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Cilcare's CIL001 Targets Cochlear Synaptopathy — An American/French Collaboration

I am very interested in how Cilcare will be testing for cochlear synaptopathy outside of speech-in-noise tests and ABRs. I believe they are working on a way to test for this alongside their regenerative therapies.
 
Hey, I just wanted to ask if there have been any updates on when the trials are starting. I believe it should be soon. I really hope I can join because of my hearing loss and tinnitus. I am hoping they will begin those groups early next year. If anyone has any information, please let me know. Thank you!
 
On the topic of drug delivery through the round window discussed earlier in this thread, this is pretty interesting:

Awesome find! I really hope this leads to faster and smoother progress in research and treatment.
 
I have been in contact with the researcher; however, I'm a little reluctant. Intratympanic injections are no longer seen as the best route to the cochlea. All trials using this method have failed, with companies often blaming the lack of permeability.

Many institutions are now moving away from this approach and have discovered new proprietary routes.
Hi @Nick47, what are the new proprietary routes to get access to the cochlea?
 
An interesting watch:


Really good video, but many of us cannot listen to the sound due to Hyperacusis.

I wonder if there is a transcript that covers the basics. The subtitles are too small and move too quickly. Maybe I should get a magnifying glass.

It is great to hear that something else is on the way. If Auricle does not work for me, Cilcare might.
 
This looks like a goldmine.

For those of us who are not very scientific, the overall picture is beginning to emerge. Very often the source of our tinnitus and hearing loss lies in the cochlea, but it can also reside in the brain, or in both the cochlea and brain together.

In the search for a pharmaceutical or genetic remedy, one major problem is delivering the treatment to the correct location, the actual site of the injury. The difficulty lies in the fact that the cochlea is the hardest bone in the body, and its location close to the brain makes it hard to access and observe.

If what I read in Kemper's link above is true, then delivering the medication and observing its effect over time should be straightforward.

This would allow researchers to adjust and refine the therapies while monitoring the effects in real time.

If you want to be cured, it might even help if you were a bullfrog.

In one of my long posts from a while back, I shared my struggle with taking care of a plant. I gave it plenty of sunlight and water, but it did not thrive. It turned out to be a desert plant that lives in a cave. Too much sunlight and too much water were not what it needed.
 
Some more Euphoria for all of yous:
It's pretty much the same as in the link that @ploughna gave, but with the details explained more clearly for the layman.

It appears that after some work with bullfrogs, which are also vertebrates with a backbone, the scientists turned their attention to gerbils. These are small pet rodents, similar to guinea pigs or mice, that live across Asia and Africa. Why? Because their hearing range is similar to ours.
Of course, the scientific community deserves some applause too. But if you were to tell "Joe Soap" about the breakthrough of creating a living cochlea outside the body, I'm sure his reply would be, "Duh… what's a cochlea? Why didn't they just leave it inside the body?"

Before I got my tinnitus, I had never registered what the cochlea actually is either. So we have to enjoy the breakthrough with a kind of quiet excitement, celebrating privately or among fellow sufferers.

In my opinion, the solution will probably come from a combination of research on the cochlea side of things and research on the brain side of things. But I'm not a scientist, unless you count diplomas and degrees and all that.

A new avenue of research has opened, and we will now be able to see what is going on. No more problems with accessing through the round window or intratympanic methods. Just apply the medicaments and observe what happens.

I only hope it will not be too expensive to get more cochleae up and running.
 
Hi everyone,

Will someone here be a candidate to test this drug? I hesitate, because I am afraid it might make my hyperacusis worse. On the other hand, I cannot live like a hermit until 2030 when this drug will be available on the market.
 
While we are awaiting the launch of Dr. Susan Shore's device, it might help pass the time to speculate on how Rockefeller University will make use of this ex vivo living gerbil cochlea.

a) They could test some of the earlier small molecules that were used by Otonomy and Frequency Therapeutics. If they work, then they work. The only real challenge would be delivery, perhaps.

b) In my view, it might also be worthwhile to see how Mother Nature does it. I have heard that birds, fish, and some mammals can rejuvenate dead or damaged hair cells, though I am not sure what happens with gerbils. If we could learn how birds and fish do it, then perhaps it could be tried on gerbils. Somewhere I seem to recall reading that infant mice or rats can repair damaged hair cells, though I cannot remember the source.

I find the mechanics of all this fascinating. For instance, the organ of balance lies below the cochlea, and when its hair cells are damaged—as can happen with older people—they tend to topple over more often. Inner hair cells, as I have read, are responsible for hearing and hearing loss. What about the outer hair cells and the stereocilia? What is the indication when they are dead or damaged?

The entire cochlea, shaped like a spiral shell, can be mapped onto a piano keyboard, with the lower notes at the apex (the innermost point of the shell) and the higher notes at the entry. And of course, it is not just the notes, but all the frequencies in between.

Fascinating stuff. If the scientific community finds it as fascinating as I do, then I believe they will come up with answers promptly.
 

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