AzTrials
AzTrials

DFNB9NCT05901480

An Investigator Initiated Study for OTOV101N+OTOV101C Injection

A study testing OTOV101N+OTOV101C Injections in people with DFNB9, run by Otovia Therapeutics at 23 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

This study is an investigator initiated study to evaluate the safety, tolerability, and efficacy of OTOV101N+OTOV101C injection in treating patients with OTOF mutation-related deafness. Read more about this study

Who is it for?
Ages 1 year and older
Conditions the study is for
DFNB9
What is being tested?
OTOV101N+OTOV101C Injections
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
23 sitesChina
Study dates
26 Jun 2023to 18 Feb 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 year and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Age ≥ 1 years old at the time of signing the informed consent form (ICF); both male and female are eligible.
  • Diagnostic criteria for OTOF-related hearing loss are:
  • The hearing test and auditory brainstem response (ABR) examination show the presence of hearing loss (based on the testing report conducted within one month prior to signing the informed consent form).
  • Genetic testing confirms the presence of OTOF gene homozygous or compound heterozygous mutations.
  • Hearing loss: severe (65 dB ≤ hearing threshold < 80 dB) or profound (80 dB ≤ hearing threshold < 95 dB) or total (hearing threshold ≥ 95 dB) hearing loss in both ears (If the testing result of ABR is "waveform is not obtained", the subjects with bilateral hearing threshold <65 dB will be enrolled as determined by the investigator).
  • Vital signs, physical examination, laboratory tests (including whole blood count, blood biochemistry, urinalysis, coagulation function, etc.), and 12-lead electrocardiogram are all normal, or any abnormalities judged by the investigator are clinically non-significant.
  • The subjects and their guardians sign the informed consent form.

Who cannot join

  • Subjects who have had a severe allergic reaction (NCICTCAE5.0 ≥ 3 Grade) to any drug or its components used in this study in the past;
  • Subjects who have received any gene therapy in the past, or have high levels of neutralizing antibodies (>1:128) in their blood;
  • Subjects who have systemic diseases or are receiving related treatments that may affect hearing or surgical operations;
  • Subjects who cannot tolerate anesthesia;
  • Subjects with inner ear malformations;
  • Subjects who have undergone bilateral cochlear implantation or have a history of major inner ear surgery (as determined by the investigator)(not include unilateral cochlear implantation);
Show all 19Show fewer
  • Subjects with other genetic mutations causing deafness that may affect the effectiveness of OTOF gene therapy;
  • Subjects with Meniere's disease;
  • Subjects who routinely use ototoxic drugs for other medical conditions;
  • Subjects with congenital deafness caused by non-genetic factors related to birth;
  • Subjects who are currently receiving or may receive immunosuppressive therapy other than this study;
  • Subjects who are allergic or intolerant to glucocorticoid treatment;
  • Subjects with a history of malignant tumors or meningitis;
  • Subjects with a persistent or active infection, positive for hepatitis B surface antigen (HBsAg) with peripheral blood HBV DNA titers higher than the detection limit, positive for hepatitis C virus (HCV) antibodies with peripheral blood HCV RNA titers higher than the detection limit, positive for human immunodeficiency virus (HIV) antibodies, or with other immune deficiency diseases, or positive for syphilis;
  • Subjects of childbearing potential who refuse to take effective contraceptive measures (hormonal or barrier methods or abstinence) from the time of signing the informed consent form until 12 months after receiving AAV injection;
  • Female subjects of childbearing age who have a positive blood pregnancy test result, or are currently pregnant or breastfeeding;
  • Subjects who have participated in any other clinical trial and have received treatment or medication within 4 weeks prior to the first administration (excluding non-interventional studies);
  • Subjects who are unwilling or unable to comply with this study protocol;
  • Subjects whom the investigator believes are unable to participate in this study due to any medical condition or who are unable to complete the follow-up study.

Trial locations and contacts

23 sites in 1 country.

Shanzhong Zhang, MD PhD contact

+86 18616595944

zhangshanzhong@fosunpharma.com

23 sites in 1 country

China23 sites, 23 recruiting
  • Beijing Tongren Hospital

    Beijing

    Yongxin Li

    Not yet recruiting
  • Beijing Union Hospital

    Beijing

    Xiaowei Chen

    Not yet recruiting
  • Chinese PLA Genreal Hospital

    Beijing

    Shiming Yang

    Shiming Yang

    Not yet recruiting
  • The Third Bethune Hospital of Jilin University

    Changchun

    Dongdong Zhu

    Not yet recruiting
  • The Second Xiangya Hospital of Central South University

    Changsha

    Zi'an Xiao

    Not yet recruiting
  • Sichuan Provincial People Hospital

    Chengdu

    Jiangang Fan

    Not yet recruiting
  • Chongqing Municipal People Hospital

    Chongqing

    Wei Yuan

    Not yet recruiting
  • The First Affiliated Hospital of Fujian Medical University

    Fuzhou

    Chang Lin

    Not yet recruiting
  • Guangdong Provincial People Hospital

    Guangzhou

    Peina Wu

    Not yet recruiting
  • The First Affiliated Hospital of Harbin Medical University

    Harbin

    Tianhong Zhang

    Not yet recruiting
  • The First Affiliated Hospital of USTC

    Hefei

    Jingwu Sun

    Not yet recruiting
  • The Second Affiliated Hospital of Anhui Medical University

    Hefei

    Jianming Yang

    Not yet recruiting
  • Shandong Second Provincial General Hospital

    Jinan, Shandong, 250023

    Lei Xu, +8615168860532, sdphxl@126.com

    Recruiting
  • Yunnan Provincial First People Hospital

    Kunming

    Min Guo

    Not yet recruiting
  • Dongnan University Zhongda Hospital

    Nanjing

    Xiaoqiong Ding

    Not yet recruiting
  • Nanjing Drum Tower Hospital

    Nanjing

    Xia Gao

    Recruiting
  • The Second Hospital of Ningbo

    Ningbo

    Kai Wang

    Not yet recruiting
  • Shengjing Hospital Of China Medical University

    Shenyang

    Yaodong Dong

    Not yet recruiting
  • The First Affiliated Hospital of Wenzhou Medical University

    Wenzhou

    Yideng Huang

    Not yet recruiting
  • Union Hospital of Tongji Medical College of Huazhong University of Science and Technology

    Wuhan

    Yu Sun

    Recruiting
  • Zhongnan Hospital of Wuhan University

    Wuhan

    Xiong Chen

    Not yet recruiting
  • Xijing Hospital

    Xi'an

    Dingjun Zha

    Not yet recruiting
  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou

    Fanglei Ye

    Not yet recruiting

Other trials in China

About this study

Official title: An Investigator Initiated Study Evaluating the Safety, Tolerability, and Efficacy of OTOV101N+OTOV101C Injection in Treating Patients With OTOF Mutation-related Deafness

This study is an investigator initiated study to evaluate the safety, tolerability, and efficacy of OTOV101N+OTOV101C injection in treating patients with OTOF mutation-related deafness. The enrolled subjects who meet the inclusion and exclusion criteria will receive the gene therapy of OTOV101N+OTOV101C injection via intracochlear injection. All participants will return to the hospital for safety and efficacy evaluations at predetermined time points defined by protocol during the study (Week 1 ± 1 Day, Week 2 ± 3 Days, Week 3 ± 3 Days, Month 1 ± 3 Days, Month 2 ± 3 Days, Month 4 ± 6 Days, Month 6 ± 6 Days, Month 9 ± 6 Days, Month 12 ± 6 Days/EOS (end of study)/unscheduled visit).

Read the detailed description

This study is an investigator initiated study to evaluate the safety, tolerability, and efficacy of OTOV101N+OTOV101C injection in treating patients with OTOF mutation-related deafness.

Subjects who are successfully enrolled will visit the hospital on Day -3 to initiate the glucocorticoid treatment, then be hospitalized on Day -3~-1 to prepare for inner ear gene therapy. On the day of surgery (Day 0), subjects will undergo intracochlear injection of gene therapy products after skin preparation and disinfection of the surgical area and general anesthesia. The round window will be exposed through the tympanic membrane route. Each subject will receive adeno-associated virus (AAV) injection at a dose of 15~30μL of each AAV, mixed at 1: 1 ratio with total volume of 30~60 μL/ear. For subjects without any cochlear implantation, bilateral or unilateral intracochlear injection could be conducted as decided by investigators. For intracochlear injection, the investigators will decide if the second intracochlear injection should be conducted based on dose of the first injection by considering anatomical structure of artificial cochlea and drug loss. The timing of the second injection will be decided by recovery status of the first injection. Subjects will be in hospital for 3 days for observation after receiving the intracochlear injection or follow the routine hospitalization timing of diagnosis/treatment of site, then be discharged after recovery from the surgical operation and receive 1 year follow-up visits.

All subjects will return to the hospital (except in case of non-resistance) for safety and efficacy assessments during the study at the established time points in the protocol (Week 1 ± 1 Day, Week 2 ± 3 Days, Week 3 ± 3 Days, Month 1 ± 3 Days, Month 2 ± 3 Days, Month 4 ± 6 Days, Month 6 ±6 Days, Month 9 ± 6 Days, Month 12 ± 6 Days/EOS (end of study)/Unscheduled) unless encountering force majeure.

Conditions
DFNB9
Being tested
OTOV101N+OTOV101C Injections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OTOV101N+OTOV101C InjectionsGenetic

    The gene therapy of OTOV101N+OTOV101C injection via intracochlear injection.

Study groups in NCT05901480
Study groupRoleWhat they receive
Treatment ArmExperimentalPatients with OTOF mutation-related deafness
Receives: Genetic: OTOV101N+OTOV101C Injections

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence and severity of adverse events (AEs)

    Incidence and severity of AEs are assessed by NCI-CTCAE 5.0.

    Measured: Up to 12 months after unilateral cochlear injection

  2. Drug-relatedness of adverse events (AEs)

    Drug-relatedness of AEs include definitely relevant, probably relevant, possible relevant, possible irrelevant, and definitely irrelevant.

    Measured: Up to 12 months after unilateral cochlear injection

  3. Safety assessment by physical examination

    Number and percentage of participants with abnormal physical examination findings with clinical significance.

    Measured: Up to 12 months after unilateral cochlear injection

  4. Safety assessment by whole blood count

    Number and percentage of participants with abnormal laboratory test results (whole blood count) with clinical significance.

    Measured: Up to 12 months after unilateral cochlear injection

  5. Safety assessment by urinalysis

    Number and percentage of participants with abnormal laboratory test results (urinalysis) with clinical significance.

    Measured: Up to 12 months after unilateral cochlear injection

  6. Safety assessment by blood biochemistry testing

    Number and percentage of participants with abnormal laboratory test results (blood biochemistry testing) with clinical significance.

    Measured: Up to 12 months after unilateral cochlear injection

  7. Safety assessment by coagulation function testing

    Number and percentage of participants with abnormal laboratory test results (coagulation function) with clinical significance.

    Measured: Up to 12 months after unilateral cochlear injection

  8. Safety assessment by vital signs

    Number and percentage of participants with abnormal vital signs with clinical significance.

    Measured: Up to 12 months after unilateral cochlear injection

  9. Safety assessment by electrocardiogram

    Number and percentage of participants with abnormal ECG readings with clinical significance.

    Measured: Up to 12 months after unilateral cochlear injection

  10. Safety assessment by cranial MRI (Magnetic Resonance Imaging)

    Changes in cranial MRI relative to baseline, to observe possible signs of infection after gene therapy on inner ear. The MRI conduction is decided by investigator.

    Measured: Up to 12 months after unilateral cochlear injection

  11. Safety assessment by neutralizing antibodies in peripheral blood

    Changes in neutralizing antibodies relative to baseline in peripheral blood collections. Concentrations of neutralizing antibodies are analyzed by cell-mediated assay in vitro.

    Measured: Up to 12 months after unilateral cochlear injection

  12. Safety assessment by Adeno-Associated Virus (AAV) in peripheral blood

    Changes in AAV signals relative to baseline in peripheral blood collections. AAV signals are analyzed by real-time PCR assay in vitro.

    Measured: Up to 12 months after unilateral cochlear injection

  13. Safety assessment by CT (Computed Tomography)

    Changes in cranial CT relative to baseline, to observe possible signs of infection after gene therapy on inner ear. The CT conduction is decided by investigator.

    Measured: Up to 12 months after unilateral cochlear injection

Secondary outcomes (6)
  1. Efficacy assessment by Behavioral audiometry testing

    Changes in hearing assessment by behavioral audiometry relative to baseline, to observe the improvement of hearing functions after gene therapy on inner ear. Behavioral audiometry assessments are to measure the hearing threshold at different frequencies (pitches) after treatment compared to its baseline values.

    Measured: Up to 12 months after unilateral cochlear injection

  2. Efficacy assessment by ABR (Auditory Brainstem Response) testing

    Changes in hearing assessment by ABR relative to baseline, to observe the improvement of hearing functions after gene therapy on inner ear. ABR assessments are to measure the electrical response evoked by acoustic stimuli as sound signal is processed along the auditory pathway. Mean ABR air and bone conduction threshold are assessed.

    Measured: Up to 12 months after unilateral cochlear injection

  3. Efficacy assessment by ASSR (Auditory Steady-state Response) testing

    Changes in hearing assessment by ASSR relative to baseline, to observe the improvement of hearing functions after gene therapy on inner ear. ASSR assessments are to measure the Steady-State electroencephalic response evoked by acoustic stimuli as sound signal is processed along the auditory pathway. Mean ASSR air and bone conduction threshold are assessed.

    Measured: Up to 12 months after unilateral cochlear injection

  4. Efficacy assessment by DPOAE (Distortion Product Otoacoustic Emission) testing

    Changes in hearing assessment by DPOAE relative to baseline, to observe the improvement of hearing functions after gene therapy on inner ear. DPOAE is defined as sound generated within the cochlear by stimulating the ear with two simultaneous tones of different frequency. DPOAEs serve as an objective measure of hearing sensitivity. Tones will be played from low to high frequencies at soft to moderate levels to assess responses at different regions of the inner ear. DP levels will be recorded for each frequency and ear. Higher DP levels indicate more sensitive hearing. Change from baseline values will be calculated as the reported DP level value minus the baseline value. A negative change from baseline indicates less sensitive hearing.

    Measured: Up to 12 months after unilateral cochlear injection

  5. Efficacy assessment by CM (Cochlear Microphonic) potential

    Changes in hearing assessment of CM potentials relative to baseline, to observe the improvement of hearing functions after gene therapy on inner ear. CM potentials are measured by Cochlear Response Telemetry System.

    Measured: Up to 12 months after unilateral cochlear injection

  6. Efficacy assessment by tympanometry

    Changes in hearing assessment of tympanometry relative to baseline, to observe the improvement of hearing functions after gene therapy on inner ear. Tympanometry are used to assess the mobility of the eardrum. Compliance, middle ear pressure and ear canal volume will be recorded and checked to measure function of middle ear and eustachian tube.

    Measured: Up to 12 months after unilateral cochlear injection

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jun 2023
  2. Study start26 Jun 2023
  3. Primary completion6 Dec 2024 (estimated)
  4. Study completion18 Feb 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
25 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05901480
Sponsor's protocol ID
OTOV101-IIT-101
Status last verified
Aug 2023
First submitted
9 May 2023
Last updated
8 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Qi J, Zhang L, Lu L, Tan F, Cheng C, Lu Y, Dong W, Zhou Y, Fu X, Jiang L, Tan C, Zhang S, Sun S, Song H, Duan M, Zha D, Sun Y, Gao X, Xu L, Zeng FG, Chai R. AAV gene therapy for autosomal recessive deafness 9: a single-arm trial. Nat Med. 2025 Sep;31(9):2917-2926. doi: 10.1038/s41591-025-03773-w. Epub 2025 Jul 2.

    PubMed 40603731

Questions about this trial

What is this clinical trial studying?

A study testing OTOV101N+OTOV101C Injections in people with DFNB9, run by Otovia Therapeutics at 23 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 8 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Shanzhong Zhang, MD PhD (+86 18616595944, zhangshanzhong@fosunpharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence and severity of adverse events (AEs) (time frame: Up to 12 months after unilateral cochlear injection). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05901480, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 May 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in