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Sudden Sensorineural Hearing LossEarly Phase 1NCT05849519

Small Sample,Unicentric,Randomized, Controlled Clinical Study of Coenzyme I for Injection in the Treatment of Sudden Sensorineural Hearing Loss

A Early Phase 1 study testing Coenzyme I for Injection + conventional treatment and Conventional treatment in people with Sudden Sensorineural Hearing Loss, run by Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Sudden sensorineural hearing loss is one of the most common emergencies in otorhinolaryngology, and its incidence is increasing year by year and tends to be younger. At present, the pathogenesis of sudden deafness is not clear and the individual treatment effects vary significantly. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Sudden Sensorineural Hearing Loss
What is being tested?
Coenzyme I for Injection + conventional treatment and Conventional treatment
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteChina
Study dates
16 Feb 2022to 16 Feb 2024
Phase
Early Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥18yrs.the 2019 American Sudden Deafness Guidelines are for patients with sudden deafness over 18 years of age;
  • Patients diagnosed with sudden deafness, i.e. unexplained sensorineural hearing loss occurring within 72 hours, with hearing threshold ≥30 in at least 3 consecutive frequencies, refer to the 2019 American Sudden Deafness Guidelines;
  • Unilateral sudden deafness;
  • Within 1 week of the onset of sudden deafness, no treatment in another hospital/our hospital;
  • No major neurological disease, serious systemic disease, family genetic history, major mental illness;
  • Informed and agreed to join the experiment, no plan to move out or go out within 1 month.

Who cannot join

  • Other diseases such as acoustic neuroma diagnosed by imaging;
  • Those who cannot tolerate NAD+;
  • pregnant;
  • Any other circumstances that the investigator believes should be excluded from this study;
  • Do not agree to join the experiment, plan to move out or go out within 1 month.

Trial locations and contacts

1 site in 1 country.

Minqian Gao, B.Sc contact

13660778861

gaomq6@mail.sysu.edu.cn

China1 site, 1 recruiting
  • Sun Yat-sen Memorial Hospital of Sun Yat-sen University

    Guangzhou, Guangdong, 510000

    Minqian Gao, B.sc, 13660778861, gaomq6@mail.sysu.edu.cn

    Recruiting

Other trials in China

About this study

Sudden sensorineural hearing loss is one of the most common emergencies in otorhinolaryngology, and its incidence is increasing year by year and tends to be younger. At present, the pathogenesis of sudden deafness is not clear and the individual treatment effects vary significantly. In order to break through this specific treatment bottleneck, this project pioneered the clinical application of the co-regulator nicotinamide adenine dinucleotide (NAD+) in the treatment of sudden deafness. Therefore, this project intends to use pure tone audiometry, speech audiometry, tinnitus disability scale THI, tinnitus subjective visual analog score method VAS, ear fullness subjective visual analog score method VAS for data analysis, and explore the safety of coenzyme I for injection on sudden deafness and efficacy assessment.

Read the detailed description

The recruited participants were patients with sudden hearing deafness, and the basic demographic data, including name, gender, age, medical history, etc., were collected. According to the inclusion and exclusion criteria, the patients were randomly divided into the experimental group and the control group. The experimental group was given conventional treatment + coenzyme I for injection, and the control group was given conventional treatment for 14 days. Baseline data were collected before treatment, and post-treatment data were collected on 3d, 7d, 14d,1m and 3m of treatment. Baseline data and post-treatment data included pure tone audiometry, speech audiometry, tinnitus THI scale, tinnitus VAS scale, tinnitus Stupid VAS scale.

Being tested
Coenzyme I for Injection + conventional treatment, Conventional treatment
Keywords
Sudden Sensorineural Hearing Loss, Coenzyme I
Medical subject headings
Hearing Loss, Sudden

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Coenzyme I for Injection + conventional treatmentDrug

    The intervention group used Coenzyme I for injection and conventional treatment for 7 consecutive days

  • Conventional treatmentDrug

    The control group was treated with conventional treatment

Study groups in NCT05849519
Study groupRoleWhat they receive
Intervention GroupExperimentalProcedure:Coenzyme I for Injection,5mg,im,qd;Nacl,2ml,im,qd.
Receives: Drug: Coenzyme I for Injection + conventional treatment
Control GroupOtherProcedure: conventional treatment.
Receives: Drug: Conventional treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pure Tone Average(PTA)

    Pure tone audiometry is the most basic and preferred hearing test method, which can qualitatively and quantitatively diagnose hearing loss, can reflect the entire auditory conduction pathway from the external ear to the auditory center, and is currently one of the subjective behavioral hearing tests that can accurately reflect hearing acuity. Includes pure tone air conduction hearing threshold test and pure tone bone hearing threshold test.

    Measured: Baseline, before treatment

  2. Pure Tone Average(PTA)

    Pure tone audiometry is the most basic and preferred hearing test method, which can qualitatively and quantitatively diagnose hearing loss, can reflect the entire auditory conduction pathway from the external ear to the auditory center, and is currently one of the subjective behavioral hearing tests that can accurately reflect hearing acuity. Includes pure tone air conduction hearing threshold test and pure tone bone hearing threshold test.

    Measured: Treatment day 3

  3. Pure Tone Average(PTA)

    Pure tone audiometry is the most basic and preferred hearing test method, which can qualitatively and quantitatively diagnose hearing loss, can reflect the entire auditory conduction pathway from the external ear to the auditory center, and is currently one of the subjective behavioral hearing tests that can accurately reflect hearing acuity. Includes pure tone air conduction hearing threshold test and pure tone bone hearing threshold test.

    Measured: Treatment day 7

  4. Pure Tone Average(PTA)

    Pure tone audiometry is the most basic and preferred hearing test method, which can qualitatively and quantitatively diagnose hearing loss, can reflect the entire auditory conduction pathway from the external ear to the auditory center, and is currently one of the subjective behavioral hearing tests that can accurately reflect hearing acuity. Includes pure tone air conduction hearing threshold test and pure tone bone hearing threshold test.

    Measured: Treatment day 14

  5. Pure Tone Average(PTA)

    Pure tone audiometry is the most basic and preferred hearing test method, which can qualitatively and quantitatively diagnose hearing loss, can reflect the entire auditory conduction pathway from the external ear to the auditory center, and is currently one of the subjective behavioral hearing tests that can accurately reflect hearing acuity. Includes pure tone air conduction hearing threshold test and pure tone bone hearing threshold test.

    Measured: Treatment day 30

  6. Pure Tone Average(PTA)

    Pure tone audiometry is the most basic and preferred hearing test method, which can qualitatively and quantitatively diagnose hearing loss, can reflect the entire auditory conduction pathway from the external ear to the auditory center, and is currently one of the subjective behavioral hearing tests that can accurately reflect hearing acuity. Includes pure tone air conduction hearing threshold test and pure tone bone hearing threshold test.

    Measured: Treatment day 90

Secondary outcomes (24)
  1. Speech Recognition Rate

    The speech recognition rate is the percentage (%) of speech which can be heard correctly in the audiometric vocabulary list, and the curve is drawn according to the (%) understood by different sound intensity levels, that is, the speech audiogram.

    Measured: Baseline, before treatment

  2. Speech Recognition Rate

    The speech recognition rate is the percentage (%) of speech which can be heard correctly in the audiometric vocabulary list, and the curve is drawn according to the (%) understood by different sound intensity levels, that is, the speech audiogram.

    Measured: Treatment day 3

  3. Speech Recognition Rate

    The speech recognition rate is the percentage (%) of speech which can be heard correctly in the audiometric vocabulary list, and the curve is drawn according to the (%) understood by different sound intensity levels, that is, the speech audiogram.

    Measured: Treatment day 7

  4. Speech Recognition Rate

    The speech recognition rate is the percentage (%) of speech which can be heard correctly in the audiometric vocabulary list, and the curve is drawn according to the (%) understood by different sound intensity levels, that is, the speech audiogram.

    Measured: Treatment day 14

  5. Speech Recognition Rate

    The speech recognition rate is the percentage (%) of speech which can be heard correctly in the audiometric vocabulary list, and the curve is drawn according to the (%) understood by different sound intensity levels, that is, the speech audiogram.

    Measured: Treatment day 30

  6. Speech Recognition Rate

    The speech recognition rate is the percentage (%) of speech which can be heard correctly in the audiometric vocabulary list, and the curve is drawn according to the (%) understood by different sound intensity levels, that is, the speech audiogram.

    Measured: Treatment day 90

  7. Tinnitus Handicap Inventory

    The Tinnitus Handicap Inventory (THI) is a tool to measure the impact of tinnitus on daily life.

    Yes (always has): 4 points; Sometimes (intermittent presence): 2 points.None: 0 points; None:0 points. Divide tinnitus into grade 5 I (mild), THI score 1~16 divide; Grade 2 (mild), THI score 18~36 points; Level 3 (moderate), THI score 38~56 points; Level 4 (severe), THI score 58~76 points; Level 5 (catastrophic), THI score 78~100 points.

    Measured: Baseline, before treatment

  8. Tinnitus Handicap Inventory

    The Tinnitus Handicap Inventory (THI) is a tool to measure the impact of tinnitus on daily life.

    Yes (always has): 4 points; Sometimes (intermittent presence): 2 points.None: 0 points; None:0 points. Divide tinnitus into grade 5 I (mild), THI score 1~16 divide; Grade 2 (mild), THI score 18~36 points; Level 3 (moderate), THI score 38~56 points; Level 4 (severe), THI score 58~76 points; Level 5 (catastrophic), THI score 78~100 points.

    Measured: Treatment day 3

  9. Tinnitus Handicap Inventory

    The Tinnitus Handicap Inventory (THI) is a tool to measure the impact of tinnitus on daily life.

    Yes (always has): 4 points; Sometimes (intermittent presence): 2 points.None: 0 points; None:0 points. Divide tinnitus into grade 5 I (mild), THI score 1~16 divide; Grade 2 (mild), THI score 18~36 points; Level 3 (moderate), THI score 38~56 points; Level 4 (severe), THI score 58~76 points; Level 5 (catastrophic), THI score 78~100 points.

    Measured: Treatment day 7

  10. Tinnitus Handicap Inventory

    The Tinnitus Handicap Inventory (THI) is a tool to measure the impact of tinnitus on daily life.

    Yes (always has): 4 points; Sometimes (intermittent presence): 2 points.None: 0 points; None:0 points. Divide tinnitus into grade 5 I (mild), THI score 1~16 divide; Grade 2 (mild), THI score 18~36 points; Level 3 (moderate), THI score 38~56 points; Level 4 (severe), THI score 58~76 points; Level 5 (catastrophic), THI score 78~100 points.

    Measured: Treatment day 14

  11. Tinnitus Handicap Inventory

    The Tinnitus Handicap Inventory (THI) is a tool to measure the impact of tinnitus on daily life.

    Yes (always has): 4 points; Sometimes (intermittent presence): 2 points.None: 0 points; None:0 points. Divide tinnitus into grade 5 I (mild), THI score 1~16 divide; Grade 2 (mild), THI score 18~36 points; Level 3 (moderate), THI score 38~56 points; Level 4 (severe), THI score 58~76 points; Level 5 (catastrophic), THI score 78~100 points.

    Measured: Treatment day 30

  12. Tinnitus Handicap Inventory

    The Tinnitus Handicap Inventory (THI) is a tool to measure the impact of tinnitus on daily life.

    Yes (always has): 4 points; Sometimes (intermittent presence): 2 points.None: 0 points; None:0 points. Divide tinnitus into grade 5 I (mild), THI score 1~16 divide; Grade 2 (mild), THI score 18~36 points; Level 3 (moderate), THI score 38~56 points; Level 4 (severe), THI score 58~76 points; Level 5 (catastrophic), THI score 78~100 points.

    Measured: Treatment day 90

  13. Visual Analogue Scale of Tinnitus

    VAS (Visual Analogue Scale) is a tool to detect changes in the subjective loudness of tinnitus. 0 represents no tinnitus loudness at all, 10 represents the presence of extremely severe loudness, and the middle represents different degrees of tinnitus loudness.

    Measured: Baseline, before treatment

  14. Visual Analogue Scale of Tinnitus

    VAS (Visual Analogue Scale) is a tool to detect changes in the subjective loudness of tinnitus. 0 represents no tinnitus loudness at all, 10 represents the presence of extremely severe loudness, and the middle represents different degrees of tinnitus loudness.

    Measured: Treatment day 3

  15. Visual Analogue Scale of Tinnitus

    VAS (Visual Analogue Scale) is a tool to detect changes in the subjective loudness of tinnitus. 0 represents no tinnitus loudness at all, 10 represents the presence of extremely severe loudness, and the middle represents different degrees of tinnitus loudness.

    Measured: Treatment day 7

  16. Visual Analogue Scale of Tinnitus

    VAS (Visual Analogue Scale) is a tool to detect changes in the subjective loudness of tinnitus. 0 represents no tinnitus loudness at all, 10 represents the presence of extremely severe loudness, and the middle represents different degrees of tinnitus loudness.

    Measured: Treatment day 14

  17. Visual Analogue Scale of Tinnitus

    VAS (Visual Analogue Scale) is a tool to detect changes in the subjective loudness of tinnitus. 0 represents no tinnitus loudness at all, 10 represents the presence of extremely severe loudness, and the middle represents different degrees of tinnitus loudness.

    Measured: Treatment day 30

  18. Visual Analogue Scale of Tinnitus

    VAS (Visual Analogue Scale) is a tool to detect changes in the subjective loudness of tinnitus. 0 represents no tinnitus loudness at all, 10 represents the presence of extremely severe loudness, and the middle represents different degrees of tinnitus loudness.

    Measured: Treatment day 90

  19. Severity of ear fullness

    Visual Analogue Scale(VAS).0 represents no ear stuffiness at all, 10 represents the presence of extremely severe ear stuffiness, and the middle represents different degrees of ear stuffiness.

    Measured: Baseline, before treatment

  20. Severity of ear fullness

    Visual Analogue Scale(VAS).0 represents no ear stuffiness at all, 10 represents the presence of extremely severe ear stuffiness, and the middle represents different degrees of ear stuffiness.

    Measured: Treatment day 3

  21. Severity of ear fullness

    Visual Analogue Scale(VAS).0 represents no ear stuffiness at all, 10 represents the presence of extremely severe ear stuffiness, and the middle represents different degrees of ear stuffiness.

    Measured: Treatment day 7

  22. Severity of ear fullness

    Visual Analogue Scale(VAS).0 represents no ear stuffiness at all, 10 represents the presence of extremely severe ear stuffiness, and the middle represents different degrees of ear stuffiness.

    Measured: Treatment day 14

  23. Severity of ear fullness

    Visual Analogue Scale(VAS).0 represents no ear stuffiness at all, 10 represents the presence of extremely severe ear stuffiness, and the middle represents different degrees of ear stuffiness.

    Measured: Treatment day 30

  24. Severity of ear fullness

    Visual Analogue Scale(VAS).0 represents no ear stuffiness at all, 10 represents the presence of extremely severe ear stuffiness, and the middle represents different degrees of ear stuffiness.

    Measured: Treatment day 90

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 May 2023
  2. Study start16 Feb 2022
  3. Primary completion16 Feb 2024 (estimated)
  4. Study completion16 Feb 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05849519
Sponsor's protocol ID
2022-KY-004
Status last verified
Aug 2022
First submitted
16 Feb 2023
Last updated
9 May 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Gao M, Guan Y, Yue X, Bao H, Li Q, Zheng Y, Ou Y, Yang H. NAD+ Enhanced on Hearing Recovery in Sudden Sensorineural Hearing Loss: Randomized Controlled Trial. Laryngoscope. 2026 Mar;136(3):1204-1214. doi: 10.1002/lary.70173. Epub 2025 Oct 1.

    PubMed 41035311

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Coenzyme I for Injection + conventional treatment and Conventional treatment in people with Sudden Sensorineural Hearing Loss, run by Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 9 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Minqian Gao, B.Sc (13660778861, gaomq6@mail.sysu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pure Tone Average(PTA) (time frame: Baseline, before treatment). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05849519, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 May 2023.

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