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Sudden Sensorineural Hearing Loss (SSNHL)Phase 2NCT07134075

Intracochlear Injection of Glucocorticoid

A Phase 2 study testing intracochlear triamcinolone acetonide injection, intracochlear injection of dexamethasone through the round window membrane and intracochlear dexamethasone injection and intratympanic dexamethasone injection in people with Sudden Sensorineural Hearing Loss (SSNHL), run by Eye & ENT Hospital of Fudan University at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study is a prospective, randomized pilot study. To verify safety and efficacy of intracochlear injection of glucocorticoid through the round window membrane in patients with total sudden sensorineural hearing loss safety and efficacy in total sudden sensorineural hearing loss patients as an early salvage therapy. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
intracochlear triamcinolone acetonide injection, intracochlear injection of dexamethasone through the round window membrane and intracochlear dexamethasone injection and intratympanic dexamethasone injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
1 siteChina
Study dates
25 Aug 2025to 1 Aug 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age between 18 and 65 years Unilateral idiopathic sudden sensorineural hearing loss greater than 95dB at the average of 4 frequencies (500 Hz, 1000 Hz, 2000 Hz and 4000 Hz) in PTA (contralateral hearing is less than 30dB) at the onset of sudden hearing loss Participant who were treated with standard treatment for 14 days, but no recovery was confirmed as type IV (final hearing level with hearing gain of ≤15 dB) at the end of the 14-day treatment

Who cannot join

  • Bilateral sudden sensorineural hearing loss Hearing loss with known causes (e.g., Meniere's disease, retrocochlear pathology, history of otologic surgery, perilymphatic fistula, barotrauma) History in the past 6 months of ototoxic treatment such as chemotherapy, use of loop diuretics, high dose aspirin, etc History of sudden sensorineural hearing loss within the past 2 years History of ischemic diseases (cerebral infarction, myocardial infarction, peripheral arterial obstructive disease) Neuropsychiatric disorders (epilepsy, Parkinson's disease, Alzheimer's disease, multiple sclerosis) Severe hepatic or renal insufficiency The CT diagnosis is "abnormality of the round window niche"

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Wei Li, MD, Ph.D contact

0086-18301969566

619liwei@163.com

China1 site
  • Fenyang Road 83

    Shanghai, Shanghai Municipality, 200031

    Wei Li, MD, PhD, 0086-18301969566, 619liwei@163.com

    Huawei Li, MD, Ph.D

Other trials in China

About this study

Official title: Safety and Efficacy of Intracochlear Injection of Glucocorticoid Through the Round Window Membrane in Patients With Total Sudden Sensorineural Hearing Loss

This study is a prospective, randomized pilot study. To verify safety and efficacy of intracochlear injection of glucocorticoid through the round window membrane in patients with total sudden sensorineural hearing loss safety and efficacy in total sudden sensorineural hearing loss patients as an early salvage therapy.

Read the detailed description

The main questions it aims to answer are:

  1. Whether is it safe when total sudden sensorineural hearing loss patients receive intracochlear injection of glucocorticoid through the round window membrane.
  2. Whether is it effective in reversing hearing capability when total sudden sensorineural hearing loss patients receive intracochlear injection of glucocorticoid through the round window membrane.
  3. Whether is intracochlear glucocorticoid injection more effective than intratympanic glucocorticoid injection for treating total sudden sensorineural hearing loss.
  4. Which glucocorticoid intracochlear injection is more effective in patients with total sudden sensorineural hearing loss.
Being tested
intracochlear triamcinolone acetonide injection, intracochlear injection of dexamethasone through the round window membrane, intracochlear dexamethasone injection and intratympanic dexamethasone injection, intratympanic dexamethasone injection
Keywords
intracochlear injection, glucocorticoid
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.

  • intracochlear triamcinolone acetonide injectionDrug

    Also called intracochlear triamcinolone acetonide (40mg/ml, 30μl)injection

    intracochlear triamcinolone acetonide injection of through the round window membrane

  • intracochlear injection of dexamethasone through the round window membraneDrug

    Also called intracochlear injection of dexamethasone sodium phosphate(7.5mg/ml, 30μl)through the round window membrane

    intracochlear injection of dexamethasone sodium phosphate through the round window membrane

  • intracochlear dexamethasone injection and intratympanic dexamethasone injectionDrug

    Also called intracochlear injection of dexamethasone sodium phosphate through the round window membrane (7.5mg/ml, 30μl) and intratympanic dexamethasone sodium phosphate injection (10mg/ml)

    intracochlear dexamethasone sodium phosphate injection of through the round window membrane, intratympanic dexamethasone sodium phosphate injection through the tympanic membrane

  • intratympanic dexamethasone injectionDrug

    Also called intratympanic dexamethasone sodium phosphate injection (10mg/ml)

    intratympanic dexamethasone sodium phosphate injection (10mg/ml) through tympanic membrane,once every other day, for a total of 4 injections.

Study groups in NCT07134075
Study groupRoleWhat they receive
Group A: intracochlear triamcinolone acetonide injectionExperimentalintracochlear injection of triamcinolone acetonide through the round window membrane
Receives: Drug: intracochlear triamcinolone acetonide injection
Group B: intracochlear dexamethasone injectionExperimentalintracochlear injection of dexamethasone through the round window membrane
Receives: Drug: intracochlear injection of dexamethasone through the round window membrane
Group C: intracochlear dexamethasone injection and intratympanic dexamethasone injectionExperimentalintracochlear injection of dexamethasone through the round window membrane and intratympanic dexamethasone injection through the tympanic membrane
Receives: Drug: intracochlear dexamethasone injection and intratympanic dexamethasone injection
Group D: intratympanic dexamethasone injectionActive comparatorintratympanic dexamethasone injection tympanic membrane,once every other day, for a total of 4 injections.
Receives: Drug: intratympanic dexamethasone injection

What is being measured

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

  1. Change from Baseline in pure tone audiometry (PTA)

    hearing capacity of thresholds (PTA)

    Measured: Baseline, Week 2, Week 4, Week12, Week24

  2. Change from Baseline in auditory brainstem response (ABR)

    hearing capacity of thresholds (ABR)

    Measured: Baseline, Week 2, Week 4, Week12, Week24

  3. Change from Baseline in auditory steady state response (ASSR)

    hearing capacity of thresholds (ASSR)

    Measured: Baseline, Week 2, Week 4, Week12, Week24

  4. Change from Baseline in speech Discrimination Scores

    hearing capacity of thresholds (speech Discrimination Scores)

    Measured: Baseline, Week 2, Week 4, Week12, Week24

Secondary outcomes (3)
  1. change from baseline in tinnitus handicap inventory

    The THI questionnaire includes functional, emotional, and catastrophic subscales. It consists of 25 questions. The total score is calculated by adding up the scores for all questions and classifying the severity of tinnitus as no handicap (0-16), mild handicap (18-36), moderate handicap (38-56), and severe handicap (58-100).

    Measured: Baseline, Week2, Week4, Week12, Week24

  2. change from baseline in dizziness handicap inventory

    The 25-item self-report Dizziness Handicap inventory (DHI) validated questionnaire that assesses functional, emotional and physical domains. Responses are graded 0 (no), 2 (sometimes) or 4 (yes) with higher scores indicating greater impact of dizziness maximum and maximum score of 100 points (15 minutes).

    Measured: Baseline, Week2, Week4, Week12, Week24

  3. change from baseline in quality of life score

    Quality of life questionnaire will be measured to compare the change in individual's health-related quality of life using face to face Interview for the scores. Higher scores mean better functioning or fewer symptoms.

    Measured: Baseline, Week2, Week4, Week12, Week24

Timeline

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

  1. First posted21 Aug 2025
  2. Study start25 Aug 2025 (estimated)
  3. Primary completion1 Aug 2027 (estimated)
  4. Study completion1 Aug 2027 (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
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Parallel Assignment
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07134075
Sponsor's protocol ID
intracochlear glucocorticoid
Other IDs
82225014
Status last verified
Aug 2025
First submitted
30 Jul 2025
Last updated
21 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The ethics committee may require approval for data sharing to ensure alignment with principles like beneficence and justice.

Publications

  • Lv J, Wang H, Cheng X, Chen Y, Wang D, Zhang L, Cao Q, Tang H, Hu S, Gao K, Xun M, Wang J, Wang Z, Zhu B, Cui C, Gao Z, Guo L, Yu S, Jiang L, Yin Y, Zhang J, Chen B, Wang W, Chai R, Chen ZY, Li H, Shu Y. AAV1-hOTOF gene therapy for autosomal recessive deafness 9: a single-arm trial. Lancet. 2024 May 25;403(10441):2317-2325. doi: 10.1016/S0140-6736(23)02874-X. Epub 2024 Jan 24.

    PubMed 38280389
  • Choi JW, Lee CK, Kim SB, Lee DY, Ko SC, Park KH, Choi SJ. Potential benefits of salvage intratympanic dexamethasone injection in profound idiopathic sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol. 2020 Aug;277(8):2219-2227. doi: 10.1007/s00405-020-05967-z. Epub 2020 Apr 15.

    PubMed 32296977
  • Plontke SK, Biegner T, Kammerer B, Delabar U, Salt AN. Dexamethasone concentration gradients along scala tympani after application to the round window membrane. Otol Neurotol. 2008 Apr;29(3):401-6. doi: 10.1097/MAO.0b013e318161aaae.

    PubMed 18277312
  • Matsui H, Lopez IA, Ishiyama G, Ishiyama A. Immunohistochemical localization of glucocorticoid receptors in the human cochlea. Brain Res. 2023 May 1;1806:148301. doi: 10.1016/j.brainres.2023.148301. Epub 2023 Mar 1.

    PubMed 36868509
  • Bird PA, Begg EJ, Zhang M, Keast AT, Murray DP, Balkany TJ. Intratympanic versus intravenous delivery of methylprednisolone to cochlear perilymph. Otol Neurotol. 2007 Dec;28(8):1124-30. doi: 10.1097/MAO.0b013e31815aee21.

    PubMed 18043438
  • Rauch SD, Halpin CF, Antonelli PJ, Babu S, Carey JP, Gantz BJ, Goebel JA, Hammerschlag PE, Harris JP, Isaacson B, Lee D, Linstrom CJ, Parnes LS, Shi H, Slattery WH, Telian SA, Vrabec JT, Reda DJ. Oral vs intratympanic corticosteroid therapy for idiopathic sudden sensorineural hearing loss: a randomized trial. JAMA. 2011 May 25;305(20):2071-9. doi: 10.1001/jama.2011.679.

    PubMed 21610239
  • Li W, Hartsock JJ, Dai C, Salt AN. Permeation Enhancers for Intratympanically-applied Drugs Studied Using Fluorescent Dexamethasone as a Marker. Otol Neurotol. 2018 Jun;39(5):639-647. doi: 10.1097/MAO.0000000000001786.

    PubMed 29649043
  • Silverstein H, Choo D, Rosenberg SI, Kuhn J, Seidman M, Stein I. Intratympanic steroid treatment of inner ear disease and tinnitus (preliminary report). Ear Nose Throat J. 1996 Aug;75(8):468-71, 474, 476 passim.

    PubMed 8828271
  • Wilson WR, Byl FM, Laird N. The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study. Arch Otolaryngol. 1980 Dec;106(12):772-6. doi: 10.1001/archotol.1980.00790360050013.

    PubMed 7002129
  • McCabe BF. Autoimmune sensorineural hearing loss. Ann Otol Rhinol Laryngol. 1979 Sep-Oct;88(5 Pt 1):585-9. doi: 10.1177/000348947908800501.

    PubMed 496191
  • SCHUKNECHT HF. Ablation therapy in the management of Meniere's disease. Acta Otolaryngol Suppl. 1957;132:1-42. No abstract available.

    PubMed 13457879
  • Fishman JM, Cullen L. Investigating sudden hearing loss in adults. BMJ. 2018 Nov 12;363:k4347. doi: 10.1136/bmj.k4347. No abstract available.

    PubMed 30420423
  • Chandrasekhar SS, Tsai Do BS, Schwartz SR, Bontempo LJ, Faucett EA, Finestone SA, Hollingsworth DB, Kelley DM, Kmucha ST, Moonis G, Poling GL, Roberts JK, Stachler RJ, Zeitler DM, Corrigan MD, Nnacheta LC, Satterfield L, Monjur TM. Clinical Practice Guideline: Sudden Hearing Loss (Update) Executive Summary. Otolaryngol Head Neck Surg. 2019 Aug;161(2):195-210. doi: 10.1177/0194599819859883.

    PubMed 31369349

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing intracochlear triamcinolone acetonide injection, intracochlear injection of dexamethasone through the round window membrane and intracochlear dexamethasone injection and intratympanic dexamethasone injection in people with Sudden Sensorineural Hearing Loss (SSNHL), run by Eye & ENT Hospital of Fudan 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 1 inclusion and 1 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: opening soon, as of the sponsor's last update on 21 Aug 2025. 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?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Wei Li, MD, Ph.D (0086-18301969566, 619liwei@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in pure tone audiometry (PTA) (time frame: Baseline, Week 2, Week 4, Week12, Week24). The study lists 4 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 NCT07134075, which also lists 13 linked publications.

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 21 Aug 2025.

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