This prospective study is a randomized, double-blind, placebo-controlled Phase 3 clinical trial of oral D-methionine (D-met) to reduce noise-induced hearing loss (NIHL) and tinnitus. The goal of the study is to develop a safe, oral pharmacological agent to augment physical hearing protectors for noise exposures that exceed the protective capabilities of ear plugs and/or muffs. The study population is a cohort of Drill Sergeant (DS) instructor trainees during and 22 days after their 11 day weapons training. The primary objective of this study is to determine the efficacy of D-met in preventing NIHL or reducing tinnitus secondary to a minimum of 500 rounds of M-16 weapons training occurring over an 11 day period.
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ASHA Shift Ear (Left)
Timeframe: Change from baseline to day 29-36 after initial administration of study drug (Day 15-22 after cessation of weapons training).
ASHA Shift Ear (Right)
Timeframe: Change from baseline to day 29-36 after initial administration of study drug (Day 15-22 after cessation of weapons training).
ASHA Shift Ear (Either)
Timeframe: Change from baseline to day 29-36 after initial administration of study drug (Day 15-22 after cessation of weapons training).
ASHA Shift Ear (Both)
Timeframe: Change from baseline to day 29-36 after initial administration of study drug (Day 15-22 after cessation of weapons training).
ASHA Shift Ear (Trigger Hand)
Timeframe: Change from baseline to day 29-36 after initial administration of study drug (Day 15-22 after cessation of weapons training).
ASHA Shift Ear (Non-Trigger Hand)
Timeframe: Change from baseline to day 29-36 after initial administration of study drug (Day 15-22 after cessation of weapons training).