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Not yet recruitingNCT07826507REACTUpdated Sep 17, 2026

A Study Testing Safety and Efficacy of Transtympanic Paliroden for the Treatment of Cochlear Synaptopathy in Participants With Chronic, Constant Tinnitus

A Phase 1/2 interventional study of paliroden (CIL001) and Placebo in Tinnitus, Bilateral and Cochlear Synaptopathy, sponsored by Cilcare SAS. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by Cilcare SAS · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The goal of this clinical trial is to investigate if paliroden (CIL001) is safe and can help treat cochlear synaptopathy in adult participants 18-75 years of age with normal hearing thresholds and normal cognition who exhibit chronic, constant tinnitus in both ears and have difficulty understanding speech in noisy environments. The main questions it aims to answer are:

  • Is the study drug safe and tolerable over 6 months after injection into the middle ear?
  • How much of the study drug is in the bloodstream at different time points after injection?
  • How effective is a single dose of the study drug at treating cochlear synaptopathy in participants with chronic, constant tinnitus, as measured by hearing and listening tests?

Injection of the study drug will be compared to injection of a placebo (a substance with no study drug in it) to see if there is a difference.

Participants will be screened for eligibility and potentially receive a one-time injection into the middle ear of paliroden or placebo. The study lasts approximately 6 to 7 months if completing the whole study. Based on the visit windows, this could be between 190 and 218 days including a maximum of 42 days for Screening \& Run-in and 175 days post-treatment.

Participants will:

  • Visit the clinic for checkups and tests multiple times over the course of the study
  • Complete a large battery of hearing and listening tests, answer questionnaires about their experiences, and provide blood samples for various tests
  • Receive an injection of either the study drug or placebo (a substance that has no active drug in it), if eligible
02

Conditions studied

  • Tinnitus, Bilateral
  • Cochlear Synaptopathy

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Keywords

  • hearing
  • listening
  • tinnitus
  • ringing in the ear
  • cochlear synaptopathy
  • speech-in-noise difficulty
03

In context

Tinnitus

444 studies on the registry are indexed under Tinnitus; 98 are open to participants now.

This study's planned enrollment of 60 is close to the median of 60 across 368 interventional studies indexed under Tinnitus.

Browse Tinnitus studies →

Lead sponsor

Cilcare SAS is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 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

  1. Native speaker of English
  2. Able and willing to give consent for the study
  3. Age 18-75 years (inclusive) at the time of signing the
  4. Report binaural, chronic, constant, subjective tinnitus for at least 6 months
  5. Hearing thresholds within normal limits (≤ 20 dB HL at 0.25 to 8 kHz, plus 3 and 6 kHz)
  6. Speech-in-noise deficit (at least 3 dB SNR loss in comparison to normative value of the AE-Matrix test) in both ears
  7. No concurrent tinnitus treatment
  8. Be considered as reliable and capable of adhering to the protocol, according to the judgment of the investigator
  9. Signed informed consent as described in § 11.3 which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol

Exclusion criteria

Exclusion Criteria:

  1. (MoCA) score \< 26
  2. History of somatic/objective tinnitus as defined by AAO-HNS guidelines (e.g., pulsatile/whooshing sounds pulsating in synchrony with heartbeat, or caused by temporo-mandibular joint dysfunction)
  3. Known otologic pathology (e.g., otosclerosis, history of hearing loss, radiation-induced hearing loss, fluctuating hearing, endolymphatic hydrops, Ménière's disease, vestibular schwannoma, history of sudden sensorineural hearing loss, Neurofibromatosis Type 2)
  4. History of otologic surgery (apart from tympanostomy tube insertion if more than one year prior to inclusion visit)
  5. Untreated hypothyroidism
  6. Use of prohibited concomitant therapies as described in § 6.10
  7. Current use or history of platinum-based chemotherapy
  8. Concurrent that require treatment
  9. Abnormal otoscopy as defined by less than 90% of the tympanic membrane visible (e.g., occluding cerumen, ear drum perforation)
  10. Current middle ear pathology (e.g., otitis media, tympanic membrane perforation)
  11. Abnormal tympanogram (other than type A)
  12. Conductive hearing loss (> 10 dB difference between air- and bone-conduction hearing thresholds)
  13. Asymmetric hearing thresholds (more than 15 dB difference between left and right ear) at 0.25 to 8 kHz, plus 3 and 6 kHz
  14. Lactation, known pregnancy, positive pregnancy test at either Screening (urine) or Baseline (serum) for Women of (WOCBP), or plan to become pregnant during the study
  15. Liver Enzyme Lab Outcomes within the previous 2 months (or assessed at Baseline if not available at Screening ), see § 12.1.1:

    1. > upper limit normal ()
    2. Liver transaminases ( [AST] and Alanine Aminotransferase [ALT]) > 2 times ULN
    3. Gamma-glutamyltransferase (GGT) > 2 times ULN
  16. (ECG) abnormalities:

    a. Marked baseline prolongation of /QTc interval (e.g., repeated demonstration of a QTc interval > 450 ms)

  17. History of additional risk factors for Torsades de Pointes (e.g., heart failure, hypokalemia, family history of Long QT Syndrome)
  18. Concurrent participation in another clinical study or participation in another clinical study within 30 days or five half-lives of the experimental drug (whichever is longer) prior to screening visit (V0)
  19. Diagnosed anxiety disorders, psychosis, depression, schizophrenia, attempted suicide, or other significant psychiatric conditions that could impact their ability to cooperate and comply with the study protocol
  20. Major surgery (at the discretion of the Principal Investigator or medically qualified designee) within eight weeks before screening or scheduled/planned surgery within the time frame of the study
Terms in these criteria, in plain language(11)

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.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

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.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    paliroden (CIL001)

    Those receiving a one-time unilateral transtympanic injection of 0.4mL of paliroden (CIL001)

    Drug: paliroden (CIL001)

  • Placebo comparator
    Placebo

    Those receiving a one-time unilateral transtympanic injection of 0.4mL of non-matching placebo

    Drug: Placebo

Interventions

  • One-time unilateral transtympanic injection of 0.4mL of paliroden (CIL001)

  • DrugPlacebo

    One-time unilateral transtympanic injection of 0.4mL of non-matching placebo

06

What researchers measure

Primary outcomes

  1. Incidence, nature, and severity of adverse events (AEs) and serious adverse events (SAEs) from baseline to 6 months (168 days). Safety data, including all observed AEs with a particular focus on ear and auditory symptomatology.

    Time frame: From baseline to 6 months (168 days) after injection

Secondary outcomes

  1. Determine the concentration in plasma of paliroden with Area under the plasma concentration versus time curve (AUC)

    Time frame: From the day of injection to 28 days

  2. Determine the concentration in plasma of paliroden with Peak Plasma Concentration (Cmax)

    Time frame: From the day of injection to 28 days

  3. Determine the time to maximum plasma concentration (Tmax).

    Time frame: From the day of injection to 28 days

  4. Change from baseline in auditory function using speech-in-noise intelligibility as measured by the English (US) Matrix Test (AE-Matrix) and Time Compressed Words.

    For AE-Matrix: Speech level will be fixed at 65 dB HL, while noise level will be adjusted based on responses to determine levels at which participants obtained a speech reception threshold of 50% (in dB). For Time Compressed Words: This test consists of 50 carrier phrase and word stimuli from the Northwestern University Auditory Test No. 6 (NU-6) pool of 200 words that are compressed 60% (i.e., 60% of the carrier phrase and word has been removed). Participants will be asked to repeat the words they hear. Speech will be presented at 55 dB HL. Performance will be assessed by counting the number of words repeated correctly.

    Time frame: From baseline to day 28, day 56, day 84, and day 168

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

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 Sep 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07826507
Lead sponsor
Cilcare SAS
Responsible party
Sponsor
First posted
Sep 17, 2026
Start date
Jan 2027 (estimated)
Primary completion
Jan 2028 (estimated)
Completion
Jun 2028 (estimated)
Last update
Sep 17, 2026

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Paliroden

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