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J Allergy Clin Immunol. 2005 Dec;116(6):1275-81. Epub 2005 Sep 26.

Efficacy and safety of mometasone furoate nasal spray in nasal polyposis.

Author information

1
Division of Infectious Diseases, New York Medical College, Valhalla, NY 10595, USA. Catherine_Small@nymc.edu

Abstract

BACKGROUND:

Studies have suggested that topical corticosteroids are effective in the treatment of nasal polyps; however, this has yet to be confirmed in a large, robust clinical trial.

OBJECTIVE:

To evaluate the efficacy and safety of mometasone furoate nasal spray (MFNS) for nasal polyposis.

METHODS:

A total of 354 subjects with bilateral nasal polyps and clinically significant congestion/obstruction participated in this multinational, randomized, double-blind, placebo-controlled study. Subjects received MFNS 200 microg once or twice daily or placebo for 4 months. Coprimary endpoints were (1) change from baseline to last assessment in physician-evaluated bilateral polyp grade score and (2) change from baseline averaged over month 1 in subject-assessed nasal congestion/obstruction. ANOVA was used for all efficacy endpoints, except for change in bilateral polyp grade score, for which baseline polyp grade was added as a covariate.

RESULTS:

Compared with placebo, MFNS 200 microg administered once or twice daily produced significantly greater reductions in bilateral polyp grade score (P < .001, P = .010, respectively) and congestion/obstruction (P = .001, P < .001), as well as improvement in loss of smell (P < .001, P = .036), anterior rhinorrhea (P < .001 for both), and postnasal drip (P < .001, P = .001) over month 1. MFNS 200 microg twice daily was superior to MFNS 200 microg once daily in reducing congestion/obstruction (P = .039), and there were more improvers in the MFNS 200 microg twice daily group (P = .035). MFNS was well tolerated in both groups.

CONCLUSION:

MFNS 200 mug, once or twice daily, was safe and significantly superior to placebo in reducing polyp grade (size and extent) and improving congestion/obstruction and return of sense of smell. MFNS is an effective medical treatment for nasal polyposis and may reduce or delay the need for surgery.

PMID:
16337459
DOI:
10.1016/j.jaci.2005.07.027
[Indexed for MEDLINE]

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