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FX-322 in Adults With Stable Sensorineural Hearing Loss

Primary Purpose

Sensorineural Hearing Loss, Noise Induced Hearing Loss, Sudden Sensorineural Hearing Loss

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
FX-322 (One Dose)
FX-322 (Two Doses)
FX-322 (Four Doses)
Placebo
Sponsored by
Frequency Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sensorineural Hearing Loss focused on measuring Intratympanic Administration, Restoration of Hearing Function

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adults aged 18-65 years inclusive.
  2. Established diagnosis of stable sensorineural hearing loss by standard audiometric measures for ≥ 6 months prior to the Screening visit (no changes in air conduction greater than 10 dB at a single frequency or greater than 5 dB at two contiguous frequencies from the prior audiogram to the Screening audiogram in the study ear).
  3. Documented medical history consistent with hearing loss being caused by noise exposure or sudden sensorineural hearing loss.
  4. Pure Tone Audiometry (PTA) within 26-70 dB in the ear to be injected.
  5. Female subjects must be of non-childbearing potential or will need to utilize two methods of highly effective contraception during the study participation (e.g. hormonal contraception or an intrauterine device and condoms) or remain abstinent. Male subjects should use condoms with spermicide during the course of the study or remain abstinent. Subjects should not donate sperm or ova during the study period.

Exclusion Criteria:

  1. Previous participation in FX-322 clinical trial.
  2. Currently on any medication consisting of valproic acid, valproate sodium, or divalproex sodium.
  3. 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.
  4. 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).
  5. Active chronic middle ear disease or a history of major middle ear surgery, as an adult, in the ear to be injected.
  6. Subject has had an intratympanic injection in either ear within 6 months of the screening visit.
  7. History of clinically significant vestibular symptoms at the discretion of the investigator.
  8. History of clinically significant systemic autoimmune disease.
  9. History of head or neck radiation treatment or exposure.
  10. History of platinum-based chemotherapy treatment.
  11. Exposure to another investigational drug within 28 days prior to injection of study drug.
  12. 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).
  13. History of substance abuse within 2 years of the Screening Visit.
  14. Positive test for drugs of abuse at screening.
  15. Positive urine pregnancy test or breast-feeding.
  16. 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

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Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

FX-322 Single Dose, Placebo Three Doses

FX-322 Two Doses, Placebo Two Doses

FX-322 Four Doses

Placebo Four Doses

Arm Description

Four intratympanic injections of a hydrogel formulation, FX-322 Single Dose, Placebo Three Doses.

Four intratympanic injections of a hydrogel formulation, FX-322 Two Doses, Placebo Two Doses.

Four intratympanic injections of a hydrogel formulation, FX-322 Four Doses.

Four intratympanic injections of a hydrogel formulation, Placebo Four Doses.

Outcomes

Primary Outcome Measures

Word Recognition in Quiet
Percent of subjects exceeding the Carney-Schlauch 95% confidence interval for improvement from baseline in number of words recognized from Consonant-Nucleus-Consonant (CNC) word lists
Words-in-Noise
Mean absolute percent change in number of recognized words from CNC word lists
Pure Tone Audiometry
Mean overall pure tone average (PTA) hearing thresholds in decibels (dB) derived by averaging the air conduction thresholds at 0.5, 1, 2 and 4kHZ frequencies
Treatment-emergent Adverse Events (TEAEs)
Number of patients with treatment-related adverse events assessed by CTCAE v5.0
Otoscopy Abnormalities
Number of treated ears with abnormalities of the external ear canal, tympanic membrane and middle ear at each specified time point
Tympanometry Abnormalities
Number of treated ears with changes in middle ear compliance (mL), peak pressure (daPa), and/or ear canal volume (mL) from baseline

Secondary Outcome Measures

Full Information

First Posted
September 30, 2019
Last Updated
April 25, 2023
Sponsor
Frequency Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT04120116
Brief Title
FX-322 in Adults With Stable Sensorineural Hearing Loss
Official Title
A Phase 2a, Prospective, Randomized, Double-Blind, Placebo-Controlled, Single and Repeat-Dose, Multicenter, Exploratory Efficacy Study of FX-322 Administered by Intratympanic Injection in Adults With Stable Sensorineural Hearing Loss
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
October 4, 2019 (Actual)
Primary Completion Date
October 6, 2020 (Actual)
Study Completion Date
December 17, 2020 (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 2a single and repeat dose exploratory efficacy study of intratympanic FX-322 compared to placebo in healthy male and female adults with stable sensorineural hearing loss.
Detailed Description
Sensorineural hearing loss (SNHL) accounts for about 90% of all cases of hearing loss. This phase 2a study will assess the exploratory efficacy, as well as the local and systemic safety of single and repeat intratympanic doses of FX-322 compared to placebo in approximately 96 subjects with stable mild to moderately severe sensorineural hearing loss, with a medical history consistent with either excessive noise exposure or idiopathic sudden sensorineural hearing loss.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sensorineural Hearing Loss, Noise Induced Hearing Loss, Sudden Sensorineural Hearing Loss
Keywords
Intratympanic Administration, Restoration of Hearing Function

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
FX-322 Single Dose, Placebo Three Doses
Arm Type
Experimental
Arm Description
Four intratympanic injections of a hydrogel formulation, FX-322 Single Dose, Placebo Three Doses.
Arm Title
FX-322 Two Doses, Placebo Two Doses
Arm Type
Experimental
Arm Description
Four intratympanic injections of a hydrogel formulation, FX-322 Two Doses, Placebo Two Doses.
Arm Title
FX-322 Four Doses
Arm Type
Experimental
Arm Description
Four intratympanic injections of a hydrogel formulation, FX-322 Four Doses.
Arm Title
Placebo Four Doses
Arm Type
Placebo Comparator
Arm Description
Four intratympanic injections of a hydrogel formulation, Placebo Four Doses.
Intervention Type
Drug
Intervention Name(s)
FX-322 (One Dose)
Intervention Description
Patients will receive one dose of FX-322.
Intervention Type
Drug
Intervention Name(s)
FX-322 (Two Doses)
Intervention Description
Patients will receive two doses of FX-322.
Intervention Type
Drug
Intervention Name(s)
FX-322 (Four Doses)
Intervention Description
Patients will receive four doses of FX-322.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Patients will receive Placebo.
Primary Outcome Measure Information:
Title
Word Recognition in Quiet
Description
Percent of subjects exceeding the Carney-Schlauch 95% confidence interval for improvement from baseline in number of words recognized from Consonant-Nucleus-Consonant (CNC) word lists
Time Frame
Baseline to Day 210
Title
Words-in-Noise
Description
Mean absolute percent change in number of recognized words from CNC word lists
Time Frame
Baseline to Day 210
Title
Pure Tone Audiometry
Description
Mean overall pure tone average (PTA) hearing thresholds in decibels (dB) derived by averaging the air conduction thresholds at 0.5, 1, 2 and 4kHZ frequencies
Time Frame
Baseline to Day 210
Title
Treatment-emergent Adverse Events (TEAEs)
Description
Number of patients with treatment-related adverse events assessed by CTCAE v5.0
Time Frame
Baseline to Day 210
Title
Otoscopy Abnormalities
Description
Number of treated ears with abnormalities of the external ear canal, tympanic membrane and middle ear at each specified time point
Time Frame
Baseline and Days 8, 15, 21 60, 90,150, and 210
Title
Tympanometry Abnormalities
Description
Number of treated ears with changes in middle ear compliance (mL), peak pressure (daPa), and/or ear canal volume (mL) from baseline
Time Frame
Baseline and Days 15, 60, 90, 150, 210

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adults aged 18-65 years inclusive. Established diagnosis of stable sensorineural hearing loss by standard audiometric measures for ≥ 6 months prior to the Screening visit (no changes in air conduction greater than 10 dB at a single frequency or greater than 5 dB at two contiguous frequencies from the prior audiogram to the Screening audiogram in the study ear). Documented medical history consistent with hearing loss being caused by noise exposure or sudden sensorineural hearing loss. Pure Tone Audiometry (PTA) within 26-70 dB in the ear to be injected. Female subjects must be of non-childbearing potential or will need to utilize two methods of highly effective contraception during the study participation (e.g. hormonal contraception or an intrauterine device and condoms) or remain abstinent. Male subjects should use condoms with spermicide during the course of the study or remain abstinent. Subjects should not donate sperm or ova during the study period. Exclusion Criteria: Previous participation in FX-322 clinical trial. Currently on any medication consisting of valproic acid, valproate sodium, or divalproex sodium. 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 6 months of the screening visit. History of clinically significant vestibular symptoms at the discretion of the investigator. History of clinically significant systemic autoimmune disease. History of head or neck radiation treatment or exposure. History of platinum-based chemotherapy treatment. 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). History of substance abuse within 2 years of the Screening Visit. Positive test for drugs of abuse at screening. Positive urine pregnancy test or breast-feeding. 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
Fresno
State/Province
California
ZIP/Postal Code
93720
Country
United States
Facility Name
Clinical Trial Site
City
Torrance
State/Province
California
ZIP/Postal Code
90503
Country
United States
Facility Name
Clinical Trial Site
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80909
Country
United States
Facility Name
Clinical Trial Site
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33487
Country
United States
Facility Name
Clinical Trial Site
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34239
Country
United States
Facility Name
Clinical Trial Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
Clinical Trial Site
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40207
Country
United States
Facility Name
Clinical Trial Site
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68118
Country
United States
Facility Name
Clinical Trial Site
City
Amherst
State/Province
New York
ZIP/Postal Code
14226
Country
United States
Facility Name
Clinical Trial Site
City
Matthews
State/Province
North Carolina
ZIP/Postal Code
28105
Country
United States
Facility Name
Clinical Trial Site
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Clinical Trial Site
City
Orangeburg
State/Province
South Carolina
ZIP/Postal Code
29118
Country
United States
Facility Name
Clinical Trial Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Clinical Trial Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78240
Country
United States
Facility Name
Clinical Trial Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78258
Country
United States
Facility Name
Clinical Trial Site
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23235
Country
United States

12. IPD Sharing Statement

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FX-322 in Adults With Stable Sensorineural Hearing Loss

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