional Radiofrequency Ablation of Inferior Turbinates
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteTaiwan
Study dates
1 Mar 2026to 1 May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age between 18 and 65 years old
  • Chronic rhinitis symptoms for at least 6 months that have not responded effectively to medication (should include at least Intranasal corticosteroid (ICS) combined with intermittent use of oral antihistamine and, as needed, combination nasal spray) or where medication has not provided sustained improvement
  • Total rTNSS ≥ 4 with Moderate to severe rhinorrhea symptoms (24-hour reflective Total Nasal Symptom Score [rTNSS] rhinorrhea score of 1-3) and mild to severe nasal congestion symptoms (rTNSS nasal congestion score of 1-3)
  • All enrolled patients routinely undergo endonasal endoscopic examination, or have had a sinus CT within the past month confirming no significant rhinosinusitis."

Who cannot join

  • Obstructive anatomical abnormalities limiting access to posterior nasal passages
  • Nasal anatomical changes due to previous sinus or nasal surgery or injury
  • Ongoing nasal or sinus infection
  • History of severe dry eye, chronic epistaxis, rhinitis medicamentosa, or head and neck radiotherapy
  • Self-reported history of bleeding tendency
  • Current use of anticoagulants with inability to discontinue
Show all 10Show fewer
  • Previous chronic rhinitis surgery
  • History of poor wound healing after head, neck, or throat surgery
  • Pregnancy/lactation
  • Neuromuscular disease preventing supine positioning

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • Chiayi Hospital, Ministry of Health and Welfare (MOHW)

    Chiayi City, Taiwan, 600

Other trials in Taiwan

About this study

Official title: Comparison of Traditional Radiofrequency Ablation of Inferior Turbinates With or Without Posterior Nasal Radiofrequency Ablation: A Randomized Controlled Trial

This study is a prospective, single-center, single-blinded randomized controlled trial designed to compare the clinical effectiveness of traditional radiofrequency ablation of the anterior inferior turbinate alone versus expanded radiofrequency ablation including the middle and posterior portions of the inferior turbinate (posterior nasal region). Patients with chronic rhinitis who remain symptomatic despite at least six months of medical therapy will be randomized in a 2:1 ratio to undergo extended posterior nasal ablation versus traditional anterior treatment. Symptom improvement will be evaluated using rTNSS and other validated questionnaires.

Read the detailed description

Chronic rhinitis is a common condition characterized by persistent nasal obstruction and rhinorrhea, leading to significant impairment in quality of life. Radiofrequency ablation of the inferior turbinate is an established minimally invasive treatment for patients with symptoms refractory to medical therapy. However, symptom control may be suboptimal in some patients, particularly when posterior nasal neural components contribute to disease persistence.

Posterior nasal radiofrequency ablation, which extends treatment to the middle and posterior portions of the inferior turbinate, has been proposed as an adjunctive technique to enhance symptom relief by targeting posterior nasal regions. Evidence comparing traditional anterior inferior turbinate radiofrequency ablation with expanded posterior nasal radiofrequency ablation remains limited.

In this prospective, single-center, randomized controlled trial, eligible patients with chronic rhinitis refractory to at least six months of medical therapy will be randomized in a 2:1 ratio to receive either expanded radiofrequency ablation including the middle and posterior portions of the inferior turbinate or traditional anterior inferior turbinate radiofrequency ablation alone. The primary outcome is the response rate based on improvement in reflective Total Nasal Symptom Score (rTNSS), defined as a ≥30% reduction from baseline at 3 months after the procedure. Secondary outcomes include changes in validated symptom and quality-of-life questionnaires and the incidence of procedure-related complications.

Being tested
Traditional Radiofrequency Ablation of Inferior Turbinates With Posterior Nasal Radiofrequency Ablation, Traditional Radiofrequency Ablation of Inferior Turbinates
Keywords
Radiofrequency Ablation, Inferior Turbinate Hypertrophy, Chronic Rhinitis, Nasal Obstruction, Rhinorrhea, Posterior Nasal Nerve, Randomized Controlled Trial, Single-Center Study
Medical subject headings
Nasal Obstruction, Rhinorrhea

What participants receive

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

  • Traditional Radiofrequency Ablation of Inferior Turbinates With Posterior Nasal Radiofrequency AblationProcedure or surgery

    Intervention:

    Radiofrequency Ablation (Olympus Celon Elite ESG-400)

    • Local anesthesia with 2% lidocaine
    • RF ablation at 15W
    • Multiple punctures along anterior, middle, and posterior inferior turbinate (15-20 per side)
    • Includes posterior nasal region (superior, medial, inferior aspects)
    • No nasal packing required

    Post-operative care (3 days):

    1. Tranexamic acid 250mg 1cap BID x3 days
    2. Amoxicillin 500mg 1 cap BID x3 days
    3. Acetaminophen 500mg 1tab BID x3 days
    4. Levocetirizine 5mg 1tab QD x3 days + PRN x4 days
  • Traditional Radiofrequency Ablation of Inferior TurbinatesProcedure or surgery

    Intervention:

    Radiofrequency Ablation (anterior inferior turbinate only)

    • Same anesthesia and device
    • RF applied only to anterior inferior turbinate (≈2 punctures per side)
    • No treatment to middle/posterior inferior turbinate Post-operative care: Same as experimental arm
Study groups in NCT07323888
Study groupRoleWhat they receive
Inferior Turbinate RF with Posterior Nasal RF AblationExperimentalTraditional Radiofrequency Ablation of Inferior Turbinates With Posterior Nasal Radiofrequency Ablation
Receives: Procedure: Traditional Radiofrequency Ablation of Inferior Turbinates With Posterior Nasal Radiofrequency Ablation
Inferior Turbinate RF AblationActive comparatorTraditional Radiofrequency Ablation of Inferior Turbinates
Receives: Procedure: Traditional Radiofrequency Ablation of Inferior Turbinates

What is being measured

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

  1. Response rate based on improvement in reflective Total Nasal Symptom Score (rTNSS)

    Response is defined as a ≥30% reduction from baseline in the reflective Total Nasal Symptom Score (rTNSS; range 0-12, higher scores indicate worse symptoms).

    Measured: 3 months after the procedure

Secondary outcomes (8)
  1. Change in reflective Total Nasal Symptom Score (rTNSS)

    Change in reflective Total Nasal Symptom Score (rTNSS; range 0-12, higher scores indicate worse symptoms) from baseline.

    Measured: Baseline, 1 week, 1 month, 3 months, 6 months, 9 months, and 12 months after the procedure

  2. Change in Nasal Obstruction Symptom Evaluation (NOSE) score

    Change in Nasal Obstruction Symptom Evaluation (NOSE; range 0-20, higher scores indicate worse symptoms) from baseline.

    Measured: Baseline, 1 week, 1 month, 3 months, 6 months, 9 months, and 12 months after the procedure

  3. Change in Mini Rhinoconjunctivitis Quality of Life Questionnaire (Mini-RQLQ) score

    Change in Mini Rhinoconjunctivitis Quality of Life Questionnaire (Mini-RQLQ; range 0-6, higher scores indicate worse quality of life) from baseline.

    Measured: Baseline and 3 months after the procedure

  4. Incidence of intervention-related complications

    All self-reported and clinically observed complications related to the intervention.

    Measured: From the date of the procedure through 12 months after the procedure

  5. Change in Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7) score

    Change in Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7; range 7-49, higher scores indicate worse symptoms) from baseline.

    Measured: Baseline and 3 months after the procedure

  6. Change in Patulous Eustachian tube handicap inventory-10 (PHI-10) score

    Change in Patulous Eustachian tube handicap inventory-10 (PHI-10; range 0-40, higher scores indicate worse symptoms) from baseline.

    Measured: Baseline and 3 months after the procedure

  7. Change in Pittsburgh Sleep Quality Index (PSQI) score

    Change in Pittsburgh Sleep Quality Index (PSQI; range 0-21, higher scores indicate worse sleep quality) from baseline.

    Measured: Baseline and 3 months after the procedure

  8. Change in Epworth Sleepiness Scale (ESS) score

    Change in Epworth Sleepiness Scale (ESS; range 0-24, higher scores indicate greater daytime sleepiness) from baseline.

    Measured: Baseline and 3 months after the procedure

Timeline

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

  1. First posted7 Jan 2026
  2. Study start1 Mar 2026
  3. Primary completion5 Apr 2027 (estimated)
  4. Study completion1 May 2027 (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
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07323888
Sponsor's protocol ID
IRB 25-013
Other IDs
25-013
Status last verified
May 2026
First submitted
12 Dec 2025
Last updated
13 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared due to patient privacy considerations and institutional data protection policies. Only aggregated results will be presented in publications and reports.

Publications

  • Stolovitzky JP, Ow RA, Silvers SL, Bikhazi NB, Johnson CD, Takashima M. Effect of Radiofrequency Neurolysis on the Symptoms of Chronic Rhinitis: A Randomized Controlled Trial. OTO Open. 2021 Sep 10;5(3):2473974X211041124. doi: 10.1177/2473974X211041124. eCollection 2021 Jul-Sep.

    PubMed 34527852
  • Ehmer D, McDuffie CM, Scurry WC Jr, McIntyre JB, Mehendale NH, Willis JH, Shealy RB, Watkins JP, Kakarlapudi VV. Temperature-Controlled Radiofrequency Neurolysis for the Treatment of Rhinitis. Am J Rhinol Allergy. 2022 Jan;36(1):149-156. doi: 10.1177/19458924211033400. Epub 2021 Aug 12.

    PubMed 34382444
  • Lee JT, Abbas GM, Charous DD, Cuevas PDMM, Goktas PDMO, Loftus PA, Nachlas NE, Toskala EM, Watkins JP, Brehmer PDMD. Clinical and Quality of Life Outcomes Following Temperature-Controlled Radiofrequency Neurolysis of the Posterior Nasal Nerve (RhinAer) for Treatment of Chronic Rhinitis. Am J Rhinol Allergy. 2022 Nov;36(6):747-754. doi: 10.1177/19458924221109987. Epub 2022 Jul 11.

    PubMed 35818709
  • Takashima M, Stolovitzky JP, Ow RA, Silvers SL, Bikhazi NB, Johnson CD. Temperature-controlled radiofrequency neurolysis for treatment of chronic rhinitis: 12-month outcomes after treatment in a randomized controlled trial. Int Forum Allergy Rhinol. 2023 Feb;13(2):107-115. doi: 10.1002/alr.23047. Epub 2022 Jul 5.

    PubMed 35714267

Questions about this trial

What is this clinical trial studying?

A study testing Traditional Radiofrequency Ablation of Inferior Turbinates With Posterior Nasal Radiofrequency Ablation and Traditional Radiofrequency Ablation of Inferior Turbinates in people with Nasal Obstruction and Chronic Rhinitis, run by Chien Yu Huang at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 13 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Response rate based on improvement in reflective Total Nasal Symptom Score (rTNSS) (time frame: 3 months after the procedure). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07323888, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 May 2026.

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