When Silence

Recent Updates

What changed on When Silence, and why, as trials read out and new evidence comes in.

Added three companies to the Pipeline Watchlist: Otovia Therapeutics, EmayGene, and Salubritas Therapeutics, all working on hair cell regeneration / OTOF gene therapy for hearing loss (not tinnitus-specific), flagged as ones to watch for a first-in-human regeneration trial.

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Launched a new AI Frontier page tracking general-purpose AI initiatives in biology, drug discovery, and genomics (Isomorphic Labs, AlphaFold, AlphaGenome Atlas, Xaira Therapeutics, Chai Discovery, Insilico Medicine, Evo 2, Nvidia BioNeMo, GPT-Rosalind). None have a hearing loss or tinnitus program today; tracked as infrastructure that could one day accelerate treatment research.

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Paper

New paper: a serotonergic dorsal raphe → dorsal cochlear nucleus circuit drives fusiform-cell hyperactivity and tinnitus-like behavior in mice, reversible by blocking 5-HT2A receptors (Yu, Dai, ..., Tang, Trussell, PNAS). Linked to Dorsal Cochlear Nucleus Origin.

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Paper

New paper: sex-adjusted ABR Wave I amplitude norms flag likely cochlear deafferentation in living patients, catching 51% of a high-risk veteran sample (Kampel, Bramhall et al., American Journal of Audiology). Linked to Cochlear Synaptopathy.

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Treatment

Confirmed NCT07648615 is a separate, unrelated European program (ENTIC), not the same device as TINIS.

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Clinical Trial

Added to Clinical Trials: NCT03988699 (Mayo Clinic 'Novel Tinnitus Implant System' feasibility study), now Completed, no results posted yet.

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Treatment

NCT07777549 updated (Aug 20, 2026) with estimated primary completion Aug 2027; still not yet recruiting.

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Treatment

Biohaven out-licensed opakalim and its Kv7 platform to SK Biopharmaceuticals for up to $795M plus royalties; still epilepsy-only, no tinnitus relevance. Note: puts Biohaven behind XEN1101 (Xenon targeting Q3 2026 NDA) while opakalim awaits RISE3 results.

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Clinical Trial

NCT07777549 (A Study of the Safety and Efficacy of TRTL-913 in Healthy Volunteers (Part A) and in Adults With Tinnitus (Part B)): phase: Phase 2a → Phase 2.

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Treatment

Registered Phase 2a trial found for TRTL-913 (NCT07777549): a 7-day double-blind safety/PK study in healthy volunteers plus a 14-day open-label efficacy study in adults with chronic tinnitus, measuring TFI, THI, and loudness/annoyance VAS. Not yet recruiting, estimated start Sep 2026, site in Auckland, NZ.

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Paper

New paper: blood RNA-seq and a mouse model share the same inflammatory signature, and blocking TNF-alpha/microglia reduces tinnitus-like behavior in mice (Cheng et al., Neuroscience Bulletin). Linked to Central Neuroinflammation.

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Paper

New paper: human EEG study finds distinct brain-network signatures for acute vs. chronic tinnitus (Gong et al., iScience). Linked to Interacting Brain Networks.

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Paper

New paper: national VA cohort of 267,395 veterans finds tinnitus in 47%, more common with TBI, anxiety, or depression (Clifford et al., Ear and Hearing).

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Paper

New paper: synaptic zinc plasticity in auditory cortex explains both adaptive recovery and maladaptive hyperactivity after cochlear injury (Kumar et al., Science Advances). Linked to Central Gain and PV Interneuron Dysfunction.

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Treatment

Added Cilcare's planned CIL001 interventional program: three Phase 1b/2a studies (type 2 diabetes, chronic tinnitus, mild cognitive impairment) and their target start dates.

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Treatment

CIL001 entry revised to align strictly with details from Cilcare's TinnitusTalk podcast appearance, trial design, timelines, and the DIAMONT/SAFIER observational studies that shaped it.

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Treatment

Added NEU-002 (NeuDirection) to the pipeline and knowledge base, plus sponsor company entries linking treatments to the companies developing them.

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