SPI-1005 for the Treatment of Meniere's Disease (Open Label)

NCT ID: NCT06859788

Last Updated: 2025-12-26

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-29

Study Completion Date

2026-12-31

Brief Summary

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Study of the safety of open-label SPI-1005 400 mg BID treatment in adults with Meniere's Disease (MD) for 6 or 12 months to support chronic or chronic intermittent use.

Detailed Description

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Conditions

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Meniere's Disease Ménière's Disease

Keywords

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ebselen hearing loss tinnitus vertigo dizziness SPI-1005

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Open Label
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Open Label

Oral administration of SPI-1005 400 mg BID

Group Type EXPERIMENTAL

Ebselen

Intervention Type DRUG

Glutathione peroxidase mimetic

Interventions

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Ebselen

Glutathione peroxidase mimetic

Intervention Type DRUG

Other Intervention Names

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SPI-1005

Eligibility Criteria

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Inclusion Criteria

* Adult males/females, 18-75 years of age at the time of enrollment.
* Diagnosis of probable or definite Meniere's Disease by AAO-HNS Amended 2015 Criteria.
* At least two of three active symptoms (fluctuating hearing; tinnitus; aural fullness; vertigo or dizziness) of Meniere's disease, within 3 months of study enrollment.
* Type A tympanogram at screening.
* Air conduction thresholds ≤ 90 dB at all tested frequencies (250-8000 Hz) in both ears.
* Subject is willing and able to provide informed consent and perform study procedures and assessments per protocol.
* Reproductive requirements

Exclusion Criteria

* Current, or within 60 days prior to study enrollment, use of IV or intratympanic ototoxic medications such as chemotherapy including cisplatin, carboplatin, or oxaliplatin; aminoglycoside antibiotics including gentamicin, amikacin, tobramycin, kanamycin, or streptomycin; or loop diuretics including furosemide.
* History of otosclerosis or vestibular schwannoma.
* History of significant middle ear or inner ear surgery in the affected ear.
* Conductive hearing loss with air-bone gap ≥15 dB, otitis media, or mixed hearing loss.
* Significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, neurological, or psychiatric disease.
* Current use or within 30 days prior to study enrollment systemic steroids.
* Current use or within 7 days prior to study enrollment intratympanic steroids.
* Hypersensitivity or idiosyncratic reaction to compounds related to ebselen or excipients.
* Female patients who are pregnant or breastfeeding.
* Participation in another investigational drug or device study within 30 days prior to study consent.
* Participant resides more than 100 miles from the study site.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sound Pharmaceuticals, Incorporated

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The House Institute

Los Angeles, California, United States

Site Status RECRUITING

ENT and Allergy Associates of Florida

Boca Raton, Florida, United States

Site Status RECRUITING

University of Miami

Miami, Florida, United States

Site Status NOT_YET_RECRUITING

Northwell Health

New Hyde Park, New York, United States

Site Status RECRUITING

ENT and Allergy Associates, LLP

New York, New York, United States

Site Status NOT_YET_RECRUITING

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status RECRUITING

University of Texas Southwestern

Dallas, Texas, United States

Site Status NOT_YET_RECRUITING

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status NOT_YET_RECRUITING

Countries

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United States

Facility Contacts

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Study Coordinator

Role: primary

Clinical Research Supervisor

Role: primary

Clinical Research Manager

Role: primary

Research Director

Role: primary

Clinical Research Coordinator

Role: primary

References

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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 BACKGROUND
PMID: 28716314 (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)

Kil J, Harruff EE, Longenecker RJ. Development of ebselen for the treatment of sensorineural hearing loss and tinnitus. Hear Res. 2022 Jan;413:108209. doi: 10.1016/j.heares.2021.108209. Epub 2021 Feb 19.

Reference Type BACKGROUND
PMID: 33678494 (View on PubMed)

Other Identifiers

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SPI-1005-401

Identifier Type: -

Identifier Source: org_study_id