AI Drug Discovery for Pharma and Biotech

Drug discovery

8

drugs

With orphan designations

Overview

Non-syndromic genetic deafness is the most common hereditary hearing disorder, characterized by isolated sensorineural hearing loss without associated systemic features. It accounts for ~70% of genetic hearing loss cases, primarily caused by mutations in genes like GJB2 (connexin 26) and SLC26A4. Inheritance patterns include autosomal recessive (75-80%), dominant (20-25%), X-linked (1-2%), and mitochondrial (<1%) [1][2][6]. Severity ranges from mild to profound, often presenting prelingually [14].

Population

Affects 1-3 per 1,000 live births worldwide, with 60-80% of congenital hearing loss cases attributed to genetic causes in developed countries [1][2][5]. Over 120 genes are implicated, with GJB2 variants responsible for 50% of autosomal recessive cases [1][6][14].

Burden

Major contributor to childhood disability, impacting speech development, education, and socioeconomic outcomes [9]. Annual global economic burden exceeds $750 billion, with suboptimal outcomes in 30% of cochlear implant recipients [8][16]. Early genetic diagnosis via newborn screening improves intervention timing [9].

Therapies

  • Standard care: Hearing aids, cochlear implants, and bone-anchored devices [8][16].

  • Emerging therapies: Gene replacement (AAV vectors) and CRISPR/Cas9 editing targeting TMC1, KCNQ4, and STRC in clinical trials [3][8][19].

Categories: rare genetic diseases, rare otorhinolaryngological diseases

Research Papers

239 drug discovery papers about Non-syndromic genetic deafness, with 2 first-in-class and 1 next-in-class emerging drug candidates forecasted to outperform the average preclinical success rate. Recent publications:

239 drug discovery papers about Non-syndromic genetic deafness, with 2 first-in-class and 1 next-in-class emerging drug candidates forecasted to outperform the average preclinical success rate. Recent publications:

2026-06-09 | Quinazoline alleviates inner ear damage by enhancing the proliferation and differentiation of neural stem cells.

Neural stem cell (NSC) transplantation exerts therapeutic effects on inner ear damage and pretreatment with quinazoline compounds may further enhance this efficacy. This study aimed to investigate whether quinazoline alleviates inner ear damage by enhancing the proliferation and differentiation of NSCs. Forty Hartley guinea pigs were randomly assigned to four groups. Hippocampal NSCs isolated from neonatal guinea pigs were pretreated with quinazoline and transplanted into animals with cisplatin-induced hearing loss. Evaluations included NSC proliferation and differentiation, auditory brainstem response (ABR) thresholds and miR-183 expression in cochlear tissues. Quinazoline pretreatment significantly enhanced NSC proliferation and differentiation (P<0.05). After transplantation, the group receiving quinazoline-pretreated NSCs showed a significantly lower ABR threshold (reflecting an approximately 10 dB improvement in hearing recovery) than the group receiving untreated NSCs (P<0.05). This was accompanied by more pronounced structural repair of the cochlea and a significant upregulation of miR-183 expression (P<0.05). Quinazoline promotes the repair of inner ear injury by enhancing the proliferation and differentiation of NSCs, a mechanism that appears to be associated with the upregulation of miR-183 expression.

Open article ↗



2026-06-04 | Tonotopic specialization of MYO7A isoforms in auditory hair cells.

Mutations in Myo7a cause Usher syndrome type 1B and non-syndromic deafness, but the precise function of MYO7A in sensory hair cells remains unclear. Using long-read sequencing, we identify and characterize a novel isoform, MYO7A-N, expressed in auditory hair cells alongside the canonical MYO7A-C. Isoform-specific knock-in mouse models reveal that inner hair cells primarily express MYO7A-C, while outer hair cells express both isoforms in opposing tonotopic gradients. Both isoforms are localized to the upper tip-link insertion site, consistent with a role in the tip link for mechanotransduction. Loss of MYO7A-N leads to outer hair cell degeneration and progressive hearing loss. Cryo-EM structures reveal isoform-specific differences at actomyosin interfaces, correlating with distinct ATPase activities. These findings reveal an unexpected layer of molecular diversity within the mechanotransduction machinery. We propose that MYO7A isoform specialization enables fine-tuning of tip-link tension, thus hearing sensitivity, and contributes to the frequency-resolving power of the cochlea.

Open article ↗



2026-05-27 | OSBPL2 deficiency impaired autophagy and induced apoptosis in auditory cells via AMPK-TFEB signalling pathway.

OSBPL2 was identified as a causal gene responsible for autosomal dominant non-syndromic hearing loss. Previous study revealed that OSBPL2-mediated AMPK signalling was crucial for cholesterol-homeostasis in inner ear. AMPK is the downstream component of a kinase cascade as the key regulator of autophagy, metabolism, cell growth and apoptosis, etc. In addition, OSBPL2 deficiency could lead to autophagy impairment in auditory cells, indicating the potential role of OSBPL2-mediated AMPK signalling in autophagy. In the present study, autophagy function was characterized in hair cells (HCs) of Osbpl2-knockout mice and in Osbpl2-knockdown HEI-OC1 cells. The results showed that OSBPL2 deficiency impaired autophagy by inhibiting AMPK-TFEB signalling, resulting in aberrant accumulation of lipid droplets and apoptosis in auditory cells, which could be partially reversed by trehalose treatment. This study revealed the implications of OSBPL2 for autophagy in auditory cell and contributed to elucidating the pathogenesis of OSBPL2 mutations in hearing loss.

Open article ↗



2026-06-09 | Quinazoline alleviates inner ear damage by enhancing the proliferation and differentiation of neural stem cells.

Neural stem cell (NSC) transplantation exerts therapeutic effects on inner ear damage and pretreatment with quinazoline compounds may further enhance this efficacy. This study aimed to investigate whether quinazoline alleviates inner ear damage by enhancing the proliferation and differentiation of NSCs. Forty Hartley guinea pigs were randomly assigned to four groups. Hippocampal NSCs isolated from neonatal guinea pigs were pretreated with quinazoline and transplanted into animals with cisplatin-induced hearing loss. Evaluations included NSC proliferation and differentiation, auditory brainstem response (ABR) thresholds and miR-183 expression in cochlear tissues. Quinazoline pretreatment significantly enhanced NSC proliferation and differentiation (P<0.05). After transplantation, the group receiving quinazoline-pretreated NSCs showed a significantly lower ABR threshold (reflecting an approximately 10 dB improvement in hearing recovery) than the group receiving untreated NSCs (P<0.05). This was accompanied by more pronounced structural repair of the cochlea and a significant upregulation of miR-183 expression (P<0.05). Quinazoline promotes the repair of inner ear injury by enhancing the proliferation and differentiation of NSCs, a mechanism that appears to be associated with the upregulation of miR-183 expression.

Open article ↗



2026-06-04 | Tonotopic specialization of MYO7A isoforms in auditory hair cells.

Mutations in Myo7a cause Usher syndrome type 1B and non-syndromic deafness, but the precise function of MYO7A in sensory hair cells remains unclear. Using long-read sequencing, we identify and characterize a novel isoform, MYO7A-N, expressed in auditory hair cells alongside the canonical MYO7A-C. Isoform-specific knock-in mouse models reveal that inner hair cells primarily express MYO7A-C, while outer hair cells express both isoforms in opposing tonotopic gradients. Both isoforms are localized to the upper tip-link insertion site, consistent with a role in the tip link for mechanotransduction. Loss of MYO7A-N leads to outer hair cell degeneration and progressive hearing loss. Cryo-EM structures reveal isoform-specific differences at actomyosin interfaces, correlating with distinct ATPase activities. These findings reveal an unexpected layer of molecular diversity within the mechanotransduction machinery. We propose that MYO7A isoform specialization enables fine-tuning of tip-link tension, thus hearing sensitivity, and contributes to the frequency-resolving power of the cochlea.

Open article ↗



2026-05-27 | OSBPL2 deficiency impaired autophagy and induced apoptosis in auditory cells via AMPK-TFEB signalling pathway.

OSBPL2 was identified as a causal gene responsible for autosomal dominant non-syndromic hearing loss. Previous study revealed that OSBPL2-mediated AMPK signalling was crucial for cholesterol-homeostasis in inner ear. AMPK is the downstream component of a kinase cascade as the key regulator of autophagy, metabolism, cell growth and apoptosis, etc. In addition, OSBPL2 deficiency could lead to autophagy impairment in auditory cells, indicating the potential role of OSBPL2-mediated AMPK signalling in autophagy. In the present study, autophagy function was characterized in hair cells (HCs) of Osbpl2-knockout mice and in Osbpl2-knockdown HEI-OC1 cells. The results showed that OSBPL2 deficiency impaired autophagy by inhibiting AMPK-TFEB signalling, resulting in aberrant accumulation of lipid droplets and apoptosis in auditory cells, which could be partially reversed by trehalose treatment. This study revealed the implications of OSBPL2 for autophagy in auditory cell and contributed to elucidating the pathogenesis of OSBPL2 mutations in hearing loss.

Open article ↗



Access all drug discovery articles and probability of success in trials forecasts:

Access all drug discovery articles and probability of success in trials forecasts:

Drug Discovery Landscape

8 orphan drug designations for Non-syndromic genetic deafness, including 1 approved therapy.

8 orphan drug designations for Non-syndromic genetic deafness, including 1 approved therapy.

Drug

Therapy type

Regulator

Orphan designation

Approval

Sponsor

dual vector gene therapy product containing recombinant adeno-associated viral vector serotype expressing full human OTOF protein

gene therapies

FDA

2024-08-06

Suzhou Otovia Therapeutics Co., Ltd.

Dual recombinant adeno-associated viral vectors encoding the human otoferlin gene

gene therapies

FDA

2023-12-21

Shanghai Refreshgene Therapeutics Co., Ltd.

Adeno-associated viral vector serotype 1 containing the 3' portion of human OTOF gene, adeno-associated viral vector serotype 1 containing the 5' portion of human OTOF gene

gene therapies

EMA

2023-03-20

Regeneron Ireland Designated Activity Company

A dual vector gene therapy product containing AAV8 vectors expressing the 5¿ and 3¿ portion of human otoferlin (OTOF) gene

gene therapies

FDA

2022-11-29

Sensorion S.A.

Adeno‐associated viral vector serotype 8 containing the 3' human otoferlin coding sequence, adeno‐associated viral vector serotype 8 containing the 5' human otoferlin coding sequence

gene therapies

EMA

2022-10-11

Sensorion

lunsotogene parvec-cwha [Otarmeni]

gene therapies

FDA

2021-08-11

2026-04-23

Regeneron Pharmaceuticals, Inc.

Adeno-associated viral vector serotype Anc80 containing the 3' portion of human OTOF gene, adeno-associated viral vector serotype Anc80 containing the 5' portion of human OTOF gene

gene therapies

EMA

2021-07-19

Eli Lilly Nederland B.V.

A recombinant adeno-associated viral (AAV) vector encoding the human otoferlin (hOTOF) gene.

gene therapies

FDA

2021-04-12

Akouos, Inc.

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At Explority, we build first-of-its-kind AI to bring clarity to the earliest and riskiest stages of pharmaceutical research by forecasting which therapies are most likely to succeed. Explority AI web and mobile applications are properties of the Explority AI Inc., a company registered in the United States (File No. 10320493).
For all questions: support@explority.ai

Copyright © 2026 Explority AI Inc.

Explority AI logo

228 Park Ave S,
New York, USA.

At Explority, we build first-of-its-kind AI to bring clarity to the earliest and riskiest stages of pharmaceutical research by forecasting which therapies are most likely to succeed. Explority AI web and mobile applications are properties of the Explority AI Inc., a company registered in the United States (File No. 10320493).
For all questions: support@explority.ai

Copyright © 2026 Explority AI Inc.

Explority AI logo

228 Park Ave S,
New York, USA.

At Explority, we build first-of-its-kind AI to bring clarity to the earliest and riskiest stages of pharmaceutical research by forecasting which therapies are most likely to succeed. Explority AI web and mobile applications are properties of the Explority AI Inc., a company registered in the United States (File No. 10320493).
For all questions: support@explority.ai

Copyright © 2026 Explority AI Inc.