ClinicalTrials.gg
CompletedNCT04237207Updated May 13, 2022Results posted

Clinical Evaluation of a Cochlear Implant Sound Processor

An interventional study of Naída Cochlear Implant Q90 sound processor (Naida CI Q90) & software and 301-M062 sound processor & software in Hearing Loss, Ear Diseases and Hearing Disorders, sponsored by Advanced Bionics. Completed at 6 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-05-13.

Sponsored by Advanced Bionics (part of Sonova AG) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
22
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective within-subjects repeated-measures study that will enroll 24 adult users implanted with a HiResolution Bionic Ear System (HiRes 90K or newer). Subjects will be assigned to one of two cohorts based on audiometric results at the Baseline visit

Read the detailed description

The overall goal of this clinical study is to demonstrate the safety and efficacy of a cochlear implant sound processor. Hearing outcomes are expected to be similar non-inferior to as compared to the currently approved software and processors. Therefore, the study described herein uses a non-inferiority design to determine whether sentence recognition in quiet and in noise is no worse with the new sound processor than with currently approved software on a Q90 processor.

02

Conditions studied

  • Hearing Loss
  • Ear Diseases
  • Hearing Disorders
  • Otorhinolaryngologic Diseases
03

In context

Hearing Loss

796 studies on the registry are indexed under Hearing Loss; 193 are open to participants now.

This study's enrollment of 22 is below the median of 44 across 561 interventional studies indexed under Hearing Loss.

Browse Hearing Loss studies →

Lead sponsor

Advanced Bionics is the lead sponsor of 12 studies on the registry; 1 is open to participants now.

First submitted after Advanced Bionics AG became part of Sonova AG.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

General Inclusion Criteria:

  • Ability to provide
  • 18 years of age or older
  • Unilateral user of a HiResolutionTM Bionic Ear System (HiRes 90KTM, HiRes 90KTM Advantage, HiResTM Ultra, HiResTM Ultra 3D), including bilaterally implanted subjects that only use one implant in their everyday listening modality
  • Minimum of 6 months of CI experience
  • Having used a Naída CI Q70 or a Naída CI Q90 as their primary processor for a minimum of one month
  • Presently using a current steering strategy
  • At least moderate open-set speech recognition abilities with implant alone, as defined by achieving a score of ≥ 60% words correct in the AzBio in quiet test using the Naída CI Q90 research processor
  • English language proficiency as determined by the investigator
  • Willingness to use a BTE processor for the duration of the study

ARH Arm Inclusion Criteria

  • Residual low frequency hearing sensitivity (pure tone average of \< 70 dB HL for 125, 250, and 500 Hz) and a severe-to-profound high-frequency sensorineural hearing loss (pure tone average of ≥ 70 dB HL for 1,000, 2,000, 3000, 4,000, and 8,000 Hz) in the implanted ear
  • Willingness to use an in-canal acoustic earhook for the duration of the study

EO Arm Inclusion Criteria

  • Severe-to-profound sensorineural hearing loss in the low (pure tone average of ≥ 70 dB HL for 125, 250, and 500 Hz) and high frequencies (pure tone average ≥ 70 dB HL for 1,000, 2,000, 3000, 4,000, and 8,000 Hz) in the implanted ear

Exclusion Criteria:

  • Unrealistic expectations regarding potential benefits, risks and limitations of the device as determined by the investigator
  • Unwillingness or physical / cognitive inability of subject to comply with all investigational requirements as determined by the investigator
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Other
    Aidable Residual Hearing (ARH) Cohort

    Control Device followed by experimental Device.

    Device: Naída Cochlear Implant Q90 sound processor (Naida CI Q90) & software · Device: 301-M062 sound processor & software

  • Other
    Electric Only (EO) Cohort

    Control Device followed by experimental Device.

    Device: Naída Cochlear Implant Q90 sound processor (Naida CI Q90) & software · Device: 301-M062 sound processor & software

Interventions

  • DeviceNaída Cochlear Implant Q90 sound processor (Naida CI Q90) & software

    Control cochlear implant sound processor

  • Device301-M062 sound processor & software

    New cochlear implant sound processor

06

What researchers measure

Primary outcomes

  1. Speech Recognition in Quiet

    The primary efficacy endpoints are AzBio sentence recognition scores in quiet at Baseline with the new sound processor as compared to AzBio sentence recognition scores in quiet at Baseline with currently approved software on a Q90 processor. Scores are determined on a scale of 0% to 100% words correct with higher scores indicating a better outcome.

    Time frame: 1 Day

Secondary outcomes

  1. Speech Recognition in Noise

    Demonstrate that AzBio sentence recognition scores in noise with the new sound processor are no worse than AzBio sentence recognition scores in noise with currently approved software on a Q90 processor. Scores are determined on a scale of 0% to 100% words correct with higher scores indicating a better outcome.

    Time frame: 1 Day

  2. Increased Speech Recognition in Noise

    Demonstrate increased AzBio sentence recognition scores in noise with the new sound processor when comparing "Omnidirectional" program to AutoSense. Omnidirectional refers to a setting in which the AutoSense feature is not active. Scores are determined on a scale of 0% to 100% words correct with higher scores indicating a better outcome.

    Time frame: 1 Day

07

Results

Posted May 13, 2022
Limitations and caveats
Due to clinic closures related to the COVID-19 pandemic, total enrollment in the EO Cohort was 10 subjects instead of 12.

Participant flow

Investigators recruited study subjects from their clinical practices. The first patient first visit occurred on December 17, 2019 and last patient last visit occurred on October 15, 2020. A total of 22 subjects were enrolled; 10 subjects were enrolled in the Electric Only cohort and 12 subjects were enrolled in the Aidable Residual Hearing cohort based on the results of their audiometric testing. All 22 subjects completed the study; there were no withdrawals or losses to follow-up.

Participant flow — Overall Study
MilestoneElectric Only (EO) CohortAidable Residual Hearing (ARH) Cohort
Started1012
Completed1012
Not completed00

Outcome measures

PrimarySpeech Recognition in Quiet

The primary efficacy endpoints are AzBio sentence recognition scores in quiet at Baseline with the new sound processor as compared to AzBio sentence recognition scores in quiet at Baseline with currently approved software on a Q90 processor. Scores are determined on a scale of 0% to 100% words correct with higher scores indicating a better outcome.

Time frame:
1 Day
Reported as:
Mean · percentage of correct words
Speech Recognition in Quiet
percentage of correct wordsEO CohortARH Cohort
Baseline AutoSound88.31 ± 5.81789.39 ± 10.535
Baseline AutoSense87.30 ± 10.21488.09 ± 9.848
Statistical analysis
  • EO Cohort vs ARH Cohort · t-test, 2 sided · p = 0.0010
SecondarySpeech Recognition in Noise

Demonstrate that AzBio sentence recognition scores in noise with the new sound processor are no worse than AzBio sentence recognition scores in noise with currently approved software on a Q90 processor. Scores are determined on a scale of 0% to 100% words correct with higher scores indicating a better outcome.

Time frame:
1 Day
Reported as:
Mean · percentage of correct word responses
Speech Recognition in Noise
percentage of correct word responsesEO CohortARH Cohort
AutoSound52.95 ± 31.16366.04 ± 25.939
AutoSense76.37 ± 19.07884.98 ± 13.108
Statistical analysis
  • EO Cohort vs ARH Cohort · t-test, 2 sided · p = 0.0010
SecondaryIncreased Speech Recognition in Noise

Demonstrate increased AzBio sentence recognition scores in noise with the new sound processor when comparing "Omnidirectional" program to AutoSense. Omnidirectional refers to a setting in which the AutoSense feature is not active. Scores are determined on a scale of 0% to 100% words correct with higher scores indicating a better outcome.

Time frame:
1 Day
Reported as:
Mean · percentage of correct words recognized
Increased Speech Recognition in Noise
percentage of correct words recognizedEO CohortARH Cohort
Omnidirectional42.93 ± 30.80151.37 ± 28.604
AutoSense76.37 ± 19.07884.98 ± 13.108
Statistical analysis
  • EO Cohort vs ARH Cohort · t-test, 2 sided · p = <0.0001

Adverse events

Collected over AEs were recorded and tracked between completion of the informed consent form (signed and dated) and two weeks after the participant's last study visit. The total period is up to 5 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
EO Cohort0/10 (0%)0/10 (0%)2/10 (20%)
ARH Cohort0/12 (0%)0/12 (0%)1/12 (8.3%)
Most frequent other events
Most frequent other events
EventEO CohortARH Cohort
Upper RespiratoryInfections and infestations1/100/12
Sprained ankleMusculoskeletal and connective tissue disorders1/100/12
Patient discomfortProduct Issues0/101/12

Baseline characteristics

Subject assigned to ARH cohort were residual low frequency hearing sensitivity (PTA of \< 70 dB HL for 125 thru 500 Hz) and a severe-to-profound high-frequency sensorineural hearing loss (pure tone average of ≥ 70 dB HL for 1000 thru 8000 Hz) in the implanted ear. EO cohort assigned to subjects with Severe-to-profound sensorineural hearing loss in the low (pure tone average of ≥ 70 dB HL for 125 thru 500 Hz) and high frequencies (PTA ≥ 70 dB HL for 1000 thru 8000 Hz) in the implanted ear

Age, Categorical
Age, Categorical(Participants)Aidable Residual Hearing (ARH) CohortElectric Only (EO) CohortTotal
<=18 years000
Between 18 and 65 years639
>=65 years6713
Age, Continuous
Age, Continuous(years)Aidable Residual Hearing (ARH) CohortElectric Only (EO) CohortTotal
Mean61.1 ± 9.6667.2 ± 9.2864.5 ± 9.74
Sex: Female, Male
Sex: Female, Male(Participants)Aidable Residual Hearing (ARH) CohortElectric Only (EO) CohortTotal
Female9514
Male358
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Aidable Residual Hearing (ARH) CohortElectric Only (EO) CohortTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(participants)Aidable Residual Hearing (ARH) CohortElectric Only (EO) CohortTotal
United States121022
Audiometric Threshold Testing and Speech Perception Testing
Audiometric Threshold Testing and Speech Perception Testing(Participants)Aidable Residual Hearing (ARH) CohortElectric Only (EO) CohortTotal
Count of participants121022
08

Study locations

6 sites
  • University of Colorado Anschutz Medical Campus
    Aurora, Colorado 80045, United States
  • Tampa Bay Hearing and Balance Center
    Tampa, Florida 33606, United States
  • Midwest Ear Institute/St. Luke's Health System
    Kansas City, Missouri 64111, United States
  • Washington University Medical Center
    Saint Louis, Missouri 63110, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
  • Austin Ear, Nose & Throat Clinic
    Austin, Texas 78731, United States
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References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 13, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04237207
Lead sponsor
Advanced Bionics
Responsible party
Sponsor
First posted
Jan 23, 2020
Start date
Dec 17, 2019
Primary completion
Oct 15, 2020
Completion
Oct 15, 2020
Results posted
May 13, 2022
Last update
May 13, 2022

Oversight

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

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This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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