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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 julho de 2026 atualizado 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.

Visão geral do estudo

Tipo de estudo

Intervencional

Inscrição (Estimado)

20

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

      • Antwerp, Bélgica, 2650
        • Recrutamento
        • Antwerp University Hopsital
        • Contato:

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

  • Adulto
  • Adulto mais velho

Aceita Voluntários Saudáveis

Não

Descrição

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

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Solteiro

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Comparador Ativo: 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 Ativo: 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

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Speech perception in noise
Prazo: 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
Prazo: 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
Prazo: 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 resultados secundários

Medida de resultado
Descrição da medida
Prazo
Pitch ranking
Prazo: 3 months post-activation
Frequency difference in semitones between CI and NH
3 months post-activation
Pitch ranking
Prazo: 6 months post-activation
Frequency difference in semitones between CI and NH
6 months post-activation
Pitch ranking
Prazo: 12 months post-activation
Frequency difference in semitones between CI and NH
12 months post-activation
Perception of timbre
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 3 months post-activation
Root mean square localization error (RMSE) in degrees
3 months post-activation
Localization
Prazo: 6 months post-activation
Root mean square localization error (RMSE) in degrees
6 months post-activation
Localization
Prazo: 12 months post-activation
Root mean square localization error (RMSE) in degrees
12 months post-activation
Melodic interval perception
Prazo: 3 months post-activation
Psychometric function of melodic intervals
3 months post-activation
Melodic interval perception
Prazo: 6 months post-activation
Psychometric function of melodic intervals
6 months post-activation
Melodic interval perception
Prazo: 12 months post-activation
Psychometric function of melodic intervals
12 months post-activation
Sound quality
Prazo: 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
Prazo: 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
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Investigadores

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

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

26 de junho de 2025

Conclusão Primária (Estimado)

1 de dezembro de 2027

Conclusão do estudo (Estimado)

1 de dezembro de 2027

Datas de inscrição no estudo

Enviado pela primeira vez

9 de julho de 2026

Enviado pela primeira vez que atendeu aos critérios de CQ

9 de julho de 2026

Primeira postagem (Real)

14 de julho de 2026

Atualizações de registro de estudo

Última Atualização Postada (Real)

21 de julho de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

17 de julho de 2026

Última verificação

1 de junho de 2026

Mais Informações

Termos relacionados a este estudo

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

INDECISO

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

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