Evidence map›Paper›PMID 38429256›Full record

Trial reportNature communications2024

A phase I/IIa safety and efficacy trial of intratympanic gamma-secretase inhibitor as a regenerative drug treatment for sensorineural hearing loss.

Anne G M Schilder, Stephan Wolpert, Shakeel Saeed, Leonie M Middelink, Albert S B Edge, Helen Blackshaw, REGAIN Consortium, Kostas Pastiadis, Athanasios G Bibas

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
8.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Treating Hearing Loss: From Cochlear Implantation to Gene Therapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Rational Design of Inner Ear Drug Delivery Systems.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  10. Review
  11. Multicargo Porous Cochlear Electrode Coating for Antifibrosis After Cochlear Implantation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  12. Advancing precision ear medicine: leveraging animal models for disease insights and therapeutic innovations.Mammalian genome : official journal of the International Mammalian Genome Society · 2025
    Review
  13. Review
  14. Gene Therapy: An Historical Overview for Familial Hearing Loss.International journal of molecular sciences · 2025
    Review
  15. PKM2 controls cochlear development through lactate-dependent transcriptional regulation.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 5 countries.

Anne G M SchilderNational Institute for Health Research University College London Hospitals Biomedical Research Centre, London, UK.
Stephan WolpertDepartment of Otolaryngology, Head and Neck Surgery, University of Tübingen, Tübingen, Germany. stephan.wolpert@med.uni-tuebingen.de.ORCID 0000-0001-5385-8770
Shakeel SaeedNational Institute for Health Research University College London Hospitals Biomedical Research Centre, London, UK.
Leonie M MiddelinkMiddelinc, Utrecht, the Netherlands.
Albert S B EdgeDepartment of Otolaryngology, Harvard Medical School, Boston, USA.ORCID 0000-0001-8641-755X
Helen BlackshawNational Institute for Health Research University College London Hospitals Biomedical Research Centre, London, UK.
REGAIN Consortium
Kostas Pastiadis1st Department of Otolaryngology, Hippocration Hospital Athens, National & Kapodistrian University of Athens, Athens, Greece.
Athanasios G Bibas1st Department of Otolaryngology, Hippocration Hospital Athens, National & Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-1992-6511
Royal London Hospital · GBUniversity of Tübingen · DENational and Kapodistrian University of Athens · GRHarvard University · USNational Institute for Health Research · GBEli Lilly (United States) · USNordic Bioscience (Denmark) · DK

Funding

Determination of Hair Cell Fate from Postnatal Cochlear Supporting CellsR01DC020322 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Albert Edge · 2022 to 2026
$3.1M
NIDCD NIH HHS R01 DC020322
6 · The paper itself

Abstract

Inhibition of Notch signalling with a gamma-secretase inhibitor (GSI) induces mammalian hair cell regeneration and partial hearing restoration. In this proof-of-concept Phase I/IIa multiple-ascending dose open-label trial (ISRCTN59733689), adults with mild-moderate sensorineural hearing loss received 3 intratympanic injections of GSI LY3056480, in 1 ear over 2 weeks. Phase I primary outcome was safety and tolerability. Phase lla primary outcome was change from baseline to 12 weeks in average pure-tone air conduction threshold across 2,4,8 kHz. Secondary outcomes included this outcome at 6 weeks and change from baseline to 6 and 12 weeks in pure-tone thresholds at individual frequencies, speech reception thresholds (SRTs), Distortion Product Otoacoustic Emissions (DPOAE) amplitudes, Signal to Noise Ratios (SNRs) and distribution of categories normal, present-abnormal, absent and Hearing Handicap Inventory for Adults/Elderly (HHIA/E). In Phase I (N = 15, 1 site) there were no severe nor serious adverse events. In Phase IIa (N = 44, 3 sites) the average pure-tone threshold across 2,4,8 kHz did not change from baseline to 6 and 12 weeks (estimated change -0.87 dB; 95% CI -2.37 to 0.63; P = 0.252 and -0.46 dB; 95% CI -1.94 to 1.03; P = 0.545, respectively), nor did the means of secondary measures. DPOAE amplitudes, SNRs and distribution of categories did not change from baseline to 6 and 12 weeks, nor did SRTs and HHIA/E scores. Intratympanic delivery of LY3056480 is safe and well-tolerated; the trial's primary endpoint was not met.

Indexed as

Amyloid Precursor Protein SecretasesHearing Loss, SensorineuralAdultAgedAudiometry, Pure-ToneAuditory ThresholdHumansOtoacoustic Emissions, SpontaneousAmyloid Precursor Protein Secretases

Identifiers

PMID38429256
PMCPMC10907343
OpenAlexW4392354592

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.