Efficacy and Safety of AM-111 as Acute Sudden Sensorineural Hearing Loss Treatment

NCT ID: NCT02809118

Last Updated: 2020-08-07

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2018-02-28

Brief Summary

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The primary objective of the trial is the confirmation of the efficacy of AM-111 in the recovery of severe to profound idiopathic sudden sensorineural hearing loss (ISSNHL).

Detailed Description

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This is a Phase III, randomized, double-blind, placebo-controlled, parallel group, multi-center, efficacy and safety trial of AM-111 in the treatment of subjects suffering from severe to profound idiopathic sudden sensorineural hearing loss.

The active pharmaceutical ingredient of AM-111 is a JNK inhibitor (D-JNKI-1), a synthetic peptide consisting of 31 D-amino acids, which acts as a c-Jun N-terminal kinase (JNK) ligand.

The study consists of one treatment visit and a follow-up period until day 91.

Study participants will receive, after topical anesthesia of the tympanic membrane, AM-111 0.4 mg/mL or 0.8 mg/mL or placebo, administered into the affected ear. Following the administration, subjects will rest in a supine or reclined position for 30 minutes. Study participants will have the option for a course of oral corticosteroids.

Conditions

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Hearing Loss, Idiopathic Sudden Sensorineural

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Placebo gel for intratympanic use

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo gel is administered with a single dose into the affected ear after topical anesthesia

AM-111 0.4 mg/ml

AM-111 gel for intratympanic use (0.4 mg/ml AM-111)

Group Type EXPERIMENTAL

AM-111 0.4 mg/ml

Intervention Type DRUG

AM-111 0.4 mg/mL gel is administered with a single dose into the affected ear after topical anesthesia

AM-111 0.8 mg/ml

AM-111 gel for intratympanic use (0.8 mg/ml AM-111)

Group Type EXPERIMENTAL

AM-111 0.8 mg/ml

Intervention Type DRUG

AM-111 0.8 mg/mL gel is administered with a single dose into the affected ear after topical anesthesia

Interventions

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AM-111 0.4 mg/ml

AM-111 0.4 mg/mL gel is administered with a single dose into the affected ear after topical anesthesia

Intervention Type DRUG

AM-111 0.8 mg/ml

AM-111 0.8 mg/mL gel is administered with a single dose into the affected ear after topical anesthesia

Intervention Type DRUG

Placebo

Placebo gel is administered with a single dose into the affected ear after topical anesthesia

Intervention Type OTHER

Other Intervention Names

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Brimapitide Brimapitide

Eligibility Criteria

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Inclusion Criteria

1. Unilateral idiopathic sudden sensorineural hearing loss (ISSNHL) with onset within 72 hours prior to study treatment;
2. Mean hearing threshold of equal to or worse than (≥) 60 dB averaged across those 3 contiguous air conduction audiometric pure tone frequencies that show the highest mean hearing loss compared with the unaffected contralateral ear or, in case of history of asymmetric hearing, corresponding values from a pre-existing audiogram for the affected ear not older than 2 years prior to the ISSNHL incident (defined as "pure tone average", PTA);
3. Mean hearing loss of equal to or worse than (≥) 40 dB averaged across the air conduction thresholds at the pure tone average frequencies compared with the unaffected contralateral ear or, in case of history of asymmetric hearing, corresponding values from a preexisting audiogram for the affected ear not older than 2 years prior to the ISSNHL incident;
4. Age ≥ 18 years on the day of screening;

Exclusion Criteria

1. Bilateral ISSNHL;
2. Acute hearing loss from noise trauma, barotrauma or head trauma;
3. Air-bone gap greater than 20 dB at the average of 3 contiguous test frequencies below 4 kHz, when the air-bone gap is measurable;
4. History of autoimmune hearing loss, radiation-induced hearing loss, endolymphatic hydrops or Menière's disease in either ear;
5. History of chronic inflammatory or suppurative ear disease or cholesteatoma in the affected ear;
6. Current evidence or history of acoustic neuroma or other retrocochlear damage in the affected ear;
7. History of otosclerosis in the affected ear;
8. Suspected perilymph fistula or membrane rupture in the affected ear;
9. Congenital hearing loss;
10. History of ISSNHL in the past 2 years;
11. Otitis media or otitis externa that is ongoing or ended within 7 days prior to study treatment;
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Auris Medical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thomas Meier

Role: STUDY_DIRECTOR

Auris Medical, Inc.

Locations

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Birmingham, Alabama, United States

Site Status

Escondido, California, United States

Site Status

Fresno, California, United States

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La Jolla, California, United States

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Aurora, Colorado, United States

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New Haven, Connecticut, United States

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Boca Raton, Florida, United States

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Boynton Beach, Florida, United States

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Celebration, Florida, United States

Site Status

Miami, Florida, United States

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Miami, Florida, United States

Site Status

Port Saint Lucie, Florida, United States

Site Status

Chicago, Illinois, United States

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Des Moines, Iowa, United States

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Kansas City, Kansas, United States

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Louisville, Kentucky, United States

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Novi, Michigan, United States

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Columbia, Missouri, United States

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Lebanon, New Hampshire, United States

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Charlotte, New York, United States

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New Hyde Park, New York, United States

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New Windsor, New York, United States

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New York, New York, United States

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Rochester, New York, United States

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White Plains, New York, United States

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Matthews, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Havertown, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Charleston, South Carolina, United States

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Lugoff, South Carolina, United States

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Orangeburg, South Carolina, United States

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Nashville, Tennessee, United States

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Fort Sam Houston, Texas, United States

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Salt Lake City, Utah, United States

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St. George, Utah, United States

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Norfolk, Virginia, United States

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Tacoma, Washington, United States

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Kelowna, British Columbia, Canada

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Penticton, British Columbia, Canada

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Markham, Ontario, Canada

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Seongnam-si, Gyeonggi-do, South Korea

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Suwon, Gyeonggi-do, South Korea

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Incheon, Jung-Gu, South Korea

Site Status

Gwangju, , South Korea

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Pusan, , South Korea

Site Status

Seoul, , South Korea

Site Status

Seoul, , South Korea

Site Status

Seoul, , South Korea

Site Status

Seoul, , South Korea

Site Status

Seoul, , South Korea

Site Status

Countries

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United States Canada South Korea

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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AM-111-CL-15-01

Identifier Type: -

Identifier Source: org_study_id

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