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CompletedNCT04202185AUDIOFERLINEUpdated Feb 13, 2026

Evaluation of a Cohort of Congenital Deep Deafness Patients and/or With Auditory Neuropathy, Looking for DFNB9

An observational study in Congenital Profound Hearing Loss, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 1 site in France. Open to participants aged Up to 25 Years. Per ClinicalTrials.gov, last updated 2026-02-13.

Sponsored by Assistance Publique - Hôpitaux de Paris · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
150
Ages
Up to 25 Years
Sex
All
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Study summary

Evaluation of a cohort of deaf children looking for autosomal recessive deafness-9 (DFNB9).

Clinical and audiologic evaluation of patients with known auditive neuropathy / auditory dys-synchrony (ANAD) or recently diagnosed congenital severe to profound hearing loss (HL), and assessing genetic analysis looking for DFNB9. The investigators expect to compile genotypic and phenotypic characterization of 25 children with DFNB9 within 4 years.

Read the detailed description

ANAD is not a rare type of hearing loss. Nevertheless, its profile is heterogeneous and the pathology remain underdiagnosed. The investigators will screen all new patients with bilateral severe to profound HL, looking for DFNB9. They will analyse their electrophysiology (auditory potential, and otoacoustic emission), and their audio-vestibular profile, at an early stage and one year after inclusion. All patients will be seen in the genetic clinic. Also, the investigators will analyse all patients with ANAD profile and patients known with ANAD.

All informations will provide precise data base to allow a better understanding of the pathology. It might also lead to select the best candidates for future gene therapy

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Conditions studied

  • Congenital Profound Hearing Loss

Keywords

  • Auditory neuropathy
  • DFNB9
  • Children
  • Hearing loss
  • Deafness
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In context

Hearing Loss

1,092 studies on the registry are indexed under Hearing Loss; 235 are open to participants now.

This study's enrollment of 150 is above the median of 87 across 270 observational studies indexed under Hearing Loss.

Browse Hearing Loss studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,505 studies on the registry; 1,006 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 25 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patient coming to the Necker Hospital for a deafness visit or for a check-up prior to a cochlear implantation

Eligibility criteria

G1a / Inclusion Criteria:

  • Child from 0 to 3 years old
  • Child with severe to profound bilateral deafness newly diagnosed with:
  • Average hearing threshold> 70 decibel on each ear
  • and / or no response to 70 decibel PEA on each ear
  • and / or no response to ASSR

G1b / Inclusion Criteria:

  • Child under 16
  • Child with newly diagnosed hearing neuropathy : tonal/vocal dissociation (when this is possible), and/or modified PEA, and/or discordant ASSR, and/or OEA present.

G2 / Inclusion Criteria:

  • Adult patient under 25 or child
  • Patient with deafness with auditory neuropathy
  • Patient known to have 1 or 2 mutations of the otoferlin protein

Exclusion Criteria:

  • Other type of deafness such as : unilateral deafness, deafness of transmission, malformation syndrome, known genetic familial deafness not DFNB9
  • Patient without medical insurance
  • Lack of consent to DNA sampling, of one or both biological parents (consent of the care)
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Study design

Observational model
Cohort
Time perspective
Other
Enrollment
150 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • G1a

    infants under 3 years deaf severe to deep

    Other: Data collection · Genetic: Genetic analysis

  • G1b

    children under 16 years of age with audiologically proven auditory neuropathy

    Other: Data collection · Genetic: Genetic analysis

  • G2

    patients \<25 years old with one or two Otoferlin mutations

    Other: Data collection

Interventions

  • OtherData collection

    Retrospective collection data from diagnostic Data collected following to medical exam as part of care

  • GeneticGenetic analysis

    Research of mutation and identification of genetic panel as part of care

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What researchers measure

Primary outcomes

  1. Prevalence of deafness caused by DFNB9

    Prevalence and type of bi-allelic pathogenic changes Otoferlin Molecular analysis will be done by Next Generation Sequencing Capture method

    Time frame: 3 months

Secondary outcomes

  1. Audiological characteristics in free fields at diagnosis

    audiometric thresholds on 500, 1000, 2000, 4000 Hz in free fields

    Time frame: 1 day

  2. Audiological characteristics in separate ears at diagnosis

    audiometric thresholds on 500, 1000, 2000, 4000 Hz in separate ears

    Time frame: 1 day

  3. Audiological characteristics in free fields at 12 months or last record

    audiometric thresholds on 500, 1000, 2000, 4000 Hz in free fields

    Time frame: 12 months

  4. Audiological characteristics in separate ears at 12 months or last record

    audiometric thresholds on 500, 1000, 2000, 4000 Hz in separate ears

    Time frame: 12 months

  5. Electrophysiological characteristics : auditory evoked potentials (PEA) at diagnosis

    PEA thresholds per ear

    Time frame: 1 day

  6. Electrophysiological characteristics : auditory evoked potentials (PEA) at 12 months or last record

    PEA thresholds per ear

    Time frame: 12 months

  7. Electrophysiological characteristics : auditory Steady State Response (ASSR) at diagnosis

    ASSR thresholds per ear at 500, 1000, 2000, 4000 Hz

    Time frame: 1 day

  8. Electrophysiological characteristics : auditory Steady State Response (ASSR) at 12 months or last record

    ASSR thresholds per ear at 500, 1000, 2000, 4000 Hz

    Time frame: 12 months

  9. Electrophysiological characteristics : otoacoustic emissions (OEAs) at diagnosis

    OEAs status

    Time frame: 1 day

  10. Electrophysiological characteristics : otoacoustic emissions (OEAs) at 12 months or last record

    OEAs status

    Time frame: 12 months

  11. Vestibular characteristics : per-oral endoscopic myotomy (PEOM) at diagnosis

    PEOM

    Time frame: 1 day

  12. Vestibular characteristics : per-oral endoscopic myotomy (PEOM) at 12 months or last record

    PEOM

    Time frame: 12 months

  13. Vestibular characteristics : video Head Impulse Test (VHIT) at diagnosis

    VHIT

    Time frame: 1 day

  14. Vestibular characteristics : video Head Impulse Test (VHIT) at 12 months or last record

    VHIT

    Time frame: 12 months

  15. Caloric Tests at diagnosis

    Caloric Tests

    Time frame: 1 day

  16. Caloric Tests at 12 months or last record

    Caloric Tests

    Time frame: 12 months

  17. Clinical development scale at diagnosis

    For child under 3 years with : walk age, sitting age and head held age

    Time frame: 1 day

  18. Clinical development scale at 12 months or last record

    For child under 3 years with : walk age, sitting age and head held age

    Time frame: 12 months

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Study locations

1 site
  • Unité d'Audiophonologie et d'Implantation cochléaire - Necker hospital
    Paris, 75015, France
08

References and documents

Publications

  • Denoyelle F, Petit C. DFNB9. Adv Otorhinolaryngol. 2002;61:142-4. doi: 10.1159/000066822. No abstract available. PubMed 12408076 ↗
  • Loundon N, Marcolla A, Roux I, Rouillon I, Denoyelle F, Feldmann D, Marlin S, Garabedian EN. Auditory neuropathy or endocochlear hearing loss? Otol Neurotol. 2005 Jul;26(4):748-54. doi: 10.1097/01.mao.0000169044.63970.4a. PubMed 16015179 ↗
  • Marlin S, Feldmann D, Nguyen Y, Rouillon I, Loundon N, Jonard L, Bonnet C, Couderc R, Garabedian EN, Petit C, Denoyelle F. Temperature-sensitive auditory neuropathy associated with an otoferlin mutation: Deafening fever! Biochem Biophys Res Commun. 2010 Apr 9;394(3):737-42. doi: 10.1016/j.bbrc.2010.03.062. Epub 2010 Mar 16. PubMed 20230791 ↗
  • Mehl AL, Thomson V. The Colorado newborn hearing screening project, 1992-1999: on the threshold of effective population-based universal newborn hearing screening. Pediatrics. 2002 Jan;109(1):E7. doi: 10.1542/peds.109.1.e7. PubMed 11773575 ↗
  • Migliosi V, Modamio-Hoybjor S, Moreno-Pelayo MA, Rodriguez-Ballesteros M, Villamar M, Telleria D, Menendez I, Moreno F, Del Castillo I. Q829X, a novel mutation in the gene encoding otoferlin (OTOF), is frequently found in Spanish patients with prelingual non-syndromic hearing loss. J Med Genet. 2002 Jul;39(7):502-6. doi: 10.1136/jmg.39.7.502. No abstract available. PubMed 12114484 ↗
  • Rouillon I, Marcolla A, Roux I, Marlin S, Feldmann D, Couderc R, Jonard L, Petit C, Denoyelle F, Garabedian EN, Loundon N. Results of cochlear implantation in two children with mutations in the OTOF gene. Int J Pediatr Otorhinolaryngol. 2006 Apr;70(4):689-96. doi: 10.1016/j.ijporl.2005.09.006. Epub 2005 Oct 13. PubMed 16226319 ↗
  • Roux I, Safieddine S, Nouvian R, Grati M, Simmler MC, Bahloul A, Perfettini I, Le Gall M, Rostaing P, Hamard G, Triller A, Avan P, Moser T, Petit C. Otoferlin, defective in a human deafness form, is essential for exocytosis at the auditory ribbon synapse. Cell. 2006 Oct 20;127(2):277-89. doi: 10.1016/j.cell.2006.08.040. PubMed 17055430 ↗
  • Varga R, Avenarius MR, Kelley PM, Keats BJ, Berlin CI, Hood LJ, Morlet TG, Brashears SM, Starr A, Cohn ES, Smith RJ, Kimberling WJ. OTOF mutations revealed by genetic analysis of hearing loss families including a potential temperature sensitive auditory neuropathy allele. J Med Genet. 2006 Jul;43(7):576-81. doi: 10.1136/jmg.2005.038612. Epub 2005 Dec 21. PubMed 16371502 ↗
  • Yasunaga S, Grati M, Cohen-Salmon M, El-Amraoui A, Mustapha M, Salem N, El-Zir E, Loiselet J, Petit C. A mutation in OTOF, encoding otoferlin, a FER-1-like protein, causes DFNB9, a nonsyndromic form of deafness. Nat Genet. 1999 Apr;21(4):363-9. doi: 10.1038/7693. PubMed 10192385 ↗
  • Bouazza N, Semeraro M, Lui G, Froelicher-Bournaud L, Choupeaux L, Treluyer JM, Benaboud S, Terzic J, Hachulla E, Remy P, Harambat J, Karras A, Rousset-Rouviere C, Jolivot A, Amoura Z, Daugas E, Hummel A, Salomon R, Lega JC, Decramer S, Belot A, Gobert D, Costedoat-Chalumeau N, Faguer S, Melki I, Jourde-Chiche N, Bader-Meunier B. Population pharmacokinetic modelling of prednisolone in systemic lupus erythematosus patients: Analysis of exposure and disease activity. Br J Clin Pharmacol. 2025 Oct;91(10):2854-2864. doi: 10.1002/bcp.70103. Epub 2025 May 23. PubMed 40411119 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04202185
Lead sponsor
Assistance Publique - Hôpitaux de Paris
Collaborators
URC-CIC Paris Descartes Necker Cochin
Responsible party
Sponsor
First posted
Dec 17, 2019
Start date
Apr 2, 2020
Primary completion
Oct 22, 2023
Completion
Dec 6, 2024
Last update
Feb 13, 2026

Study contacts

Nathalie LOUNDON, MD
principal investigator · Assistance Publique - Hôpitaux de Paris

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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