Clinical trial Recruiting at 2 sites Interventional Ages 19 to 85

Evaluating nasal saline irrigations after pituitary surgery

Official title: Nasal Outcomes Using Saline Irrigations After Endonasal Pituitary Surgery - The NOSE Trial

Run by St. Joseph's Hospital and Medical Center, Phoenix · NCT05659524 · Data updated 2026-11-12

This study tests if using nasal saline rinses after pituitary surgery can help patients recover better and improve their overall results.

Quick facts

Study typeInterventional
Ages19 Years to 85 Years
SexAll
Enrollment140 (estimated)
SponsorSt. Joseph's Hospital and Medical Center, Phoenix
Academic / other
Drugs / interventionsradiation
Locations2 sites (Phoenix, Arizona and 1 other locations)
StatusRecruiting
StartedDecember 18, 2020
Main results expectedDecember 31, 2028
Study endsDecember 31, 2029
Registry record updatedApril 19, 2024
Trial IDNCT05659524 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 to 85 undergoing endoscopic surgery for the resection of pituitary tumors.

Probably not a fit

Patients with active sinus infections, chronic sinusitis, or those who have had previous sinonasal surgery may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective, single-blinded, multicenter study investigates the effects of sinonasal irrigations following endoscopic pituitary surgery. The aim is to gather objective data that will inform practice-changing guidelines regarding postoperative care for patients undergoing this type of surgery. By analyzing outcomes in patients who receive nasal saline irrigations, the study seeks to enhance recovery and overall surgical results. The findings will build on previous research, including the POET study, to optimize patient management post-surgery.

Why it matters

Potential benefit: If successful, this study could lead to improved postoperative outcomes for patients undergoing pituitary surgery.

How similar studies have gone: Previous multicenter studies in this area have influenced clinical practice guidelines, suggesting a potential for success with this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria

1. Adult patient undergoing endoscopic surgery for resection of pituitary tumors

   * nonfunctioning adenoma
   * acromegaly
   * prolactinoma
   * Rathke's cleft cyst
2. Adults \>18 and \<85 years of age
3. English speaking and able to understand the ASK Nasal-12 and SNOT-22 scales
4. Free of any physical, mental, or medical condition which, in the opinion of the investigator, makes study participation inadvisable
5. Planned binostril surgical approach
6. Either with or without septal flap reconstruction
7. Either with or without septoplasty

Exclusion criteria

1. Active sinus infection
2. Allergic rhinitis
3. Asthma
4. Vascular or inflammatory disease
5. History of previous sinonasal surgery
6. Any subject who is unwilling or unable to sign informed consent for the study
7. Pregnancy
8. Incarcerated patients
9. Cushing's disease
10. History of chronic sinusitis
11. Extended approaches to the skull base
12. Active sinusitis
13. Nasal polyps
14. Concurrent antibiotics for another indication (i.e., urinary tract infection)
15. Immunodeficiency
16. History of radiation to the skull base

Where it's running

  • Barrow Neurological Institute at St. Joseph's Hospital and Medical Center
    Phoenix, Arizona, United States
    Recruiting
  • Cleveland Clinic
    Cleveland, Ohio, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.