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Not yet recruitingNCT06365775Updated Apr 15, 2024

Multi-omics Characteristics and Prognosis of Idiopathic Sudden Sensorineural Hearing Loss

An observational study in Sudden Sensorineural Hearing Loss, Hearing Loss, Sensorineural and Hearing Loss, Sudden, sponsored by Dan Bing. Not yet recruiting. Open to participants aged 4 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-15.

Sponsored by Dan Bing · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
400
Ages
4 Years to 65 Years
Sex
All
01

Study summary

The goal of this observational study is to describe the multi-omics characteristics and to learn about the prognostic factors in patients with idiopathic sudden sensorineural hearing loss (SSNHL). The main problems it aims to deal with are:

  • if there is a difference in data of exome and targeted sequencing among patients with SSNHL affecting bilateral and unilateral sides, and healthy controls
  • if there is a difference in the parameter of MRI among patients with SSNHL affecting bilateral and unilateral sides, and healthy controls
  • to find out which factor from multi-omics data relates to outcomes of SSNHL
  • to develop the best prognostics model based on the multi-omics data.

Participants will be received audiological tests, blood specimen collection and radiological examination. Researchers will explore the relationship between the multi-omics data and the prognosis and develop the predictive model.

02

Conditions studied

  • Sudden Sensorineural Hearing Loss
  • Hearing Loss, Sensorineural
  • Hearing Loss, Sudden
03

Who can participate

Ages eligible
4 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Participants with SSNHL will be selected from patients diagnosed and treated at Tongji hospital. Participants in healthy controls will be recruited in public from the residents of Wuhan city, China.

Inclusion criteria

  • Age ≥ 4
  • Participants with SSNHL: unilateral or bilateral sensorineural hearing loss of > 30 dB HL (decibel) involving at least 3 continuous test frequencies developing within 72 hours
  • Healthy controls: people with PTA thresholds of all test frequencies ≤ 20 dB HL and without otologic disease in the last 3 months
  • Completed informed consent and promised to finish follow-ups

Exclusion criteria

Exclusion Criteria:

  • Hearing loss with explicit causes, including noise-induced, Ménière's disease, ototoxicity exposure, mumps infection or history of syphilis infection and so on.
  • A history of head trauma or otologic surgery.
  • Malformation of temporal bone discovered by computed tomography (CT)
  • Retro-cochlear lesion discovered by magnetic resonance imaging (MRI)
  • Pregnant women
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
400 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Bilateral SSNHL

    150 participants will be enrolled with SSNHL involving bilateral ears.

  • Unilateral SSNHL

    150 participants will be enrolled with SSNHL involving unilateral ear.

  • Healthy Controls

    100 age-matched healthy controls will be enrolled.

05

What researchers measure

Primary outcomes

  1. Pure tone audiometry (PTA)

    Pure tone thresholds of 250, 500, 1000, 2000, 4000, 8000 Hz will be measured.

    Time frame: Baseline, 14 days, 1, 3 and 6 months follow-ups

Secondary outcomes

  1. Speech reception thresholds

    Speech Reception Thresholds (SRTs) are employed as a critical outcome measure in clinical trials to assess the lowest level at which speech can be understood. This metric is pivotal for evaluating the efficacy of interventions aimed at improving auditory capabilities or mitigating hearing impairments. SRTs are determined through standardized tests where subjects are required to recognize and repeat spoken words or phrases presented at varying volume levels. The threshold is identified as the minimum intensity at which speech is correctly understood 50% of the time. This quantifiable measure allows for the objective comparison of hearing function before and after interventions, making it a valuable tool in clinical research focused on auditory health and rehabilitation.

    Time frame: Baseline, 14 days, 1, 3 and 6 months follow-ups

  2. Speech discrimination scores

    Speech Discrimination Scores (SDS) are a measure used to assess an individual's ability to correctly understand and repeat spoken words. Unlike Speech Reception Thresholds, which focus on the lowest level of audibility, SDS evaluates the clarity of speech understanding at a comfortable listening level. In clinical settings, a list of phonetically balanced words is presented to the participant at a volume that is easily audible, usually set above their speech reception threshold. The score is calculated based on the percentage of words correctly repeated back by the individual. High SDS indicates good speech clarity recognition, while lower scores may suggest difficulties in speech processing or hearing impairments. SDS is crucial in diagnosing, managing, and treating hearing disorders, providing valuable insights into the functional impact of hearing loss and the effectiveness of auditory rehabilitation strategies.

    Time frame: Baseline, 14 days, 1, 3 and 6 months follow-ups

Other outcomes

  1. Variant detection efficiency

    The efficiency with which known genetic variants are identified within the targeted regions through capture sequencing of peripheral venous blood samples. This is measured separately for cases and control participants and reported as a percentage (%).

    Time frame: Baseline

  2. Exome coverage

    The extent of coverage achieved in the exome regions within peripheral venous blood samples from cases and controls, quantified by the percentage of the exome sequenced at sufficient depth in whole exome sequencing. Results are reported as a percentage (%) for both groups.

    Time frame: Baseline

  3. Genome-wide variant distribution

    The distribution and density of genetic variants detected across the entire genome in whole genome sequencing of peripheral venous blood samples. This measure is evaluated for both cases and controls and expressed as the number of variants per megabase (variants/Mb).

    Time frame: Baseline

  4. Head MRI

    Assess the integrity of brain tissues, looking for signs of lesions, tumors, or atrophy. This involves qualitative assessments (e.g., presence or absence of abnormalities).

    Time frame: Baseline

  5. Inner Ear MRI

    Detailed assessment of the cochlea and vestibular system's anatomy for structural abnormalities, using a qualitative assessment.

    Time frame: Baseline

06

Study locations

No study locations are listed for this record.

07

Registry details

Key details

Study ID
NCT06365775
Lead sponsor
Dan Bing
Responsible party
Dan Bing (associate professor, Tongji Hospital) — Sponsor-investigator
First posted
Apr 15, 2024
Start date
Apr 23, 2024 (estimated)
Primary completion
Nov 23, 2026 (estimated)
Completion
Nov 23, 2026 (estimated)
Last update
Apr 15, 2024

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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