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Related Experiment Videos

Emerging Therapies for Sensorineural Hearing Loss.

Matthew Gordon Crowson1, Ronna Hertzano, Debara L Tucci

  • 1*Division of Head & Neck Surgery and Communication Sciences, Department of Surgery, Duke University Medical Center, Durham, North Carolina †Department of Otorhinolaryngology-Head & Neck Surgery, Anatomy and Neurobiology and Institute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|April 7, 2017
PubMed
Summary

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Barriers to Research for Academic Otologists/Neurotologists in the United States.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·2025

Current clinical trials for sensorineural hearing loss focus on reducing oxidative stress and cell death. Novel cell replacement therapies show promise but face challenges in human translation.

Area of Science:

  • Otolaryngology
  • Regenerative Medicine
  • Pharmacology

Background:

  • Sensorineural hearing loss (SNHL) is a significant health concern with limited treatment options.
  • Existing therapies primarily focus on managing symptoms rather than addressing underlying causes.
  • Advances in understanding inner ear biology have opened new avenues for therapeutic development.

Purpose of the Study:

  • To critically review and evaluate proposed mechanisms and documented results of therapeutics in active clinical trials for SNHL.
  • To identify common themes and novel approaches in current SNHL drug development.
  • To assess the potential and challenges of translating preclinical findings to clinical efficacy.

Main Methods:

  • Systematic review of the US National Institutes of Health (NIH) Clinical Trials registry.

Related Experiment Videos

  • Literature search of MEDLINE/PubMed for supporting publications.
  • Critical appraisal of proof-of-concept, therapeutic mechanisms, and clinical outcomes for identified therapies.
  • Main Results:

    • Twenty-two active clinical trials for SNHL were identified, focusing on six therapeutic molecules.
    • Four molecules target oxidative stress pathways implicated in inner ear cell death.
    • One therapy modulates the cell death cascade, and another explores cell replacement via transcription factors for hair cell regeneration.

    Conclusions:

    • Current SNHL therapeutics in clinical trials predominantly target cell death pathways and oxidative stress.
    • A novel virus-delivered cell replacement therapy represents a first-in-kind approach.
    • Significant challenges remain in translating preclinical results to human efficacy, including species differences and understanding complex biological processes like immune response and synaptic loss.