Evidence map›Paper›PMID 25996080›Full record

ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2015

Non-Ototoxic Local Delivery of Bisphosphonate to the Mammalian Cochlea.

Woo Seok Kang, Shuting Sun, Kim Nguyen, Boris Kashemirov, Charles E McKenna, S Adam Hacking, Alicia M Quesnel, William F Sewell, Michael J McKenna, David H Jung

Abstract read
In one paragraph

Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.7field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 25 citations in OpenAlex.

  1. Effectiveness of bisphosphonate for alleviating tinnitus associated with otosclerosis: a prospective case-control study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  2. Article
  3. Article
  4. Bisphosphonate therapy in otosclerosis: A scoping review.Laryngoscope investigative otolaryngology · 2022
    Article
  5. Article
  6. Article
  7. A nanoliter resolution implantable micropump for murine inner ear drug delivery.Journal of controlled release : official journal of the Controlled Release Society · 2019
    Article
  8. Article
  9. Article
  10. Article
  11. Measurement of Ototoxicity Following Intracochlear Bisphosphonate Delivery.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2016
    Article
  12. Article
  13. Intracochlear Drug Delivery Through the Oval Window in Fresh Cadaveric Human Temporal Bones.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2016
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Woo Seok Kang*Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston; †Eaton Peabody Laboratory, Massachusetts Eye and Ear Infirmary, Boston; ‡Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts; §Department of Chemistry, University of Southern California, Los Angeles, California; and ∥Department of Orthopaedics, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.
Shuting Sun
Kim Nguyen
Boris Kashemirov
Charles E McKenna
S Adam Hacking
Alicia M Quesnel
William F Sewell
Michael J McKenna
David H Jung
University of Southern California · USMassachusetts Eye and Ear Infirmary · USHarvard University · US

Funding

Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
Drug-eluting Stapes Prosthesis for the Prevention of Sensorineural Hearing LossR01DC009837 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI MCKENNA, MICHAEL J. · 2010 to 2014
$1.7M
NCATS NIH HHS 8UL1TR000170-05NCATS NIH HHS UL1 TR000170NIDCD NIH HHS R01 DC009837
6 · The paper itself

Abstract

hypothesisLocal delivery of bisphosphonates results in superior localization of these compounds for the treatment of cochlear otosclerosis, without ototoxicity.

backgroundOtosclerosis is a common disorder of abnormal bone remodeling within the human otic capsule. It is a frequent cause of conductive hearing loss from stapes fixation. Large lesions that penetrate the cochlear endosteum and injure the spiral ligament result in sensorineural hearing loss. Nitrogen-containing bisphosphonates (e.g., zoledronate) are potent inhibitors of bone remodeling with proven efficacy in the treatment of metabolic bone diseases, including otosclerosis. Local delivery to the cochlea may allow for improved drug targeting, higher local concentrations, and the avoidance of systemic complications. In this study, we use a fluorescently labeled bisphosphonate compound (6-FAM-ZOL) to determine drug localization and concentration within the otic capsule. Various methods for delivery are compared. Ototoxicity is evaluated by auditory brainstem responses and distortion product otoacoustic emissions.

methods6-FAM-ZOL was administered to guinea pigs via intraperitoneal injection, placement of alginate beads onto the round window membrane, or microfluidic pump infusion via a cochleostomy. Hearing was evaluated. Specimens were embedded into resin blocks, ground to a mid-modiolar section, and quantitatively imaged using fluorescence microscopy.

resultsThere was a dose-dependent increase in fluorescent signal after systemic 6-FAM-ZOL treatment. Local delivery via the round window membrane or a cochleostomy increased delivery efficiency. No significant ototoxicity was observed after either systemic or local 6-FAM-ZOL delivery.

conclusionThese findings establish important preclinical parameters for the treatment of cochlear otosclerosis in humans.

Indexed as

OtosclerosisAnimalsDiphosphonatesEar, InnerGuinea PigsImidazolesZoledronic AcidDiphosphonatesImidazolesZoledronic Acid

Identifiers

PMID25996080
PMCPMC4469560
OpenAlexW2413395485

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.