Table 3 Table of Assessments
Screening | Treatment period | Follow up period | Optional visits | ||||||
|---|---|---|---|---|---|---|---|---|---|
Activity Visit window | Day 1 | Day 8 | Day 15 | Week 6 | Week 12 | Month 6 | Month 12 | ||
Baseline | Dose 1 | Dose 2 | Dose 3 | ||||||
Informed Consent | X | ||||||||
Review of in/exclusion criteria | X | X | |||||||
Medical history and demography | X | ||||||||
Vital signs | X | X | X | X | X | X | X | ||
Physical examination | X | X | X | X | X | X | X | X | |
12-lead ECG | X | X | X | X | X | X | |||
Laboratory assessments | X | X | X | X | X | X | |||
Clinical balance assessment | X | X | X | X | X | X | |||
Full balance assessment | X | X | |||||||
Facial nerve function | X | X | X | X | X | X | X | X | |
Taste assessment | X | X | X | X | X | X | X | ||
Otomicroscopy | X | X | X | X | X | X | X | X | |
PTA | X | X | X | X | X | X | X | X | |
Speech Audiometry | X | X | X | X | X | ||||
DPOAE, SNR and absolute | X | X | X | X | X | ||||
Cochlear dead region assessment | X | X | X | ||||||
ART | X | X | |||||||
Tympanometry | X | X | X | X | |||||
Tinnitus assessment | X | X | X | X | X | X | X | X | X |
QoL (HHIA/E questionnaire) | X | X | X | X | X | ||||
Hearing Aid questionnaire | X | X | X | ||||||
Drug dosing - Injection | X | X | X | ||||||
Pregnancy testing | X | X | X | X | X | X | |||
Concomitant medication | X | X | X | X | X | X | X | X | X |
Adverse Events | X | X | X | X | X | X | X | X | X |