Disufenton/acetylcysteine

Last updated

Disufenton/acetylcysteine
Combination of
Disufenton sodium Antioxidant
Acetylcysteine Antioxidant
Clinical data
Other namesDisufenton/N-acetylcysteine; HPN-07/NAC; NHPN-1010; NXY-059/NAC
Drug class
Legal status
Legal status
Pharmacokinetic data
Metabolism Unknown
Excretion Unknown

Disufenton/acetylcysteine (also known as HPN-07/NAC, NHPN-1010, or NXY-059/NAC) is an investigational combination therapy consisting of the nitrone free-radical trap disufenton sodium and the antioxidant N-acetylcysteine (NAC). It has been studied in preclinical research for noise-induced sensorineural hearing loss, tinnitus, cochlear synaptopathy, and traumatic brain injury, although as of 2024 there is no reported clinical development for any indication. [1]

Contents

Mechanism

Disufenton/acetylcysteine is described as acting through free-radical inhibition and oxygen-radical scavenging, processes relevant to oxidative stress injury in auditory and neural tissues. [2]

Rationale in auditory disorders

Oxidative stress and neuroinflammation contribute to noise induced cochlear injury, ribbon-synapse loss, and tinnitus-related neuronal hyperactivity. [3]

Tinnitus

Animal models have suggested that the combination may reduce behavioral correlates of tinnitus following noise trauma, likely via protection of inner-hair-cell synapses and reduction of neural hyperactivity. [4]

See also

References

  1. "Disufenton/acetylcysteine – AdisInsight". AdisInsight / Springer Nature. Retrieved 2025-11-14.
  2. Campbell K (2000). "Reduction of noise-induced hearing loss in chinchillas using N-acetylcysteine and acetyl-L-carnitine". Hearing Research. 149 (1–2): 138–146. doi:10.1016/s0378-5955(00)00176-3. PMID   11033253.
  3. Kujawa SG, Liberman MC (February 2006). "Acceleration of age-related hearing loss by early noise exposure: evidence of a misspent youth". The Journal of Neuroscience. 26 (7): 2115–2123. doi:10.1523/JNEUROSCI.4985-05.2006. PMC   1855187 . PMID   16481444.
  4. Falasca V, Greco A, Ralli M (2017). "Noise induced hearing loss: The role of oxidative stress". Otolaryngol Open J via ResearchGate.