Status:

TERMINATED

Noise-Induced Hearing Loss-Acute Exposure Treatment (UA)

Lead Sponsor:

Washington University School of Medicine

Collaborating Sponsors:

United States Department of Defense

University of Texas

Conditions:

Hearing Loss, Noise-Induced

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The purpose of this study is to assess the safety and efficacy of zonisamide (ZNS) for the treatment of noise-induced hearing loss in adults.

Detailed Description

This is a randomized, double-blind, and placebo-controlled study is to test whether zonisamide (ZNS) can treat noise-induced hearing loss in police officers on the range following training and certifi...

Eligibility Criteria

Inclusion

  • Screening
  • Police officers who are scheduled for firearm training and/or certification on the range.
  • At least 18 years of age.
  • Air conduction thresholds are to be no worse than 25 dB HL from 0.5 kHz to 3 kHz, no worse than 30 dB HL at 4 kHz, and no worse than 45 dB HL at 6 and 8 kHz prior to shooting range exposure.
  • Ability to understand and willingness to sign an IRB approved written informed consent document.
  • Enrollment
  • Observed audiometric TTS ≥ 10 dB HL at 2, 3, 4 and/or 6 kHz
  • Observed air-bone gap \< 10 dB HL at .5, 1, 2 and 4 kHz, with normal tympanometry

Exclusion

  • History of known sulfa allergy or hypersensitivity to carbonic anhydrase inhibitors.
  • History of moderate-to-severe kidney or liver disease.
  • Acute viral, bacterial, fungal or parasitic infection.
  • History of seizures.
  • Currently pregnant or breast-feeding.
  • Any current or history of otologic disorder.
  • History of ototoxic drug use.
  • Current use of strong/moderate 3A4 inhibitor/inducer and grapefruit juice.
  • For secondary outcomes, exclusion criteria is as follows:
  • DPOAE data will be used as a secondary outcome measure of TTS, and participants will be excluded if their DPOAE is absent at more than 3/7 frequencies. Criteria for a present response is any response that is \> 5 dB SPL above the noise floor and replicable within ±5 dB SPL.
  • ECochG: Participants will be excluded if the ECochG/ABR wave I response is absent.
  • WIN test: Participants with WIN scores greater than moderate difficulty or 14.9 dB SNR will be excluded.

Key Trial Info

Start Date :

November 10 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 23 2022

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT04774250

Start Date

November 10 2021

End Date

December 23 2022

Last Update

September 12 2025

Active Locations (1)

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1

University of Akron

Akron, Ohio, United States, 44325-3001