OTO-104 for Meniere's Disease

NCT ID: NCT01084525

Last Updated: 2011-06-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2011-04-30

Brief Summary

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The purpose of this study is to evaluate the safety of OTO-104 in subjects with unilateral Meniere's disease. The effectiveness of OTO-104 to reduce the symptoms of Meniere's disease will also be evaluated.

Detailed Description

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Meniere's disease is a debilitating disorder of the inner ear which includes symptoms such as vertigo, tinnitus, hearing loss and aural fullness. Meniere's disease may result from an imbalance of fluid in the inner ear. Several studies have shown that corticosteroids may help manage this imbalance yet the effect does not last very long. OTO-104 is a longer lasting corticosteroid which could provide significant benefit to patients with Meniere's disease.

Conditions

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Meniere's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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OTO-104 (steroid) 3 mg

Group Type EXPERIMENTAL

OTO-104 (steroid) 3 mg

Intervention Type DRUG

OTO-104 3 mg dose cohort, single intratympanic injection.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo arm will be conducted in parallel with each OTO-104 dose cohort.

OTO-104 (steroid) 12 mg

The start of 12 mg dose cohort is contingent on safety data from 3 mg dose cohort.

Group Type EXPERIMENTAL

OTO-104 (steroid) 12 mg

Intervention Type DRUG

Sequential dose cohort escalation to OTO-104 12 mg dose cohort will occur pending the safety evaluation of 28 day follow up safety data for the OTO-104 3 mg dose cohort. OTO-104 12mg dose cohort is also a single intratympanic injection.

Interventions

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OTO-104 (steroid) 3 mg

OTO-104 3 mg dose cohort, single intratympanic injection.

Intervention Type DRUG

Placebo

Placebo arm will be conducted in parallel with each OTO-104 dose cohort.

Intervention Type DRUG

OTO-104 (steroid) 12 mg

Sequential dose cohort escalation to OTO-104 12 mg dose cohort will occur pending the safety evaluation of 28 day follow up safety data for the OTO-104 3 mg dose cohort. OTO-104 12mg dose cohort is also a single intratympanic injection.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subject has a diagnosis of unilateral Meniere's disease by 1995 American Academy of Otolaryngology - Head and Neck Surgery (AAOHNS) criteria and reports active vertigo for the 2 months prior to the study lead-in period.
2. Subject has experienced active vertigo during the lead-in period.
3. Subject has asymmetric low frequency sensorineural hearing loss.
4. Subject agrees to maintain their current treatments for Meniere's disease while on-study.
5. Subjects not currently on a low-salt diet or diuretic should have a medical history of having used one or both of these treatments for at least 1 month without relief of symptoms.
6. Subjects currently on a low-salt diet and/or diuretic at the time of screening agree to continue this treatment throughout the study.

Exclusion Criteria

1. Subject has an infection in the ear, sinuses, or upper respiratory system.
2. Subject is pregnant or lactating.
3. Subject has a history of immunodeficiency disease.
4. Subject has a history of previous endolymphatic sac surgery.
5. Subject has a history of previous use of intratympanic (IT) gentamicin in the affected ear.
6. Subject has a history of tympanostomy tubes with evidence of perforation or lack of closure.
7. Subject has experienced an adverse reaction to IT injection of steroids.
8. Subject has used an investigational drug or device in the 3 months prior to screening.
9. Subject has had a duration of Meniere's disease of \>20 years.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Otonomy, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Otonomy, Inc

Principal Investigators

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Carl LeBel, PhD

Role: STUDY_CHAIR

Otonomy, Inc.

Locations

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House Ear Institute

Los Angeles, California, United States

Site Status

University of California, San Diego

San Diego, California, United States

Site Status

Colorado Otolaryngology Associates

Colorado Springs, Colorado, United States

Site Status

Silverstein Institute

Sarasota, Florida, United States

Site Status

Northwestern University, Feinberg School of Medicine, Otolaryngology

Chicago, Illinois, United States

Site Status

Mass Eye & Ear Infirmary

Boston, Massachusetts, United States

Site Status

University of Michigan Hospitals, Dept. of Otolaryngology

Ann Arbor, Michigan, United States

Site Status

Michigan Ear Institute

Farmington Hills, Michigan, United States

Site Status

St Louis University

St Louis, Missouri, United States

Site Status

New York Eye and Ear Infirmary

New York, New York, United States

Site Status

Crescent Medical Research

Salisbury, North Carolina, United States

Site Status

Wilmington Medical Research

Wilmington, North Carolina, United States

Site Status

Piedmont Medical Research

Winston-Salem, North Carolina, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

University Of Texas, Southwestern Medical Center

Dallas, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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104-200901

Identifier Type: -

Identifier Source: org_study_id

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