Prevention of Ototoxicity in NTM Patients Treated With IV Amikacin

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-80
SponsorKevin Winthrop

About this trial

The goal of this clinical trial is to test the effectiveness of the study drug, ORC-13361, in preventing hearing loss in patients with NTM infection who are undergoing treatment with IV amikacin therapy. The main question this study aims to answer is:

* Is ORC-13661 effective for preventing or lessening hearing loss induced by amikacin treatment? * Is ORC-13661 effective for preventing or lessening other measures of hearing impairment?

Participants will be asked to take a study drug while they are being treated with IV amikacin. Participants will take study drug for 90 days or until the end of their amikacin treatment, whichever comes first. During this time, researchers will gather clinical data on the participants' health.

Researchers will compare three groups - two groups taking different doses of the study drug and one group taking a placebo drug - to see if dose of drug has any effect on preventing hearing loss. A placebo is a look-alike substance that contains no active drug.

Eligibility criteria

Qualifiers

Providing informed consent, documented by signing and dating the currently valid informed consent form.

Considered by the Investigator to have unimpaired consent capacity, without reliance on a legally authorized representative.

Stated willingness and ability to comply with study procedures and availability for the duration of the study.

Aged > 18 and < 80.

Disqualifiers

Received a systemic aminoglycoside antibiotic within 6 months prior to planned first dose of amikacin.

ECG at Screening or prior to randomization (mean of triplicate values) with QT interval corrected using Fridericia's formula (QTcF interval) ≥ 450 msec.

ECG at Screening or prior to randomization with abnormalities that, in the Investigator's judgment, might predispose patient to clinically significant arrhythmia.

Patients taking strong CYP3A4 inducers such as rifampin and rifabutin in the 7 days prior to randomization or have the need for ongoing treatment with concomitant oral or intravenous therapy with strong CYP3A4 inducers during the study. If an additional antibiotic is needed, then azithromycin will be used.

Trial design

Treatments tested in this trial

  • ORC-13661
  • ORC-13661
  • Placebo

Treatment groups

105 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Kevin Winthrop

Lead sponsor

Oregon Health and Science University

Sponsor institution

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

National Center for Advancing Translational Sciences (NCATS)

Collaborator

Oricula Therapeutics

Collaborator

University of Washington

Collaborator

National Jewish Health

Collaborator

Mayo Clinic

Collaborator

The University of Texas Health Science Center at Tyler

Collaborator

Medical University of South Carolina

Collaborator

University of California, San Francisco

Collaborator