Cisplatin Induced Hearing Loss
Conditions
Brief summary
This is a multicenter, Phase 2 study to assess the feasibility, safety and efficacy of OTO-104 given by intratympanic administration in subjects at risk for ototoxicity from cisplatin chemotherapy regimens in the treatment of cancer.
Interventions
12 mg dexamethasone administered intratympanically
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject is aged 6 months to 21 years inclusive. * Subject is diagnosed with neuroblastoma, hepatoblastoma, osteosarcoma or extracranial germ cell tumors and has not been previously treated with cisplatin or carboplatin. * Subject is scheduled to receive a chemotherapy regimen that includes a cumulative cisplatin dose of ≥ 200 mg/m2. * Subject has normal baseline auditory function, defined as ≤ 20 dB from 2000 to 8000 Hz, in both ears and does not have a history of sensorineural hearing loss.
Exclusion criteria
* Subject has middle ear effusion upon clinical examination. * Subject has a history of central nervous system radiotherapy that encompasses all or part of the cochlea or will receive such radiation therapy during the course of the study. * Subject is receiving sodium-thiosulfate or amifostine therapy with chemotherapy. * Subject is currently participating on a separate otoprotection clinical study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility assessed via a questionnaire | Up to 18 weeks | Feasibility to assess incorporating OTO-104 with a cisplatin-based therapy regimen |
Secondary
| Measure | Time frame |
|---|---|
| Hearing function in each ear according to SIOP-Boston Ototoxicity Scale | Up to 6 months |
| Safety as assessed by adverse events | Up to 6 months |
| Local tolerability as assessed by otoscopic examinations | Up to 6 months |
Countries
United States