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RecruitingNCT06340633Updated Jun 26, 2026

SPI-1005 in Adults Receiving Cochlear Implant

A Phase 2 interventional study of Ebselen and Placebo in Hearing Loss and Cochlear Trauma, sponsored by Sound Pharmaceuticals, Incorporated. Recruiting at 6 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-26.

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

Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn about the effects of drug SPI-1005 in adults receiving a cochlear implant with a long electrode array (FLEX26 or greater) from MED-EL Cochlear Implant Systems into one ear.

The main question this clinical trial aims to answer is: Is drug SPI-1005 safe and well-tolerated in adults receiving a cochlear implant, and/or what medical problems might participants experience when taking drug SPI-1005?

The clinical trial will also measure the effects of SPI-1005 on hearing, word recognition, speech discrimination, tinnitus, and vertigo outcomes after receiving a cochlear implant. The purpose for this and future clinical trials is to learn whether SPI-1005 can prevent or treat these side effects after receiving a cochlear implant.

Participants will take drug SPI-1005 or placebo (a look-alike substance that contains no drug) for 6 months, starting 2 days before receiving the cochlear implant. There are 5 required in-clinic visits over 6 months for audiology and other tests.

The effects of SPI-1005 will be compared to the placebo (the look-alike substance that contains no drug) to study what effects SPI-1005 might have.

02

Conditions studied

  • Hearing Loss
  • Cochlear Trauma

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Keywords

  • Hearing Preservation
  • Cochlear Implant
  • SPI-1005
  • Ebselen
03

In context

Hearing Loss

796 studies on the registry are indexed under Hearing Loss; 193 are open to participants now.

This study's planned enrollment of 40 is close to the median of 44 across 561 interventional studies indexed under Hearing Loss.

Browse Hearing Loss 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
18 Years and older
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

  • Adults who are ≥18 years of age at time of consent.
  • Post-lingual, bilateral, moderate to profound sensorineural hearing loss scheduled to receive a long electrode array (FLEX26 or greater) from MED-EL Cochlear Implant Systems into one ear.
  • Air conduction thresholds (decibel hearing loss, dB HL) at baseline in the ear scheduled to receive the cochlear implant:

    • ≤70 dB HL at 125, 250, and 500 Hz; AND
    • ≥70 dB HL at 2000, 4000, and 8000 Hz.
  • Type A (including As and Ad) tympanogram at baseline in the ear scheduled to receive the cochlear implant.
  • Willing and able to provide and to perform all behavioral tests as specified per-protocol, including pre-specified reproductive requirements.

Exclusion criteria

Exclusion Criteria:

  • Current, or within 60 days prior to study consent, use of IV ototoxic medications such as chemotherapy including cisplatin, carboplatin, or oxaliplatin; aminoglycoside antibiotics including gentamicin, amikacin, tobramycin, kanamycin, or streptomycin; or loop diuretics including furosemide.
  • Participation in another drug or device study within 90 days prior to study consent.
  • Female patients who are pregnant or breastfeeding.
  • Moderate or severe hepatic impairment using Score (>6 points).
  • No measurable air conduction response at three or more consecutive test frequencies (e.g., 2000, 4000 and 8000 Hz) at baseline in the ear scheduled to receive the cochlear implant.
  • No middle ear mobility (Type B tympanogram) or abnormal middle ear pressure (exceeds -150 to +50 range).
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

05

Study design

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

Study arms

  • Experimental
    SPI-1005 400 mg twice daily (BID)

    Oral administration of ebselen (SPI-1005) 400 mg BID for 180 days

    Drug: Ebselen

  • Placebo comparator
    Placebo

    Oral administration of matching placebo BID for 180 days

    Drug: Placebo

Interventions

  • Glutathione peroxidase mimetic

    Also known as: SPI-1005

  • DrugPlacebo

    Matching placebo containing excipients

06

What researchers measure

Primary outcomes

  1. Number of Participants with Treatment Emergent Adverse Events (TEAE)

    Number and severity of adverse events in patients treated with placebo versus SPI-1005. Outcome Measure 1 includes all adverse events, including those which are not reported in the Adverse Event module, i.e., adverse events which did not result in death, were not Serious Adverse Events, and which were below the frequency threshold (5%) in any arm as required for reporting.

    Time frame: 12 months

Other outcomes

  1. Effect of SPI-1005 on Residual Low Frequency Hearing

    Residual hearing at low frequencies (≤1000 Hz) using pure tone audiometry

    Time frame: 12 months

  2. Effect of SPI-1005 on Word Recognition

    Word recognition using words in quiet

    Time frame: 12 months

  3. Effect of SPI-1005 on Speech Discrimination

    Speech discrimination using words in noise

    Time frame: 12 months

  4. Effect of SPI-1005 on Tinnitus

    Tinnitus severity using the Tinnitus Functional Index (TFI). TFI Total Score: 0-100, in which a higher score means a worse outcome.

    Time frame: 12 months

  5. Effect of SPI-1005 on Vertigo

    Vertigo severity using the Vertigo Symptoms Scale (VSS). VSS Total Scale: 0-60, in which a higher score means a worse outcome.

    Time frame: 12 months

07

Study locations

5 of 6 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06340633
Lead sponsor
Sound Pharmaceuticals, Incorporated
Collaborators
Med-El Corporation
Responsible party
Sponsor
First posted
Apr 1, 2024
Start date
Dec 2026 (estimated)
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Jun 26, 2026

Study contacts

Jonathan Kil, MD
Contact
info@soundpharma.com
2066342559

Oversight

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

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Studies of the drug tested here: Ebselen

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