ClinicalTrials.gg
CompletedNCT01267994Updated Jan 10, 2018Results posted

A Clinical Trial of Anakinra for Steroid-Resistant Autoimmune Inner Ear Disease

A Phase 1/2 interventional study of Anakinra in Sensorineural Hearing Loss and Autoimmune Inner Ear Disease, sponsored by Andrea Vambutas. Completed at 1 site in United States. Open to participants aged 13 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-01-10.

Sponsored by Andrea Vambutas · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
13 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 141 studies in Hearing Loss, Sensorineural with a site in United States — 34 open to participants now, 38 under way, 1 of them phase 3. Hearing Loss, Sensorineural · United States.

Enrollment
89th of 115
13 · median 38
Started
2011
with 1 other
Phase 1/2
8 of 141
3 open now
Registered
15th of 141
by date

Among the 141 studies in Hearing Loss, Sensorineural with a site in United States, this one is the 89th largest by enrollment of the 115 interventional ones that give a count, is one of 2 that started in 2011, is one of 8 in phase 1/2, and was the 15th registered.

Hearing Loss, Sensorineural

346 studies on the registry are indexed under Hearing Loss, Sensorineural; 101 are open to participants now.

Browse Hearing Loss, Sensorineural studies →

Open to participants now

34 of the 141 studies in Hearing Loss, Sensorineural with a site in United States are open now. Recruiting first, the newest first:

29 more — sign in →

All 34 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 70 Hearing Loss, Sensorineural studies recruiting now, 39 (56%) set no upper age limit and 19 (27%) stop at 75 or younger; 26 take children under 18; 17 take healthy volunteers.

This study: 13 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this study is to determine if Anakinra (an interleukin-1 receptor antagonist) can improve hearing thresholds in those patients with Autoimmune Inner Ear Disease (AIED) that did not respond to oral steroid therapy for a sudden decline in hearing. The patients to be enrolled will have recently completed a course of oral steroids and demonstrated no change in their audiometric thresholds following corticosteroid therapy.

Read the detailed description

Patients with immune mediated hearing loss (also known as autoimmune hearing loss) are typically treated with corticosteroids. Of those treated, approximately 60% respond, however, that response may be lost over time. Other therapies use to date have proven largely ineffectual in improving hearing. This study proposes a phase I open label clinical trial of Anakinra for corticosteroid-resistant patients to determine if this therapy is efficacious in hearing restoration.

03

Conditions studied

  • Sensorineural Hearing Loss
  • Autoimmune Inner Ear Disease

Keywords

  • Steroid
  • Steroid-Resistant
  • Autoimmune Inner Ear Disease
  • Immune Mediated Hearing Loss
  • Sudden Sensorineural Hearing Loss
  • Meniere's Disease
  • Autoimmune
  • Hearing
04

Who can participate

Ages eligible
13 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Bilateral sensorineural hearing loss with an active decline in hearing in one ear
  • No audiometric improvement with 28-30 days of oral prednisone or other , including an initial dose of 60mg per day for 14 days
  • Enrollment within 14 days of completion of corticosteroid therapy
  • Age 13 years and older
  • No evidence of neutropenia (low white blood cell count)
  • No evidence of retrocochlear pathology (ie. acoustic neuroma/vestibular schwannoma)
  • May have concurrent, systemic disease

Exclusion criteria

Exclusion Criteria:

  • Age over 75, or less than 13
  • Neutropenia
  • Renal insufficiency
  • Pregnant females
  • Unilateral hearing loss
  • Patients with any immunodeficiency syndrome
  • Patients receiving methotrexate or any TNF (tumor necrosis factor) antagonist therapy
  • Patients with chronic infections
  • Patients treated for a within the past 3 years
  • Patients with a latex allergy
  • Patients with an inner ear anomaly
  • Patients with retrocochlear pathology
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    Single Arm-Open Label

    Single Arm-Open Label use of Anakinra

    Drug: Anakinra

Interventions

  • 100mg of anakinra administered by a subcutaneous injection for 84 consecutive days.

    Also known as: Kineret

06

What researchers measure

Primary outcomes

  1. To Assess the Potential Efficacy of Anakinra in Improving Hearing Thresholds in Corticosteroid-resistant Patients With Autoimmune Inner Ear Disease

    The primary endpoint is to determine whether those treated with anakinra for 84 days demonstrate an improved hearing threshold compared with their pre-anakinra-treatment threshold. Audiometric thresholds will be compared to those treated with a prolonged corticosteroid taper and those that elect for no further treatment. The durability of the response will be measured over a total of 180 days.

    Time frame: 180 days

Secondary outcomes

  1. Number of Serious Adverse Events Reported

    To assess the number of Serious Adverse Events reported in any subject that received at least one injection dose of anakinra

    Time frame: 84 days

07

Results

Posted Apr 6, 2015

Participant flow

Participant flow — Overall Study
MilestoneOpen Label Trial
Started12
Completed10
Not completed2
Withdrew: Adverse event2

Outcome measures

PrimaryTo Assess the Potential Efficacy of Anakinra in Improving Hearing Thresholds in Corticosteroid-resistant Patients With Autoimmune Inner Ear Disease

The primary endpoint is to determine whether those treated with anakinra for 84 days demonstrate an improved hearing threshold compared with their pre-anakinra-treatment threshold. Audiometric thresholds will be compared to those treated with a prolonged corticosteroid taper and those that elect for no further treatment. The durability of the response will be measured over a total of 180 days.

Time frame:
180 days
Reported as:
Number · responders
To Assess the Potential Efficacy of Anakinra in Improving Hearing Thresholds in Corticosteroid-resistant Patients With Autoimmune Inner Ear Disease
respondersSingle Arm
To Assess the Potential Efficacy of Anakinra in Improving Hearing Thresholds in Corticosteroid-resistant Patients With Autoimmune Inner Ear Disease7
SecondaryNumber of Serious Adverse Events Reported

To assess the number of Serious Adverse Events reported in any subject that received at least one injection dose of anakinra

Time frame:
84 days
Reported as:
Number · reported SAEs
Number of Serious Adverse Events Reported
reported SAEsSingle Arm
Number of Serious Adverse Events Reported0

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Single Arm—0/12 (0%)10/12 (83.3%)
Most frequent other events
Showing 10 of 11
Most frequent other events
EventSingle Arm
Injection site reactionsSkin and subcutaneous tissue disorders10/12
HeadacheNervous system disorders4/12
VertigoNervous system disorders3/12
TinnitusEar and labyrinth disorders2/12
NauseaGastrointestinal disorders2/12
Influenza like illnessRespiratory, thoracic and mediastinal disorders1/12
CellulitisSkin and subcutaneous tissue disorders1/12
SinusitisRespiratory, thoracic and mediastinal disorders1/12
WheezingRespiratory, thoracic and mediastinal disorders1/12
Psoriasis FlareSkin and subcutaneous tissue disorders1/12

Baseline characteristics

Corticosteroid-resistant AIED patients.

Age, Categorical
Age, Categorical(Participants)Single Arm
<=18 years1
Between 18 and 65 years12
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Single Arm
Female6
Male7
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Single Arm
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White13
More than one race0
Unknown or Not Reported0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Single Arm
Hispanic or Latino0
Not Hispanic or Latino13
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Single Arm
United States13
08

Study locations

1 site
  • North Shore-LIJ Hearing and Speech Center
    New Hyde Park, New York 11040, United States
09

References and documents

Publications

  • Vambutas A, Lesser M, Mullooly V, Pathak S, Zahtz G, Rosen L, Goldofsky E. Early efficacy trial of anakinra in corticosteroid-resistant autoimmune inner ear disease. J Clin Invest. 2014 Sep;124(9):4115-22. doi: 10.1172/JCI76503. Epub 2014 Aug 18. PubMed 25133431 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2011, a primary completion of Sep 2014 and a completion of Sep 2014. It does not say whether these dates are actual or estimated.

Results were first posted in Apr 2015, 7 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 28, 2010
First posted
Dec 29, 2010
Start
Jun 2011
Primary completionActual
Sep 2014
CompletionActual
Sep 2014
Results first posted
Apr 6, 2015
Last update
Jan 10, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 10, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01267994
Lead sponsor
Andrea Vambutas
Responsible party
Andrea Vambutas (Professor of Otolaryngology & Molecular Medicine, Northwell Health) — Sponsor-investigator
First posted
Dec 29, 2010
Start date
Jun 2011
Primary completion
Sep 2014
Completion
Sep 2014
Results posted
Apr 6, 2015
Last update
Jan 10, 2018

Study contacts

Andrea Vambutas, MD
principal investigator · Northwell Health

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2017. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Interleukin 1 Receptor Antagonist Protein

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