Acute Hearing Loss
Conditions
Brief summary
a multicenter, double-blind, placebo-controlled study in patients with Sudden Sensorineural Hearing Loss (SSHL). Patients will be treated with STR001 thermogel (STR001-IT) / STR001 tablets (STR001-ER) and corresponding Placebo on top of standard of care.
Interventions
STR001-IT intrataympanic injection and STR001-ER tablet
Sponsors
Study design
Masking description
double-blind
Intervention model description
1. intratympanic gel injection followed by 12 weeks oral treatment 2. intratympanic gel injection followed by 12 weeks oral treatment placebo 3. intratympanic gel injection placebo followed by 12 weeks oral treatment placebo
Eligibility
Inclusion criteria
1. Male or female patients aged ≥ 18 2. Patients with a SSHL within 96 hours of its perception 3. Sudden Sensorineural Hearing Loss including 1. idiopathic unilateral Sudden Sensorineural Hearing Loss or 2. acute uni- or bilateral acoustic trauma-induced Sudden Sensorineural Hearing Loss
Exclusion criteria
1. Patients with a history of Meniere's Disease 2. Patients with a hearing threshold above 100 dB across at least 6 frequencies 3. Patients with endolymphatic, hydrops or history of fluctuating hearing loss 4. Patients with suspected perilymph fistula, membrane rupture, retrocochlear lesions or a barotrauma 5. Patients with an air-bone gap of ≥ 20 dB in 3 contiguous frequencies at baseline 6. Previous SSHL incident at the same ear 7. Patients with acute or chronic otitis media or otitis externa. 8. Patients with congenital hearing loss 9. Patients with known hypersensitivity to pioglitazone, other thiazolidindiones or any formulation component 10. Use of thiazolidinedione (e.g. pioglitazone, rosiglitazone) in the last 6 months prior to baseline 11. Any use of CYP450 2C8 inducers (e.g. rifampicine) 12. Fibrates (e.g. gemfibrozil, fenofibrate) in the last 6 months prior to baseline 13. Patients where oral administration of pioglitazone is contraindicated (i.e. cardiac failure or history of cardiac failure (NYHA stages I to IV), hepatic impairment, diabetic ketoacidosis, current bladder cancer or a history of bladder cancer, uninvestigated macroscopic haematuria 14. Women who are breastfeeding, pregnant or plan to get pregnant during the trial duration 15. Women of childbearing potential unwilling or unable to practice effective method of contraception 16. Participation in other clinical trials in the last month prior to baseline
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Absolute hearing improvement after 12 weeks | 12 weeks | Absolute hearing improvement after 12 weeks measured with PTA using the mean value of the 3 most affected contiguous baseline frequencies (dB) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complete hearing recovery after 12 weeks | 12 weeks | Percentages of patients with complete hearing recovery after 12 weeks measured with PTA using the mean value of the 3 most affected contiguous frequencies at baseline |
Countries
Czechia, Germany, Switzerland