Clinical trial · Interventional
SPI-1005 for Prevention and Treatment of Chemotherapy Induced Hearing Loss
Safety and Efficacy Study of SPI-1005 for Prevention of Chemotherapy Induced Hearing Loss
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Why stopped (as posted): Study did not start
Summary
Brief summary (as posted)
Chemotherapy treatment with platinum based agents is well noted to cause ototoxicity. It is the objective of this study to determine the safety and efficacy of SPI-1005 at three dose levels when delivered orally twice daily for 3 days, surrounding each cycle of platinum chemotherapy in head and neck or non-small cell lung cancer patients to prevent and treat chemotherapy induced hearing loss and tinnitus.
Conditions
Conditions (6)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Head and Neck Cancer | Malignant Head and Neck Neoplasm | ALIAS | 0.90 |
| Hearing Loss | — | UNRESOLVED | — |
| Lung Cancer | Malignant Lung Neoplasm | CURATED_EXACT | 0.92 |
| Neuropathy | — | UNRESOLVED | — |
| Ototoxicity | — | UNRESOLVED | — |
| Tinnitus | — | UNRESOLVED | — |
Interventions
Interventions (4)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Placebo | Drug | — | UNRESOLVED |
| SPI-1005 High Dose | Drug | — | UNRESOLVED |
| SPI-1005 Low Dose | Drug | — | UNRESOLVED |
| SPI-1005 Middle Dose | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (4)
- type
- ACTIVE_COMPARATOR
- label
- SPI-1005 Low Dose
- description
- 200 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy
- interventionNames
- Drug: SPI-1005 Low Dose
- type
- ACTIVE_COMPARATOR
- label
- SPI-1005 Middle Dose
- description
- 400 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy
- interventionNames
- Drug: SPI-1005 Middle Dose
- type
- ACTIVE_COMPARATOR
- label
- SPI-1005 High Dose
- description
- 600 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 19 Years
- Maximum age
- 80 Years
Show eligibility criteria text
Inclusion Criteria: * Adult male and female subjects, 19-80 years of age; * Confirmed diagnosis of advanced head and neck cancer or advanced lung cancer * Voluntarily consent to participate in the study * Females of childbearing potential should either be sexually inactive (abstinent) for 14 days prior to screening and throughout the study or be using one of the following acceptable birth control methods: * IUD in place for at least 3 months prior to study; * Barrier method (condom or diaphragm) with spermicide for at least 14 days prior to screening through study completion; * Stable hormonal contraceptive for at least 3 months prior to study through completion of study; * Surgical sterilization (vasectomy) of partner at least 6 months prior to study. * Females of non-childbearing potential should be surgically sterile (bilateral tubal ligation with surgery at least 6 months prior to study, hysterectomy, or bilateral oophorectomy at least 2 months prior to study). Exclusion Criteria: * Subjects previously treated with chemotherapy, antibiotics, or diuretics known to cause hearing loss in the last 90 days * History or presence of significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, otologic, or psychiatric disease * Presence of alcoholism or drug abuse * Participation in another investigational drug or device clinical trial within 30 days prior to the study * Female subjects who are pregnant or lactating
References
Publications (8)
- BACKGROUNDRybak LP, Whitworth C, Somani S. Application of antioxidants and other agents to prevent cisplatin ototoxicity. Laryngoscope. 1999 Nov;109(11):1740-4. doi: 10.1097/00005537-199911000-00003. PMID 10569399
- BACKGROUNDRybak LP, Somani S. Ototoxicity. Amelioration by protective agents. Ann N Y Acad Sci. 1999 Nov 28;884:143-51. PMID 10842591
- BACKGROUNDLynch ED, Gu R, Pierce C, Kil J. Reduction of acute cisplatin ototoxicity and nephrotoxicity in rats by oral administration of allopurinol and ebselen. Hear Res. 2005 Mar;201(1-2):81-9. doi: 10.1016/j.heares.2004.08.002. PMID 15721563
- BACKGROUNDLynch ED, Gu R, Pierce C, Kil J. Combined oral delivery of ebselen and allopurinol reduces multiple cisplatin toxicities in rat breast and ovarian cancer models while enhancing anti-tumor activity. Anticancer Drugs. 2005 Jun;16(5):569-79. doi: 10.1097/00001813-200506000-00013. PMID 15846123
- BACKGROUNDKnight KR, Kraemer DF, Winter C, Neuwelt EA. Early changes in auditory function as a result of platinum chemotherapy: use of extended high-frequency audiometry and evoked distortion product otoacoustic emissions. J Clin Oncol. 2007 Apr 1;25(10):1190-5. doi: 10.1200/JCO.2006.07.9723. PMID 17401008
- BACKGROUNDReavis KM, Phillips DS, Fausti SA, Gordon JS, Helt WJ, Wilmington D, Bratt GW, Konrad-Martin D. Factors affecting sensitivity of distortion-product otoacoustic emissions to ototoxic hearing loss. Ear Hear. 2008 Dec;29(6):875-93. doi: 10.1097/AUD.0b013e318181ad99. PMID 18753950
- BACKGROUNDKim SJ, Park C, Han AL, Youn MJ, Lee JH, Kim Y, Kim ES, Kim HJ, Kim JK, Lee HK, Chung SY, So H, Park R. Ebselen attenuates cisplatin-induced ROS generation through Nrf2 activation in auditory cells. Hear Res. 2009 May;251(1-2):70-82. doi: 10.1016/j.heares.2009.03.003. Epub 2009 Mar 13.