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Same-Day Cochlear Implant Activation (SDA-CI) (SDA-CI)

30. juni 2026 opdateret af: University of Aarhus

Randomized Study of Same-Day Activation Versus Day-14 Activa- Tion in Adult Cochlear Implant Recipients

This randomized controlled study investigates whether activating a cochlear implant on the day of surgery (same-day activation) leads to faster stabilization of cochlear implant programming compared with the current standard practice of activation approximately 14 days after surgery.

Adult cochlear implant recipients at Aarhus University Hospital will be randomly assigned to either same-day activation or standard activation. The study will evaluate electrode impedance development, time to a stable cochlear implant map, changes in programming parameters, hearing outcomes, tinnitus, quality of life, rehabilitation progress, and safety.

The purpose of the study is to determine whether earlier activation can facilitate faster auditory rehabilitation and optimization of cochlear implant settings without increasing complications or patient discomfort.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

100

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Age 18 years or older
  • Indication for cochlear implantation according to national guidelines
  • Ability to provide written informed consent

Exclusion Criteria: - Medical or surgical conditions rendering SDA unsuitable, including postoperative wound complications requiring pressure dressing, cognitive or communicative barriers precluding safe activation, or other clinical considerations (e.g. meningitis) assessed by the treating clinician.

-

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Same-Day Activation
Participants randomized to this arm will have their cochlear implant activated on the day of surgery once clinically stable. Following activation, participants will continue with routine cochlear implant programming and rehabilitation according to standard clinical practice.
Procedure: Same-Day Cochlear Implant Activation
Activation of the cochlear implant sound processor on the day of surgery after the participant is fully awake and clinically stable. Initial activation is performed according to routine clinical practice and followed by standard cochlear implant programming and rehabilitation.
Andre navne:
  • SDA
Aktiv komparator: Standard Day-14 Activation
Participants randomized to this arm will have their cochlear implant activated approximately 14 days after surgery according to current standard clinical practice. Following activation, participants will continue with routine cochlear implant programming and rehabilitation according to standard clinical practice.
Procedure: Standard Day-14 Cochlear Implant Activation
Activation of the cochlear implant sound processor approximately 14 days after surgery according to current standard clinical practice. Subsequent programming and rehabilitation follow routine cochlear implant care pathways.
Andre navne:
  • Day-14

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Electrode Impedance Development
Tidsramme: Baseline (day 0), follow-up visits up to 2, 6 and 12 months postoperatively
Longitudinal electrode impedance measurements obtained during routine cochlear implant programming sessions.
Baseline (day 0), follow-up visits up to 2, 6 and 12 months postoperatively

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Behavioural Stimulation Levels
Tidsramme: Baseline (day 0), follow-up visits up to 2, 6 and 12 months postoperatively
Longitudinal changes in behavioural threshold (T-level) and comfort (C-level) stimulation settings during routine cochlear implant programming.
Baseline (day 0), follow-up visits up to 2, 6 and 12 months postoperatively
Time to Stable Cochlear Implant Map
Tidsramme: At follow-up visits up to 2, 6 and 12 months postoperatively
Time from initial cochlear implant activation to achievement of a stable clinical cochlear implant map, defined as no clinically relevant need for further adjustment of stimulation levels at routine programming visits.
At follow-up visits up to 2, 6 and 12 months postoperatively
Residual Hearing Preservation
Tidsramme: Preoperative baseline and 6 months postoperatively
Change in pure-tone audiometric thresholds following cochlear implantation.
Preoperative baseline and 6 months postoperatively
Tinnitus Severity
Tidsramme: Through study completion, up to 12 months following cochlear implantation.
Tinnitus severity assessed using the Tinnitus Handicap Inventory (THI)
Through study completion, up to 12 months following cochlear implantation.
Cochlear Implant-Related Quality of Life
Tidsramme: Through study completion, up to 12 months following cochlear implantation.
Quality of life assessed using the QOL-CI-35 questionnaire
Through study completion, up to 12 months following cochlear implantation.
Patient Experience of Initial Activation
Tidsramme: Through study completion, up to 12 months following cochlear implantation.
Patient-reported experience of first cochlear implant activation and activation-related discomfort assessed using visual analogue scales (VAS)
Through study completion, up to 12 months following cochlear implantation.
Device- or Wound-Related Complications
Tidsramme: Through study completion, up to 12 months following cochlear implantation.
Frequency of postoperative complications related to the cochlear implant device or surgical wound
Through study completion, up to 12 months following cochlear implantation.
Rehabilitation Trajectory
Tidsramme: Through study completion, up to 12 months following cochlear implantation.
Duration of rehabilitation and functional rehabilitation level obtained from municipal hearing and communication centres
Through study completion, up to 12 months following cochlear implantation.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of Aarhus

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. juni 2026

Primær færdiggørelse (Anslået)

1. august 2029

Studieafslutning (Anslået)

1. december 2029

Datoer for studieregistrering

Først indsendt

2. juni 2026

Først indsendt, der opfyldte QC-kriterier

30. juni 2026

Først opslået (Faktiske)

2. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • AUH-CI-SDA-ADULT_2026
  • 1-10-72-53-26 (Registry Identifier: VEK Region Midt)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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