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WithdrawnNCT01451853Updated Jun 3, 2026

SPI-1005 for Prevention and Treatment of Chemotherapy Induced Hearing Loss

A Phase 2 interventional study of SPI-1005 Low Dose and SPI-1005 Middle Dose in Lung Cancer, Head and Neck Cancer and Hearing Loss, sponsored by Sound Pharmaceuticals, Incorporated. Withdrawn at 1 site in United States. Open to participants aged 19 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-06-03.

Sponsored by Sound Pharmaceuticals, Incorporated · Phase 2, Interventional, and Treatment

Why this study was withdrawn
Study did not start
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
19 Years to 80 Years
Sex
All
01

Study summary

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.

Read the detailed description

Chemotherapy treatment with the platinum containing chemotherapies (e.g. cisplatin, carboplatin) are well noted and studied for their ability to cause ototoxicity which includes hearing loss, tinnitus, vertigo, or dizziness. 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 for head and neck or non-small cell lung cancer patients to prevent and treat chemotherapy induced hearing loss and tinnitus.

SPI-1005, a proprietary oral formulation of ebselen is a small molecule mimic and inducer of the enzyme Glutathione Peroxidase. GPx reduces reactive oxygen species (ROS) by reacting with glutathione. SPI-1005 has been shown to reduce cisplatin induced hearing threshold shift in animal studies.

02

Conditions studied

  • Lung Cancer
  • Head and Neck Cancer
  • Hearing Loss
  • Ototoxicity
  • Tinnitus
  • Neuropathy

Keywords

  • Lung Cancer
  • Head and Neck Cancer
  • Hearing Loss
  • Ototoxicity
  • Tinnitus
  • Deafness
  • SPI-1005
  • Cisplatin
  • Carboplatin
  • Ebselen
03

In context

Lung Neoplasms

5,422 studies on the registry are indexed under Lung Neoplasms; 1,346 are open to participants now.

Browse Lung Neoplasms studies →

Lead sponsor

Sound Pharmaceuticals, Incorporated is the lead sponsor of 13 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years to 80 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

  • 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 should either be sexually inactive (abstinent) for 14 days prior to screening and throughout the study or be using one of the following acceptable 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

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 drug or device clinical trial within 30 days prior to the study
  • Female subjects who are pregnant or lactating
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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    SPI-1005 Low Dose

    200 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy

    Drug: SPI-1005 Low Dose

  • Active comparator
    SPI-1005 Middle Dose

    400 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy

    Drug: SPI-1005 Middle Dose

  • Active comparator
    SPI-1005 High Dose

    600 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy

    Drug: SPI-1005 High Dose

  • Placebo comparator
    Placebo

    0 mg SPI-1005, capsule, po, bid, x3d surrounding each cycle of chemotherapy

    Drug: Placebo

Interventions

  • Oral capsules, 200 mg ebselen, twice daily, 3 days for each cycle of chemotherapy Arms: Low Dose Other Names: 200 mg Ebselen

    Also known as: 200 mg Ebselen

  • DrugSPI-1005 Middle Dose

    Oral capsules, 400 mg ebselen, twice daily, 3 days for each cycle of chemotherapy

    Also known as: 400 mg Ebselen

  • Oral capsules, 600 mg ebselen, twice daily, 3 days for each cycle of chemotherapy

    Also known as: 600 mg Ebselen

  • DrugPlacebo

    Oral capsules, 0 mg ebselen, twice daily, 3 days for each cycle of chemotherapy

    Also known as: 0 mg Ebselen

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events

    Time frame: 12 months

Secondary outcomes

  1. Reduction of hearing loss incidence and severity

    Time frame: From baseline through 1 month after last chemotherapy cycle

  2. Reduction of tinnitus incidence and severity.

    Time frame: From baseline through 1 month after last chemotherapy cycle

07

Study locations

1 site
  • VA Puget Sound Health Care
    Seattle, Washington 98108, United States
08

References and documents

Publications

  • Rybak 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. PubMed 10569399 ↗
  • Rybak LP, Somani S. Ototoxicity. Amelioration by protective agents. Ann N Y Acad Sci. 1999 Nov 28;884:143-51. PubMed 10842591 ↗
  • Lynch 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. PubMed 15721563 ↗
  • Lynch 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. PubMed 15846123 ↗
  • Knight 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. PubMed 17401008 ↗
  • Reavis 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. PubMed 18753950 ↗
  • Kim 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. PubMed 19286452 ↗
  • Lynch E, Kil J. Development of Ebselen, a Glutathione Peroxidase Mimic, for the Prevention and Treatment of Noise-Induced Hearing Loss. Semin Hear 2009; 30(1): 047-055
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01451853
Lead sponsor
Sound Pharmaceuticals, Incorporated
Collaborators
VA Puget Sound Health Care System
Responsible party
Sponsor
First posted
Oct 14, 2011
Start date
Jun 2026 (estimated)
Primary completion
Jun 2026 (estimated)
Completion
Jun 2026 (estimated)
Last update
Jun 3, 2026

Study contacts

Jonathan Kil, MD
study director · Sound Pharmaceuticals, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ebselen

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