A Prospective, Randomized, Double Blind, Placebo-controlled, Multicenter, Phase 3 Efficacy and Safety Study of OTO-104 Given as a Single Intratympanic Injection in Subjects With Unilateral Meniere's Disease

ClinicalTrials.gov processed this data on November 15, 2022. Link to the current ClinicalTrials.gov record.

Recruitment Status

COMPLETED - HAS RESULTS
(See Contacts and Locations)
Verified November 2022 by Otonomy, Inc.

Sponsor

Otonomy, Inc.

Information Provided by (Responsible Party)

Otonomy, Inc.

Clinicaltrials.gov Identifier

NCT03664674
Other Study ID Numbers: 104-201811
First Submitted: August 31, 2018
First Posted: September 10, 2018
Results First Posted: December 7, 2022
Last Update Posted: December 7, 2022
Last Verified: November 2022
History of Changes

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Study Description

Not Provided
Condition or Disease Intervention/Treatment
  • Meniere Disease
  • Drug: OTO-104
  • Drug: Placebo

Study Design

Study TypeInterventional
Actual Enrollment148 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingTriple
Primary PurposeTreatment
Official TitleA Prospective, Randomized, Double Blind, Placebo-controlled, Multicenter, Phase 3 Efficacy and Safety Study of OTO-104 Given as a Single Intratympanic Injection in Subjects With Unilateral Meniere's Disease
Study Start DateAugust 27, 2018
Actual Primary Completion DateDecember 22, 2020
Actual Study Completion DateDecember 22, 2020

Groups and Cohorts

Group/ CohortIntervention/ Treatment
  • OTO-104
  • Drug: OTO-104
    • Single intratympanic injection of 12 mg dexamethasone
  • placebo
  • Drug: Placebo

    Outcome Measures

    Primary Outcome Measures

    1. 28-Day Average DVD at Week 12 (Month 3) [3 months]
      The count of definitive vertigo days for Week 12 was determined during the 4-week period between Weeks 9 and 12. The 28-day average DVD was derived for each subject and visit by summing each subject's number of DVD counts within the 4-week interval, dividing by the number of completed diary days, and multiplying by 28.

    Secondary Outcome Measures

    1. Impact of Vertigo Experience on Daily Activities at Week 12 (Month 3) - The Number of Days Sick at Home or Bedridden [3 Months]
      The count of days sick at home or bedridden for subsequent intervals was determined during the 4-week period between each visit. The count of days sick at home or bedridden was computed as the sum of the days in the Sick at home and Bedridden categories for each 4-week interval and was standardized to 28 days by multiplying by 28 days and dividing by the number of non-missing diary entries.
    2. Otoscopic Examination - Presence of Perforation in the Treated Ear at Week 12 (Month 3) Final Visit [3 months]
      Ear examinations were done at every visit. One of the important safety endpoints was an observation of a perforation in the ear drum did not heal properly after the injection. Reported here are the Week 12 (Month 3) final visit.
    3. Audiometry - Shift in Air-Bone Gap at 1000 Hz From Baseline to Week 12 (Month 3) [Week 12 (Month 3)]
      The number of subjects with a change in air-bone gap from Baseline to Week 12 (Month 3) from no impairment at baseline (<= 10 dB) to impairment at Month 3 (>10 dB) when measured at 1000 Hz.
    4. Audiometry - Shift in Air-Bone Gap at 2000 Hz From Baseline to Week 12 (Month 3) [Week 12 (Month 3)]
      The number of subjects with a change in air-bone gap from Baseline to Week 12 (Month 3) from no impairment at baseline (<= 10 dB) to impairment at Month 3 (>10 dB) when measured at 2000 Hz.
    5. Audiometry - Shift in Air-Bone Gap at 4000 Hz From Baseline to Week 12 (Month 3) [Week 12 (Month 3)]
      The number of subjects with a change in air-bone gap from Baseline to Week 12 (Month 3) from no impairment at baseline (<= 10 dB) to impairment at Month 3 (>10 dB) when measured at 4000 Hz.

    Eligibility Criteria

    Ages Eligible for Study 18 Years to 85 Years (Adult, Older Adult)
    Sexes Eligible for Study All
    Accepts Healthy Volunteers No
    Inclusion Criteria
    • Subject has a diagnosis of unilateral Meniere's disease by 1995 American Academy of Otolaryngology - Head and Neck Surgery (AAOHNS) criteria and reports active vertigo for the 2 months prior to the study lead-in period.
    • Subject has experienced active vertigo during the lead-in period.
    • Subject has documented asymmetric sensorineural hearing loss.
    • Subject agrees to maintain their current treatments for Meniere's disease while on-study.
    Exclusion Criteria
    • Subject is pregnant or lactating.
    • Subject has a history of immunodeficiency disease.
    • Subject has a history of significant middle ear or inner ear surgery, or endolymphatic sac surgery in the affected ear.
    • Subject has a history of tympanostomy tubes with evidence of perforation or lack of closure.
    • Subject has a history of vestibular migraine.
    • Subject has used an investigational drug or device in the 3 months prior to screening.
    • Subject has previously been randomized to a clinical study of OTO-104.

    Contacts and Locations

    Sponsors and Collaborators Otonomy, Inc.
    Locations
    • Central California Clinical Research | Fresno, California, United States, 93720
    • University of Colorado School of Medicine | Aurora, Colorado, United States, 80045
    • Colorado ENT & Allergy | Colorado Springs, Colorado, United States, 80909
    • Yale University School of Medicine | New Haven, Connecticut, United States, 06510
    • Ear, Nose and Throat Associates of South Florida | Boynton Beach, Florida, United States, 33426
    • Ear Research Foundation | Sarasota, Florida, United States, 34239
    • Tandem Clinical Research | Marrero, Louisiana, United States, 70072
    • Michigan Ear Institute | Farmington Hills, Michigan, United States, 48334
    • Saint Louis University | Saint Louis, Missouri, United States, 63110
    • Dent Neurologic Institute | Amherst, New York, United States, 14226
    • New York Eye and Ear Infirmary of Mount Sinai | New York, New York, United States, 10003
    • Charlotte Eye Ear Nose & Throat Associates, P.A. | Matthews, North Carolina, United States, 28105
    • Piedmont Ear, Nose, and Throat Associates, PA | Winston-Salem, North Carolina, United States, 27103
    • Medical University of South Carolina, Department of Otolaryngology | Charleston, South Carolina, United States, 29425
    • Vanderbilt University Medical Center | Nashville, Tennessee, United States, 37232
    • Intermountain Ear, Nose & Throat Specialists | Draper, Utah, United States, 84020
    • West Virginia University School of Medicine | Morgantown, West Virginia, United States, 26506
    • Universitair Ziekenhuis Antwerpen - Ear-Nose-Throat Department | Edegem, Belgium, 2650
    • UZ Gent - Ear-Nose-Throat Department | Gent, Belgium, 9000
    • UZ Leuven - Ear-Nose-Throat Department | Leuven, Belgium, 3000
    • CHU de Liège - Ear-Nose-Throat Department | Liège, Belgium, 4000
    • Uniklinik RWTH Aachen, Klinik für Hals-, Nasen-, Ohrenheilkunde und Plastische Kopf- und Halschirurgie | Aachen, Germany, 52074
    • Praxis Bad Essen | Bad Essen, Germany, 49152
    • Charité Universitätsmedizin Berlin | Berlin, Germany, 10117
    • HNO Zentrum am Kudamm | Berlin, Germany, 10629
    • HNO-Praxis Göttingen | Göttingen, Germany, 37073
    • HNO Praxis am Neckar | Heidelberg, Germany, 69120
    • HNO Praxis Dres. med. Florian Heimlich und Angelika Witzel-Heimlich | Heidelberg, Germany, 69126
    • Universitätsklinikum Mannheim | Mannheim, Germany, 68167
    • HNO Praxis Dr. med. Roger Fisher | Markkleeberg, Germany, 04416
    • Klinikum der Universität München | München, Germany, 81377
    • Universitätsklinikum Ulm, HNO-Klinik. Kopf-Hals-Chirurgie | Ulm, Germany, 89075
    • U.O. di Otorinolaringoiatria Universitaria | Bari, NAP, Italy, 70124
    • Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico - U.O.S.D. Audiologia | Milano, Italy, 20122
    • Unità Operativa di Otorinolaringoiatria | Piacenza, Italy, 29121
    • Azienda Ospedaliera-Universitaria Sant' Andrea; Dipartimento Organi di Senso-U.O.C. Otorinolaringoiatria | Roma, Italy, 00189
    • 10 Wojskowy Szpital Kliniczny z Polikliniką SP ZOZ Oddział | Bydgoszcz, Poland, 85-681
    • Centrum Medyczne ZDROWA | Kraków, Poland, 31-216
    • Centrum Medyczne PROMED | Kraków, Poland, 31-411
    • MT Medic Specjalistyczna Praktyka Lekarska Tomasz Stapiński | Krosno, Poland, 38-400
    • Centrum Słuchu i Mowy Sp. z o.o. | Nadarzyn, Poland, 05-830
    • Kliniczny Szpital Wojewódzki Nr 1 im. Fryderyka Chopina | Rzeszów, Poland, 35-055
    • ETG Łódź | Łódź, Poland, 90-302
    • Agencia Pública Empresarial Sanitaria Hospital de Poniente | El Ejido, Almería, Spain, 04700
    • Hospital Universitario de Getafe | Getafe, Madrid, Spain, 28905
    • Hospital Universitario Virgen de las Nieves | Granada, Spain, 18014
    • Hospital Universitario Virgen Macarena | Sevilla, Spain, 41009
    • Hacettepe Universitesi Tip Fakultesi Kulak Burun Bogaz Hastaliklari Anabilim Dali | Ankara, Turkey, 06100
    • Baskent Universitesi Ankara Hastanesi, Kulak Burun Bogaz Hastaliklari Ana Bilim Dali | Ankara, Turkey, 06490
    • Bayindir Hastanesi Sogutozu, Kulak Burun Bogaz Bas ve Boyun Cerrahisi Bolumu | Ankara, Turkey, 06530
    • Uludag Universitesi Saglik Uygulama ve Arastirma Merkezi, Kulak Burum Bogaz Hastaliklari Ana Bilim Dali | Bursa, Turkey, 16059
    • Istanbul Universitesi Istanbul Tip Fakultesi Kulak Burun Bogaz Hastaliklari Anabilim Dali | Istanbul, Turkey, 34093
    • Acibadem Maslak Hastanesi Kulak Burun Bogaz Bolumu | Istanbul, Turkey, 34457
    • Ege Universitesi Tip Fakultesi Kulak Burun Bogaz Hastaliklari Anabilim Dali | İzmir, Turkey, 35100
    • Dokuz Eylul Universitesi Tip Fakultesi Tip Bilimleri Bolumu Kulak Burun Bogaz Anabilim Dali | İzmir, Turkey, 35340
    • Ninewells Hospital and Medical School | Dundee, Angus, United Kingdom, DD19SY
    • Royal Victoria Hospital | Belfast, United Kingdom, BT126BA
    • Cambridge University Hospitals NHS Foundation Trust | Cambridge, United Kingdom, CB20QQ
    • University Hospital of Wales | Cardiff, United Kingdom, CF144XW
    • Gloucestershire Royal Hospital | Gloucester, United Kingdom, GL13NN
    • University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary | Leicester, United Kingdom, LE15WW
    • Guy's and St Thomas' NHS Foundation Trust | London, United Kingdom, SE19RT
    • Manchester Head and Neck Centre, Peter Mount Building | Manchester, United Kingdom, M139WL
    • Norfolk & Norwich University Hospital | Norwich, United Kingdom, NR47UY
    • The Royal Hallamshire Hospital | Sheffield, United Kingdom, S102JF

    Study Documents (Full Text)

    More Information

    Additional Relevant MeSH Terms

    • Meniere Disease
    • Endolymphatic Hydrops
    • Labyrinth Diseases
    • Ear Diseases
    • Otorhinolaryngologic Diseases