NCT05821959

Brief Summary

Part A of this trial will evaluate the safety and tolerability of a single surgical administration procedure in one or both ear(s) with one of two dose levels of AAVAnc80-hOTOF and will evaluate the Akouos Delivery Device, together with the Precision Delivery Mechanism, to safely achieve the intended product performance.

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
22

participants targeted

Target at P25-P50 for phase_1

Timeline
29mo left

Started Sep 2023

Longer than P75 for phase_1

Geographic Reach
4 countries

9 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress52%
Sep 2023Oct 2028

First Submitted

Initial submission to the registry

February 8, 2023

Completed
2 months until next milestone

First Posted

Study publicly available on registry

April 20, 2023

Completed
5 months until next milestone

Study Start

First participant enrolled

September 15, 2023

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2028

Last Updated

March 4, 2026

Status Verified

December 1, 2025

Enrollment Period

5 years

First QC Date

February 8, 2023

Last Update Submit

March 3, 2026

Conditions

Keywords

OtoferlinAuditory neuropathy (AN)Deafness, autosomal recessive 9 (DFNB9)Hearing lossHearing loss, bilateralHearing loss, sensorineural

Outcome Measures

Primary Outcomes (1)

  • Frequency of Adverse Events (AEs)

    AEs with relationship to the investigational medicinal product and/or to the administration procedure (including the delivery system)

    through trial completion, approximately 1 year

Secondary Outcomes (2)

  • Auditory Brainstem Response (ABR) Threshold

    through trial completion, approximately 1 year

  • Performance of the Akouos Delivery Device and Precision Delivery Mechanism

    through trial completion, approximately 1 year

Study Arms (3)

Cohort 1a and Cohort 1b

EXPERIMENTAL

Cohort 1a: Two participants aged 7 to 17 years old (inclusive) to receive intracochlear administration of AAVAnc80-hOTOF (dose level 1) in the study ear using a sterile, one-time use investigational medical device Cohort 1b: Up to six eligible participants will be enrolled to receive intracochlear administration of AAVAnc80-hOTOF (dose level 1) in the study ear using a sterile, one-time use investigational medical device; the first three participants will be at least two years of age at the time of AAVAnc80-hOTOF administration and the next three participants may be of any age

Combination Product: AAVAnc80-hOTOF via Akouos Delivery Device

Cohort 2

EXPERIMENTAL

Cohort 2: Up to six eligible participants will be enrolled to receive intracochlear administration of AAVAnc80-hOTOF (dose level 2) in the study ear using a sterile, one-time use investigational medical device; the first three participants will be at least two years of age at the time of AAVAnc80-hOTOF administration and the next three participants may be of any age

Combination Product: AAVAnc80-hOTOF via Akouos Delivery Device

Bilateral Expansion

EXPERIMENTAL

Bilateral Expansion: up to eight eligible participants of any age, and no cochlear implants, may be eligible for enrollment into the Bilateral Expansion Cohort (simultaneous bilateral administration of AAVAnc80-hOTOF).

Combination Product: AAVAnc80-hOTOF via Akouos Delivery Device and Precision Delivery Mechanism

Interventions

AAVAnc80-hOTOF is a sterile suspension intended to be administered via a one-time unilateral intracochlear administration using the Akouos Delivery Device.

Cohort 1a and Cohort 1bCohort 2

AAVAnc80-hOTOF is a sterile suspension intended to be administered via a one-time bilateral intracochlear administration using the Akouos Delivery Device together with the Precision Delivery Mechanism.

Bilateral Expansion

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Participants may be of any age, based on Cohort Criteria
  • At least two mutations in the otoferlin gene
  • Clinical presentation of Profound bilateral sensorineural hearing loss as assessed by ABR
  • Preserved distortion product otoacoustic emissions (DPOAEs)
  • Able and willing to comply with all study requirements, including willingness to participate in a separate long term follow-up study after completion of this trial

You may not qualify if:

  • Persistent ear infections, anatomic or other abnormalities of the ear, and/or medical conditions that would contraindicate undergoing surgery, anesthesia, and/or administration of investigational gene therapy
  • Cochlear Implant(s) in the ear(s) to receive AAVAnc80-hOTOF
  • Prior participation in a clinical trial with an investigational drug, within six months prior to administration, or any prior participation in a gene therapy clinical trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

University of California, San Francisco Benioff Children's Hospital

San Francisco, California, 94158, United States

RECRUITING

University of Iowa

Iowa City, Iowa, 52242, United States

RECRUITING

Boston Children's Hospital

Boston, Massachusetts, 02115, United States

RECRUITING

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

RECRUITING

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19146, United States

RECRUITING

Vanderbilt Bill Wilkerson Center

Nashville, Tennessee, 37232, United States

RECRUITING

The Hospital for Sick Children Jaina.negandhi@sickkids.ca +1 (416) 813 6683

Toronto, Ontario, M5G 1X8, Canada

RECRUITING

National Taiwan University Hospital

Taipei, 100, Taiwan

RECRUITING

University College London

London, United Kingdom, NW1 2PG, United Kingdom

RECRUITING

MeSH Terms

Conditions

Hearing Loss, SensorineuralDeafness, Autosomal Recessive 9Auditory neuropathyDeafnessHearing LossHearing Loss, Bilateral

Condition Hierarchy (Ancestors)

Hearing DisordersEar DiseasesOtorhinolaryngologic DiseasesSensation DisordersNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Peter Marks, MD

    Eli Lilly and Company

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 8, 2023

First Posted

April 20, 2023

Study Start

September 15, 2023

Primary Completion (Estimated)

October 1, 2028

Study Completion (Estimated)

October 1, 2028

Last Updated

March 4, 2026

Record last verified: 2025-12

Locations