A Phase I/II clinical trial with SENS-501 in children suffering from severe to profound hearing loss due to Otoferlin (OTOF) mutations

2023-504466-28-00 Protocol SENS-501-101 Phase I and Phase II (Integrated) - First administration to humans Ongoing, recruitment ended

Start 4 Sep 2024 · Status Ongoing, recruitment ended · 3 EU/EEA countries · 3 sites · Protocol SENS-501-101

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - First administration to humans
Status Ongoing, recruitment ended
Participants planned 12
Countries 3
Sites 3

Bilateral severe to profound hearing loss due to Otoferlin deficiency.

Part 1: To assess safety, tolerability of SENS-501 following unilateral injection into the cochlea. Part 2: To assess the efficacy following unilateral injection SENS-501 into the cochlea.

Key facts

Sponsor
Sensorion
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Otorhinolaryngologic Diseases [C09]
Trial duration
4 Sep 2024 → ongoing
Decision date (initial)
2024-01-17
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Sensorion

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Therapy, Others, Dose response

Part 1: To assess safety, tolerability of SENS-501 following unilateral injection into the cochlea.
Part 2: To assess the efficacy following unilateral injection SENS-501 into the cochlea.

Secondary objectives 3

  1. Part 1: To assess the efficacy following unilateral injection SENS-501 into the cochlea.
  2. Part 2: To assess the safety and tolerability following unilateral injection SENS-501 into the cochlea
  3. Part 1 and 2: To evaluate the clinical performance, safety and usability of SPHYNX Pump and Catheter.

Conditions and MedDRA coding

Bilateral severe to profound hearing loss due to Otoferlin deficiency.

VersionLevelCodeTermSystem organ class
20.0 LLT 10057844 Hearing loss bilateral 10013993

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 Part 1
Dose escalation
Not Applicable None Dose 1/Cohort 1: Low dose of SENS-501 (1,5 E+11 VG SENS-501-Nter + 1,5 E+11 VG SENS-501-Cter as single administration in one ear).
Dose 2/Cohort 2: High dose of SENS-501 (4,5 E+11 VG SENS-501-Nter + 4,5 E+11 VG SENS-501-Cter as single administration in one ear)
2 Part 2
Dose expansion - Single administration of the recommended dose (Dose 1 or Dose 2) in one ear.
Not Applicable None

Regulatory references

Scientific advice from competent authorities
European Medicines Agency, National Agency For The Safety Of Medicine And Health Products
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Children (male or female) ≥ 6 to ≤ 31 months at the time of inclusion.
  2. Severe to profound hearing loss assessed by ABR
  3. Biallelic mutation in the Otoferlin gene
  4. Presence of OAEs
  5. Documented normal cochlea and internal auditory canals
  6. Patients with intact vestibular function

Exclusion criteria 7

  1. History of chronic, acute, or major disease, or unspecified reasons, that in the opinion of the Investigator, makes the participant unsuitable for participation in the study or constitutes an unacceptable risk.
  2. Have been dosed in a previous gene therapy clinical trial.
  3. Patients with a prior or current cochlear implant.
  4. Any contraindication to the surgery determined by the surgeon or anesthesia determined by the anesthesiologist, or designee, or history of therapy known as ototoxic (e.g., cisplatin, high dose and long treatment with aminoglycosides, etc.) for an extended period (more than 2 weeks).
  5. Participation in any other interventional clinical trial (in accordance with the definition in Art. 2.2(1) of REGULATION (EU) No 536/2014).
  6. Any other condition that, in the opinion of the Investigator, may compromise the safety or compliance of the participant or would preclude the participant from successful completion of the study or might interfere with the evaluation of study treatment.
  7. Anticipated noncompliance with the protocol requirements

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Part 1: Number of study-related adverse events and serious adverse events (through trial completion)
  2. Part 2: Number of patients who demonstrate an improvement of hearing threshold measured by ABR (through trial completion)

Secondary endpoints 4

  1. Part 1: Number of patients who demonstrate an improvement of hearing threshold measured by ABR (through trial completion)
  2. Part 2 : Number of study-related adverse events and serious adverse events (through trial completion)
  3. Part 1 and 2: Number of patients who demonstrate an improvement of hearing threshold measured by PTA (through trial completion)
  4. Part 1 and 2: Clinical performance and usability of SPHYNX Pump and Catheter (SPHYNX pump injection log, user feedback questionnaire, usability questionnaire - through trial completion)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Adeno‐associated viral vector serotype 8 containing the 5' human otoferlin coding sequence, Adeno‐associated viral vector serotype 8 containing the 3' human otoferlin coding sequence

PRD10446457 · Product

Active substance
Adeno‐Associated Viral Vector Serotype 8 Containing the 5' Human Otoferlin Coding Sequence
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INJECTION
Route of administration
INTRACOCHLEAR USE
Authorisation status
Not Authorised
MA holder
SENSORION
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/22/2698

Auxiliary 2

Lidocaine Hydrochloride Monohydrate

SCP65085035 · ATC

Active substance
Lidocaine Hydrochloride Monohydrate
Route of administration
INTRAVENOUS INJECTION
Authorisation status
Authorised
ATC code
H02AB04 — METHYLPREDNISOLONE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Abiraterone Acetate

SCP15687495 · ATC

Active substance
Abiraterone Acetate
Route of administration
ORAL USE
Authorisation status
Authorised
ATC code
H02AB06 — PREDNISOLONE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Sensorion

Sponsor organisation
Sensorion
Address
375 Rue Du Professeur Blayac
City
Montpellier
Postcode
34080
Country
France

Scientific contact point

Organisation
Sensorion
Contact name
Lionel HOVSEPIAN

Public contact point

Organisation
Sensorion
Contact name
Lionel HOVSEPIAN

Third parties 2

OrganisationCity, countryDuties
Almac Clinical Service Limited
ORL-000001918
Craigavon, United Kingdom Code 14
Linical France
ORG-100028798
Paris, France On site monitoring, Code 10, Code 11, Code 12, Code 13, Code 2, Code 5, Data management, Code 8

Locations

3 EU/EEA countries · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruitment ended 2 1
Germany Ended 2 1
Italy Ended 2 1
Rest of world
United Kingdom, United States
6

Investigational sites

France

1 site · Ongoing, recruitment ended
Hopital Necker Enfants Malades
ORL, 149 Rue De Sevres, 75015, Paris

Germany

1 site · Ended
Medical Center - University Of Freiburg
Klinik für Hals-Nasen- und Ohrenheilkunde, Killianstrasse 5, Stuehlinger, Freiburg Im Breisgau

Italy

1 site · Ended
Bambino Gesu Childrens Hospital
Audiology and Ear Surgery, Piazza Sant'onofrio 4, 00165, Rome

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-09-04 2024-09-04 2026-06-10
Germany
Italy

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 74 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_ Protocol 2023-504466-28-00_redacted 1.4
Protocol (for publication) D1_ Protocol 2023-504466-28-00_Summary of changes 1.4 vs 1.3
Protocol (for publication) D1_ Protocol 2023-504466-28-00_track changes_redacted 1.4
Protocol (for publication) D1_ Surgical manual for the administration of SENS-501_redacted 1
Protocol (for publication) D4_ Patient Diary_ENG 2023-504466-28-00 2.0
Protocol (for publication) D4_ Patient Diary_FRA 2023-504466-28-00 1.0
Protocol (for publication) D4_ Patient Diary_GER 2023-504466-28-00 2.0
Protocol (for publication) D4_ Patient Diary_ITA 2023-504466-28-00 2.0
Protocol (for publication) D4_ Patient ID Card_ENG 2023-504466-28-00 2.0
Protocol (for publication) D4_ Patient ID Card_FRA 2023-504466-28-00 1.0
Protocol (for publication) D4_ Patient ID Card_GER 2023-504466-28-00 2.0
Protocol (for publication) D4_ Patient ID Card_ITA 2023-504466-28-00 2.0
Protocol (for publication) D4_ Questionnaire_ENG_HEAR-QL for Children_redacted 1
Protocol (for publication) D4_ Questionnaire_ENG_HEAR-QL for Pre-school Children_redacted 1
Protocol (for publication) D4_ Questionnaire_ENG_HUI3_4wk recall_15Q_redacted 1
Protocol (for publication) D4_ Questionnaire_ENG_IT-MAIS_redacted 1
Protocol (for publication) D4_ Questionnaire_ENG_LittlEARS_redacted 1
Protocol (for publication) D4_ Questionnaire_ENG_MacArthur-Bates CDI_redacted 1
Protocol (for publication) D4_ Questionnaire_ENG_PEACH_redacted 1
Protocol (for publication) D4_ Questionnaire_ENG_PedsQL_Core PT_redacted 4.0
Protocol (for publication) D4_ Questionnaire_ENG_PedsQL_Core PYC_redacted 4.0
Protocol (for publication) D4_ Questionnaire_ENG_SIR scale_redacted 1
Protocol (for publication) D4_ Questionnaire_FRA_CDI_redacted 1
Protocol (for publication) D4_ Questionnaire_FRA_HEAR-QL for Children_redacted 1
Protocol (for publication) D4_ Questionnaire_FRA_HEAR-QL for Pre-school Child_redacted 1
Protocol (for publication) D4_ Questionnaire_FRA_HUI3_4wk recall_15Q_EN_redacted 3
Protocol (for publication) D4_ Questionnaire_FRA_IT-MAIS_redacted 1
Protocol (for publication) D4_ Questionnaire_FRA_LittlEARS_redacted 1
Protocol (for publication) D4_ Questionnaire_FRA_PEACH_redacted 1
Protocol (for publication) D4_ Questionnaire_FRA_PedsQL_Core PT_EN_redacted 4.0
Protocol (for publication) D4_ Questionnaire_FRA_PedsQL_Core PYC_EN_redacted 4.0
Protocol (for publication) D4_ Questionnaire_FRA_SIR scale_redacted 1
Protocol (for publication) D4_ Questionnaire_GER_CDI_FRAKIS_redacted 1
Protocol (for publication) D4_ Questionnaire_GER_HEAR-QL Children_redacted 1
Protocol (for publication) D4_ Questionnaire_GER_HEAR-QL Pre school Children_redacted 1
Protocol (for publication) D4_ Questionnaire_GER_HUI3_4wk recall_15Q_EN_redacted 2
Protocol (for publication) D4_ Questionnaire_GER_IT-MAIS_redacted 1
Protocol (for publication) D4_ Questionnaire_GER_LittlEARS_redacted 1
Protocol (for publication) D4_ Questionnaire_GER_PEACH_redacted 1
Protocol (for publication) D4_ Questionnaire_GER_PedsQL_Core PT_EN_redacted 4.0
Protocol (for publication) D4_ Questionnaire_GER_PedsQL_Core PYC_EN_redacted 4.0
Protocol (for publication) D4_ Questionnaire_GER_SIR_scale_redacted 1
Protocol (for publication) D4_ Questionnaire_ITA_CDI_gesti_e_parole_redacted 1
Protocol (for publication) D4_ Questionnaire_ITA_CDI_parole_e_frasi_redacted 1
Protocol (for publication) D4_ Questionnaire_ITA_HEAR-QL for Children_redacted 1
Protocol (for publication) D4_ Questionnaire_ITA_HEAR-QL for Pre-school Children_redacted 1
Protocol (for publication) D4_ Questionnaire_ITA_HUI3_4wk recall_15Q_EN_redacted 1.0
Protocol (for publication) D4_ Questionnaire_ITA_IT-MAIS_redacted 1.0
Protocol (for publication) D4_ Questionnaire_ITA_LittlEARS_redacted 1.0
Protocol (for publication) D4_ Questionnaire_ITA_PEACH_redacted 1.0
Protocol (for publication) D4_ Questionnaire_ITA_PedsQL_Core PT_EN_redacted 1.0
Protocol (for publication) D4_ Questionnaire_ITA_PedsQL_Core PYC_EN_redacted 1.0
Protocol (for publication) D4_ Questionnaire_ITA_SIR scale_redacted 1.0
Recruitment arrangements (for publication) K1_ Recruitment arrangements 1
Recruitment arrangements (for publication) K1_ Recruitment arrangements 2
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K2_ Investigator Statement_Pr Nathalie Loundon_Hopital Necker_redacted 1.0
Subject information and informed consent form (for publication) L1_ SIS and AF 2.0
Subject information and informed consent form (for publication) L1_ SIS and AF 6y 1.0
Subject information and informed consent form (for publication) L1_ SIS and AF_tracked changes 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Main 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Main_tracked changes 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF Parent-Guardian 2.1
Subject information and informed consent form (for publication) L1_ SIS and ICF Parent-Guardian_tracked changes 2.1
Subject information and informed consent form (for publication) L1_SIS and AF 6y 3.0
Subject information and informed consent form (for publication) L1_SIS and AF 6y_tracked changes 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF Parent-Guardian 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF Parent-Guardian_tracked changes 4.0
Subject information and informed consent form (for publication) L2_short introduction 1.1
Synopsis of the protocol (for publication) D1_ Protocol synopsis_ENG 2023-504466-28-00_redacted 1.0
Synopsis of the protocol (for publication) D1_ Protocol synopsis_FRA 2023-504466-28-00_redacted 1.0
Synopsis of the protocol (for publication) D1_ Protocol synopsis_GER 2023-504466-28-00_redacted 1.0
Synopsis of the protocol (for publication) D1_ Protocol synopsis_ITA 2023-504466-28-00_redacted 1.1
Synopsis of the protocol (for publication) D1_ Protocol synopsis_tracked changes_ITA 2023-504466-28-00_redacted- 1.1

Application history

10 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-07-18 France Acceptable with conditions
2024-01-17
2024-01-17
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-05-23 France Acceptable with conditions
2024-01-17
2024-05-23
3 SUBSTANTIAL MODIFICATION SM-3 2024-09-19 Acceptable with conditions 2024-10-25
4 NON SUBSTANTIAL MODIFICATION NSM-2 2024-10-28 France 2024-10-28
5 SUBSTANTIAL MODIFICATION SM-4 2024-12-20 France Acceptable
2025-04-03
2025-04-03
6 SUBSTANTIAL MODIFICATION SM-5 2025-05-02 France Acceptable
2025-08-07
2025-08-07
7 SUBSTANTIAL MODIFICATION SM-6 2025-08-22 Acceptable 2025-09-26
8 NON SUBSTANTIAL MODIFICATION NSM-3 2026-03-20 France Acceptable 2026-03-20
9 SUBSTANTIAL MODIFICATION SM-7 2026-04-22 Acceptable 2026-05-26
10 NON SUBSTANTIAL MODIFICATION NSM-4 2026-05-29 France Acceptable 2026-05-29