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Phase I/IIa Study Evaluating Safety and Efficacy of an Intratympanic Dose of PIPE-505 in Subjects With Hearing Loss

Primary Purpose

Sensorineural Hearing Loss

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PIPE-505
Placebo
Sponsored by
Pipeline Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sensorineural Hearing Loss focused on measuring Hearing Loss, Cochlear synaptopathy, Deafness, Speech-in-noise hearing difficulty

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subject's primary language is English.
  • Male or female between 18 and 75 years of age, inclusive, at randomization.
  • Diagnosis of bilateral sensorineural hearing loss (SNHL).
  • Normal tympanogram in the ear intended for injection (as defined in protocol) at Screening.
  • Male or female subjects with reproductive potential agree to comply with protocol-approved double barrier contraceptive method during and for 3 months after study drug administration.
  • The subject is in general good medical health with no clinically significant or relevant abnormalities, including medical history, physical exam, vital signs, ECG, and laboratory evaluations (hematology, chemistry, and urinalysis) as assessed by the Investigator.

Exclusion Criteria:

  • History of chronic otitis externa or media, other chronic middle ear disorders, barotrauma, Meniere's disease, endolymphatic hydrops, perilymph fistula, herpes zoster oticus or other infectious etiology of hearing loss.
  • Presence of a genetic, syndromal or developmental auditory disorder or of an autoimmune or serious neurological disorder that could contribute to auditory loss.
  • Evidence of current conductive hearing loss, mixed hearing loss or otosclerosis.
  • History of auditory loss related to exposure to known high-dose ototoxic drugs; any prior exposure to platinum-based medications.
  • Otological disorders that would preclude safe tympanic injection.
  • Presence of a cochlear implant.
  • Evidence of bothersome tinnitus as determined by the Investigator.
  • Intratympanic injection within 6 months of randomization.
  • Use of an investigational product or intervention other than a non-interventional registry study (including vaccine studies) within the greater of 30 days or 5 half-lives (if known) prior to Screening or expected during the study.
  • History of malignancy under current active treatment or considered at substantial risk for progression or recurrence during the study interval, as determined by the Investigator. Note, central nervous system neoplasms or head and neck cancer are excluded from eligibility regardless of treatment status.

Sites / Locations

  • Breathe Clear Institute
  • ENT and Allergy Associates of Florida
  • Advanced ENT & Allergy
  • University of Kansas; Dept of Otolaryngology Head & Neck Surgery
  • Advanced ENT & Allergy
  • Charlotte Eye Ear Nose Throat Associates
  • Piedmont Ear Nose Throat and Associates
  • Chrysalis Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

PIPE-505

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Safety: Treatment-Emergent Adverse Events (TEAE)
Number of participants with TEAEs

Secondary Outcome Measures

Pharmacokinetics: Area under the curve (AUC)
Pharmacokinetics: t1/2 (half life)

Full Information

First Posted
June 29, 2020
Last Updated
June 7, 2022
Sponsor
Pipeline Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04462198
Brief Title
Phase I/IIa Study Evaluating Safety and Efficacy of an Intratympanic Dose of PIPE-505 in Subjects With Hearing Loss
Official Title
A Phase I/IIa, Randomized, Double-Blind, Placebo-Controlled, Safety, Pharmacokinetic, and Preliminary Efficacy Study of Unilateral Intratympanic PIPE-505 in Subjects With Sensorineural Hearing Loss Associated With Speech-in-Noise Impairment
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
October 15, 2020 (Actual)
Primary Completion Date
June 17, 2021 (Actual)
Study Completion Date
June 17, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pipeline Therapeutics, Inc.

4. Oversight

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

5. Study Description

Brief Summary
This is a randomized, double-blind study of PIPE-505, or placebo, in subjects with hearing loss associated with speech-in-noise impairment.
Detailed Description
This is a randomized-controlled, double-blind study of PIPE-505 or placebo given as an injection one time in subjects with sensorineural hearing loss associated with speech-in-noise difficulty. Visits to the clinic will occur at baseline, dosing, and days 1, 7, 14, 30, 60 and 90 after treatment. Safety will be assessed by periodic measurement of vital signs, ear examination, electrocardiogram (ECG), blood laboratory analyses and occurrence of adverse events (AE). Efficacy will be assessed by periodic audiometry and other audiological tests.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sensorineural Hearing Loss
Keywords
Hearing Loss, Cochlear synaptopathy, Deafness, Speech-in-noise hearing difficulty

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Masking Description
The dose preparer and treatment administrator will be unmasked.
Allocation
Randomized
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PIPE-505
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
PIPE-505
Intervention Description
Intratympanic injection
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intratympanic injection
Primary Outcome Measure Information:
Title
Safety: Treatment-Emergent Adverse Events (TEAE)
Description
Number of participants with TEAEs
Time Frame
From baseline to 3 months follow up
Secondary Outcome Measure Information:
Title
Pharmacokinetics: Area under the curve (AUC)
Time Frame
From baseline to 3 months follow up
Title
Pharmacokinetics: t1/2 (half life)
Time Frame
From baseline to 3 months follow up
Other Pre-specified Outcome Measures:
Title
Exploratory: Speech-in-noise assessments
Description
Hearing performance in the setting of background noise
Time Frame
1 month, 2 months, and 3 months after drug administration
Title
Exploratory: Audiogram tests
Description
Hearing sensitivity and thresholds with a quiet background
Time Frame
1 month, 2 months, and 3 months after drug administration
Title
Exploratory: Auditory brainstem potential testing
Description
Electrophysiological assessment of auditory nerve and brainstem responses to auditory signals
Time Frame
1 month, 2 months, and 3 months after drug administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject's primary language is English. Male or female between 18 and 75 years of age, inclusive, at randomization. Diagnosis of bilateral sensorineural hearing loss (SNHL). Normal tympanogram in the ear intended for injection (as defined in protocol) at Screening. Male or female subjects with reproductive potential agree to comply with protocol-approved double barrier contraceptive method during and for 3 months after study drug administration. The subject is in general good medical health with no clinically significant or relevant abnormalities, including medical history, physical exam, vital signs, ECG, and laboratory evaluations (hematology, chemistry, and urinalysis) as assessed by the Investigator. Exclusion Criteria: History of chronic otitis externa or media, other chronic middle ear disorders, barotrauma, Meniere's disease, endolymphatic hydrops, perilymph fistula, herpes zoster oticus or other infectious etiology of hearing loss. Presence of a genetic, syndromal or developmental auditory disorder or of an autoimmune or serious neurological disorder that could contribute to auditory loss. Evidence of current conductive hearing loss, mixed hearing loss or otosclerosis. History of auditory loss related to exposure to known high-dose ototoxic drugs; any prior exposure to platinum-based medications. Otological disorders that would preclude safe tympanic injection. Presence of a cochlear implant. Evidence of bothersome tinnitus as determined by the Investigator. Intratympanic injection within 6 months of randomization. Use of an investigational product or intervention other than a non-interventional registry study (including vaccine studies) within the greater of 30 days or 5 half-lives (if known) prior to Screening or expected during the study. History of malignancy under current active treatment or considered at substantial risk for progression or recurrence during the study interval, as determined by the Investigator. Note, central nervous system neoplasms or head and neck cancer are excluded from eligibility regardless of treatment status.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stephen Huhn, MD
Organizational Affiliation
Chief Medical Officer, Pipeline Therapeutics, Inc
Official's Role
Study Director
Facility Information:
Facility Name
Breathe Clear Institute
City
Torrance
State/Province
California
ZIP/Postal Code
90503
Country
United States
Facility Name
ENT and Allergy Associates of Florida
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33487
Country
United States
Facility Name
Advanced ENT & Allergy
City
New Albany
State/Province
Indiana
ZIP/Postal Code
47150
Country
United States
Facility Name
University of Kansas; Dept of Otolaryngology Head & Neck Surgery
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
Advanced ENT & Allergy
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40220
Country
United States
Facility Name
Charlotte Eye Ear Nose Throat Associates
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28210
Country
United States
Facility Name
Piedmont Ear Nose Throat and Associates
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Chrysalis Clinical Research
City
Saint George
State/Province
Utah
ZIP/Postal Code
84790
Country
United States

12. IPD Sharing Statement

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Phase I/IIa Study Evaluating Safety and Efficacy of an Intratympanic Dose of PIPE-505 in Subjects With Hearing Loss

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