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Evaluating Possible Improvement in Tinnitus Severity After 28 Days Dosing of the Study Drug AUT00063 Compared to Placebo (QUIET-1)

Primary Purpose

Tinnitus, Subjective

Status
Completed
Phase
Phase 2
Locations
United Kingdom
Study Type
Interventional
Intervention
AUT00063
Placebo
Sponsored by
Autifony Therapeutics Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tinnitus, Subjective

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • English-speaking, who are UK residents registered with a UK General Practitioner;
  • Experiencing stable tinnitus (consistent from day to day)
  • Tinnitus has existed for not less than 6 months, and not more than 18 months - Contraceptive methods must be used before and for at least 30 days after the stop of the study treatment.

Exclusion Criteria:

  • Severe hearing impairment such that verbal communication is unreliable;
  • History of important cardiac, endocrine, pulmonary, neurologic, psychiatric, hepatic, renal, hematologic, immunologic, or other major diseases deemed clinically significant at the time of the study by the Investigator and which might be jeopardised by entering the study;
  • Moderate or severe depression or generalised anxiety
  • Participation in any clinical research study evaluating another investigational drug or therapy within 30 days of starting the investigational treatment
  • Participation in hearing study, involving an intervention, within 3 months from last study visit;
  • Central nervous system pathologies e.g. Multiple Sclerosis, Parkinson's disease;
  • Tinnitus as a concomitant symptom of a known otological condition (including but not limited to otitis externa, otitis media, otosclerosis, cholesteatoma, Ménière's disease or other vestibular problems, acoustic neuroma, or temporo-mandibular joint disorder);
  • Pulsatile tinnitus (rhythmical sounds that often beat in time with the heartbeat);
  • Intermittent tinnitus (comes and goes from one day to the next);
  • Surgery or medical condition that might would be expected to significantly affect absorption of medicines;

Sites / Locations

  • Birmingham University Hospital
  • Bradford Teaching Hospital
  • Bristol Royal Infirmary
  • Cambridge University Hospitals NHS Trust
  • Frimley Health NHS Foundation Trust
  • University College London Hospital NHS Foundation Trust
  • The Pennine Acute Hospitals NHS Trust
  • Freeman Hospital
  • Norfolk and Norwich University Hospital Foundation Trust
  • Nottingham University Hospitals NHS Trust
  • Derriford Plymouth NHS Trust
  • Portsmouth Hospitals NHS Trust
  • Salford Royal Hospital
  • Royal Hallamshire Hospital, Sheffield
  • Lister Hospital
  • University Hospital of North Staffordshire
  • Shrewsbury and Telford Hospital NHS Trust
  • Wrightington Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

AUT00063

Placebo

Arm Description

4 capsules of 200 mg of the new medicine, AUT00063, to take orally with food for 4 weeks.

4 capsules of placebo, to take orally with food for 4 weeks.

Outcomes

Primary Outcome Measures

Change in subjective Tinnitus after 4 weeks treatment
To compare the change from baseline (D1 to D28) of the Tinnitus Functional Index overall score between AUT00063 (800 mg) and placebo.

Secondary Outcome Measures

To further investigate the safety and tolerability profile of repeat administration of AUT00063 (assessing vital signs, physical examination, laboratory exams and ECG)
To investigate the safety and tolerability of AUT00063 by assessing vital signs, physical examination, laboratory exams and ECG
Change in Tinnitus Loudness matching after 4 weeks of treatment
Changes from baseline (D1) at Day 28 between treatment groups in Tinnitus loudness matching (LM).
Pharmacokinetic of AUT00063 (Exposure of AUT00063 ng/ml, measured as AUT00063 plasma levels)
Exposure of AUT00063 ng/ml, measured as AUT00063 plasma levels at Day 28

Full Information

First Posted
December 9, 2014
Last Updated
March 30, 2016
Sponsor
Autifony Therapeutics Limited
Collaborators
University of Nottingham
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1. Study Identification

Unique Protocol Identification Number
NCT02315508
Brief Title
Evaluating Possible Improvement in Tinnitus Severity After 28 Days Dosing of the Study Drug AUT00063 Compared to Placebo
Acronym
QUIET-1
Official Title
A Balanced Randomised Placebo Controlled Double-blind Phase IIa Study to Investigate the Efficacy and Safety of AUT00063 Versus Placebo in Subjective Tinnitus
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
October 2014 (undefined)
Primary Completion Date
December 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Autifony Therapeutics Limited
Collaborators
University of Nottingham

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study aims to demonstrate that the new medicine AUT00063 is effective and safe in the treatment of tinnitus.
Detailed Description
Reduced activity at certain sites in the brain (called "voltage-gated potassium channels") has been linked to hearing problems, like age-related loss of hearing or tinnitus (a 'ringing' or buzzing noise in the ears). AUT00063 is an experimental new medicine that has been developed to improve the action of these specific channels and so treat the brain component of these hearing problems. The main purpose of this study is to try to demonstrate an improvement in the severity of tinnitus after 4 weeks of treatment with the study medicine or the placebo (dummy drug which does not contain the medication). Subjects will undergo a safety follow-up after the treatment period. Safety and efficacy will be determined by looking at a number of assessments (physical examinations, blood sampling, hearing assessments, questionnaires, etc.) and in case of any serious medical event during the study. The amount of drug in the blood will also be measured. It is expected that up to 152 people with tinnitus may take part in the study. The study participants will be recruited at around 16 Hospital sites in the UK.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tinnitus, Subjective

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
91 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AUT00063
Arm Type
Experimental
Arm Description
4 capsules of 200 mg of the new medicine, AUT00063, to take orally with food for 4 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
4 capsules of placebo, to take orally with food for 4 weeks.
Intervention Type
Drug
Intervention Name(s)
AUT00063
Other Intervention Name(s)
Experimental
Intervention Description
800 mg orally, once a day, for 4 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Comparator
Intervention Description
orally, once a day, for 4 weeks
Primary Outcome Measure Information:
Title
Change in subjective Tinnitus after 4 weeks treatment
Description
To compare the change from baseline (D1 to D28) of the Tinnitus Functional Index overall score between AUT00063 (800 mg) and placebo.
Time Frame
28 days
Secondary Outcome Measure Information:
Title
To further investigate the safety and tolerability profile of repeat administration of AUT00063 (assessing vital signs, physical examination, laboratory exams and ECG)
Description
To investigate the safety and tolerability of AUT00063 by assessing vital signs, physical examination, laboratory exams and ECG
Time Frame
42 days
Title
Change in Tinnitus Loudness matching after 4 weeks of treatment
Description
Changes from baseline (D1) at Day 28 between treatment groups in Tinnitus loudness matching (LM).
Time Frame
28 days
Title
Pharmacokinetic of AUT00063 (Exposure of AUT00063 ng/ml, measured as AUT00063 plasma levels)
Description
Exposure of AUT00063 ng/ml, measured as AUT00063 plasma levels at Day 28
Time Frame
at day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: English-speaking, who are UK residents registered with a UK General Practitioner; Experiencing stable tinnitus (consistent from day to day) Tinnitus has existed for not less than 6 months, and not more than 18 months - Contraceptive methods must be used before and for at least 30 days after the stop of the study treatment. Exclusion Criteria: Severe hearing impairment such that verbal communication is unreliable; History of important cardiac, endocrine, pulmonary, neurologic, psychiatric, hepatic, renal, hematologic, immunologic, or other major diseases deemed clinically significant at the time of the study by the Investigator and which might be jeopardised by entering the study; Moderate or severe depression or generalised anxiety Participation in any clinical research study evaluating another investigational drug or therapy within 30 days of starting the investigational treatment Participation in hearing study, involving an intervention, within 3 months from last study visit; Central nervous system pathologies e.g. Multiple Sclerosis, Parkinson's disease; Tinnitus as a concomitant symptom of a known otological condition (including but not limited to otitis externa, otitis media, otosclerosis, cholesteatoma, Ménière's disease or other vestibular problems, acoustic neuroma, or temporo-mandibular joint disorder); Pulsatile tinnitus (rhythmical sounds that often beat in time with the heartbeat); Intermittent tinnitus (comes and goes from one day to the next); Surgery or medical condition that might would be expected to significantly affect absorption of medicines;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jaydip Ray, MD
Organizational Affiliation
Sheffield Teaching Hospitals NHS Foundation Trust
Official's Role
Principal Investigator
Facility Information:
Facility Name
Birmingham University Hospital
City
Birmingham
ZIP/Postal Code
B15 2WB
Country
United Kingdom
Facility Name
Bradford Teaching Hospital
City
Bradford
ZIP/Postal Code
BD9 6RJ
Country
United Kingdom
Facility Name
Bristol Royal Infirmary
City
Bristol
ZIP/Postal Code
BS2 8HW
Country
United Kingdom
Facility Name
Cambridge University Hospitals NHS Trust
City
Cambridge
ZIP/Postal Code
CB2 0QQ
Country
United Kingdom
Facility Name
Frimley Health NHS Foundation Trust
City
Frimley
ZIP/Postal Code
GU16 7UJ
Country
United Kingdom
Facility Name
University College London Hospital NHS Foundation Trust
City
London
ZIP/Postal Code
WC1E 6BT
Country
United Kingdom
Facility Name
The Pennine Acute Hospitals NHS Trust
City
Manchester
ZIP/Postal Code
M8 5RB
Country
United Kingdom
Facility Name
Freeman Hospital
City
Newcastle
ZIP/Postal Code
NE7 7DN
Country
United Kingdom
Facility Name
Norfolk and Norwich University Hospital Foundation Trust
City
Norwich
ZIP/Postal Code
NR4 7UY
Country
United Kingdom
Facility Name
Nottingham University Hospitals NHS Trust
City
Nottingham
ZIP/Postal Code
NG7 2UH
Country
United Kingdom
Facility Name
Derriford Plymouth NHS Trust
City
Plymouth
ZIP/Postal Code
PL6 8DH
Country
United Kingdom
Facility Name
Portsmouth Hospitals NHS Trust
City
Portsmouth
ZIP/Postal Code
PO6 3LY
Country
United Kingdom
Facility Name
Salford Royal Hospital
City
Salford
ZIP/Postal Code
M6 8HD
Country
United Kingdom
Facility Name
Royal Hallamshire Hospital, Sheffield
City
Sheffield
ZIP/Postal Code
S10 3BR, UK
Country
United Kingdom
Facility Name
Lister Hospital
City
Stevenage
ZIP/Postal Code
SG1 4AB
Country
United Kingdom
Facility Name
University Hospital of North Staffordshire
City
Stoke-on-Trent
ZIP/Postal Code
ST4 6QG
Country
United Kingdom
Facility Name
Shrewsbury and Telford Hospital NHS Trust
City
Telford
ZIP/Postal Code
TF1 6TF
Country
United Kingdom
Facility Name
Wrightington Hospital
City
Wigan
ZIP/Postal Code
WN6 9EP
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
30939361
Citation
Hall DA, Ray J, Watson J, Sharman A, Hutchison J, Harris P, Daniel M, Millar B, Large CH. A balanced randomised placebo controlled blinded phase IIa multi-centre study to investigate the efficacy and safety of AUT00063 versus placebo in subjective tinnitus: The QUIET-1 trial. Hear Res. 2019 Jun;377:153-166. doi: 10.1016/j.heares.2019.03.018. Epub 2019 Mar 27.
Results Reference
derived

Learn more about this trial

Evaluating Possible Improvement in Tinnitus Severity After 28 Days Dosing of the Study Drug AUT00063 Compared to Placebo

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