Frequency Therapeutics — Hearing Loss Regeneration

Since they updated the clinical trials page only one of them is still not yet recruiting.

Estimated date still says 30th September 2020 but most likely there will be a delay due to coronavirus.
 
What are the chances of FX-322 working for people whose tinnitus was caused by hair cell damage?
We can't say for sure yet but FX-322 is designed exclusively for hair cell damage.

It doesn't seem to reach very deep into the cochlea with the current formulation based on what we've seen so far. The deeper you go, the lower the frequencies are.

This means usually the higher frequencies are damaged first. So if you have mainly high frequency hearing damage, I'd say odds of it helping are pretty high.

There's additional indicators of it possibly helping or curing tinnitus, such as the head of research at Frequency Therapeutics willing to come onto the Tinntius Talk Podcast and the fact that they added tinnitus as a study factor in their phase 2 trial.
 
What are the chances of FX-322 working for people whose tinnitus was caused by hair cell damage?
If your hair cell damage and corresponding tinnitus is > 6000Hz, I would say very high. As they are doing multiple consecutive dosages in the current study we may see lower frequencies restored with deeper diffusion levels. It may be for some that only a small threshold improvement might be sufficient to "turn off" the brain's maladaption of tinnitus.
 
We can't say for sure yet but FX-322 is designed exclusively for hair cell damage.

It doesn't seem to reach very deep into the cochlea with the current formulation based on what we've seen so far. The deeper you go, the lower the frequencies are.

This means usually the higher frequencies are damaged first. So if you have mainly high frequency hearing damage, I'd say odds of it helping are pretty high.

There's additional indicators of it possibly helping or curing tinnitus, such as the head of research at Frequency Therapeutics willing to come onto the Tinntius Talk Podcast and the fact that they added tinnitus as a study factor in their phase 2 trial.
Sounds good.

What is high frequency hearing loss?
 
If your hair cell damage and corresponding tinnitus is > 6000Hz, I would say very high. As they are doing multiple consecutive dosages in the current study we may see lower frequencies restored with deeper diffusion levels. It may be for some that only a small threshold improvement might be sufficient to "turn off" the brain's maladaption of tinnitus.
Is there a way I can measure my tinnitus in Hz?
 
Is there a way I can measure my tinnitus in Hz?
Yes, there are tone generators on YouTube and you try to match the region where your tinnitus is. It's harder if your tinnitus isn't a pure tone or if you have lost a lot of hearing bilaterally in the area where your tinnitus is.
 
Yes, there are tone generators on YouTube and you try to match the region where your tinnitus is. It's harder if your tinnitus isn't a pure tone or if you have lost a lot of hearing bilaterally in the area where your tinnitus is.
So the higher the frequency the less likely it is FX-322 will work?
 
An extended audiogram can tell you if your outer hair cells are damaged. There is no reliable test for inner hair cells or synapses.

Noise induced hearing loss can damage synapses or hair cells. FX-322 is for hair cells but other drugs from other companies are hoping to address synapses.
I have tinnitus and some pain hyperacusis (mainly discomfort from tinny speakers). I believe that headphones were the cause. I've had a couple of audiograms and they have been very good.

Are you saying that I'm less likely to find benefit from this drug, that I'm not a good candidate?

Just wanting to be clear that rather than get my hopes up. Thanks.
 
Hi guys,

Had a quick skim through the pages and there's a lot of info to take in!

Am I right in saying that if your hearing loss is in the low frequencies this drug is unlikely/less likely to work for you? And if you don't have any hearing loss, this is also unlikely/less likely to work for you?

My tinnitus tones run a gamut of frequencies, but according to my hearing tests my hearing loss is in the low frequencies.
 
I have tinnitus and some pain hyperacusis (mainly discomfort from tinny speakers). I believe that headphones were the cause. I've had a couple of audiograms and they have been very good.

Are you saying that I'm less likely to find benefit from this drug, that I'm not a good candidate?

Just wanting to be clear that rather than get my hopes up. Thanks.
If you have cochlear origin tinnitus, it should come from hair cell damage (inner or outer) or synaptopathy. Unless you have something like hydrops.

Have you had an extended audiogram to check for obvious outer hair cell damage?

Treatment for noxacusis is more of an unknown and I don't have an answer for you there, unfortunately. But if it's more "discomfort" at tinny speakers this may be more loudness hyperacusis than noxacusis and I believe this could help that too.
 
Hi guys,

Had a quick skim through the pages and there's a lot of info to take in!

Am I right in saying that if your hearing loss is in the low frequencies this drug is unlikely/less likely to work for you? And if you don't have any hearing loss, this is also unlikely/less likely to work for you?

My tinnitus tones run a gamut of frequencies, but according to my hearing tests my hearing loss is in the low frequencies.
When the Tinnitus Talk Podcast happens, Frequency will be asked about how they plan to address the lower frequencies.

As far as your other tones not being due to hearing loss, an standard audiogram is a pretty insensitive measure of this because it only measures outer hair cell loss (not inner hair cell loss or synapse loss) up to 8000Hz and doesn't account for notched losses of outer hair cells either. A lot of people are told they have normal hearing but don't.
 
Hearing damage is a biochemical process. If you have been exposed to loud sound at sufficient duration (which is exponentially shorter as the sound is louder, for example a gunshot does damage in a second) you have experienced damage.

How deep it penetrates is all about the gel medium they suspend the drug in. There is no inherent quality of the drug that prevents it from affecting hair cells at certain frequencies.

Also, I'm super excited for your upcoming drug summary @FGG, should help quell the banter and confusion on this thread. You're a true gem :rockingbanana:
 
I have tinnitus and some pain hyperacusis (mainly discomfort from tinny speakers). I believe that headphones were the cause. I've had a couple of audiograms and they have been very good.

Are you saying that I'm less likely to find benefit from this drug, that I'm not a good candidate?

Just wanting to be clear that rather than get my hopes up. Thanks.
I have the same issue - pain hyperacusis has mostly died down but it's still aggravated by tinny speakers. I guess with noxacusis there are still many many unknowns but I speculate that perhaps it's due to damage at a specific frequency (which are amplified through tinny speakers?). Maybe that's our problem so hair cell and corresponding synapse regeneration could help us.
 
As far as your other tones not being due to hearing loss, an standard audiogram is a pretty insensitive measure of this because it only measures outer hair cell loss (not inner hair cell loss or synapse loss) up to 8000Hz and doesn't account for notched losses of outer hair cells either. A lot of people are told they have normal hearing but don't.
Thanks @FGG.

Does the above mean that the frequency of tones you hear is directly related to the frequency of hearing loss you have? I did not know that.

I'll look forward to the Tinnitus Talk Podcast.
 
Hearing damage is a biochemical process. If you have been exposed to loud sound at sufficient duration (which is exponentially shorter as the sound is louder, for example a gunshot does damage in a second) you have experienced damage.

How deep it penetrates is all about the gel medium they suspend the drug in. There is no inherent quality of the drug that prevents it from affecting hair cells at certain frequencies.

Also, I'm super excited for your upcoming drug summary @FGG, should help quell the banter and confusion on this thread. You're a true gem :rockingbanana:
I have submitted it to @Candy for editing and simplifying it to make sure it is clear and easy to understand (that's her wheelhouse more than mine). She has a lot on her plate atm though!
 
Thanks @FGG.

Does the above mean that the frequency of tones you hear is directly related to the frequency of hearing loss you have? I did not know that.

I'll look forward to the Tinnitus Talk Podcast.
The most widely accepted theory of cochlear origin tinnitus (e.g.. Noise, Ototoxins, infections etc) is that the tinnitus is a response to a disrupted signal. So, at the point of the disruption, your brain experiences a phantom sound similar to when a phantom limb pain is still felt when someone loses a leg.
 
I have submitted it to @Candy for editing and simplifying it to make sure it is clear and easy to understand (that's her wheelhouse more than mine). She has a lot on her plate atm though!
Not listened to the Tinnitus Talk Podcast before, but certainly this episode will be of interest to me.

Which platforms can I listen to it on please?
 
There are still so many things I don't get (which may be explained in the layman's guide coming up):

Loud noise seems to cause more damage to the OHCs as they are the first to get hit by it, yet from reading on this forum it seems that when a person suffers ototoxicity that the tinnitus that appears is of a high frequency piercing nature which would suggest damage to the OHCs. So my question is: Why would the OHCs be hit first from ototoxicity instead of the IHCs and auditory nerve? Or are they all getting hit, but for some reason the result is high-pitched tinnitus?

I'm probably missing something very obvious... hence the need for a layman's guide :LOL:

Also, is it possible that serotonergic drugs, for example, overexcite the part of the brain that is responsible for hearing and raise the gain, so that you hear things you wouldn't normally hear, i.e. that they cause some type of excitotoxicity that alerts the brain to already present hearing loss and the brain, which had ignored previous hair cell damage, all of a sudden becomes aware of it? I'm paraphrasing someone else's words here.

I just wonder if this is what has happened to me, although when I got tinnitus it came with a plugged up feeling in one ear, which I presume means that there has been some (further) cochlear damage occuring due to the drugs, and I have suffered noise trauma since the initial drug-induced onset too.

Not sure if any of that makes sense... like all of us, I'm just really trying to figure out how much FX-322 could help someone in my particular situation.
 
Not listened to the Tinnitus Talk Podcast before, but certainly this episode will be of interest to me.

Which platforms can I listen to it on please?
I was referring to a guide explaining what regenerative drugs effect what structures that I was working on, not the Tinnitus Talk Podcast.

There will eventually be a Tinnitus Talk Podcast interview with Frequency but per the mods that has been rescheduled because of COVID-19.
 
I will actually be microdosing magic mushrooms for a couple of weeks soon.

They've been shown to introduce heightened levels of neuroplasticity, and for some people their tinnitus is gone or significantly lessened by the time they stop using the mushrooms.
I've been thinking about microdosing too! Let me know how it goes.
 
There are still so many things I don't get (which may be explained in the layman's guide coming up):

Loud noise seems to cause more damage to the OHCs as they are the first to get hit by it, yet from reading on this forum it seems that when a person suffers ototoxicity that the tinnitus that appears is of a high frequency piercing nature which would suggest damage to the OHCs. So my question is: Why would the OHCs be hit first from ototoxicity instead of the IHCs and auditory nerve? Or are they all getting hit, but for some reason the result is high-pitched tinnitus?

I'm probably missing something very obvious... hence the need for a layman's guide :LOL:

Also, is it possible that serotonergic drugs, for example, overexcite the part of the brain that is responsible for hearing and raise the gain, so that you hear things you wouldn't normally hear, i.e. that they cause some type of excitotoxicity that alerts the brain to already present hearing loss and the brain, which had ignored previous hair cell damage, all of a sudden becomes aware of it? I'm paraphrasing someone else's words here.

I just wonder if this is what has happened to me, although when I got tinnitus it came with a plugged up feeling in one ear, which I presume means that there has been some (further) cochlear damage occuring due to the drugs, and I have suffered noise trauma since the initial drug-induced onset too.

Not sure if any of that makes sense... like all of us, I'm just really trying to figure out how much FX-322 could help someone in my particular situation.
Per Liberman, the synapses are the most susceptible to noises but it has been known for awhile that the OHCs are sensitive as well. It may even depend on the individual and the specific exposure. IHC damage seems more prevalent with certain Ototoxins but sometimes noise can damage IHCs more selectively than other structures too for unknown reasons (there was a rabbit study I found awhile ago).

Both OHC and IHCs work together to produce sound at each frequency, so one isn't further away functionally from the noise. "Outer" doesn't mean higher frequency hair cells. It means it is a hair cell on the outer row that exists throughout the whole cochlea (from 20Hz to 20000Hz just like the IHCs).

Ototoxins can damage any structure in the cochlea depending on the individual toxin. It is unfortunately very poorly researched what each toxin effects except for Aminoglycosides, Loop diuretics and platinum based chemotherapeutics. Keep in mind that blood also flows from outside the cochlea in so there is a higher concentration of toxin to bind at the base (vs the apex) too generally.

I think it's also confusing because there is no diagnostic test except when it comes to outer hair cells so no one really can tell anyone what they have specifically damaged apart from OHCs evident on an abnormal audiogram.

Regenerative technology seems to be beating diagnostic technology. I really think people will have to "trial treat" with both a hair cell regeneration drug and a synaptopathy drug unless that changes. Even Otonomy have said in their last presentation that they think their synapse drug will work even better with their upcoming hair cell regeneration drug (OTO-6xx, in pre clinical for severe hearing loss) and vice versa. A lot of people will need one or both and unless they have an abnormal audiogram and/or speech in noise issues (would indicate synaptopathy at the important speech frequencies), they won't know what category they are in.

Re: Antidepressants that effect neurotransmitters. GABA and Glutamate both exists in the cochlea as well as the brain. Serotonin modulates the effects of both GABA and Glutamate.

Glutamate is needed to travel across the IHC/SGN synapse to transmit sound but too much of it results in neuroinflammation which can cause damage to structures in the cochlea due to oxidative stress.

There are GABA receptors on the efferent nerves of OHCs as well (I could be wrong but I think mainly in the base of the cochlea so this would be more relevant to higher pitched sounds).

Basically anything that alters the GABA/Glutamate homeostasis can directly affect the cochlea.

It's also why I believe GABA potentiating drugs (e.g.. Benzos) are helpful at reducing tinnitus at first but when tolerance happens or with withdrawal they can make it so much worse because Glutamate has been increased and the receptor is now less sensitive to GABA.
 

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