NCT06249919

Brief Summary

The goal of this 2 step-up, exploratory study is to test safey, tolerability and PK/PD profiles in healthy volunteers and safety, tolerability and efficacy in sudden sensorineural hearing loss patients as an early salvage therapy. The main questions it aims to answer are:

  1. 1.whether is it safe and tolerable when healthy volunteers and sudden sensorineural hearing loss patients take multiple doses of NS101 against FAM19A5
  2. 2.whether is it effective in reversing hearing capability in sudden sensorineural hearing loss patients who fails to show sufficient recovery despite of oral standard steroid therapy.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
138

participants targeted

Target at P75+ for phase_1

Timeline
9mo left

Started Jan 2024

Typical duration for phase_1

Geographic Reach
1 country

16 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 Progress76%
Jan 2024Jan 2027

First Submitted

Initial submission to the registry

January 12, 2024

Completed
7 days until next milestone

Study Start

First participant enrolled

January 19, 2024

Completed
20 days until next milestone

First Posted

Study publicly available on registry

February 8, 2024

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2026

Expected
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 31, 2027

Last Updated

August 13, 2025

Status Verified

August 1, 2025

Enrollment Period

2.4 years

First QC Date

January 12, 2024

Last Update Submit

August 7, 2025

Conditions

Keywords

Sensorineural diseasesudden sensorineural hearing losssensorineural hearing losssudden deafnesscochlear synaptopathyhidden auditory synaptopathy

Outcome Measures

Primary Outcomes (2)

  • Phase 1b part: Change from Baseline in Safety Profiles

    Adverse Event, Serious Adverse Event, ratio of Treatment related Serisous Adverse Event with causality \& severity will be descriptively measured and collected in the following time frames

    Baseline, Day1, Day2, Day3, Day14, Day15, Day16, Day17, Day28, Day29, Day30, Day32, Day43

  • Phase 2a part: Changes from Baseline in Safety Profiles

    Adverse Event, Serious Adverse Event, ratio of Treatment related Serisous Adverse Event with causality \& severity will be descriptively measured and collected in the following time frames

    Baseline, Week1, Week2, Week4, Week6, Week8, Week10, Week12, Week16, Week20

Secondary Outcomes (2)

  • Phase 1b part: Change from Baseline in PK/PD profiles & Immunological Assay

    Baseline, Day1, Day2, Day3, Day14, Day15, Day16, Day17, Day28, Day29, Day30, Day32, Day43

  • Phase 2a part : Change from Baseline in PK/PD profiles & immunological Assay

    Baseline, Week1, Week2, Week4, Week6, Week8, Week10, Week12, Week16, Week20

Other Outcomes (1)

  • Phase 2a part : Change from Baseline in Pure Tone Audiometry, Speech Discrimination Scores and Tinnitus Handicap Inventory in Sudden Sensorineural Hearing Loss Patients

    Baseline, Week4, Week8, Week12, Week16, Week20

Study Arms (4)

Group A

EXPERIMENTAL

NS101 15mg/kg IV infusion Biweekly for 6weeks in Healthy Volunteers (active:placebo=6:3)

Biological: NS101Biological: Placebo

Group B

EXPERIMENTAL

NS101 30mg/kg IV infusion Biweekly for 6weeks in Healthy Volunteers (active:placebo=6:3)

Biological: NS101Biological: Placebo

Cohort A

ACTIVE COMPARATOR

NS101 15mg/kg IV infusion Biweekly for 12weeks in Sudden Sensorineural Hearing Loss patients

Biological: NS101

Cohort B

PLACEBO COMPARATOR

Placebo 15mg/kg IV infusion Biweekly for 12weeks in Sudden Sensorineural Hearing Loss patients

Biological: Placebo

Interventions

NS101BIOLOGICAL

NS101 is anti FAM19A5 antibody expected to play as a synapse organizer and reversing synapse dysfunction in various neurological diseases

Cohort AGroup AGroup B
PlaceboBIOLOGICAL

Placebo (i.e. fake drug without active pharmaceutical ingredient) of NS101

Cohort BGroup AGroup B

Eligibility Criteria

Age19 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • unilateral ideopathic SSNHL greater than 45dB at the average of 4 frequencies in PTA (contralateral hearing is less than 30dB)
  • Subject who has completed investigator-recognized standard treatment within 30 days of symptom onset and is able to undergo randomization visit within 35 days.
  • Subjects who, in the opinion of the investigator, have received sufficient systemic steroid therapy for approximately 2 weeks recovery
  • A combination regimen consisting of approximately 2 weeks of systemic steroid therapy and intratympanic steroid administration

You may not qualify if:

  • other otologic or systemic diseases
  • retrocochlear lesion

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (16)

SCH University Hospital Bucheon

Bucheon-si, South Korea

NOT YET RECRUITING

Chonam National University Hospital

Gwangju, South Korea

RECRUITING

Inje University Ilsan Paik Hospital

Ilsan, South Korea

RECRUITING

Myongji Hospital

Ilsan, South Korea

NOT YET RECRUITING

Pusan National University Hospital

Pusan, South Korea

RECRUITING

Hallym Sacred Heart Hospital

Pyeongchon, South Korea

RECRUITING

Seoul National University Bundang Hospital

Seongnam, South Korea

RECRUITING

Asan Medical Center

Seoul, South Korea

RECRUITING

Catholic University Seoul St. Mary's Hospital

Seoul, South Korea

RECRUITING

Korea University Anam Hospital

Seoul, South Korea

RECRUITING

Korea University Anam Hospital

Seoul, South Korea

NOT YET RECRUITING

Samsung Medical Center

Seoul, South Korea

RECRUITING

Seoul National University Hospital

Seoul, South Korea

RECRUITING

Yonsei University Severance Hospital

Seoul, South Korea

RECRUITING

Ajou University Hospital

Suwon, South Korea

NOT YET RECRUITING

Wonju Severance Christian Hospital

Wŏnju, South Korea

RECRUITING

MeSH Terms

Conditions

Hearing Loss, SuddenHearing Loss, SensorineuralHearing Loss, Hidden

Condition Hierarchy (Ancestors)

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

Study Officials

  • Joseph Park, M.D.

    Neuracle Science

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: A Phase 1b/2a, prospective, randomized, double-blind, placebo-controlled, multicenter, dose-escalation, exploratory study evaluating the safety, tolerability, pharmacokinetics/pharmacodynamics (PK/PD), and efficacy of multiple doses of NS101 in healthy adults and patients with sudden Sensorineural Hearing Loss
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 12, 2024

First Posted

February 8, 2024

Study Start

January 19, 2024

Primary Completion (Estimated)

May 31, 2026

Study Completion (Estimated)

January 31, 2027

Last Updated

August 13, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share

Currently there is no plan to share IPD at this stage

Locations