- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04761926
Investigating Hearing With the Ponto 4, a Bone Anchored Hearing Aid
The study is a prospective, multi-center, single arm study The study is part of the Post Market Clinical Follow (PMCF) activity. The investigational device used in this study is the Ponto 4 already fitted to the subjects prior to the study. The device is CE marked and available on the market since June 2019.
Treatment is not provided in the study therefore risks are limited to the audiological measurements. The audiological measurements in the study are standard non-invasive measurements already familiar to the clinics.
The hearing with Ponto 4 will be evaluated via speech and hearing tests, and patient reported outcomes.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a post market clinical follow up (PMCF) study with the purpose of gather knowledge on the use and performance of the Ponto 4 device on existing Ponto 4 users. The study does not include any treatment or fitting of new devices, instead the real-life application of the use of Ponto 4 on subjects already using Ponto 4(s) are investigated.
The Investigational Device used in the study is Ponto 4, a CE marked, and FDA cleared bone anchored hearing solution, produced by Oticon Medical AB and commercially available since June 2019.
The recruitment for this clinical investigation will be performed among subjects who have already received a Ponto 4 device as a minimum 1.5 month prior to the study. 20 patients, including minors down to 12 years old, with a conductive, mixed hearing loss or single-sided deafness will be included. The rationale for including minors is that they are also users of the device, and it is found important to collect data from their experience of using the device as well.
The study is a prospective, multi-center study. It has one visit of 2,5-3 hours for adult subjects ≥18 years old. To minimize the burden and risks of tiredness for the minor subjects from 12-17 years old, the protocol activities can be divided into two visits. The decision will be based on the Investigators discretion.
The majority of the objectives of the study are prospectively collected whereas the BC In-situ (hearing with the Ponto 4 on) and audiometric data from the time of the fitting of Ponto 4, are collected retrospectively from the time of the fitting of Ponto 4.
The overall objectives of the study are to investigate the improvement in hearing with the Ponto 4(s) on the implanted ear(s), in terms of the subject's ability to hear sounds and understand speech when using the device.
The primary endpoint is to investigate the improvement in hearing with the Ponto 4(s) on the implanted ear for patients within intended use.
These will be evaluated through a hearing and a speech test, both assessing the hearing with the Ponto 4(s) both on and off. Additionally, the subject will complete 2 patient reported outcome, report daily usage time of the device and assess satisfaction of connectivity devices.
Minimal risks are expected for subjects participating in the study. Treatment is not provided in the study therefore risks are limited to the audiological measurements. The audiological measurements in the study are standard non-invasive measurements already familiar to the clinics. The measurements will require an extra effort and may be found slightly tiring by the subject. To mitigate the risk of tiredness the subject will be given the opportunity to have breaks during the visit.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Aalborg, Denmark, 9000
- Aalborg University Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Signed Informed Consent Form
- 12 years old and above
- Subjects with hearing loss fitted unilaterally or bilaterally with the Ponto 4(s) on abutment at least 1.5 months prior to being enrolled in the study
- Fluent in local language, as judged by the investigator
Exclusion Criteria:
- Participation in another clinical investigation which might cause interference with study participation.
- Subjects who do not have the ability or are un-willing to follow investigational procedures/requirements, e.g. to complete patient related outcome (PRO's) according to investigators discretion
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: single arm
Asessments for the hearing with Ponto 4 sound processor on the implanted ear(s).
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Audiometry: Thresholds from the audiogram obtained when Ponto 4 were fitted. Pure tone air conduction (AC) and bone conduction (BC) audiometry conducted at the visit. Speech recognition in quiet: Speech intelligibility is measured in a soundproof room using the Matrix sentences presented from a loudspeaker. The Matrix test includes five-word sentences with a fixed syntactical structure and limited contextual cues. A list of 20 sentences is compiled from these words, ensuring that no sentence is repeated twice. This test will be obtained both unaided and aided (with and without the Ponto 4(s)). Sound field Audiometry: Detection of sound field thresholds presented from a loudspeaker. Thresholds will be obtained both unaided and aided and the test order will be balanced between subjects. During these measurements, the Ponto 4 will be programmed in omni-directional mode, with noise reduction and feedback management system turned off.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To investigate the improvement in hearing with the Ponto 4 (s) on the implanted ear for patients within intended use.
Time Frame: Visit 1, Day 1
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Functional gain with Ponto 4, i.e. the difference between average unaided and aided sound field thresholds.
The functional gain (PTA4) is calculated as the average of frequencies 500, 1000, 2000 and 4000 Hz.
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Visit 1, Day 1
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
B. To assess the improvement of hearing with the Ponto 4 on the implanted ear(s).
Time Frame: Visit 1, Day 1
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1. Functional gain with Ponto 4, i.e. the difference between unaided and aided sound field thresholds, for frequencies 250, 500, 1000, 2000, 3000, 4000, 6000 and 8000 Hz.
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Visit 1, Day 1
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C. To assess the improvement of speech recognition with Ponto 4 on the implanted ear(s).
Time Frame: Visit 1,Day 1
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Difference in speech recognition score in percent between unaided and aided, assessed in quiet.
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Visit 1,Day 1
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G. To assess the degree to which the Ponto 4 compensates for the BC hearing loss on the implanted ear(s).
Time Frame: After study completion, 6 months
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After study completion, 6 months
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H. To evaluate the above objectives on individual levels
Time Frame: After study completion, 6 months
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1. Endpoints A1, B1, C1 analyzed as the proportion of subjects whose performance is better or equal in the unaided to aided comparisons, i.e. have a difference ≥0
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After study completion, 6 months
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I. To assess the degree of inner ear hearing loss degradation on the implanted ear(s) (for SSD the stimulated ear).
Time Frame: After study completion, 6 months
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1. Hearing loss degradation is the difference in dB between masked (if not available unmasked) BC thresholds obtained at the study visit, and at the visit when Ponto 4(s) was fitted
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After study completion, 6 months
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J. To assess if a patient's with CHL/MHL hearing loss has degraded to being outside fitting range on the implanted ear(s).
Time Frame: After study completion, 6 months
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1. BC hearing loss (PTA4), measured at the study visit, being outside intended fitting range (PTA4 >45 dB HL) compared to being inside fitting range (PTA<45 dB HL) at the time of the study visit.
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After study completion, 6 months
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K. To asses if patients' with CHL/MHL air to bone gap (PTA4) has increased/decreased on the implanted ear(s)
Time Frame: After study completion, 6 moths
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1.
The difference between masked (if not available unmasked) BC and AC thresholds, denoted 'air to bone gap', calculated for frequencis 500, 1000, 2000 and 4000 Hz from audiogram measured at the study visit and the fitting visit.
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After study completion, 6 moths
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
L. To assess the usage and performance of connectivity device(s)
Time Frame: Visit 1, Day 1
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1. Questionnaire: Self-reported usage, usage hours and satisfaction ratings 0-10, for connectivity device(s) previously given to the test subject, where 0 is "very unsatisfied" and 10 is "very satisfied".
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Visit 1, Day 1
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F. To assess the usage time with Ponto 4.
Time Frame: Visit 1, Day 1
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Visit 1, Day 1
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E. To assess the quality of life of the Ponto 4
Time Frame: Visit 1, Day 1 (For minors: Can be performed at a Visit 2, week 2, +/- 1 week)
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GHSI Questionnaire: Scores across all subjects, on a subjective 0-5 likert scale
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Visit 1, Day 1 (For minors: Can be performed at a Visit 2, week 2, +/- 1 week)
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D. To assess the subjective experience of the Ponto 4
Time Frame: Visit 1,Day 1 (For minors: Can be performed at a Visit 2, week 2, +/- 1 week)
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SSQ Questionnaire: Scores across all subjects, on a subjective scale from 0-10, where 0 is "the worst" and 10 is "the best"
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Visit 1,Day 1 (For minors: Can be performed at a Visit 2, week 2, +/- 1 week)
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Chris L Jacobsen, MD, Aalborg University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- BC110
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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