Trial Outcomes & Findings for A 6-Month Extension Study of OTO-104 in Meniere's Disease (NCT NCT02768662)

NCT ID: NCT02768662

Last Updated: 2023-01-20

Results Overview

Otoscopic exams were conducted at each visit. It was considered important to understand if the tympanic membrane perforation that resulted from the IT injection persisted at the end of study visit (24 Weeks \[Month 6\]).

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

142 participants

Primary outcome timeframe

6 Months

Results posted on

2023-01-20

Participant Flow

A total of 142 subjects were enrolled. Of the 142 subjects enrolled, 46 had previously completed the 104-201403 study and 96 had previously completed the 104 201508 study. The first subject enrolled on August 25, 2016, and the last subject completed on September 8, 2017.

This study was terminated early based on results of study 104-201506, a US Phase 3 study that indicated no statistically significant difference in the primary endpoint of reduction in definitive vertigo days (DVD) for OTO-104 vs placebo nor for any of the secondary endpoints. Decision was made to terminate all ongoing studies on August 31, 2017, including this study. At the time of termination, 90 subjects completed the study through Month 3 and 56 subjects completed the study through Month 6.

Participant milestones

Participant milestones
Measure
OTO-104
Intratympanic injection of 12 mg OTO-104
Overall Study
STARTED
142
Overall Study
COMPLETED
56
Overall Study
NOT COMPLETED
86

Reasons for withdrawal

Reasons for withdrawal
Measure
OTO-104
Intratympanic injection of 12 mg OTO-104
Overall Study
Adverse Event
1
Overall Study
Lost to Follow-up
4
Overall Study
Withdrawal by Subject
3
Overall Study
Study terminated by Sponsor
78

Baseline Characteristics

A 6-Month Extension Study of OTO-104 in Meniere's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
OTO-104
n=142 Participants
12 mg dexamethasone OTO-104: Intratympanic injection of 12 mg OTO-104
Age, Continuous
53.0 years
n=5 Participants
Sex: Female, Male
Female
77 Participants
n=5 Participants
Sex: Female, Male
Male
65 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
130 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
12 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
136 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
Region of Enrollment
Belgium
6 participants
n=5 Participants
Region of Enrollment
France
4 participants
n=5 Participants
Region of Enrollment
Germany
17 participants
n=5 Participants
Region of Enrollment
Italy
9 participants
n=5 Participants
Region of Enrollment
Poland
23 participants
n=5 Participants
Region of Enrollment
United Kingdom
83 participants
n=5 Participants
Duration of Meniere's Disease
≤5 years
109 Participants
n=5 Participants
Duration of Meniere's Disease
6-10 years
18 Participants
n=5 Participants
Duration of Meniere's Disease
11-15 years
8 Participants
n=5 Participants
Duration of Meniere's Disease
>15 years
7 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 Months

Population: The 6-month Safety Analysis Set included all subjects who received at least 1 dose of study drug and completed the Month 6 visit

Otoscopic exams were conducted at each visit. It was considered important to understand if the tympanic membrane perforation that resulted from the IT injection persisted at the end of study visit (24 Weeks \[Month 6\]).

Outcome measures

Outcome measures
Measure
OTO-104
n=56 Participants
12 mg dexamethasone OTO-104: Intratympanic injection of 12 mg OTO-104
Otoscopic Examination - Tympanic Membrane Perforation at Week 24 (Month 6)
Perforation information missing
0 Participants
Otoscopic Examination - Tympanic Membrane Perforation at Week 24 (Month 6)
Perforation present: pinhole size
0 Participants
Otoscopic Examination - Tympanic Membrane Perforation at Week 24 (Month 6)
Perforation present: ≤25% tympanic membrane
0 Participants
Otoscopic Examination - Tympanic Membrane Perforation at Week 24 (Month 6)
Perforation present: >25% and ≤50% tympanic membrane
0 Participants
Otoscopic Examination - Tympanic Membrane Perforation at Week 24 (Month 6)
Perforation present: >50% tympanic membrane
0 Participants
Otoscopic Examination - Tympanic Membrane Perforation at Week 24 (Month 6)
Perforation not present
56 Participants

Adverse Events

OTO-104

Serious events: 4 serious events
Other events: 37 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
OTO-104
n=142 participants at risk
12 mg dexamethasone OTO-104: Intratympanic injection of 12 mg OTO-104
Gastrointestinal disorders
Abdominal Pain and Constipation
0.70%
1/142 • Number of events 1 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive Ductal Breast Carcinoma
0.70%
1/142 • Number of events 1 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Blood and lymphatic system disorders
Anemia
0.70%
1/142 • Number of events 1 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic Carcinoma
0.70%
1/142 • Number of events 1 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).

Other adverse events

Other adverse events
Measure
OTO-104
n=142 participants at risk
12 mg dexamethasone OTO-104: Intratympanic injection of 12 mg OTO-104
Infections and infestations
Nasopharyngitis
2.1%
3/142 • Number of events 3 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Infections and infestations
Urinary Tract Infection
2.1%
3/142 • Number of events 3 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Ear and labyrinth disorders
Tinnitus
3.5%
5/142 • Number of events 5 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Ear and labyrinth disorders
Vertigo
2.8%
4/142 • Number of events 4 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Ear and labyrinth disorders
Meniere's Disease
2.1%
3/142 • Number of events 3 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Nervous system disorders
Headache
2.8%
4/142 • Number of events 4 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Nervous system disorders
Dizziness
2.1%
3/142 • Number of events 3 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Musculoskeletal and connective tissue disorders
Arthralgia
2.1%
3/142 • Number of events 3 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Gastrointestinal disorders
Nausea
2.1%
3/142 • Number of events 3 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
General disorders
Injection Site Discomfort
2.1%
3/142 • Number of events 3 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).
Injury, poisoning and procedural complications
Procedural Dizziness
2.1%
3/142 • Number of events 3 • Reported or observed during or after dosing with the study drug up until the end of the study (Month 6).

Additional Information

Otonomy Medical information Center

Otonomy, Inc.

Phone: 1-844-686-4636

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60