Clinical Evaluation of the Cochlear Nucleus CI532 Cochlear Implant in Adults (SME)
Clinical Evaluation of the Cochlear Nucleus(R) CI532 Cochlear Implant in Adults
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Colorado
-
Englewood, Colorado, United States, 80113
- Rocky Mountain Ear Center
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-
Iowa
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Iowa City, Iowa, United States, 52242
- University of Iowa
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Michigan
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Ann Arbor, Michigan, United States, 48108
- University of Michigan
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-
Missouri
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Chesterfield, Missouri, United States, 63017
- The Center for Hearing and Balance Disorders
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Kansas City, Missouri, United States, 64111
- Midwest Ear Institute
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Saint Louis, Missouri, United States, 63110
- Washington University
-
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New York
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New York, New York, United States, 10016
- New York University
-
-
Ohio
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Columbus, Ohio, United States, 13212
- The Ohio State University
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-
Oklahoma
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Oklahoma City, Oklahoma, United States, 73120
- Hearts for Hearing
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Texas
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Dallas, Texas, United States, 75230
- Dallas Ear Institute
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adults 18 years or older who have a bilateral postlinguistic sensorineural hearing loss.
- Limited benefit from amplification as defined by test scores of 40% correct or less in the ear to be implanted and 50% or less in the contralateral ear on a recorded monosyllabic word test I. Consistent with the Minimum Speech Test Battery (2011), it is required that all subjects be evaluated at 60 dBA presentation level.
- Bilateral moderate sloping to profound hearing loss
- Minimum of 30 days experience with appropriately fit bilateral amplification, fit using the standardized National Acoustics Laboratory (NAL) fitting method
- Proficient in English
- Ability to complete testing -
Exclusion Criteria:
- Previous cochlear implantation
- Pre-linguistically deafened (onset of hearing loss at less than two years of age)
- Ossification or any other cochlear anomaly that might prevent complete insertion of the electrode array
- Duration of severe to profound hearing loss greater than 20 years
- Diagnosis of retro-cochlear pathology
- Diagnosis of auditory neuropathy
- Unrealistic expectations on the part of the subject regarding the possible benefits, risks, and limitations that are inherent to the surgical procedure and use of the prosthetic device
- Unwillingness or inability to comply with all investigational requirements
- Additional cognitive, medical or social handicaps that would prevent completion of all study requirements-
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: CI532/N7 study group
All subjects will receive a CI532 cochlear implant (intervention) and be fit with the CP1000 sound processor
|
Cochlear implant
Other Names:
Sound processor
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Pre- to 6 Months Post-implantation Speech Recognition in Quiet in the Implanted Ear Alone
Time Frame: Preoperatively and 6 months post sound processor activation
|
Group mean Consonant Nucleus Consonant (CNC) word recognition in quiet measured pre-operatively and again at 6 month post sound processor activation compared to the group mean score in the preoperative, best unilateral condition.
The CNC word test has a score range of 0-100% with higher values indicating better scores.
|
Preoperatively and 6 months post sound processor activation
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Evaluation of Change in Pre and Post Implantation Speech Recognition in Noise Scores in the Implanted Ear Alone
Time Frame: Preoperatively and 6 months post sound processor activation
|
Group mean AzBio sentence in noise score in the best unilateral condition compared to the group mean score in the preoperative, unilateral aided condition.
The AzBio sentence test has a score range of 0-100% with higher values indicating better scores.
|
Preoperatively and 6 months post sound processor activation
|
|
Change in Pre and Post Implantation Score on the Health Utility Index-3 (HUI3)
Time Frame: Preoperatively and 6 months post sound processor activaton
|
Group mean HUI3 score post sound processor activation compared to the scores measured preoperatively.
The HUI3 consists of eight attributes of general health (vision, hearing, speech, mobility, dexterity, emotion, cognition, and pain) with five or six levels per attribute.
For each respondent, health status is described as a vector that combines the levels of each attribute.
This information is then converted into a utility score of HRQL on a scale from perfect health (1.0) to death (0).
|
Preoperatively and 6 months post sound processor activaton
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Frequency Specific Thresholds and Speech Recognition in Noise or Quiet
Time Frame: 12 months post-activation
|
Frequency-specific thresholds at standard audiometric frequencies for each ear, and speech recognition in quiet (CNC words) or noise (AzBio sentences) in best unilateral and/or electric alone.
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12 months post-activation
|
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Speech Perception in Quiet and Noise With Change in Cochlear Implant Programming
Time Frame: Following 12-month study visit but prior to 36-month interval.
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Two optional study visits to evaluate whether a change in cochlear implant programming, specifically an increase in the number of channels will improve subject speech perception in quiet and noise.
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Following 12-month study visit but prior to 36-month interval.
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Jillian Crosson, PhD, Senior Manager of Clinical Services
- Study Director: Megan Mears, AuD, Clinical Project Manager
Publications and helpful links
General Publications
- Spahr AJ, Dorman MF, Litvak LM, Van Wie S, Gifford RH, Loizou PC, Loiselle LM, Oakes T, Cook S. Development and validation of the AzBio sentence lists. Ear Hear. 2012 Jan-Feb;33(1):112-7. doi: 10.1097/AUD.0b013e31822c2549.
- Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005 Apr;53(4):695-9. doi: 10.1111/j.1532-5415.2005.53221.x. Erratum In: J Am Geriatr Soc. 2019 Sep;67(9):1991.
- PETERSON GE, LEHISTE I. Revised CNC lists for auditory tests. J Speech Hear Disord. 1962 Feb;27:62-70. doi: 10.1044/jshd.2701.62. No abstract available.
- Grutters JP, Joore MA, van der Horst F, Verschuure H, Dreschler WA, Anteunis LJ. Choosing between measures: comparison of EQ-5D, HUI2 and HUI3 in persons with hearing complaints. Qual Life Res. 2007 Oct;16(8):1439-49. doi: 10.1007/s11136-007-9237-x. Epub 2007 Jul 24.
- Hiller W, Goebel G. Factors influencing tinnitus loudness and annoyance. Arch Otolaryngol Head Neck Surg. 2006 Dec;132(12):1323-30. doi: 10.1001/archotol.132.12.1323.
- Meinert,C(1986).ClinicalTrials:Design,Conduct,andAnalysis.OxfordUniversityPress,NewYork.
- Kelsall D, Lupo J, Biever A. Longitudinal outcomes of cochlear implantation and bimodal hearing in a large group of adults: A multicenter clinical study. Am J Otolaryngol. 2021 Jan-Feb;42(1):102773. doi: 10.1016/j.amjoto.2020.102773. Epub 2020 Oct 22.
- Wick CC, Kallogjeri D, McJunkin JL, Durakovic N, Holden LK, Herzog JA, Firszt JB, Buchman CA; CI532 Study Group. Hearing and Quality-of-Life Outcomes After Cochlear Implantation in Adult Hearing Aid Users 65 Years or Older: A Secondary Analysis of a Nonrandomized Clinical Trial. JAMA Otolaryngol Head Neck Surg. 2020 Oct 1;146(10):925-932. doi: 10.1001/jamaoto.2020.1585.
- Buchman CA, Herzog JA, McJunkin JL, Wick CC, Durakovic N, Firszt JB, Kallogjeri D; CI532 Study Group. Assessment of Speech Understanding After Cochlear Implantation in Adult Hearing Aid Users: A Nonrandomized Controlled Trial. JAMA Otolaryngol Head Neck Surg. 2020 Oct 1;146(10):916-924. doi: 10.1001/jamaoto.2020.1584.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CLTD5685
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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