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| Name | Class |
|---|---|
| VA Puget Sound Health Care System | FED |
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Chemotherapy treatment with platinum based agents is well noted to cause ototoxicity. It is the objective of this study to determine the safety and efficacy of SPI-1005 at three dose levels when delivered orally twice daily for 3 days, surrounding each cycle of platinum chemotherapy in head and neck or non-small cell lung cancer patients to prevent and treat chemotherapy induced hearing loss and tinnitus.
Chemotherapy treatment with the platinum containing chemotherapies (e.g. cisplatin, carboplatin) are well noted and studied for their ability to cause ototoxicity which includes hearing loss, tinnitus, vertigo, or dizziness. It is the objective of this study to determine the safety and efficacy of SPI-1005 at three dose levels when delivered orally twice daily for 3 days, surrounding each cycle of platinum chemotherapy for head and neck or non-small cell lung cancer patients to prevent and treat chemotherapy induced hearing loss and tinnitus.
SPI-1005, a proprietary oral formulation of ebselen is a small molecule mimic and inducer of the enzyme Glutathione Peroxidase. GPx reduces reactive oxygen species (ROS) by reacting with glutathione. SPI-1005 has been shown to reduce cisplatin induced hearing threshold shift in animal studies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SPI-1005 Low Dose | Active Comparator | 200 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy |
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| SPI-1005 Middle Dose | Active Comparator | 400 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy |
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| SPI-1005 High Dose | Active Comparator | 600 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy |
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| Placebo | Placebo Comparator | 0 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SPI-1005 Low Dose | Drug | Oral capsules, 200 mg ebselen, twice daily, 3 days for each cycle of chemotherapy Arms: Low Dose Other Names: 200 mg Ebselen |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Reduction of hearing loss incidence and severity | From baseline through 1 month after last chemotherapy cycle | |
| Reduction of tinnitus incidence and severity. | From baseline through 1 month after last chemotherapy cycle |
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Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jonathan Kil, MD | Sound Pharmaceuticals, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA Puget Sound Health Care | Seattle | Washington | 98108 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 10569399 | Background | Rybak LP, Whitworth C, Somani S. Application of antioxidants and other agents to prevent cisplatin ototoxicity. Laryngoscope. 1999 Nov;109(11):1740-4. doi: 10.1097/00005537-199911000-00003. | |
| 10842591 | Background | Rybak LP, Somani S. Ototoxicity. Amelioration by protective agents. Ann N Y Acad Sci. 1999 Nov 28;884:143-51. |
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| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D034381 | Hearing Loss |
| D000081015 | Ototoxicity |
| D014012 | Tinnitus |
| D003638 | Deafness |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C042986 | ebselen |
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| SPI-1005 Middle Dose | Drug | Oral capsules, 400 mg ebselen, twice daily, 3 days for each cycle of chemotherapy |
|
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| SPI-1005 High Dose | Drug | Oral capsules, 600 mg ebselen, twice daily, 3 days for each cycle of chemotherapy |
|
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| Placebo | Drug | Oral capsules, 0 mg ebselen, twice daily, 3 days for each cycle of chemotherapy |
|
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| 15721563 | Background | Lynch ED, Gu R, Pierce C, Kil J. Reduction of acute cisplatin ototoxicity and nephrotoxicity in rats by oral administration of allopurinol and ebselen. Hear Res. 2005 Mar;201(1-2):81-9. doi: 10.1016/j.heares.2004.08.002. |
| 15846123 | Background | Lynch ED, Gu R, Pierce C, Kil J. Combined oral delivery of ebselen and allopurinol reduces multiple cisplatin toxicities in rat breast and ovarian cancer models while enhancing anti-tumor activity. Anticancer Drugs. 2005 Jun;16(5):569-79. doi: 10.1097/00001813-200506000-00013. |
| 17401008 | Background | Knight KR, Kraemer DF, Winter C, Neuwelt EA. Early changes in auditory function as a result of platinum chemotherapy: use of extended high-frequency audiometry and evoked distortion product otoacoustic emissions. J Clin Oncol. 2007 Apr 1;25(10):1190-5. doi: 10.1200/JCO.2006.07.9723. |
| 18753950 | Background | Reavis KM, Phillips DS, Fausti SA, Gordon JS, Helt WJ, Wilmington D, Bratt GW, Konrad-Martin D. Factors affecting sensitivity of distortion-product otoacoustic emissions to ototoxic hearing loss. Ear Hear. 2008 Dec;29(6):875-93. doi: 10.1097/AUD.0b013e318181ad99. |
| 19286452 | Background | Kim SJ, Park C, Han AL, Youn MJ, Lee JH, Kim Y, Kim ES, Kim HJ, Kim JK, Lee HK, Chung SY, So H, Park R. Ebselen attenuates cisplatin-induced ROS generation through Nrf2 activation in auditory cells. Hear Res. 2009 May;251(1-2):70-82. doi: 10.1016/j.heares.2009.03.003. Epub 2009 Mar 13. |
| Background | Lynch E, Kil J. Development of Ebselen, a Glutathione Peroxidase Mimic, for the Prevention and Treatment of Noise-Induced Hearing Loss. Semin Hear 2009; 30(1): 047-055 |
| D008171 |
| Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D006311 | Hearing Disorders |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010335 | Pathologic Processes |
| D064420 | Drug-Related Side Effects and Adverse Reactions |
| D064419 | Chemically-Induced Disorders |
| D011832 | Radiation Injuries |
| D014947 | Wounds and Injuries |