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The purpose of this study is to evaluate the safety, tolerability, plasma pharmacokinetics (PK), and exploratory efficacy of OTO-313 administered as an intratympanic injection for the treatment of subjective tinnitus.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OTO-313 | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OTO-313 | Drug | single intratympanic injection of gacyclidine |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Audiometry - Pure Tone Average Done Over 1000, 2000 and 4000 Hertz (HZ) | Mean Change from Baseline to End of Study (baseline to Day 29 [4 weeks after dosing](Part A) or baseline to Day 57 [8 weeks after dosing] (Part B)). in Pure Tone Average Hearing Thresholds; a negative change indicates improvement. | Up to end of study (Part A - Day 29 [4 weeks after dosing]), (Part B - Day 57 [8 weeks after dosing]) |
| Otoscopic Examination - Presence of Perforation in the Treated Ear at the End of Study Visit (Day 29 [4 Weeks After Dosing] (Part A) or Day 57 [8 Weeks After Dosing] (Part B)). | Ear examinations were done at every visit. One of the important safety endpoints was an observation of a perforation in the ear drum that did not heal properly after the injection. | Up to end of study (Part A - Day 29 [4 weeks after the injection], Part B - Day 57 [8 weeks after the injection]) |
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| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Tinnitus Functional Index (TFI) | Validated, 25-item questionnaire; index score from 0 to 100; a negative change indicates improvement. The 25 items of the TFI represent 8 subscales covering multiple domains of tinnitus severity: 1) Intrusive, 2) Sense of Control, 3) Cognitive, 4) Sleep, 5) Auditory, 6) Relaxation, 7) Quality of Life, and 8) Emotional. Subjects answer each TFI question by rating their experience over the past week. Each subscale has 3 questions with a response ranging from 0 (best response) to 10 (worst response) in regard to the impact of tinnitus in these different aspects of the subject's life. The highest raw score would be 250 and the lowest would be 0. The raw score is then divided by the total number of valid answers and that in turn is multiplied by 10 to give an overall score range from 0-100, with 0 representing no impact of tinnitus on their daily life and 100 representing complete impact of tinnitus on their daily life. |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| House Clinic | Los Angeles | California | 90057 | United States | ||
| California Head & Neck Specialists |
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Part A and Part B were conducted as 2 separate studies under a single protocol.
For Part A, a total of 8 subjects registered for this study at a single site and signed an informed consent. Subject needed to have subjective unilateral or bilateral tinnitus (ringing or noise in the ear when there was no external cause) and be consistently aware of their tinnitus throughout much of the waking day.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part A OTO-313 | Subjects received an 0.11 mg OTO-313 via an injection through the eardrum (IT injection) of a 0.2 mL medium chain triglycerides solution. |
| FG001 | Part A Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | May 15, 2019 |
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Randomized, double-blind, placebo-controlled, multicenter
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| Placebo |
| Drug |
single intratympanic injection of placebo |
|
| Up to the End of Study Visit (Part A - Day 29 [4 weeks after the injection]), (Part B - Day 57 [8 weeks after injection]) |
| Patient Global Impression of Change (PGIC) | Change in overall tinnitus status as perceived by the subject; this was a subject-reported outcome that evaluated the change in overall "global" tinnitus status as perceived by the subject. The subject was asked: "Since the beginning of the clinical study, how would you rate your tinnitus?". The beginning of the clinical study in this context was the time prior to investigational product administration. The 7 response categories (and point scores) for the PGIC are:
| Measured at the end of study visit (Part A - Day 29 [4 weeks after injection]), (Part B - Day 57 [8 weeks after injection]). |
| San Diego |
| California |
| 92121 |
| United States |
| Colorado ENT and Allergy | Colorado Springs | Colorado | 80909 | United States |
| Silverstein Institute/Ear Research Foundation | Sarasota | Florida | 34239 | United States |
| ChicagoENT | Chicago | Illinois | 60657 | United States |
| Advanced ENT and Allergy | Louisville | Kentucky | 40207 | United States |
| Tandem Clinical Research, LLC | Marrero | Louisiana | 70072 | United States |
| Summit Medical Group | Berkeley Heights | New Jersey | 10882 | United States |
| Dent Neurosciences Research Center | Amherst | New York | 14226 | United States |
| Northwell Health, Hearing & Speech Center | New Hyde Park | New York | 11042 | United States |
| Northwell Health at ENT and Allergy Associates | White Plains | New York | 10605 | United States |
| Charlotte Eye Ear Nose & Throat Associates | Charlotte | North Carolina | 28210 | United States |
| Piedmont Ear, Nose, and Throat Associates | Winston-Salem | North Carolina | 27103 | United States |
| Worldwide Clinical Trials | San Antonio | Texas | 78217 | United States |
| Chrysalis Clinical Research | St. George | Utah | 84790 | United States |
| WVU Medicine | Morgantown | West Virginia | 26506 | United States |
Subjects received an injection through the eardrum of 0.2 mL medium chain triglycerides.
| FG002 | Part B OTO-313 | Subjects received 0.32 mg OTO-313 via an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. |
| FG003 | Part B Placebo | Subjects received an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Part A OTO-313 | Subjects received 0.11 mg OTO-313 via an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. |
| BG001 | Part A Placebo | Subjects received an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. |
| BG002 | Part B OTO-313 | Subjects received 0.32 mg OTO-313 via an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. |
| BG003 | Part B Placebo | Subjects received an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||
| Age, Continuous | Median | Full Range | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||
| Months Since Initial Onset of Tinnitus | Mean | Standard Deviation | Months |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Audiometry - Pure Tone Average Done Over 1000, 2000 and 4000 Hertz (HZ) | Mean Change from Baseline to End of Study (baseline to Day 29 [4 weeks after dosing](Part A) or baseline to Day 57 [8 weeks after dosing] (Part B)). in Pure Tone Average Hearing Thresholds; a negative change indicates improvement. | Posted | Mean | Standard Deviation | decibels | Up to end of study (Part A - Day 29 [4 weeks after dosing]), (Part B - Day 57 [8 weeks after dosing]) |
|
|
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| Primary | Otoscopic Examination - Presence of Perforation in the Treated Ear at the End of Study Visit (Day 29 [4 Weeks After Dosing] (Part A) or Day 57 [8 Weeks After Dosing] (Part B)). | Ear examinations were done at every visit. One of the important safety endpoints was an observation of a perforation in the ear drum that did not heal properly after the injection. | Posted | Count of Participants | Participants | Up to end of study (Part A - Day 29 [4 weeks after the injection], Part B - Day 57 [8 weeks after the injection]) |
| ||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Change From Baseline in Tinnitus Functional Index (TFI) | Validated, 25-item questionnaire; index score from 0 to 100; a negative change indicates improvement. The 25 items of the TFI represent 8 subscales covering multiple domains of tinnitus severity: 1) Intrusive, 2) Sense of Control, 3) Cognitive, 4) Sleep, 5) Auditory, 6) Relaxation, 7) Quality of Life, and 8) Emotional. Subjects answer each TFI question by rating their experience over the past week. Each subscale has 3 questions with a response ranging from 0 (best response) to 10 (worst response) in regard to the impact of tinnitus in these different aspects of the subject's life. The highest raw score would be 250 and the lowest would be 0. The raw score is then divided by the total number of valid answers and that in turn is multiplied by 10 to give an overall score range from 0-100, with 0 representing no impact of tinnitus on their daily life and 100 representing complete impact of tinnitus on their daily life. | Posted | Mean | Standard Deviation | score on a scale | Up to the End of Study Visit (Part A - Day 29 [4 weeks after the injection]), (Part B - Day 57 [8 weeks after injection]) |
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| Other Pre-specified | Patient Global Impression of Change (PGIC) | Change in overall tinnitus status as perceived by the subject; this was a subject-reported outcome that evaluated the change in overall "global" tinnitus status as perceived by the subject. The subject was asked: "Since the beginning of the clinical study, how would you rate your tinnitus?". The beginning of the clinical study in this context was the time prior to investigational product administration. The 7 response categories (and point scores) for the PGIC are:
| Posted | Count of Participants | Participants | Measured at the end of study visit (Part A - Day 29 [4 weeks after injection]), (Part B - Day 57 [8 weeks after injection]). |
|
Reported or observed during or after dosing with the study drug up until the end of study (Part A - Day 29; Part B - Day 57)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part A OTO-313 | Subjects received 0.11 mg OTO-313 via an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. | 0 | 6 | 0 | 6 | 2 | 6 |
| EG001 | Part A Placebo | Subjects received an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. | 0 | 2 | 0 | 2 | 1 | 2 |
| EG002 | Part B OTO-313 | Subjects received 0.32 mg OTO-313 via an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. | 0 | 17 | 1 | 17 | 5 | 17 |
| EG003 | Part B Placebo | Subjects received an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. | 0 | 18 | 0 | 18 | 8 | 18 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Stress Cardiomyopathy | Cardiac disorders | MedDRA 23.0 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection Site Discomfort | General disorders | MedDRA 23.0 | Non-systematic Assessment |
| |
| Injection Site Pain | General disorders | MedDRA 23.0 | Non-systematic Assessment |
| |
| Injection Site Pruritis | General disorders | MedDRA 23.0 | Non-systematic Assessment |
| |
| Tinnitus | Ear and labyrinth disorders | MedDRA 23.0 | Non-systematic Assessment |
| |
| Ear Pain | Ear and labyrinth disorders | MedDRA 23.0 | Non-systematic Assessment |
| |
| Ear Discomfort | Ear and labyrinth disorders | MedDRA 23.0 | Non-systematic Assessment |
| |
| Hypoacusis | Ear and labyrinth disorders | MedDRA 23.0 | Non-systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Otonomy Medical Information Center | Otonomy, Inc. | 1-844-686-4636 | medinfo@otonomy.com |
| Oct 25, 2022 |
| Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D014012 | Tinnitus |
| ID | Term |
|---|---|
| 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 |
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| Between 18 and 65 years |
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| >=65 years |
|
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
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| White |
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| More than one race |
|
| Unknown or Not Reported |
|
|
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| OG002 | Part B OTO-313 | Subjects received 0.32 mg OTO-313 via an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. |
| OG003 | Part B Placebo | Subjects received an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. |
|
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| OG003 | Part B Placebo | Subjects received an injection through the eardrum of a 0.2 mL medium chain triglycerides solution. |
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