- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03007472
Clinical Evaluation of the Cochlear Nucleus CI532 Cochlear Implant in Adults (SME)
December 4, 2020 updated by: Cochlear
Clinical Evaluation of the Cochlear Nucleus(R) CI532 Cochlear Implant in Adults
The purpose of this study is to gather long-term data on the FDA approved CI532 cochlear implant, and CP1000 (Nucleus 7) sound processor
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Appropriate candidates will receive a CI532 cochlear implant and be fit with the CP1000 sound processor.
Imaging will be completed pre-op, intra-op, and post-op to assess implant location.
Speech perception testing as well as subjective questionnaires will be administered over 12 months.
Study Type
Interventional
Enrollment (Actual)
96
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Colorado
-
Englewood, Colorado, United States, 80113
- Rocky Mountain Ear Center
-
-
Iowa
-
Iowa City, Iowa, United States, 52242
- University of Iowa
-
-
Michigan
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Ann Arbor, Michigan, United States, 48108
- University of Michigan
-
-
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
-
-
New York
-
New York, New York, United States, 10016
- New York University
-
-
Ohio
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Columbus, Ohio, United States, 13212
- The Ohio State University
-
-
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
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
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
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / 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
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
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
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.
|
12 months post-activation
|
|
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.
|
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.
|
Following 12-month study visit but prior to 36-month interval.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Jillian Crosson, PhD, Senior Manager of Clinical Services
- Study Director: Megan Mears, AuD, Clinical Project Manager
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 15, 2017
Primary Completion (Actual)
December 3, 2018
Study Completion (Actual)
March 6, 2020
Study Registration Dates
First Submitted
December 27, 2016
First Submitted That Met QC Criteria
December 30, 2016
First Posted (Estimate)
January 2, 2017
Study Record Updates
Last Update Posted (Actual)
December 30, 2020
Last Update Submitted That Met QC Criteria
December 4, 2020
Last Verified
December 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CLTD5685
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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