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The Effect of Anatomy-based Fitting on the Perception of Speech in Noise and Music in Single-sided Deaf Cochlear Implant Users

17 de julio de 2026 actualizado por: University Hospital, Antwerp
The present study evaluates the effect of anatomy-based fitting on speech perception in noise and music perception in newly implanted single-sided deaf (SSD) CI recipients. Speech perception in noise will be assessed using different spatial configurations of speech and noise. Music perception will be evaluated using objective measurements for melody, harmony, timbre and pitch and using a subjective questionnaire, the Music and Cochlear implant questionnaire (MCIQ). Furthermore, localization and self-reported hearing benefit (HISQUI19, SSQ12) will be assessed.

Descripción general del estudio

Tipo de estudio

Intervencionista

Inscripción (Estimado)

20

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Antwerp, Bélgica, 2650
        • Reclutamiento
        • Antwerp University Hopsital
        • Contacto:

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto
  • Adulto Mayor

Acepta Voluntarios Saludables

No

Descripción

Inclusion Criteria:

  • Age ≥ 18 years
  • Post-lingual onset of unilateral severe-to-profound sensorineural hearing loss
  • Contralateral hearing < 30 dB HL (PTA measured at 500Hz, 1kHz, 2kHz en 4 kHz)
  • Post-operative Computed Tomography (CT) scan of the CI elec-trode available
  • Subject implanted with MED-EL cochlear implant(s)
  • Subjects received a Flex20, Flex24, Flex28, FlexSoft, Flex34 or Standard electrode
  • Subject planned to receive a SONNET 2, SONNET 3 or RONDO 3 audio processor on the newly implanted side
  • Newly implanted CI users
  • The most apical active electrode contact has to be inserted at least 540°
  • Minimum of 10 active channels can be activated
  • Fluent in the language of the test centre
  • Signed and dated Informed Consent Form (ICF) before the start of any study-specific procedure

Exclusion Criteria:

  • Lack of compliance with any inclusion criteria
  • Implanted with C40+, C40X and C40C
  • Implanted with an ABI or Split electrode array
  • Anything that, in the opinion of the Investigator, would place the subject at increased risk or preclude the subject's full compliance with or completion of the study

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Comparador activo: Anatomy-based fitting
Anatomy-based programming of the speech processor of the cochlear implant
Anatomy-based programming of the speech processor of the cochlear implant
Comparador activo: Default fitting
Default programming of the speech processor of the cochlear implant according to standard clinical practice
Default programming of the speech processor of the cochlear implant according to standard clinical practice

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Speech perception in noise
Periodo de tiempo: 3 months post-activation of the audioprocessor
Speech reception threshold in dB SNR for the following spatial configurations: S0N0, S0NSSD and SSSDNNH, measured with and without the cochlear implant
3 months post-activation of the audioprocessor
Speech perception in noise
Periodo de tiempo: 6 months post-activation of the audioprocessor
Speech reception threshold in dB SNR for the following spatial configurations: S0N0, S0NSSD and SSSDNNH, measured with and without the cochlear implant
6 months post-activation of the audioprocessor
Speech perception in noise
Periodo de tiempo: 12 months post-activation of the audioprocessor
Speech reception threshold in dB SNR for the following spatial configurations: S0N0, S0NSSD and SSSDNNH, measured with and without the cochlear implant
12 months post-activation of the audioprocessor

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Pitch ranking
Periodo de tiempo: 3 months post-activation
Frequency difference in semitones between CI and NH
3 months post-activation
Pitch ranking
Periodo de tiempo: 6 months post-activation
Frequency difference in semitones between CI and NH
6 months post-activation
Pitch ranking
Periodo de tiempo: 12 months post-activation
Frequency difference in semitones between CI and NH
12 months post-activation
Perception of timbre
Periodo de tiempo: 3 months post-activation
Score on Visual Analog Scale (VAS). Patients have to rate the timbre on a visual analog scale (VAS) ranging from 0 to 10, with a score of 5 indicating a similar timbre between CI and NH.
3 months post-activation
Perception of timbre
Periodo de tiempo: 6 months post-activation
Score on Visual Analog Scale (VAS). Patients have to rate the timbre on a visual analog scale (VAS) ranging from 0 to 10, with a score of 5 indicating a similar timbre between CI and NH.
6 months post-activation
Perception of timbre
Periodo de tiempo: 12 months post-activation
Score on Visual Analog Scale (VAS). Patients have to rate the timbre on a visual analog scale (VAS) ranging from 0 to 10, with a score of 5 indicating a similar timbre between CI and NH.
12 months post-activation
Localization
Periodo de tiempo: 3 months post-activation
Root mean square localization error (RMSE) in degrees
3 months post-activation
Localization
Periodo de tiempo: 6 months post-activation
Root mean square localization error (RMSE) in degrees
6 months post-activation
Localization
Periodo de tiempo: 12 months post-activation
Root mean square localization error (RMSE) in degrees
12 months post-activation
Melodic interval perception
Periodo de tiempo: 3 months post-activation
Psychometric function of melodic intervals
3 months post-activation
Melodic interval perception
Periodo de tiempo: 6 months post-activation
Psychometric function of melodic intervals
6 months post-activation
Melodic interval perception
Periodo de tiempo: 12 months post-activation
Psychometric function of melodic intervals
12 months post-activation
Sound quality
Periodo de tiempo: 3 months post-activation
Sound quality ratings of four groups of piano samples ranging from consonant (group A) to most dissonant (group D)
3 months post-activation
Sound quality
Periodo de tiempo: 6 months post-activation
Sound quality ratings of four groups of piano samples ranging from consonant (group A) to most dissonant (group D)
6 months post-activation
Sound quality
Periodo de tiempo: 12 months post-activation
Sound quality ratings of four groups of piano samples ranging from consonant (group A) to most dissonant (group D)
12 months post-activation
Music and cochlear implant questionnaire (MCIQ)
Periodo de tiempo: 3 months post-activation
Qualitative interpretation of questionnaire subdomains: motivation to listen to music, musical behavior, musical preferences, music perception abilities, sound quality perception, musical background and music rehabilitation.
3 months post-activation
Music and cochlear implant questionnaire (MCIQ)
Periodo de tiempo: 6 months post-activation
Qualitative interpretation of questionnaire subdomains: motivation to listen to music, musical behavior, musical preferences, music perception abilities, sound quality perception, musical background and music rehabilitation.
6 months post-activation
Music and cochlear implant questionnaire (MCIQ)
Periodo de tiempo: 12 months post-activation
Qualitative interpretation of questionnaire subdomains: motivation to listen to music, musical behavior, musical preferences, music perception abilities, sound quality perception, musical background and music rehabilitation.
12 months post-activation
HISQUI19 questionnaire
Periodo de tiempo: 3 months post-activation
Total score and classification of self-perceived auditory benefit. The 19 items are rated on a 7-point Likert scale ranging from always (99%) to never (1%). To calculate the overall score the corresponding numerical value of each item (from always = 7 to never = 1) is added. Uncompleted items and the response option "not applicable" correspond to 0 in this calculation. A total score of less than 30, 30-59, 60-89, 90-109, and 110-133 is respectively classified as a very poor, poor, moderate, good, and very good self-perceived auditory benefit.
3 months post-activation
HISQUI19 questionnaire
Periodo de tiempo: 6 months post-activation
Total score and classification of self-perceived auditory benefit. The 19 items are rated on a 7-point Likert scale ranging from always (99%) to never (1%). To calculate the overall score the corresponding numerical value of each item (from always = 7 to never = 1) is added. Uncompleted items and the response option "not applicable" correspond to 0 in this calculation. A total score of less than 30, 30-59, 60-89, 90-109, and 110-133 is respectively classified as a very poor, poor, moderate, good, and very good self-perceived auditory benefit.
6 months post-activation
HISQUI19 questionnaire
Periodo de tiempo: 12 months post-activation
Total score and classification of self-perceived auditory benefit. The 19 items are rated on a 7-point Likert scale ranging from always (99%) to never (1%). To calculate the overall score the corresponding numerical value of each item (from always = 7 to never = 1) is added. Uncompleted items and the response option "not applicable" correspond to 0 in this calculation. A total score of less than 30, 30-59, 60-89, 90-109, and 110-133 is respectively classified as a very poor, poor, moderate, good, and very good self-perceived auditory benefit.
12 months post-activation
Speech, Spatial and Qualities of Hearing scale (SSQ12)
Periodo de tiempo: 3 months post-activation
Total score and score in the speech, spatial and quality domain. The 12 items of this questionnaire are rated on a visual analog scale from 0 to 10 and the overall score is calculated by taking the average of the scores of these 12 items. For the overall score and the score on each subdomain, the score ranges between 0-10 and a higher score indicates a better outcome.
3 months post-activation
Speech, Spatial and Qualities of Hearing scale (SSQ12)
Periodo de tiempo: 6 months post-activation
Total score and score in the speech, spatial and quality domain. The 12 items of this questionnaire are rated on a visual analog scale from 0 to 10 and the overall score is calculated by taking the average of the scores of these 12 items. For the overall score and the score on each subdomain, the score ranges between 0-10 and a higher score indicates a better outcome.
6 months post-activation
Speech, Spatial and Qualities of Hearing scale (SSQ12)
Periodo de tiempo: 12 months post-activation
Total score and score in the speech, spatial and quality domain. The 12 items of this questionnaire are rated on a visual analog scale from 0 to 10 and the overall score is calculated by taking the average of the scores of these 12 items. For the overall score and the score on each subdomain, the score ranges between 0-10 and a higher score indicates a better outcome.
12 months post-activation

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Investigador principal: Griet Mertens, Prof., University Hospital, Antwerp

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

26 de junio de 2025

Finalización primaria (Estimado)

1 de diciembre de 2027

Finalización del estudio (Estimado)

1 de diciembre de 2027

Fechas de registro del estudio

Enviado por primera vez

9 de julio de 2026

Primero enviado que cumplió con los criterios de control de calidad

9 de julio de 2026

Publicado por primera vez (Actual)

14 de julio de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

21 de julio de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

17 de julio de 2026

Última verificación

1 de junio de 2026

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

INDECISO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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