AM-101 in the Treatment of Acute Tinnitus 3 (TACTT3)
Primary Purpose
Tinnitus
Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
AM-101
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Tinnitus
Eligibility Criteria
Inclusion Criteria:
- Persistent subjective peripheral tinnitus (unilateral or bilateral) following traumatic cochlear injury (acute acoustic trauma, blast trauma, middle ear surgery, inner ear barotrauma, tympanic membrane trauma) or otitis media with onset no longer than 3 months (Stratum A) or between >3 months and 6 months (Stratum B) prior to randomization, as documented by medical report or by documented medical history. Upon implementation of protocol amendment 6, subjects with tinnitus following traumatic cochlear injury will only be eligible if they are affected only unilaterally.
- Age ≥ 18 years and ≤ 75 years;
- Negative pregnancy test (woman of childbearing potential);
- Willing and able to use adequate hearing protection, respectively to refrain from engaging in activities or work involving loud noise exposure where sufficient hearing protection is not possible or ensured;
- Willing and able to protect ear canal and middle ear from water exposure as long as tympanic membrane is not fully closed.
Other protocol-defined inclusion criteria may apply.
Exclusion Criteria:
- Fluctuating tinnitus;
- Intermittent tinnitus;
- Tinnitus resulting from traumatic head or neck injury;
- Presence of chronic tinnitus;
- Meniere's Disease, history of endolymphatic hydrops, or history of fluctuating hearing loss;
- History of repeated idiopathic sudden sensorineural hearing loss or history of acoustic neuroma;
- Ongoing acute or chronic otitis media or otitis externa;
- Other treatment of tinnitus for the study duration;
- Known hypersensitivity, allergy or intolerance to the study medication or any history of severe, abnormal drug reaction;
- Women who are breast-feeding, pregnant or who are planning to become pregnant during the study;
- Women of childbearing potential who are unwilling or unable to practice contraception, such as hormonal contraceptives, double barrier, sexual abstinence or intercourse with a partner who has been vasectomised for at least three months;
- Concurrent participation in another clinical study or participation in another clinical study within 30 days prior to randomization.
Other protocol-defined exclusion criteria may apply.
Sites / Locations
- Please check the study webpage below for a study site list
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
AM-101 injection
Placebo injection
Arm Description
AM-101
Placebo
Outcomes
Primary Outcome Measures
Efficacy endpoint - alternate primary efficacy endpoints: Tinnitus Functional Index (TFI)
Improvement in TFI total score
Efficacy endpoint - alternate primary efficacy endpoints: Patient-reported Tinnitus loudness on a Numerical Rating Scale (TLQ NRS loudest)
Improvement in TLQ NRS loudest
Safety endpoint: Hearing threshold
Occurrence of deterioration in hearing threshold >= 15 decibel (dB) at the average of two contiguous test frequencies (air conduction) in the treated ear(s)
Secondary Outcome Measures
Efficacy endpoint - TFI
Improvement in TFI total score
Efficacy endpoint - TLQ NRS loudest
Improvement in patient-reported tinnitus loudness
Efficacy endpoint - patient-reported tinnitus annoyance (TAQ NRS worst)
Improvement in TAQ NRS worst
Efficacy endpoint - TFI sleep score
Improvement in TFI sleep score. The subscale "sleep" will be evaluated only for subjects with a TFI Sleep score greater than 0 at baseline.
Efficacy endpoint - Patient global impression of change in tinnitus severity (PGIC Tinnitus)
Patient global impression of change in tinnitus severity
Safety endpoint - Hearing threshold
Occurrence of deterioration in hearing threshold >= 15 dB at the average of two contiguous test frequencies in the treated ear(s)
Safety endpoint - Hearing threshold
Difference in occurrence of deterioration in hearing threshold >= 15 dB at the average of two contiguous test frequencies between the treated and untreated contralateral ear (subjects with unilaterally treated tinnitus only)
Safety endpoint - AEs and SAEs
Occurence and severity of adverse events (AEs) and serious adverse Events (SAEs), differentiated by relatedness, and by treatment-emergence and procedure-emergence
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02040194
Brief Title
AM-101 in the Treatment of Acute Tinnitus 3
Acronym
TACTT3
Official Title
Efficacy and Safety of AM-101 in the Treatment of Acute Peripheral Tinnitus 3
Study Type
Interventional
2. Study Status
Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
December 28, 2017 (Actual)
Study Completion Date
December 28, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Auris Medical AG
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this research study is to test the safety and effectiveness of the study drug, AM-101. AM-101 is tested for the treatment of tinnitus that started as the result of an injury to the inner ear or due to middle ear inflammation (otitis media). Subjects with tinnitus can take part in the study, if their tinnitus started within the last 3 months or within the last >3 to 6 months.
Detailed Description
This phase III study is assessing the drug's safety and is aiming to demonstrate efficacy of repeated intratympanic AM-101 injections in the treatment of acute peripheral tinnitus (up to 3 months (Stratum A), or between >3 and 6 months (Stratum B) from onset).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tinnitus
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
893 (Actual)
8. Arms, Groups, and Interventions
Arm Title
AM-101 injection
Arm Type
Experimental
Arm Description
AM-101
Arm Title
Placebo injection
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
AM-101
Intervention Description
AM-101 gel for intratympanic injection
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo gel for intratympanic injection
Primary Outcome Measure Information:
Title
Efficacy endpoint - alternate primary efficacy endpoints: Tinnitus Functional Index (TFI)
Description
Improvement in TFI total score
Time Frame
Baseline to Day 84
Title
Efficacy endpoint - alternate primary efficacy endpoints: Patient-reported Tinnitus loudness on a Numerical Rating Scale (TLQ NRS loudest)
Description
Improvement in TLQ NRS loudest
Time Frame
Baseline to Day 84
Title
Safety endpoint: Hearing threshold
Description
Occurrence of deterioration in hearing threshold >= 15 decibel (dB) at the average of two contiguous test frequencies (air conduction) in the treated ear(s)
Time Frame
Baseline to Day 35
Secondary Outcome Measure Information:
Title
Efficacy endpoint - TFI
Description
Improvement in TFI total score
Time Frame
Baseline to Day 10 and Day 35
Title
Efficacy endpoint - TLQ NRS loudest
Description
Improvement in patient-reported tinnitus loudness
Time Frame
Baseline to Day 10 and Day 35
Title
Efficacy endpoint - patient-reported tinnitus annoyance (TAQ NRS worst)
Description
Improvement in TAQ NRS worst
Time Frame
Baseline to Day10, Day 35 and Day 84
Title
Efficacy endpoint - TFI sleep score
Description
Improvement in TFI sleep score. The subscale "sleep" will be evaluated only for subjects with a TFI Sleep score greater than 0 at baseline.
Time Frame
Baseline to Day10, Day 35 and Day 84
Title
Efficacy endpoint - Patient global impression of change in tinnitus severity (PGIC Tinnitus)
Description
Patient global impression of change in tinnitus severity
Time Frame
at Day10, Day 35 and Day 84
Title
Safety endpoint - Hearing threshold
Description
Occurrence of deterioration in hearing threshold >= 15 dB at the average of two contiguous test frequencies in the treated ear(s)
Time Frame
Baseline to Day 1, Day 2, Day 10 and Day 84
Title
Safety endpoint - Hearing threshold
Description
Difference in occurrence of deterioration in hearing threshold >= 15 dB at the average of two contiguous test frequencies between the treated and untreated contralateral ear (subjects with unilaterally treated tinnitus only)
Time Frame
Baseline to Day 1, Day 2, Day 10 and Day 84
Title
Safety endpoint - AEs and SAEs
Description
Occurence and severity of adverse events (AEs) and serious adverse Events (SAEs), differentiated by relatedness, and by treatment-emergence and procedure-emergence
Time Frame
Up to Day 84
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Persistent subjective peripheral tinnitus (unilateral or bilateral) following traumatic cochlear injury (acute acoustic trauma, blast trauma, middle ear surgery, inner ear barotrauma, tympanic membrane trauma) or otitis media with onset no longer than 3 months (Stratum A) or between >3 months and 6 months (Stratum B) prior to randomization, as documented by medical report or by documented medical history. Upon implementation of protocol amendment 6, subjects with tinnitus following traumatic cochlear injury will only be eligible if they are affected only unilaterally.
Age ≥ 18 years and ≤ 75 years;
Negative pregnancy test (woman of childbearing potential);
Willing and able to use adequate hearing protection, respectively to refrain from engaging in activities or work involving loud noise exposure where sufficient hearing protection is not possible or ensured;
Willing and able to protect ear canal and middle ear from water exposure as long as tympanic membrane is not fully closed.
Other protocol-defined inclusion criteria may apply.
Exclusion Criteria:
Fluctuating tinnitus;
Intermittent tinnitus;
Tinnitus resulting from traumatic head or neck injury;
Presence of chronic tinnitus;
Meniere's Disease, history of endolymphatic hydrops, or history of fluctuating hearing loss;
History of repeated idiopathic sudden sensorineural hearing loss or history of acoustic neuroma;
Ongoing acute or chronic otitis media or otitis externa;
Other treatment of tinnitus for the study duration;
Known hypersensitivity, allergy or intolerance to the study medication or any history of severe, abnormal drug reaction;
Women who are breast-feeding, pregnant or who are planning to become pregnant during the study;
Women of childbearing potential who are unwilling or unable to practice contraception, such as hormonal contraceptives, double barrier, sexual abstinence or intercourse with a partner who has been vasectomised for at least three months;
Concurrent participation in another clinical study or participation in another clinical study within 30 days prior to randomization.
Other protocol-defined exclusion criteria may apply.
Facility Information:
Facility Name
Please check the study webpage below for a study site list
City
Munich
Country
Germany
12. IPD Sharing Statement
Links:
URL
https://www.clinicaltrialsregister.eu/ctr-search/trial/2012-004099-20/results
Description
Link to Result entry in clinicaltrialsregister.eu
Learn more about this trial
AM-101 in the Treatment of Acute Tinnitus 3
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