Anti-VEGF Gene Therapy Trial for Vestibular Schwannoma

Purpose

This trial will evaluate the safety and tolerability of a single unilateral administration of one of three dose levels of AAVAnc80-antiVEGF and will evaluate the Akouos delivery device to safely achieve the intended product performance.

Condition

  • Vestibular Schwannoma

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Criteria

Criteria for Inclusion:

1. Presence of unilateral, progressive vestibular schwannoma.

2. Vestibular schwannoma larger than 2 mm.

3. Profound hearing loss, defined by pure-tone audiometry thresholds or word
recognition score, in the affected ear.

4. Able and willing to comply with all trial requirements, including willingness to
participate in a separate long term follow-up study after completion of this trial.

Criteria for Exclusion:

1. Prior diagnosis of NF2 and/or bilateral vestibular schwannoma.

2. Prior surgery or radiation therapy for vestibular schwannoma.

3. Clinical history consistent with endolymphatic hydrops (documented fluctuating
sensorineural hearing loss and/or episodic vertigo) in the affected ear.

4. Profound hearing loss, defined by pure-tone audiometry thresholds or word
recognition score, in the unaffected ear.

5. Prior participation in a clinical trial with an investigational drug within six
months prior to administration (Day 0), or any prior participation in a gene therapy
clinical trial.

Study Design

Phase
Phase 1/Phase 2
Study Type
Interventional
Allocation
Non-Randomized
Intervention Model
Sequential Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Cohort 1
Adult participants to receive a single unilateral intracochlear administration of AAVAnc80-antiVEGF (dose level 1) in the study ear using a sterile, one-time use investigational medical device.
  • Combination Product: AAVAnc80-antiVEGF via Akouos Delivery Device
    AAVAnc80-antiVEGF is a sterile suspension intended to be administered via intracochlear administration as a single dose using the Akouos Delivery Device
Experimental
Cohort 2
Adult participants to receive a single unilateral intracochlear administration of AAVAnc80-antiVEGF (dose level 2) in the study ear using a sterile, one-time use investigational medical device.
  • Combination Product: AAVAnc80-antiVEGF via Akouos Delivery Device
    AAVAnc80-antiVEGF is a sterile suspension intended to be administered via intracochlear administration as a single dose using the Akouos Delivery Device
Experimental
Cohort 3
Adult participants to receive a single unilateral intracochlear administration of AAVAnc80-antiVEGF (dose level 3) in the study ear using a sterile, one-time use investigational medical device
  • Combination Product: AAVAnc80-antiVEGF via Akouos Delivery Device
    AAVAnc80-antiVEGF is a sterile suspension intended to be administered via intracochlear administration as a single dose using the Akouos Delivery Device

Recruiting Locations

Vanderbilt Bill Wilkerson Center
Nashville, Tennessee 37232
Contact:
Taha Jan, MD
+1 (615) 322-4386
Taha.a.jan@vumc.org

More Details

Status
Recruiting
Sponsor
Akouos, Inc.

Study Contact

Akouos Clinical Trials
+1 (857) 410-1816
AkouosClinicalTrials@Lilly.com