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Evaluation of Hearing Preservation in Adults With Partial Low-Frequency Hearing Implanted With the HiFocus™ Mid-Scala Electrode

NCT01959152 — Not applicable, Terminated, 1 participants, Advanced Bionics

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RegistryNCT01959152
StatusTerminated
PhaseNot applicable
Study typeInterventional; na, single group, masking: none, treatment
Enrollment1 (Actual)
SponsorAdvanced Bionics (Industry)
ConditionsHearing Loss, Deafness, Hearing Disorders, Ear Diseases, Otorhinolaryngologic Diseases
InterventionsHiRes™ 90K Advantage implant with HiFocus™ Mid-Scala electrode (Device)
Datesstart 2013-10-01, primary completion 2014-09-01, completion 2014-11-01, first posted 2013-10-09, last updated 2015-05-21
Locations3 sites in Canada

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-Summary

The purpose of this study is to determine the feasibility of preserving low-frequency acoustic hearing in adults with a moderate degree of hearing loss in the low frequencies and severe-to-profound hearing loss in the mid-to-high frequencies who are implanted with the HiRes™ 90K Advantage implant with HiFocus™ Mid-Scala electrode.

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+Arms and interventions

ArmTypeInterventionsDescription
HiRes90K™ Advantage Cochlear ImplantExperimentalDevice: HiRes™ 90K Advantage implant with HiFocus™ Mid-Scala electrodeHiRes90K™ Advantage implant with HiFocus™ Mid-Scala electrode will be implanted in adults with a moderate level of hearing loss in the low frequencies and severe-to-profound hearing loss in the mid-to-high frequencies.
  • HiRes™ 90K Advantage implant with HiFocus™ Mid-Scala electrode (Device)

+Outcome measures

Primary outcomes

  • Low-frequency unaided acoustic hearing thresholds pre and post implantation with the HiFocus™ Mid-Scala electrode array [One month]: Unaided low-frequency acoustic hearing thresholds (under earphones) in the implanted ear one month after device activation will be compared to baseline (pre-implant) thresholds in the same ear for audiometric frequencies 125-1000Hz. Threshold changes from baseline will be calculated as: * Complete preservation of hearing: threshold shift ≤ 15 dB * Partial preservation of hearing: threshold shift ≥ 16 dB with measurable thresholds * No preservation of hearing: no measurable thresholds at ≤ 80 dB HL

Secondary outcomes

  • Word recognition in quiet pre and post implantation with the HiFocus™ Mid-Scala electrode array [One month]: Word recognition scores in quiet in the implanted ear one month after device activation compared to pre-implant score with a hearing aid

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* No previous cochlear implant experience
* 18 years of age or older
* Up to a moderate sensorineural hearing loss in the low-to-mid frequencies (pure tone average ≤ 65 dB HL for 125, 250, 500, and 1000 Hz) and a severe-to-profound sensorineural hearing loss in the high frequencies (pure tone average ≥ 70 dB HL for 2,000, 4,000, and 8,000 Hz) in the ear to be implanted
* Aided monosyllabic word score of 10-50% in the ear to be implanted
* Up to a moderate sensorineural hearing loss in the low-to-mid frequencies (pure tone average ≤ 65 dB HL for 125, 250, 500, and 1000 Hz) and a severe-to-profound sensorineural hearing loss in the high frequencies (pure tone average ≥ 70 dB HL for 2,000, 4,000, and 8,000 Hz) in the contralateral (non-implanted) ear
* English language proficiency
* Willingness to participate in all scheduled procedures outlined in the protocol

Exclusion Criteria:

* Previous inner ear surgery
* Cochlear malformation or obstruction that would preclude full insertion of electrode array
* Presence of additional disabilities that would prevent or interfere with participation in the required study procedures
* Medical or psychological conditions that contraindicate surgery or impact the ability to manage an implanted device or the study-related procedures
* Evidence of central auditory lesion or compromised auditory nerve

+Locations (3)

FacilityCityCountryStatus
Dalhousie University, Department of Surgery, Division of OtolaryngologyHalifax, Nova ScotiaCanada
The Ottawa Hospital, Parkdale Clinic, Audiology DepartmentOttawa, OntarioCanada
Sunnybrook Health Sciences Centre, Department of Otolaryngology - Head and Neck SurgeryToronto, OntarioCanada

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