Phase 2a: Multiple Ascending Dose (MAD) in male and female patients with hearing loss:
The study will be conducted according to a randomised, placebo-controlled, double-blind design. A total of 24 patients, otherwise healthy, aged up to 75 years old, with mild to moderate hearing loss will be included. Two cohorts of 12 male or female patients (no ratio is required) will receive two different flat doses (low dose and high dose) ofDX243 or placebo for 29 days using SC administration. In each cohort of 12 patients, 4 will be randomised to placebo and 8 to DX243, so at the end of Phase 2a, 8 patients will have received placebo, 8 the low dose and 8 the high dose of DX243.
The primary objective is to evaluate the safety and tolerability of DX243 administered subcutaneously after repeated doses. The secondary objectives are to detect preliminary signal of efficacy, using speech in noise tests, tonal and vocal audiometry, as well as tinnitus and quality of life.
Patient having self-reported recent difficulty hearing in noisy environments for at least 6 months prior to screening.
Patient exhibiting a speech-in-noise hearing deficit in at least one ear;
Patient having audiometrically-defined normal hearing or up to moderately severe hearing impairment
Current tympanic membrane perforation;
Current acute or chronic otitis;
Genetic hearing loss;
Symmetric or asymmetric severe hearing loss;