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FX-322 in Adults With Age-Related Sensorineural Hearing Loss

Primary Purpose

Presbycusis, Hearing Loss, Sensorineural, Noise Induced Hearing Loss

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
FX-322
placebo
Sponsored by
Frequency Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Presbycusis focused on measuring Intratympanic administration, Restoration of hearing loss

Eligibility Criteria

66 Years - 85 Years (Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject has read and voluntarily signed the Informed Consent Form (ICF) after all questions have been answered and prior to any study-mandated procedure.
  2. Adult aged 66-85 years inclusive.
  3. Documented medical history consistent with age-related sensorineural hearing loss (documented audiogram at least 6 months prior to screening required).
  4. A pure tone average of 26-70 dB at 500Hz, 1000Hz, 2000Hz, and 4000Hz at Screening in the ear to be injected.
  5. Ability to communicate well with the Investigator and is willing to comply with and complete all the study procedures.

Exclusion Criteria:

  1. Subject has previously participated in a FX-322 clinical trial.
  2. Any subject with a flat audiogram between 500Hz and 8000Hz at Screening in the study ear. The difference in the range of threshold values across frequencies is ≤15 dB for the definition of a flat audiogram.
  3. Clinically significant abnormalities on safety laboratory tests.
  4. Perforation of tympanic membrane or other tympanic membrane disorders that would interfere with the delivery and safety assessment of an intratympanic medication or reasonably be suspected to affect tympanic membrane healing after injection in study ear. This includes a current tympanostomy tube.
  5. Any conductive hearing loss of greater than 15 dB at a single frequency or greater than 10 dB at two or more contiguous octave frequencies in the study ear at the Screening visit or on the prior audiogram (if the Investigator feels there is not a true conductive hearing loss, the Medical Monitor should be consulted).
  6. Active chronic middle ear disease or a history of major middle ear surgery, as an adult, in the ear to be injected.
  7. Subject has had an intratympanic injection in either ear within 3 months of the screening visit.
  8. History of clinically significant vestibular symptoms at the discretion of the investigator. For example, BPPV may be considered acceptable whereas Meniere's would not.
  9. History of clinically significant systemic autoimmune disease (e.g. rheumatoid arthritis, Sjogren's syndrome, multiple sclerosis, psoriasis).
  10. Exposure to another investigational drug within 28 days prior to injection of study drug.
  11. Evidence of any active or chronic disease or condition that could interfere with, or for which the treatment of might interfere with, the conduct of the study, or that would pose an unacceptable risk to the subject in the opinion of the investigator following a detailed medical history, physical examination, and vital signs (systolic and diastolic blood pressure, pulse rate, body temperature).
  12. Females of childbearing potential (those who are not surgically sterilized or post-menopausal) may not participate in the study if any of the following conditions exist:

    • Pregnant or intend to become pregnant
    • Nursing (lactating)
    • Does not agree to use adequate birth control methods for the duration of the study (adequate birth control methods are: hormonal- oral, implantable, transdermal or injectable contraceptives; mechanical- spermicide in conjunction with a barrier such as a condom or diaphragm, IUD, or surgical sterilization of a partner.

    NOTE: all female subjects of childbearing potential must consent to a urine pregnancy test as described in the Schedule of Assessments

  13. Any known factor, condition, or disease that, in the view of the Investigator, might interfere with treatment compliance, study conduct or interpretation of the results (e.g. previous high-dose aminoglycoside treatment).

Sites / Locations

  • Clinical Trial Site
  • Clinical Trial Site
  • Clinical Trial Site
  • Clinical Trial Site
  • Clinical Trial Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

FX-322

Placebo

Arm Description

FX-322, 1 dose (N=24)

Placebo, 1 dose (n=6)

Outcomes

Primary Outcome Measures

Systemic Safety: Number of patients with treatment-related adverse events
Number of patients with treatment-related adverse events assessed by CTCAE v5.0
Local Safety: Number of patients with abnormal changes from baseline in otoscopic examinations
Microscopic otoscopy will be included to specifically record any abnormalities of the external ear canal, tympanic membrane and middle ear.
Local Safety: The number of patients with abnormal changes from baseline in tympanometry
Tympanometry tests the integrity of the tympanic membrane by varying air pressure in the ear canal. Middle ear compliance (mL), peak pressure (daPa), and ear canal volume (mL) will be recorded.
Columbia-Suicide Severity Rating Scale (C-SSRS)
Risk assessment through a series of simple, plain-language questions

Secondary Outcome Measures

Audiologic Response Endpoints: Speech Intelligibility - Word Recognition in Quiet (WR)
Assessment of speech intelligibility using the Word Recognition in Quiet test measured with Consonant-Nucleus-Consonant (CNC) word lists.
Audiologic Response Endpoints: Speech Intelligibility - Words-In-Noise (WIN)
Speech intelligibility using the Words-in-Noise test measured with Consonant-Nucleus-Consonant (CNC) word lists
Standard Pure Tone Audiometry
Standard pure tone audiometry will be measured to determine a subject's threshold for hearing at standard frequencies (Hz)
Extended High Frequency Pure Tone Audiometry
Pure tone audiometry will be measured to determine a subject's threshold for hearing at extended high range frequencies (Hz)
Tinnitus Assessment
Measured by the Tinnitus Functional Index (TFI), with a scale ranging from 0 to 100 that defines severity categories based on 25 self-reported answers.

Full Information

First Posted
October 12, 2020
Last Updated
May 24, 2022
Sponsor
Frequency Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT04601909
Brief Title
FX-322 in Adults With Age-Related Sensorineural Hearing Loss
Official Title
A Phase 1b, Prospective, Randomized, Double-Blind, Placebo-Controlled, Single-Dose, Multicenter, Safety Study of FX-322 Administered by Intratympanic Injection in Adults With Age-Related Sensorineural Hearing Loss
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
September 17, 2020 (Actual)
Primary Completion Date
May 16, 2022 (Actual)
Study Completion Date
May 16, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Frequency Therapeutics

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase 1b, prospective, randomized, double-blind, placebo-controlled, single-dose, multicenter, safety study of FX-322, administered by intratympanic injection, in adults with age-related sensorineural hearing loss.
Detailed Description
This is a Phase 1b placebo-controlled, double-blind, randomized, single-dose safety study of intratympanic FX-322 dosed in subjects with age-related sensorineural hearing loss. Approximately 30 subjects are planned to be enrolled in this study. The subjects will be randomized to receive one dose FX-322 (24) or placebo (6) and will return for safety, otologic, and audiologic assessments at Days 30 and 90 after the study injection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Presbycusis, Hearing Loss, Sensorineural, Noise Induced Hearing Loss, Sudden Hearing Loss
Keywords
Intratympanic administration, Restoration of hearing loss

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Approximately 30 subjects are planned to be enrolled in this study. The subjects will be randomized to receive FX-322 or placebo randomized 4:1.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double-blind
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FX-322
Arm Type
Active Comparator
Arm Description
FX-322, 1 dose (N=24)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo, 1 dose (n=6)
Intervention Type
Drug
Intervention Name(s)
FX-322
Intervention Description
active comparator
Intervention Type
Other
Intervention Name(s)
placebo
Intervention Description
placebo
Primary Outcome Measure Information:
Title
Systemic Safety: Number of patients with treatment-related adverse events
Description
Number of patients with treatment-related adverse events assessed by CTCAE v5.0
Time Frame
3 months
Title
Local Safety: Number of patients with abnormal changes from baseline in otoscopic examinations
Description
Microscopic otoscopy will be included to specifically record any abnormalities of the external ear canal, tympanic membrane and middle ear.
Time Frame
3 months
Title
Local Safety: The number of patients with abnormal changes from baseline in tympanometry
Description
Tympanometry tests the integrity of the tympanic membrane by varying air pressure in the ear canal. Middle ear compliance (mL), peak pressure (daPa), and ear canal volume (mL) will be recorded.
Time Frame
3 months
Title
Columbia-Suicide Severity Rating Scale (C-SSRS)
Description
Risk assessment through a series of simple, plain-language questions
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Audiologic Response Endpoints: Speech Intelligibility - Word Recognition in Quiet (WR)
Description
Assessment of speech intelligibility using the Word Recognition in Quiet test measured with Consonant-Nucleus-Consonant (CNC) word lists.
Time Frame
3 months
Title
Audiologic Response Endpoints: Speech Intelligibility - Words-In-Noise (WIN)
Description
Speech intelligibility using the Words-in-Noise test measured with Consonant-Nucleus-Consonant (CNC) word lists
Time Frame
3 months
Title
Standard Pure Tone Audiometry
Description
Standard pure tone audiometry will be measured to determine a subject's threshold for hearing at standard frequencies (Hz)
Time Frame
3 months
Title
Extended High Frequency Pure Tone Audiometry
Description
Pure tone audiometry will be measured to determine a subject's threshold for hearing at extended high range frequencies (Hz)
Time Frame
3 months
Title
Tinnitus Assessment
Description
Measured by the Tinnitus Functional Index (TFI), with a scale ranging from 0 to 100 that defines severity categories based on 25 self-reported answers.
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
66 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has read and voluntarily signed the Informed Consent Form (ICF) after all questions have been answered and prior to any study-mandated procedure. Adult aged 66-85 years inclusive. Documented medical history consistent with age-related sensorineural hearing loss (documented audiogram at least 6 months prior to screening required). A pure tone average of 26-70 dB at 500Hz, 1000Hz, 2000Hz, and 4000Hz at Screening in the ear to be injected. Ability to communicate well with the Investigator and is willing to comply with and complete all the study procedures. Exclusion Criteria: Subject has previously participated in a FX-322 clinical trial. Any subject with a flat audiogram between 500Hz and 8000Hz at Screening in the study ear. The difference in the range of threshold values across frequencies is ≤15 dB for the definition of a flat audiogram. Clinically significant abnormalities on safety laboratory tests. Perforation of tympanic membrane or other tympanic membrane disorders that would interfere with the delivery and safety assessment of an intratympanic medication or reasonably be suspected to affect tympanic membrane healing after injection in study ear. This includes a current tympanostomy tube. Any conductive hearing loss of greater than 15 dB at a single frequency or greater than 10 dB at two or more contiguous octave frequencies in the study ear at the Screening visit or on the prior audiogram (if the Investigator feels there is not a true conductive hearing loss, the Medical Monitor should be consulted). Active chronic middle ear disease or a history of major middle ear surgery, as an adult, in the ear to be injected. Subject has had an intratympanic injection in either ear within 3 months of the screening visit. History of clinically significant vestibular symptoms at the discretion of the investigator. For example, BPPV may be considered acceptable whereas Meniere's would not. History of clinically significant systemic autoimmune disease (e.g. rheumatoid arthritis, Sjogren's syndrome, multiple sclerosis, psoriasis). Exposure to another investigational drug within 28 days prior to injection of study drug. Evidence of any active or chronic disease or condition that could interfere with, or for which the treatment of might interfere with, the conduct of the study, or that would pose an unacceptable risk to the subject in the opinion of the investigator following a detailed medical history, physical examination, and vital signs (systolic and diastolic blood pressure, pulse rate, body temperature). Females of childbearing potential (those who are not surgically sterilized or post-menopausal) may not participate in the study if any of the following conditions exist: Pregnant or intend to become pregnant Nursing (lactating) Does not agree to use adequate birth control methods for the duration of the study (adequate birth control methods are: hormonal- oral, implantable, transdermal or injectable contraceptives; mechanical- spermicide in conjunction with a barrier such as a condom or diaphragm, IUD, or surgical sterilization of a partner. NOTE: all female subjects of childbearing potential must consent to a urine pregnancy test as described in the Schedule of Assessments Any known factor, condition, or disease that, in the view of the Investigator, might interfere with treatment compliance, study conduct or interpretation of the results (e.g. previous high-dose aminoglycoside treatment).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Carl LeBel, PhD
Organizational Affiliation
Frequency Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Clinical Trial Site
City
Sarasota
State/Province
Florida
ZIP/Postal Code
00000
Country
United States
Facility Name
Clinical Trial Site
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
00000
Country
United States
Facility Name
Clinical Trial Site
City
Amherst
State/Province
New York
ZIP/Postal Code
00000
Country
United States
Facility Name
Clinical Trial Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
00000
Country
United States
Facility Name
Clinical Trial Site
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
00000
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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FX-322 in Adults With Age-Related Sensorineural Hearing Loss

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