Choosing an alternative path to current nasal polyp
treatment options with SINUVA
Which of your patients may benefit from SINUVA?10
Patients ≥ 18 years of age who:
Had previous ethmoid sinus surgery
Have nasal polyps
Patients who meet these requirements and desire an alternative to revision sinus surgery to manage their worsening symptoms may find relief with SINUVA
About Nasal Polyps The road to symptom relief can be difficult
Nasal polyps develop by intrinsic mucosal inflammation that persists in the ethmoid sinuses1
Recommended treatment options for patients with nasal polyps include saline nasal rinses, topical intranasal and oral corticosteroids1
Challenges of current
Topical intranasal corticosteroids
~60% of active drug in a metered dose of nasal steroid spray is removed by mucociliary clearance within 15 minutes2
Only 32.7% of patients use intranasal corticosteroids as directed3
Saline nasal rinses
Compared directly with topical nasal steroids, the benefits of saline irrigation alone are less pronounced1
Regardless of dosage and length of treatment, oral corticosteroids carry known safety concerns associated with chronic systemic exposure4
UNDERSTANDING the cyclical nature of nasal polyps
Patients with nasal polyps require revision ESS more frequently than patients who do not have nasal polyps5,6
are performed in the US annually7
Challenges of sinus surgery
ESS for polyp removal is associated with higher blood loss than nonpolyp sinus surgery, with blood loss impairing visualization resulting in a riskier procedure5
Surgical landmarks are often absent or distorted in revision ESS, making surgery more challenging and increasing risk for patients5
Despite the use of steroids and endoscopic sinus surgery, recurrence of nasal polyps is common due to the inflammatory nature of the disease, resulting in the need for repeat surgery in patients over time5
Key benefits of SINUVA
SINUVA is a novel implant with a 2-in-1 mechanism that offers patients with nasal polyps symptom relief via:
Targeted delivery of 1350 µg of mometasone furoate to the ethmoid nasal polyps10
Self-expanding, bioabsorbable design that softens over time10
Continuous delivery of mometasone furoate over the course of 90 days10
Localized drug delivery minimizes reliance on patient compliance
Administered in a non-surgical, in-office procedure with local anesthesia10
Design of SINUVA10
Width when crimped: 7.5 mm
of 20 mm
SINUVA (7.5 mm)
Dress Shirt Button (7 mm)
Why mometasone furoate compared to alternative corticosteroid options?
Mometasone furoate offers high potency and low systemic bioavailability11
(absorption into tissue)
(remains in the tissue)
(nominal systemic absorption)
How does SINUVA work?10
SINUVA is implanted in your sinus cavity amongst the nasal polyps to provide local delivery of a drug called mometasone furoate (a type of steroid). The implant has been shown to be effective in reducing symptoms nasal obstruction/
a path to improvement by demonstrating positive
*Patients in the SINUVA group also received once daily mometasone furoate nasal spray daily.
†Co-primary endpoints: Change from baseline to Day 90 in bilateral polyp grade, as determined by an independent panel on a scale of 0 (no visible nasal polyps) to 4 (nasal polyps completely obstructing nasal cavity). Change from baseline to Day 30 in nasal obstruction/
Co-primary efficacy outcomes10,12,13*†
In RESOLVE II (n=300), SINUVA patients experienced statistically significant reductions in bilateral polyp grade and nasal obstruction/congestion score
relative improvement in bilateral polyp grade from baseline to Day 90 compared to once daily mometasone furoate nasal spray alone
Mean change (SD) for SINUVA –0.56 (1.06) vs –0.15 (0.91) with control; P=0.0073
relative improvement in nasal obstruction/
Mean change (SD) for SINUVA –0.80 (0.73) vs –0.56 (0.62) with control; P=0.0074
Secondary efficacy endpoints (baseline to Day 90)12,13‡
Reduced eligibility for repeat surgery
SINUVA placement resulted in a 61% reduction in the proportion of patients still indicated for repeat ESS vs 37% in the mometasone furoate nasal spray only arm at Day 90 (P=0.0004)
Delivered up to 90 days of sustained symptom relief
Patients treated with SINUVA experienced sustained symptomatic improvements in nasal obstruction/
congestion at Day 90
Mean change (SD) for SINUVA –0.93 (0.80) vs –0.69 (0.79) with control (P=0.0248)
Significantly reduced sinus obstruction
Patients treated with SINUVA had a significantly greater decrease in percent ethmoid sinus obstruction at Day 90
Mean change (SD) for SINUVA –11.3 (18.1) vs –1.9 (14.4) with control (P=0.0007)
Improved patients' sense of smell
Patients treated with SINUVA experienced a significant improvement in their self-reported sense of smell score on a six-point Likert scale at Day 90
Mean change (SD) for SINUVA –1.20 (1.66) vs –0.76 (1.60) with control (P=0.0470)
Patients treated with SINUVA did not experience a significant improvement in their self-reported facial pain and pressure score. The mean change (SD) for SINUVA was –0.77 (1.21) vs –0.90 (1.27) with control (P=0.9130)
SD, standard deviation.
‡Secondary endpoints: Proportion of patients still indicated for repeat ESS at Day 90 despite ongoing intranasal steroid use based on clinical investigator assessment using study-specific criteria. Change from baseline to Day 90 in nasal obstruction/
RESOLVE II: Study design10,12
Randomized, controlled, double-blind, multicenter study with 300 patients
- ≥ 18 years of age
- Diagnosed with chronic sinusitis
- Had undergone prior bilateral total ethmoidectomy
- Indicated for revision endoscopic sinus surgery
- Presented with moderate to severe nasal obstruction/
congestion symptoms and recurrent bilateral sinus obstruction due to sinonasal polyposis despite the use of intranasal corticosteroid sprays and recent high-dose steroids
201 patients were randomized to the SINUVA treatment arm where they underwent bilateral placement of SINUVA in the ethmoid sinuses
99 patients were randomized to the control arm where they received a sham procedure
Patients in both study arms received once daily mometasone furoate nasal spray (200 µg) through day 90
SINUVA safety data
Adverse reactions with > 1% incidence rate and more common in treatment than the control group in combined data from Study 1 and Study 2
|ADVERSE REACTIONS||SINUVA (n=254) n (%)||CONTROL (Mometasone furoate nasal spray) (n=146) n (%)|
|Asthma||12 (4.7)||6 (4.1)|
|Headache||9 (3.5)||5 (3.4)|
|Epistaxis||6 (2.4)||2 (1.4)|
|Presyncope||6 (2.4)||3 (2.1)|
|Bronchitis||5 (2.0)||2 (1.4)|
|Otitis media||5 (2.0)||2 (1.4)|
|Nasopharyngitis||3 (1.2)||1 (0.7)|
In clinical trials, SINUVA demonstrated similar local effects and hypersensitivity reactions compared to once daily mometasone furoate nasal spray alone, with a low incidence of serious adverse events10,12
Patients on SINUVA did not experience any significant increase in intraocular pressure, glaucoma, or any form of cataract10
Placement of the SINUVA Sinus Implant10
Placement of the SINUVA Sinus Implant10
The SINUVA Sinus Implant is loaded into a Delivery System and placed in the ethmoid sinus under endoscopic visualization. For the complete instructions on how to place SINUVA, see the Full Prescribing Information.
The SINUVA Sinus Implant is made from bioabsorbable polymers designed to gradually soften over time. The implant was designed to gradually release the corticosteroid directly to the nasal polyps over a period of 90 days. Remove the SINUVA Sinus Implant at day 90 or earlier at the physician’s discretion using standard endoscopic instruments.10
Preparing your patient for implantation of SINUVA10,12
The patient should be prepared following routine protocols for in-office sinonasal endoscopic procedures.
In the clinical study, topical or local anesthetic—such as sprays, pledgets, and cottonoids—was recommended in accordance with protocols for in-office sinonasal endoscopic procedures.
In the clinical study, anesthesia injections were used as necessary.
Note: Patients cannot remove SINUVA themselves. Advise the patient that the implant is bioabsorbable and intended to soften over time. Remove the implant at day 90 or earlier. As the implant softens and polyps decrease, the implant may be expelled out of the nose. If they experience excessive bleeding, pain, or a choking sensation in the throat, they should contact a physician immediately.
The following resources can be used to provide your patients with information on SINUVA:
SINUVA implants can be obtained through two accessible avenues:
Specialty Distributor: providers can purchase SINUVA implants directly from a distributor listed below. If use is for a specific patient, obtaining prior authorization from the payor is recommended prior to ordering.
1-855-477-9800 (McKesson Specialty)
1-877-625-2566 (McKesson Blood Plasma)
For Physician Offices
Specialty Pharmacies: SINUVA implants can be filled with a prescription at select specialty pharmacies and delivered directly to the provider.
The Connect Support Program can assist with the acquisition process by researching and verifying patient insurance benefits for SINUVA.
To utilize this service, complete thePatient Enrollment Form
and fax it to 1-844-745-2358.
call Connect directly at 1-833-4-SINUVA (1-833-474-6882)Connect Program Overview
|J33.0||Polyp of nasal cavity|
|J33.1||Polypoid sinus degeneration|
|J33.8||Other polyp of sinus|
|J33.9||Nasal polyp, unspecified|
|J7401||Mometasone Furoate sinus implant, 10 micrograms|
|10599-0003-01||SINUVA (mometasone furoate) sinus implant|
Billing units for HCPCS code J7401 is 135 units for unilateral placement of SINUVA or 270 units for bilateral placement of SINUVA.
SINUVA cannot be billed as a product if distributed via a specialty pharmacy or with a specific procedure code. Providers should bill for the procedure being performed at the time of the placement of SINUVA.
Codes listed above are recommendations and do not guarantee payment or reimbursement.Download the reimbursement guide
For additional SINUVA reimbursement support, please contact reimbursement@
For further information on the price of SINUVA, please contact Intersect ENT at 1-866-531-6004.
- Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, et al. Clinical practice guideline (update): adult sinusitis. Otolaryngol Head Neck Surg. 2015;152(2 Suppl):S1-S39.
- Shah SA, Berger RL, McDermott J, et al. Regional deposition of mometasone furoate nasal spray suspension in humans. Allergy Asthma Proc. 2015;36(1):48-57.
- Bender BG. Motivating patient adherence to allergic rhinitis treatments. Curr Allergy Asthma Rep. 2015;15(3):10.
- Campbell RG. Risks and management of long-term corticosteroid use in chronic rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg. 2018;26(1):1-7.
- Hull BP, Chandra RK. Refractory Chronic Rhinosinusitis with Nasal Polyposis. Otolaryngol Clin North Am. 2017;50(1):61-81.
- Stein NR, Jafari A, DeConde AS. Revision rates and time to revision following endoscopic sinus surgery: A large database analysis. Laryngoscope. 2018;128(1):31-36.
- Data on File. MRG 2012 US Markets for ENT and Bronchoscopy.
- Wynn R, Har-El G. Recurrence rates after endoscopic sinus surgery for massive sinus polyposis. Laryngoscope. 2004;114(5):811-813.
- DeConde AS, Mace JC, Levy JM, et al. Prevalence of polyp recurrence after endoscopic sinus surgery for chronic rhinosinusitis with nasal polyposis. Laryngoscope. 2017;127(3):550-555.
- SINUVA [Prescribing Information]. Menlo Park, CA: Intersect ENT; 2017.
- Sastre J, Mosges R. Local and systemic safety of intranasal corticosteroids. J Investig Allergol. 2012;22(1):1-12.
- Kern RC, Stolovitzky JP, Silvers SL, et al. A phase 3 trial of mometasone furoate sinus implants for chronic sinusitis with recurrent nasal polyps. Int Forum Allergy Rhinol. 2018;8(4):471-481.
- Data on file, Intersect ENT, Inc. CR-00014; Supplemental Statistical Analyses Rev 1.0 January 17, 2018.