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Sudden Hearing LossPhase 1/2NCT07404709

Study on the Safety and Efficacy of Intratympanic Injection of Small Extracellular Vesicles Derived From Mesenchymal Stem Cells in Severe and Profound Sudden Sensorineural Hearing Loss

A Phase 1/2 study testing Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at low doses, Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at moderate doses and Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at high doses in people with Sudden Hearing Loss and Extracellular Vesicles, run by The Affiliated Hospital of Qingdao University at 5 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if small extracellular vesicles derived from mesenchymal stem cells work to treat severe and above sudden sensorineural hearing loss. It will also learn about the safety of small extracellular vesicles. The main questions it aims to answer are: 1. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Sudden Hearing Loss, Extracellular Vesicles
What is being tested?
Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at low doses, Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at moderate doses and Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at high doses
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
5 sitesChina
Study dates
28 Feb 2026to 31 Dec 2028
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Sudden unilateral hearing loss that occurs within 72 hours, with a decrease of at least 30 decibels in at least 3 frequency ranges compared to the healthy ear, and an average pure tone threshold of ≥ 65 decibels.
  • Enrollment must be completed within 7 days after the onset of sudden deafness.
  • Men or women aged 18 to 65
  • Not treated in any other hospital and not taking any treatment medication on one's own
  • Be able to understand the trial protocol and undergo regular follow-up visits and check-ups

Who cannot join

  • Pregnant or lactating women
  • With a history of chronic ear diseases, ear surgery, autoimmune hearing loss or a confirmed diagnosis of Meniere's syndrome in the past
  • Having received steroid treatment for any reason within the past 30 days
  • There are autoimmune diseases or chronic inflammatory diseases.
  • Severe damage to liver and kidney functions
  • Patients with a previous history of cerebral hemorrhage or those currently taking anticoagulant medications
  • Other cases in which the researchers judged the candidates to be unsuitable for inclusion

Trial locations and contacts

5 sites in 1 country. Contact the study team or a site near you to ask about taking part.

5 sites in 1 country

China5 sites
  • Chongqing General Hospital

    Chongqing, Sichuan, 401121

    Wei Yuan, +8613368228269, yuanwei@ucas.ac.cn

    Wei Yuan

  • The First Affiliated Hospital of Sun Yat-sen University

    Guangzhou, Guangdong, 510080

    Qingling Fu, +8613699726862, fuqingl@mail.sysu.edu.cn

    Qingling Fu

  • Guangdong General Hospital

    Guangzhou, Guangdong, 519041

    Hao Xiong, +86 13725130384, xiongh@gdph.org.cn

    Hao Xiong

  • The Affiliated Hospital of Qingdao University

    Qingdao, Shandong, 266100

    Yan Jiang, +86-532-82915920, jiangyanoto@qdu.edu.cn

    Caili Ji, haidecai@163.com

  • he Second Affiliated Hospital of Shandong First Medical University

    Tai’an, Shandong, 271000

    Deli Wang, +8615621335297, WDLWNY@163.com

    Deli Wang

Other trials in China

About this study

Official title: Clinical Phase I and IIa Trials of Intratympanic Injection of Small Extracellular Vesicles Derived From Mesenchymal Stem Cells in Severe and Profound Sudden Sensorineural Hearing Loss

The goal of this clinical trial is to learn if small extracellular vesicles derived from mesenchymal stem cells work to treat severe and above sudden sensorineural hearing loss. It will also learn about the safety of small extracellular vesicles. The main questions it aims to answer are:

  1. Does small extracellular vesicles combined with traditional drug treatment improve hearing even better in severe and above sudden deafness participants?
  2. What medical problems do participants have with intratympanic injection of small extracellular vesicles? Researchers will compare small extracellular vesicles to dexamethasone to see if small extracellular vesicles work to treat severe and above sudden sensorineural hearing loss.
Read more

In clinical Phase I trial, the investigators will complete the safety check and dose exploration.

Participants will:

  1. Receive traditional drug treatment in accordance with the "Guidelines for the Diagnosis and Treatment of Sudden Deafness (2015)
  2. Receive small extracellular vesicles or a placebo tympanic injection additionally
  3. Visit the clinic once every 2 weeks for checkups and tests
  4. Receive tympanic injections of small extracellular vesicles ranging from low concentration to high concentration
  5. Be evaluated for any adverse reactions In clinical Phase II trial, participants were randomly divided into a control group and an experimental group. Participants will:
  6. Received intratympanic injections of small extracellular vesicles 3 times together with traditional drug treatment in experimental group
  7. Received intratympanic injections of 5mg dexamethasone 3 times together with traditional drug treatment in control group, also for a total of 3 times Visit the clinic once 7 days , 1month and 3 months after treatment for checkups and tests of pure tone audiometry, speech audiometry, tinnitus disability scale and visual analogue scale assessment
Being tested
Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at low doses, Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at moderate doses, Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at high doses, Standard treatment for sudden deafness+hUC-MSC-sEV-003 at an appropriate dose as determined by stage I trial, Standard treatment for sudden deafness+dexamethasone
Medical subject headings
Hearing Loss, Sudden

What participants receive

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

  • Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at low dosesDrug

    In Clinical Phase I, three participants were first injected with small extracellular vesicles at low doses (2×108particles/mL) together with traditional drug treatment. The intratympanic injection of small extracellular vesicles was given every other day for a total of 3 times for every participants.

  • Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at moderate dosesDrug

    In Clinical Phase I, if no adverse reactions were observed for 2 weeks after the low-dose group was injected, three participants were then injected with small extracellular vesicles at moderat doses (1×109particles/mL) together with traditional drug treatment. The intratympanic injection of small extracellular vesicles was given every other day for a total of 3 times for every participants.

  • Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at high dosesDrug

    n Clinical Phase I, if no adverse reactions were observed for 2 weeks after the moderate-dose group was injected, three participants were then injected with small extracellular vesicles at high doses (5×109particles/mL) together with traditional drug treatment. The intratympanic injection of small extracellular vesicles was given every other day for a total of 3 times for every participants.

  • Standard treatment for sudden deafness+hUC-MSC-sEV-003 at an appropriate dose as determined by stage I trialDrug

    After the safety verification and dose determination of the Phase I clinical trial were completed, about 20 participants received standard treatment in accordance with the "Guidelines for the Diagnosis and Treatment of Sudden Deafness (2015)", and at the same time, they were administered intratympanic injections of small extracellular vesicles every other day, for a total of 3 times.

  • Standard treatment for sudden deafness+dexamethasoneDrug

    Participants in the control group received standard treatment in accordance with the "Guidelines for the Diagnosis and Treatment of Sudden Deafness (2015)", and during their hospitalization, they received intratympanic injections of dexamethasone at a dose of 5mg every other day for a total of 3 times.

Study groups in NCT07404709
Study groupRoleWhat they receive
Low-dose Treatment group-Clinical Phase IExperimentalStandard treatment for sudden deafness+hUC-MSC-sEV-003 at low-dose treatment in clinical phase I
Receives: Drug: Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at low doses
Moderate-dose Treatment Group--Clinical Phase IExperimentalStandard treatment for sudden deafness+hUC-MSC-sEV-003 at moderate-dose treatment in clincal phase I
Receives: Drug: Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at moderate doses
High-dose treatment in Clincal Phase IExperimentalStandard treatment for sudden deafness+hUC-MSC-sEV-003 at high-dose treatment in clincal phase I
Receives: Drug: Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at high doses
Treatment Group--Clinical Phase IIExperimentalStandard treatment for sudden deafness+hUC-MSC-sEV-003 at an appropriate dose as determined by the stage I trial
Receives: Drug: Standard treatment for sudden deafness+hUC-MSC-sEV-003 at an appropriate dose as determined by stage I trial
Control Group--Clinical Phase IIActive comparatorStandard treatment for sudden deafness+dexamethasone injected into the tympanic cavity
Receives: Drug: Standard treatment for sudden deafness+dexamethasone

What is being measured

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

  1. Pure tone test

    The hearing recovery status is evaluated based on the changes in pure tone threshold from the baseline at enrollment to 3 months of follow-up. The pure tone threshold is the average of air conduction thresholds at 0.25, 0.5, 1, 2, 4 kHz, and 8 kHz.

    Measured: Baseline,7 days,1 month, and 3 months after clinical phase II treatment

  2. speech audiometry

    The hearing recovery status is also evaluated based on the changes in speech recognition rate from the baseline at enrollment to 3 months of follow-up. The speech audiometry results use the speech recognition rates at the baseline and after treatment of the subjects.

    Measured: Baseline,7 days,1 month, and 3 months after clinical phase II treatment

Secondary outcomes (9)
  1. Respiration

    The investigators monitor vital signs respiration. The unit of respiratory rate is breaths per minute with the normal range 12 to 20 beats per minute.

    Measured: Baseline, 2 weeks after intratympanic injection in the first-phase clinical

  2. Heart rate

    The investigators also monitor vital signs heart rate. The unit of heart rate is beats per minute with the normal range 60 to 100 beats per minute at rest.

    Measured: Baseline, 2 weeks after intratympanic injection in the first-phase clinical

  3. Oxygen saturation

    The investigators also monitor vital signs oxygen saturation. The unit of oxygen saturation is percent with the normal range of 95% to 100%.

    Measured: Baseline, 2 weeks after intratympanic injection in the first-phase clinical

  4. Blood pressure

    The investigators also monitor vital signs blood pressure. The unit of blood pressure is mmHg. The normal range is that the systolic pressure should not exceed 140 mmHg, the diastolic pressure should not exceed 90 mmHg, and the blood pressure level should be no less than 90/60 mmHg.

    Measured: Baseline, 2 weeks after intratympanic injection in the first-phase clinical

  5. tympanic membrane healing status

    The investigators observe the healing status of the eardrum. There are two possible outcomes: the eardrum heals or it does not heal.

    Measured: Baseline, 2 weeks after intratympanic injection in the first-phase clinical

  6. Haematological index on liver function

    The investigators assess the changes in haematological index on liver function and kidney function levels compared to the baseline. The indicators for evaluating liver function include biochemical indicators such as albumin, transaminases, and bilirubin.

    Measured: Baseline, 2 weeks after intratympanic injection in the first-phase clinical

  7. Haematological index on kidney function

    The investigators assess the changes in haematological index on kidney function levels compared to the baseline. The indicators for evaluating kidney function include biochemical parameters such as serum creatinine, urea nitrogen, uric acid, glomerular filtration rate, and urine protein.

    Measured: Baseline, 2 weeks after intratympanic injection in the first-phase clinical

  8. Tinnitus Handicap Inventory

    The assessment of the tinnitus symptoms of the participants is conducted using the Tinnitus Handicap Inventory at both the baseline and different post-treatment periods. This scale classifies tinnitus into four grades as follows: Grade 1 (mild), corresponding to a Tinnitus Handicap Inventory score of 1 to 16. The tinnitus sound is faint and sometimes present, sometimes absent. Grade 2 (moderate), with a Tinnitus Handicap Inventory score of 18 to 36. The tinnitus sound is relatively obvious but generally has a minor impact. Grade 3 (moderately severe), with a Tinnitus Handicap Inventory score of 38 to 56. The tinnitus sound is moderate and begins to cause some interference in daily life. Grade 4 (severe), with a Tinnitus Handicap Inventory score of 58 to 76. A higher score means a worse result.

    Measured: Baseline,7 days,1 month, and 3 months after clinical phase II treatment

  9. Visual Analogue Scale

    The psychological assessment of the participants is carried out using the Visual Analogue Scale.The VAS scoring standard uses a straight line or ruler approximately 10 centimeters long, with the two ends marked as 0 and 10 respectively. 0 indicates no pain, and 10 indicates severe pain. Participants mark the corresponding position according to the degree of pain. 2. Pain grading: 0 indicates no pain; 1-3 indicates mild pain; 4-6 indicates moderate pain; 7-9 indicates severe pain; 10 indicates extreme pain. In this scale,a higher score means a worse result.

    Measured: Baseline,7 days,1 month, and 3 months after clinical phase II treatment

Timeline

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

  1. First posted11 Feb 2026
  2. Study start28 Feb 2026 (estimated)
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2028 (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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
9 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07404709
Sponsor's protocol ID
QYFYEC2025-196
Status last verified
Mar 2026
First submitted
23 Dec 2025
Last updated
25 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The informed consent form of this study does not include clauses authorizing IPD sharing. As a Phase I/II exploratory study, the data involves sensitive medical information and preliminary research results. To protect participants' privacy and comply with ethical and regulatory requirements, the data will not be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at low doses, Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at moderate doses and Tympanic injection of hUC-MSC-sEV-003 (small extracellular vesicles) at high doses in people with Sudden Hearing Loss and Extracellular Vesicles, run by The Affiliated Hospital of Qingdao University at 5 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 5 inclusion and 7 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: opening soon, as of the sponsor's last update on 25 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 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.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Yan Jiang (+86-532-82915920, jiangyanoto@qdu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pure tone test (time frame: Baseline,7 days,1 month, and 3 months after clinical phase II treatment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 25 Mar 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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