So you have just an audio clip in Live and synced via midi?

Then maybe my little trick with putting the audio into Simpler/Sampler and triggering it from a midi track in OT might work. Set up a recorder trig on step 1 and an audio track and a midi note on step 1 on a midi track in OT. Then OT should trigger the playback of the audio in Live and at the same time sample the audio.
No midi sync.

When you do this and still have latency issues, how is your audio interface’s buffer size set?