Otoprotection With SPI-1005 for Prevention of Temporary Auditory Threshold Shift

NCT ID: NCT01444846

Last Updated: 2014-08-28

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

PHASE2

Total Enrollment

83 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2014-03-31

Brief Summary

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Exposure to loud sounds can cause hearing loss. The purpose of this research study is to evaluate potential prevention of temporary changes in hearing that may occur after listening to music through an iPod or personal music player. We will measure temporary changes in hearing in subjects who listen to music and take either the study drug, SPI-1005, or a placebo for 4 days. SPI-1005 is a proprietary preparation of ebselen that allows it to be taken by mouth. Ebselen contains the mineral selenium and behaves like Glutathione Peroxidase, an enzyme that helps to rid the body of damaging chemicals caused by loud sounds.

Detailed Description

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Conditions

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Temporary Auditory Threshold Shift

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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SPI-1005 Low dose

200mg SPI-1005, capsule, bid, po, x4d

Group Type ACTIVE_COMPARATOR

SPI-1005 Low dose

Intervention Type DRUG

Oral capsules, 200 mg ebselen, twice daily, 4 days

SPI-1005 Middle Dose

400mg SPI-1005, capsule, bid, po, x4d

Group Type ACTIVE_COMPARATOR

SPI-1005 Middle dose

Intervention Type DRUG

Oral capsules, 400 mg ebselen, twice daily, 4 days

SPI-1005 High Dose

600mg SPI-1005, capsule, bid, po, x4d

Group Type ACTIVE_COMPARATOR

SPI-1005 High dose

Intervention Type DRUG

Oral capsules, 600 mg ebselen, twice daily, 4 days

Placebo

0mg SPI-1005, capsule, bid, po, x4d

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral capsules, 0 mg ebselen, twice daily, 4 days

Interventions

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SPI-1005 Low dose

Oral capsules, 200 mg ebselen, twice daily, 4 days

Intervention Type DRUG

SPI-1005 Middle dose

Oral capsules, 400 mg ebselen, twice daily, 4 days

Intervention Type DRUG

SPI-1005 High dose

Oral capsules, 600 mg ebselen, twice daily, 4 days

Intervention Type DRUG

Placebo

Oral capsules, 0 mg ebselen, twice daily, 4 days

Intervention Type DRUG

Other Intervention Names

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200 mg Ebselen 400 mg Ebselen 600mgEbselen 0 mg Ebselen

Eligibility Criteria

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Inclusion Criteria

* Healthy subjects at the time of enrollment.
* Each subject will give informed consent to participate in this study and agrees to the treatment protocol.
* Each subject will be interviewed regarding hearing and health to reveal any history of hearing loss, tinnitus, known ear pathology, use of any potentially ototoxic medications (i.e. diuretics, minocycline).
* Non-occupational sound exposure (e.g., concerts, firearms, fireworks, power tools) will be avoided during the 24-hour period preceding baseline testing and throughout the duration of the study.
* Subjects will have vital signs (i.e., heart rate, blood pressure, respirations, temperature) within normal limits upon medical examination.
* Subjects must have normal audiologic assessment at baseline consisting of:
* Baseline audiometric evaluation confirms that subjects have symmetric hearing with air conduction thresholds no worse than 25 decibels of Hearing Loss (dBHL) at frequencies between 0.25 to 8 kilo Hertz (kHz) bilaterally.
* No significant threshold asymmetry (i.e. greater than 15 dB) between the ears at any tested frequency.
* No significant air-bone gaps (i.e. greater than 10 dB)
* Type A tympanograms bilaterally, defined as a range of -140 to +40 dekaPascals (daPa) based on the 90% range for adults (Margolis and Hunter 2000)

Exclusion Criteria

* • Subjects with abnormal hearing levels \> 25 dBHL at any tested frequency (250, 500, 1000, 2000, 3000, 4000, 6000 and 8000 Hz) for either ear.
* Exposure to any duration of non-occupational high-level sound (e.g., concerts, firearms, fireworks, power tools) during the 24 hour period preceding baseline audiometric testing as revealed in the subject questionnaire or during the medical examination.
* Pathology of the external ear discovered upon otoscopic examination.
* Pathology of the middle ear revealed by otoscopic examination, abnormal tympanometry, or reported history of middle ear problems.
* Pathology of the inner ear or auditory nerve as revealed by reported history.
* Subject complaints of aural pain, pressure, fullness, or drainage.
* Subjects testing positive for pregnancy will be excluded from the study.
* Subjects with other medical/health issues that would preclude voluntary participation in a drug study may be excluded at the discretion of the Principal Investigator.
* Subjects that have previously received any known potentially ototoxic medication. This includes, but is not limited to, high dose salicylates (\>2 g/day), platinum-based chemotherapeutics and aminoglycoside antibiotics, such as streptomycin, gentamicin,tobramycin, amikacin, neomycin, and netilmycin.
* Subjects that are currently using of any potentially ototoxic medications (i.e. diuretics or minocycline).
* Subjects that have received any investigational treatment (drug or device) in the six months prior to this study.
* Subjects exhibiting or self-reporting shortness of breath, wheezing, coughing, or hemoptysis
Minimum Eligible Age

18 Years

Maximum Eligible Age

31 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Florida

OTHER

Sponsor Role collaborator

Sound Pharmaceuticals, Incorporated

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Colleen Le Prell, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Jonathan Kil, MD

Role: STUDY_DIRECTOR

Sound Pharmaceuticals, Inc

Eric D Lynch, PhD

Role: STUDY_DIRECTOR

Sound Pharmaceuticals, Inc

Locations

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University of Florida

Gainsville, Florida, United States

Site Status

Countries

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United States

References

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Pourbakht A, Yamasoba T. Ebselen attenuates cochlear damage caused by acoustic trauma. Hear Res. 2003 Jul;181(1-2):100-8. doi: 10.1016/s0378-5955(03)00178-3.

Reference Type BACKGROUND
PMID: 12855368 (View on PubMed)

Lynch ED, Gu R, Pierce C, Kil J. Ebselen-mediated protection from single and repeated noise exposure in rat. Laryngoscope. 2004 Feb;114(2):333-7. doi: 10.1097/00005537-200402000-00029.

Reference Type BACKGROUND
PMID: 14755214 (View on PubMed)

Lynch ED, Gu R, Pierce C, Kil J. Reduction of acute cisplatin ototoxicity and nephrotoxicity in rats by oral administration of allopurinol and ebselen. Hear Res. 2005 Mar;201(1-2):81-9. doi: 10.1016/j.heares.2004.08.002.

Reference Type BACKGROUND
PMID: 15721563 (View on PubMed)

Yamasoba T, Pourbakht A, Sakamoto T, Suzuki M. Ebselen prevents noise-induced excitotoxicity and temporary threshold shift. Neurosci Lett. 2005 Jun 3;380(3):234-8. doi: 10.1016/j.neulet.2005.01.047. Epub 2005 Feb 1.

Reference Type BACKGROUND
PMID: 15862892 (View on PubMed)

Lynch ED, Kil J. Compounds for the prevention and treatment of noise-induced hearing loss. Drug Discov Today. 2005 Oct 1;10(19):1291-8. doi: 10.1016/S1359-6446(05)03561-0.

Reference Type BACKGROUND
PMID: 16214673 (View on PubMed)

Kil J, Pierce C, Tran H, Gu R, Lynch ED. Ebselen treatment reduces noise induced hearing loss via the mimicry and induction of glutathione peroxidase. Hear Res. 2007 Apr;226(1-2):44-51. doi: 10.1016/j.heares.2006.08.006. Epub 2006 Oct 6.

Reference Type BACKGROUND
PMID: 17030476 (View on PubMed)

Lynch E, Kil J. Development of Ebselen, a Glutathione Peroxidase Mimic, for the Prevention and Treatment of Noise-Induced Hearing Loss. Semin Hear 2009; 30(1): 047-055

Reference Type BACKGROUND

Le Prell CG, Yang Q, Harris JG. Modification of digital music files for use in human temporary threshold shift studies. J Acoust Soc Am. 2011 Oct;130(4):EL142-6. doi: 10.1121/1.3630017.

Reference Type BACKGROUND
PMID: 21974483 (View on PubMed)

Le Prell CG, Dell S, Hensley B, Hall JW 3rd, Campbell KC, Antonelli PJ, Green GE, Miller JM, Guire K. Digital music exposure reliably induces temporary threshold shift in normal-hearing human subjects. Ear Hear. 2012 Nov-Dec;33(6):e44-58. doi: 10.1097/AUD.0b013e31825f9d89.

Reference Type BACKGROUND
PMID: 22885407 (View on PubMed)

Kil J, Lobarinas E, Spankovich C, Griffiths SK, Antonelli PJ, Lynch ED, Le Prell CG. Safety and efficacy of ebselen for the prevention of noise-induced hearing loss: a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet. 2017 Sep 2;390(10098):969-979. doi: 10.1016/S0140-6736(17)31791-9. Epub 2017 Jul 14.

Reference Type DERIVED
PMID: 28716314 (View on PubMed)

Spankovich C, Le Prell CG. Associations between dietary quality, noise, and hearing: data from the National Health and Nutrition Examination Survey, 1999-2002. Int J Audiol. 2014 Nov;53(11):796-809. doi: 10.3109/14992027.2014.921340. Epub 2014 Jun 30.

Reference Type DERIVED
PMID: 24975234 (View on PubMed)

Other Identifiers

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SPI-1005-202

Identifier Type: -

Identifier Source: org_study_id

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