Noise induced hearing loss
diseaseOn this page
Also known as hearing loss, noise-induced, susceptibility toNIHLnoise-induced hearing loss
Summary
Noise induced hearing loss (MONDO:0013098) is a disease with 9 cohort genes (3 GWAS associations across 4 studies) and 21 clinical trials. Top therapeutic interventions include methylprednisolone, zonisamide, and disufenton sodium.
At a glance
- Cohort genes: 9
- GWAS associations: 3
- ClinVar variants: 1
- Clinical trials: 21
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | noise induced hearing loss |
| Mondo ID | MONDO:0013098 |
| EFO | EFO:1001254 |
| MeSH | D006317 |
| NCIT | C34664 |
| SNOMED CT | 73415002 |
| UMLS | C0018781 |
| MedGen | 5455 |
| Is cancer (heuristic) | no |
Also known as: hearing loss, noise-induced, susceptibility to · NIHL · noise-induced hearing loss
Data availability: 1 ClinVar variant · 3 GWAS associations (4 studies).
Disease family
Classification path: disease › human disease › disease by body system or component › auditory system disorder › hearing disorder › hearing loss disorder › noise induced hearing loss
Related subtypes (10): Johanson-Blizzard syndrome, nonsyndromic genetic hearing loss, sudden hearing loss disorder, sensorineural hearing loss disorder, conductive hearing loss disorder, central hearing loss, X-linked deafness, auditory neuropathy, hearing loss, mixed conductive-sensorineural, drug-induced hearing loss
Genetics & variants
GWAS landscape
3 GWAS associations across 4 studies. Top hits map to 3 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs7598759 | 5e-07 | NCL | ? | 12.75 |
| rs35075890 | 1e-06 | AUTS2 | G | 3.17 |
| rs10081191 | 2e-06 | PTPRN2 | A | 1.99 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90081540 | Backman JD | 2021 | 16,069 | 13,961 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90085526 | Backman JD | 2021 | 16,069 | 13,961 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST011920 | Niu Y | 2020 | 89 | 0 | Genome-wide association study identifies 7q11.22 and 7q36.3 associated with noise-induced hearing loss among Chinese population. |
| GCST003006 | Grondin Y | 2015 | 19 | 0 | Genetic Polymorphisms Associated with Hearing Threshold Shift in Subjects during First Encounter with Occupational Impulse Noise. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 3 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 3 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 3 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs7598759 | 2 | 231457245 | C>A,G,T | 0.05 | intron_variant | NCL | 5e-07 | Tier 4: intronic/intergenic |
| rs35075890 | 7 | 70713244 | A>C,G,T | 0.05 | intron_variant | AUTS2 | 1e-06 | Tier 4: intronic/intergenic |
| rs10081191 | 7 | 158530114 | A>C,G,T | 0.05 | intron_variant | PTPRN2 | 2e-06 | Tier 4: intronic/intergenic |
ClinVar germline variants
1 retrieved; paginated sample, class counts are floors:
1 benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 132651 | NM_000219.6(KCNE1):c.112A>G (p.Ser38Gly) | KCNE1 | Benign | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 7 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| AUTS2 | Orphanet:352490 | Autism spectrum disorder due to AUTS2 deficiency |
| AUTS2 | Orphanet:641372 | B-lymphoblastic leukemia/lymphoma with t(7;9)(q11.2;p13.2) |
| DYNC2I1 | Orphanet:474 | Jeune syndrome |
| DYNC2I1 | Orphanet:93271 | Short rib-polydactyly syndrome, Verma-Naumoff type |
| KCNE1 | Orphanet:101016 | Romano-Ward syndrome |
| KCNE1 | Orphanet:334 | Hereditary atrial fibrillation |
| KCNE1 | Orphanet:90647 | Jervell and Lange-Nielsen syndrome |
Cohort genes → proteins
9 cohort genes, 9 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 8 |
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| VIPR2 | HGNC:12695 | ENSG00000106018 | P41587 | Vasoactive intestinal polypeptide receptor 2 | gwas |
| AUTS2 | HGNC:14262 | ENSG00000158321 | Q8WXX7 | Autism susceptibility gene 2 protein | gwas |
| GALNT17 | HGNC:16347 | ENSG00000185274 | Q6IS24 | Polypeptide N-acetylgalactosaminyltransferase 17 | gwas |
| DYNC2I1 | HGNC:21862 | ENSG00000126870 | Q8WVS4 | Cytoplasmic dynein 2 intermediate chain 1 | gwas |
| NCAPG2 | HGNC:21904 | ENSG00000146918 | Q86XI2 | Condensin-2 complex subunit G2 | gwas |
| ESYT2 | HGNC:22211 | ENSG00000117868 | A0FGR8 | Extended synaptotagmin-2 | gwas |
| KCNE1 | HGNC:6240 | ENSG00000180509 | P15382 | Potassium voltage-gated channel subfamily E member 1 | clinvar |
| NUCLEOLIN | HGNC:7667 | ENSG00000115053 | P19338 | Nucleolin | gwas |
| PTPRN2 | HGNC:9677 | ENSG00000155093 | Q92932 | Receptor-type tyrosine-protein phosphatase N2 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| VIPR2 | Vasoactive intestinal polypeptide receptor 2 | G protein-coupled receptor activated by the neuropeptides vasoactive intestinal peptide (VIP) and pituitary adenylate cyclase-activating polypeptide (ADCYAP1/PACAP). |
| AUTS2 | Autism susceptibility gene 2 protein | Component of a Polycomb group (PcG) multiprotein PRC1-like complex, a complex class required to maintain the transcriptionally repressive state of many genes, including Hox genes, throughout development. |
| GALNT17 | Polypeptide N-acetylgalactosaminyltransferase 17 | May catalyze the initial reaction in O-linked oligosaccharide biosynthesis, the transfer of an N-acetyl-D-galactosamine residue to a serine or threonine residue on the protein receptor. |
| DYNC2I1 | Cytoplasmic dynein 2 intermediate chain 1 | Acts as one of several non-catalytic accessory components of the cytoplasmic dynein 2 complex (dynein-2 complex), a motor protein complex that drives the movement of cargos along microtubules within cilia and flagella in concert with the i… |
| NCAPG2 | Condensin-2 complex subunit G2 | Regulatory subunit of the condensin-2 complex, a complex which establishes mitotic chromosome architecture and is involved in physical rigidity of the chromatid axis. |
| ESYT2 | Extended synaptotagmin-2 | Tethers the endoplasmic reticulum to the cell membrane and promotes the formation of appositions between the endoplasmic reticulum and the cell membrane. |
| KCNE1 | Potassium voltage-gated channel subfamily E member 1 | Ancillary protein that functions as a regulatory subunit of the voltage-gated potassium (Kv) channel complex composed of pore-forming and potassium-conducting alpha subunits and of regulatory beta subunits. |
| NUCLEOLIN | Nucleolin | Nucleolin is the major nucleolar protein of growing eukaryotic cells. |
| PTPRN2 | Receptor-type tyrosine-protein phosphatase N2 | Plays a role in vesicle-mediated secretory processes. |
Protein-family classification
Druggable: 3 · Difficult: 1 · Unknown: 5 · Druggable fraction: 0.33
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Ion channel | 1 | 12.4× | 0.256 |
| Phosphatase | 1 | 9.3× | 0.256 |
| GPCR | 1 | 2.7× | 0.519 |
| Scaffold/PPI | 1 | 1.9× | 0.519 |
| Other/Unknown | 5 | 1.0× | 0.641 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| VIPR2 | GPCR | yes | GPCR_2_secretin-like, GPCR_2_VIP_rcpt, GPCR_2_extracellular_dom | |
| AUTS2 | Other/Unknown | no | AUTS2 | |
| GALNT17 | Other/Unknown | no | Ricin_B_lectin, Glyco_trans_2-like, Nucleotide-diphossugar_trans | |
| DYNC2I1 | Scaffold/PPI | no | WD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_dom_sf | |
| NCAPG2 | Other/Unknown | no | ARM-like, ARM-type_fold, Condensin2_G2 | |
| ESYT2 | Other/Unknown | no | C2_dom, SMP_LBD, C2_domain_sf | |
| KCNE1 | Ion channel | yes | K_chnl_KCNE, KCNE1 | |
| NUCLEOLIN | Other/Unknown | no | RRM_dom, RRM_euk-type, Nucleotide-bd_a/b_plait_sf | |
| PTPRN2 | Phosphatase | yes | 3.1.3.48 | PTP_cat, Tyr_Pase_dom, Tyr_Pase_cat |
Expression context
Cohort genes with no expression data: 0.
9 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 9 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| cortical plate | 2 |
| ganglionic eminence | 2 |
| ventricular zone | 2 |
| apex of heart | 1 |
| heart left ventricle | 1 |
| mucosa of stomach | 1 |
| tibia | 1 |
| cerebellar vermis | 1 |
| dorsal root ganglion | 1 |
| trigeminal ganglion | 1 |
| right uterine tube | 1 |
| sperm | 1 |
| sural nerve | 1 |
| oocyte | 1 |
| secondary oocyte | 1 |
| calcaneal tendon | 1 |
| layer of synovial tissue | 1 |
| saphenous vein | 1 |
| blood | 1 |
| leukocyte | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| VIPR2 | 169 | broad | marker | mucosa of stomach, apex of heart, heart left ventricle |
| AUTS2 | 292 | ubiquitous | marker | cortical plate, tibia, ganglionic eminence |
| GALNT17 | 199 | broad | marker | trigeminal ganglion, dorsal root ganglion, cerebellar vermis |
| DYNC2I1 | 269 | ubiquitous | marker | sural nerve, right uterine tube, sperm |
| NCAPG2 | 217 | ubiquitous | marker | ventricular zone, secondary oocyte, oocyte |
| ESYT2 | 261 | ubiquitous | marker | layer of synovial tissue, calcaneal tendon, saphenous vein |
| KCNE1 | 121 | broad | marker | blood, monocyte, leukocyte |
| NUCLEOLIN | 165 | ubiquitous | marker | ventricular zone, ganglionic eminence, cortical plate |
| PTPRN2 | 254 | broad | marker | lateral nuclear group of thalamus, middle temporal gyrus, lateral globus pallidus |
Protein interactions among cohort
Intra-cohort edges: 4.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| NUCLEOLIN | 5,960 |
| NCAPG2 | 1,831 |
| AUTS2 | 1,700 |
| ESYT2 | 1,684 |
| PTPRN2 | 1,491 |
| VIPR2 | 1,488 |
| KCNE1 | 1,005 |
| DYNC2I1 | 955 |
| GALNT17 | 852 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| AUTS2 | GALNT17 | string_interaction |
| DYNC2I1 | ESYT2 | string_interaction |
| DYNC2I1 | NCAPG2 | string_interaction |
| ESYT2 | NCAPG2 | string_interaction |
Structural data
PDB: 7 · AlphaFold-only: 2 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| KCNE1 | P15382 | 5 |
| DYNC2I1 | Q8WVS4 | 4 |
| ESYT2 | A0FGR8 | 4 |
| NUCLEOLIN | P19338 | 4 |
| VIPR2 | P41587 | 3 |
| PTPRN2 | Q92932 | 3 |
| NCAPG2 | Q86XI2 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| GALNT17 | Q6IS24 | 90.68 |
| AUTS2 | Q8WXX7 | 41.89 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 19. Enrichment computed across 9 evidence-associated genes (9 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 9 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Glycosphingolipid transport | 1 | 158.6× | 0.050 | ESYT2 |
| Assembly and Release of Dengue Virus Virions | 1 | 158.6× | 0.050 | NUCLEOLIN |
| Phase 3 - rapid repolarisation | 1 | 126.9× | 0.050 | KCNE1 |
| Phase 2 - plateau phase | 1 | 84.6× | 0.056 | KCNE1 |
| Respiratory syncytial virus (RSV) attachment and entry | 1 | 55.2× | 0.068 | NUCLEOLIN |
| Glucagon-type ligand receptors | 1 | 38.5× | 0.080 | VIPR2 |
| RUNX1 interacts with co-factors whose precise effect on RUNX1 targets is not known | 1 | 33.4× | 0.080 | AUTS2 |
| Intraflagellar transport | 1 | 22.3× | 0.101 | DYNC2I1 |
| O-linked glycosylation of mucins | 1 | 20.5× | 0.101 | GALNT17 |
| Condensation of Prophase Chromosomes | 1 | 17.4× | 0.103 | NCAPG2 |
| Transcriptional regulation by RUNX1 | 1 | 16.3× | 0.103 | AUTS2 |
| Cardiac conduction | 1 | 12.1× | 0.126 | KCNE1 |
| Muscle contraction | 1 | 8.6× | 0.158 | KCNE1 |
| G alpha (s) signalling events | 1 | 8.1× | 0.158 | VIPR2 |
| Major pathway of rRNA processing in the nucleolus and cytosol | 1 | 6.9× | 0.173 | NUCLEOLIN |
| Neutrophil degranulation | 1 | 2.6× | 0.375 | PTPRN2 |
| RNA Polymerase II Transcription | 1 | 2.5× | 0.375 | AUTS2 |
| Gene expression (Transcription) | 1 | 2.0× | 0.428 | AUTS2 |
| Generic Transcription Pathway | 1 | 1.7× | 0.460 | AUTS2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 9 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| vestibular nucleus development | 1 | 936.2× | 0.023 | KCNE1 |
| secretory granule organization | 1 | 374.5× | 0.023 | KCNE1 |
| regulation of secretion | 1 | 312.1× | 0.023 | PTPRN2 |
| obsolete endoplasmic reticulum-plasma membrane tethering | 1 | 312.1× | 0.023 | ESYT2 |
| negative regulation of protein targeting to membrane | 1 | 312.1× | 0.023 | KCNE1 |
| negative regulation of delayed rectifier potassium channel activity | 1 | 312.1× | 0.023 | KCNE1 |
| positive regulation of chromosome condensation | 1 | 234.1× | 0.023 | NCAPG2 |
| regulation of potassium ion transport | 1 | 208.1× | 0.023 | KCNE1 |
| cardiac muscle cell contraction | 1 | 187.2× | 0.023 | KCNE1 |
| membrane repolarization during action potential | 1 | 187.2× | 0.023 | KCNE1 |
| membrane repolarization during cardiac muscle cell action potential | 1 | 187.2× | 0.023 | KCNE1 |
| dendrite extension | 1 | 187.2× | 0.023 | AUTS2 |
| membrane repolarization during ventricular cardiac muscle cell action potential | 1 | 187.2× | 0.023 | KCNE1 |
| positive regulation of chromosome separation | 1 | 187.2× | 0.023 | NCAPG2 |
| epithelial cell maturation | 1 | 170.2× | 0.023 | KCNE1 |
| positive regulation of transcription of nucleolar large rRNA by RNA polymerase I | 1 | 170.2× | 0.023 | NUCLEOLIN |
| insulin secretion involved in cellular response to glucose stimulus | 1 | 144.0× | 0.023 | PTPRN2 |
| positive regulation of chromosome segregation | 1 | 144.0× | 0.023 | NCAPG2 |
| membrane repolarization | 1 | 144.0× | 0.023 | KCNE1 |
| intraciliary retrograde transport | 1 | 124.8× | 0.023 | DYNC2I1 |
| potassium ion export across plasma membrane | 1 | 117.0× | 0.023 | KCNE1 |
| inner cell mass cell proliferation | 1 | 110.1× | 0.023 | NCAPG2 |
| ventricular cardiac muscle cell action potential | 1 | 110.1× | 0.023 | KCNE1 |
| positive regulation of potassium ion transmembrane transport | 1 | 110.1× | 0.023 | KCNE1 |
| chromosome condensation | 1 | 93.6× | 0.025 | NCAPG2 |
| regulation of ventricular cardiac muscle cell membrane repolarization | 1 | 93.6× | 0.025 | KCNE1 |
| neurotransmitter secretion | 1 | 78.0× | 0.028 | PTPRN2 |
| cardiac muscle cell action potential involved in contraction | 1 | 78.0× | 0.028 | KCNE1 |
| positive regulation of Rac protein signal transduction | 1 | 72.0× | 0.030 | AUTS2 |
| regulation of potassium ion transmembrane transport | 1 | 69.3× | 0.030 | KCNE1 |
Therapeutics
Drugs indicated for this disease
0 approved, 1 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Methionine | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Vatiquinone.
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 2 · Phased (≥1): 2 · Undrugged: 7
Druggability breadth: 4 of 9 evidence-associated genes (44%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| KCNE1 | AMBRISENTAN |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| KCNE1 | 14 | 4 |
| VIPR2 | 2 | 3 |
| AUTS2 | 0 | 0 |
| GALNT17 | 0 | 0 |
| DYNC2I1 | 0 | 0 |
| NCAPG2 | 0 | 0 |
| ESYT2 | 0 | 0 |
| NUCLEOLIN | 0 | 0 |
| PTPRN2 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| AMBRISENTAN | 4 | KCNE1 |
| DULOXETINE | 4 | KCNE1 |
| PALONOSETRON | 4 | KCNE1 |
| DARUNAVIR | 4 | KCNE1 |
| DARIFENACIN | 4 | KCNE1 |
| TOLTERODINE | 4 | KCNE1 |
| SOLIFENACIN | 4 | KCNE1 |
| EVEROLIMUS | 4 | KCNE1 |
| RALTEGRAVIR | 4 | KCNE1 |
| MARAVIROC | 4 | KCNE1 |
| ALVIMOPAN | 4 | KCNE1 |
| NEBIVOLOL | 4 | KCNE1 |
| SUNITINIB | 4 | KCNE1 |
| NELFINAVIR | 4 | KCNE1 |
| AVIPTADIL | 3 | VIPR2 |
| MK-0893 | 2 | VIPR2 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| KCNE1 | 117 | Functional:63, Binding:47, ADMET:6, Toxicity:1 |
| VIPR2 | 27 | Functional:14, Binding:13 |
| NUCLEOLIN | 8 | Binding:8 |
| ESYT2 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| PTPRN2 | 3.1.3.48 | protein-tyrosine-phosphatase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| KCNE1 | 117 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 9; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
16 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| AMBRISENTAN | 4 | KCNE1 |
| DULOXETINE | 4 | KCNE1 |
| PALONOSETRON | 4 | KCNE1 |
| DARUNAVIR | 4 | KCNE1 |
| DARIFENACIN | 4 | KCNE1 |
| TOLTERODINE | 4 | KCNE1 |
| SOLIFENACIN | 4 | KCNE1 |
| EVEROLIMUS | 4 | KCNE1 |
| RALTEGRAVIR | 4 | KCNE1 |
| MARAVIROC | 4 | KCNE1 |
| ALVIMOPAN | 4 | KCNE1 |
| NEBIVOLOL | 4 | KCNE1 |
| SUNITINIB | 4 | KCNE1 |
| NELFINAVIR | 4 | KCNE1 |
| AVIPTADIL | 3 | VIPR2 |
| MK-0893 | 2 | VIPR2 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | KCNE1 |
| B | Phased (≥1) drug, not yet approved | 1 | VIPR2 |
| C | Druggable family + PDB, no drug | 1 | PTPRN2 |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 6 | AUTS2, GALNT17, DYNC2I1, NCAPG2, ESYT2, NUCLEOLIN |
Undrugged target profiles
7 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| AUTS2 | 0 | — |
| GALNT17 | 0 | — |
| DYNC2I1 | 0 | — |
| NCAPG2 | 0 | — |
| ESYT2 | 1 | — |
| NUCLEOLIN | 8 | — |
| PTPRN2 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 21.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 9 |
| PHASE2 | 5 |
| PHASE1 | 3 |
| PHASE1/PHASE2 | 2 |
| PHASE3 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT02903355 | PHASE3 | TERMINATED | Phase 3 Clinical Trial: D-methionine to Reduce Noise-Induced Hearing Loss (NIHL) |
| NCT07304024 | PHASE1/PHASE2 | RECRUITING | A Treatment for a Form of Age-Related Central Auditory Processing Disorder Consisting of Clemastine Fumarate Plus Engineered Sound |
| NCT00808470 | PHASE2 | COMPLETED | Micronutrients to Prevent Noise-induced Hearing Loss |
| NCT02049073 | PHASE1/PHASE2 | WITHDRAWN | Prevention of Noise-induced Hearing Loss |
| NCT02257983 | PHASE2 | COMPLETED | Protective Effects of EPI-743 on Noise-Induced Hearing Loss |
| NCT02779192 | PHASE2 | UNKNOWN | A Phase 2b Study of SPI-1005 to Prevent Acute Noise Induced Hearing Loss |
| NCT04120116 | PHASE2 | COMPLETED | FX-322 in Adults With Stable Sensorineural Hearing Loss |
| NCT05086276 | PHASE2 | COMPLETED | FX-322 in Adults With Acquired Sensorineural Hearing Loss |
| NCT02259595 | PHASE1 | COMPLETED | Study to Determine the Safety, Tolerability, and Pharmacokinetic Profile of HPN-07 and HPN-07 Plus NAC |
| NCT04601909 | PHASE1 | COMPLETED | FX-322 in Adults With Age-Related Sensorineural Hearing Loss |
| NCT04629664 | PHASE1 | COMPLETED | FX-322 in Adults With Severe Sensorineural Hearing Loss |
| NCT07472023 | EARLY_PHASE1 | ENROLLING_BY_INVITATION | Regenerative Medicine and Stem Cell-Based Interventions for Inner Ear Trauma, Tinnitus, and Sensorineural Hearing Loss |
| NCT06729632 | Not specified | RECRUITING | Non-Invasive System to Deliver Therapeutic Hypothermia for Protection Against Noise-Induced Hearing Loss |
| NCT07513077 | Not specified | RECRUITING | Prevention of Noise-Induced Hearing Loss in Primary Education |
| NCT07534098 | Not specified | NOT_YET_RECRUITING | Intervention for Hearing Health Among Native Americans |
| NCT01454895 | Not specified | COMPLETED | Test of a Web-based Intervention to Promote Hearing Protector Use |
| NCT01727492 | Not specified | UNKNOWN | Prevention of Noise-induced Damage by Use of Antioxidants |
| NCT02472821 | Not specified | COMPLETED | Test of Hearing Health Education Programs for Farm and Rural Youth |
| NCT04183361 | Not specified | UNKNOWN | ABR Characteristics and Salivary Cortisone Concentration in Noise-exposed Workers |
| NCT05511753 | Not specified | UNKNOWN | The Effect of Acupuncture on Patients With Noise-induced Hearing Loss |
| NCT05636488 | Not specified | UNKNOWN | Determination of the Effects of Noise Level in the Operating Room |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| METHYLPREDNISOLONE | 4 | 1 |
| ZONISAMIDE | 4 | 1 |
| DISUFENTON SODIUM | 3 | 1 |
| EBSELEN | 3 | 1 |
| VATIQUINONE | 3 | 1 |
| CHEMBL1234268 | 0 | 1 |
Related Atlas pages
- Cohort genes: VIPR2, AUTS2, GALNT17, DYNC2I1, NCAPG2, ESYT2, KCNE1, NUCLEOLIN, PTPRN2
- Drugs: Methylprednisolone, Zonisamide, Disufenton, Ebselen, Vatiquinone