An Investigator Initiated Study for OTOV101N+OTOV101C Injection
NCT ID: NCT05901480
Last Updated: 2024-05-08
Study Results
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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UNKNOWN
NA
25 participants
INTERVENTIONAL
2023-06-26
2025-02-18
Brief Summary
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Detailed Description
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Subjects who are successfully enrolled will visit the hospital on Day -3 to initiate the glucocorticoid treatment, then be hospitalized on Day -3\~-1 to prepare for inner ear gene therapy. On the day of surgery (Day 0), subjects will undergo intracochlear injection of gene therapy products after skin preparation and disinfection of the surgical area and general anesthesia. The round window will be exposed through the tympanic membrane route. Each subject will receive adeno-associated virus (AAV) injection at a dose of 15\~30μL of each AAV, mixed at 1: 1 ratio with total volume of 30\~60 μL/ear. For subjects without any cochlear implantation, bilateral or unilateral intracochlear injection could be conducted as decided by investigators. For intracochlear injection, the investigators will decide if the second intracochlear injection should be conducted based on dose of the first injection by considering anatomical structure of artificial cochlea and drug loss. The timing of the second injection will be decided by recovery status of the first injection. Subjects will be in hospital for 3 days for observation after receiving the intracochlear injection or follow the routine hospitalization timing of diagnosis/treatment of site, then be discharged after recovery from the surgical operation and receive 1 year follow-up visits.
All subjects will return to the hospital (except in case of non-resistance) for safety and efficacy assessments during the study at the established time points in the protocol (Week 1 ± 1 Day, Week 2 ± 3 Days, Week 3 ± 3 Days, Month 1 ± 3 Days, Month 2 ± 3 Days, Month 4 ± 6 Days, Month 6 ±6 Days, Month 9 ± 6 Days, Month 12 ± 6 Days/EOS (end of study)/Unscheduled) unless encountering force majeure.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Treatment Arm
Patients with OTOF mutation-related deafness
OTOV101N+OTOV101C Injections
The gene therapy of OTOV101N+OTOV101C injection via intracochlear injection.
Interventions
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OTOV101N+OTOV101C Injections
The gene therapy of OTOV101N+OTOV101C injection via intracochlear injection.
Eligibility Criteria
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Inclusion Criteria
2. Diagnostic criteria for OTOF-related hearing loss are:
1. The hearing test and auditory brainstem response (ABR) examination show the presence of hearing loss (based on the testing report conducted within one month prior to signing the informed consent form).
2. Genetic testing confirms the presence of OTOF gene homozygous or compound heterozygous mutations.
3. Hearing loss: severe (65 dB ≤ hearing threshold \< 80 dB) or profound (80 dB ≤ hearing threshold \< 95 dB) or total (hearing threshold ≥ 95 dB) hearing loss in both ears (If the testing result of ABR is "waveform is not obtained", the subjects with bilateral hearing threshold \<65 dB will be enrolled as determined by the investigator).
4. Vital signs, physical examination, laboratory tests (including whole blood count, blood biochemistry, urinalysis, coagulation function, etc.), and 12-lead electrocardiogram are all normal, or any abnormalities judged by the investigator are clinically non-significant.
5. The subjects and their guardians sign the informed consent form.
Exclusion Criteria
2. Subjects who have received any gene therapy in the past, or have high levels of neutralizing antibodies (\>1:128) in their blood;
3. Subjects who have systemic diseases or are receiving related treatments that may affect hearing or surgical operations;
4. Subjects who cannot tolerate anesthesia;
5. Subjects with inner ear malformations;
6. Subjects who have undergone bilateral cochlear implantation or have a history of major inner ear surgery (as determined by the investigator)(not include unilateral cochlear implantation);
7. Subjects with other genetic mutations causing deafness that may affect the effectiveness of OTOF gene therapy;
8. Subjects with Meniere's disease;
9. Subjects who routinely use ototoxic drugs for other medical conditions;
10. Subjects with congenital deafness caused by non-genetic factors related to birth;
11. Subjects who are currently receiving or may receive immunosuppressive therapy other than this study;
12. Subjects who are allergic or intolerant to glucocorticoid treatment;
13. Subjects with a history of malignant tumors or meningitis;
14. Subjects with a persistent or active infection, positive for hepatitis B surface antigen (HBsAg) with peripheral blood HBV DNA titers higher than the detection limit, positive for hepatitis C virus (HCV) antibodies with peripheral blood HCV RNA titers higher than the detection limit, positive for human immunodeficiency virus (HIV) antibodies, or with other immune deficiency diseases, or positive for syphilis;
15. Subjects of childbearing potential who refuse to take effective contraceptive measures (hormonal or barrier methods or abstinence) from the time of signing the informed consent form until 12 months after receiving AAV injection;
16. Female subjects of childbearing age who have a positive blood pregnancy test result, or are currently pregnant or breastfeeding;
17. Subjects who have participated in any other clinical trial and have received treatment or medication within 4 weeks prior to the first administration (excluding non-interventional studies);
18. Subjects who are unwilling or unable to comply with this study protocol;
19. Subjects whom the investigator believes are unable to participate in this study due to any medical condition or who are unable to complete the follow-up study.
1 Year
ALL
No
Sponsors
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Otovia Therapeutics
INDUSTRY
Responsible Party
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Principal Investigators
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Shanzhong Zhang, MD PhD
Role: STUDY_DIRECTOR
Otovia Therapeutics
Locations
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Shandong Second Provincial General Hospital
Jinan, Shandong, China
Beijing Tongren Hospital
Beijing, , China
Beijing Union Hospital
Beijing, , China
Chinese PLA Genreal Hospital
Beijing, , China
The Third Bethune Hospital of Jilin University
Changchun, , China
The Second Xiangya Hospital of Central South University
Changsha, , China
Sichuan Provincial People Hospital
Chengdu, , China
Chongqing Municipal People Hospital
Chongqing, , China
The First Affiliated Hospital of Fujian Medical University
Fuzhou, , China
Guangdong Provincial People Hospital
Guangzhou, , China
The First Affiliated Hospital of Harbin Medical University
Harbin, , China
The First Affiliated Hospital of USTC
Hefei, , China
The Second Affiliated Hospital of Anhui Medical University
Hefei, , China
Yunnan Provincial First People Hospital
Kunming, , China
Dongnan University Zhongda Hospital
Nanjing, , China
Nanjing Drum Tower Hospital
Nanjing, , China
The Second Hospital of Ningbo
Ningbo, , China
Shengjing Hospital Of China Medical University
Shenyang, , China
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, , China
Union Hospital of Tongji Medical College of Huazhong University of Science and Technology
Wuhan, , China
Zhongnan Hospital of Wuhan University
Wuhan, , China
Xijing Hospital
Xi'an, , China
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, , China
Countries
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Central Contacts
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Facility Contacts
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Yongxin Li
Role: primary
Xiaowei Chen
Role: primary
Shiming Yang
Role: primary
Dongdong Zhu
Role: primary
Zi'an Xiao
Role: primary
Jiangang Fan
Role: primary
Wei Yuan
Role: primary
Chang Lin
Role: primary
Peina Wu
Role: primary
Tianhong Zhang
Role: primary
Jingwu Sun
Role: primary
Jianming Yang
Role: primary
Min Guo
Role: primary
Xiaoqiong Ding
Role: primary
Xia Gao
Role: primary
Kai Wang
Role: primary
Yaodong Dong
Role: primary
Yideng Huang
Role: primary
Yu Sun
Role: primary
Xiong Chen
Role: primary
Dingjun Zha
Role: primary
Fanglei Ye
Role: primary
References
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Qi J, Zhang L, Lu L, Tan F, Cheng C, Lu Y, Dong W, Zhou Y, Fu X, Jiang L, Tan C, Zhang S, Sun S, Song H, Duan M, Zha D, Sun Y, Gao X, Xu L, Zeng FG, Chai R. AAV gene therapy for autosomal recessive deafness 9: a single-arm trial. Nat Med. 2025 Sep;31(9):2917-2926. doi: 10.1038/s41591-025-03773-w. Epub 2025 Jul 2.
Other Identifiers
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OTOV101-IIT-101
Identifier Type: -
Identifier Source: org_study_id
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