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CompletedNCT04929470Updated Jun 12, 2026Results posted

Safety and Performance of Ultra/Ultra 3D Cl With HiFocus SlimJ Electrode in Adults With Severe-to-profound Hearing Loss

An observational study in Cochlear Hearing Loss, sponsored by Advanced Bionics AG. Completed at 3 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-12.

Sponsored by Advanced Bionics AG · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
37
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective study designed to evaluate the safety and performance of the HiResTM Ultra Cl HiFocusTM SlimJ Electrode and HiResTM Ultra 3D Cl HiFocusTM SlimJ Electrode (Ultra X) under normal conditions of use as it is approved for this device. Participants receive interventions as part of routine medical care.

Read the detailed description

This study is set up to document any adverse events and comparing pre- to post-implant benefit to subjects. Any adverse events associated with the device will be documented via Advanced Bionics complaint handling system for the lifetime of the device. A within-subjects repeated-measures design will be employed. Speech perception will be evaluated preoperatively with conventional amplification to determine candidacy and to establish baseline performance. Efficacy parameters are speech perception data which will be collected according to clinical routine with a 6 month follow up period. Subjects will be implanted unilaterally with the Ultra X according to standard clinical care.

The primary efficacy objective is to demonstrate that mean monosyllabic word recognition score with the Ultra X used in combination with a sound processor programmed with the latest fitting software six months after activation is at least 20% better than the mean word score at baseline with conventional amplification in the same ear.

The primary efficacy endpoint is reached six months after device activation.

02

Conditions studied

  • Cochlear Hearing Loss
03

In context

Hearing Loss, Sensorineural

371 studies on the registry are indexed under Hearing Loss, Sensorineural; 112 are open to participants now.

This study's enrollment of 37 is below the median of 78 across 93 observational studies indexed under Hearing Loss, Sensorineural.

Browse Hearing Loss, Sensorineural studies →

Lead sponsor

Advanced Bionics AG is the lead sponsor of 12 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

30 adult subjects with valid and useable data

Inclusion criteria

  • No previous experience with any auditory implant
  • 18 years of age or older
  • Postlingual onset of severe hearing loss (≥ 4 years of age)
  • Limited benefit from appropriately fitted hearing aids, defined as scoring 60% or less in Freiburger Monosyllabic word test
  • German language proficiency
  • Willingness to participate in all scheduled procedures outlined in the protocol

Exclusion criteria

Exclusion Criteria:

  • 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
  • Pregnancy at time of surgery.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
37 participants (actual)
Patient registry
No

Interventions

  • Devicecochlear implantation

    patients receive a cochlear implantation within clinical routine

06

What researchers measure

Primary outcomes

  1. Freiburger Monosyllables Score in Quiet

    score in % correct (scale from 0 to 100% of correct answers)

    Time frame: 6 months

Secondary outcomes

  1. Speech Reception Theshold (SRT) in Noise

    50 % SRT in the Oldenburger Sentence Test (OlSa) in noise. Results expressed in dB Signal-Noise-Ratio (SNR)

    Time frame: 6 months

07

Results

Posted Jun 12, 2026

Participant flow

Participant flow — Overall Study
MilestoneGroup 1
Started37
Completed32
Not completed5

Outcome measures

PrimaryFreiburger Monosyllables Score in Quiet

score in % correct (scale from 0 to 100% of correct answers)

Time frame:
6 months
Reported as:
Mean · % correct
Freiburger Monosyllables Score in Quiet
% correctGroup 1
Freiburger Monosyllables Score in Quiet51.1 ± 27.8
SecondarySpeech Reception Theshold (SRT) in Noise

50 % SRT in the Oldenburger Sentence Test (OlSa) in noise. Results expressed in dB Signal-Noise-Ratio (SNR)

Time frame:
6 months
Reported as:
Mean · dB SNR
Speech Reception Theshold (SRT) in Noise
dB SNRGroup 1
Speech Reception Theshold (SRT) in Noise2.6 ± 6.2

Adverse events

Collected over Adverse event were collected from the inclusion until six months after device activation. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 10/37 (0%)3/37 (8.1%)25/37 (67.6%)
Most frequent serious events
Most frequent serious events
EventGroup 1
Heart attackCardiac disorders1/37
Fall down the stairsGeneral disorders1/37
Electrode lead dislocationEar and labyrinth disorders1/37
InfectionSkin and subcutaneous tissue disorders1/37
Most frequent other events
Most frequent other events
EventGroup 1
Deterioration of CI side or controlateral side tinnitusEar and labyrinth disorders8/37
Pain or pressure feelings at the implant sideEar and labyrinth disorders8/37
Deactivated electrodesEar and labyrinth disorders7/37
Deterioration of vertigoEar and labyrinth disorders6/37
Sound interruptionsProduct Issues4/37
Retention issuesProduct Issues1/37
Overly loud or unpleasant sounds and sensationsProduct Issues1/37
HeadachesGeneral disorders1/37
Health issues (sickness)General disorders1/37

Baseline characteristics

Age, Continuous
Age, Continuous(years)Group 1
Mean67.2 ± 12.8
Sex: Female, Male
Sex: Female, Male(Participants)Group 1
Female10
Male22
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Group 1
Age of onset of hearing loss
Age of onset of hearing loss(years)Group 1
Mean45.8 ± 19.8
Age of onset of hsevere earing loss
Age of onset of hsevere earing loss(years)Group 1
Mean49.9 ± 21.1
08

Study locations

3 sites
  • HNO-Klinik Düsseldorf
    Düsseldorf, Düsseldorf 40225, Germany
  • Unfallkrankenhaus Berlin (UKB)
    Berlin, State of Berlin 12683, Germany
  • Westfälische Wilhelms-Universität Münster
    Münster, Germany
09

References and documents

Study documents

  • Protocol and statistical analysis plan · May 31, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04929470
Lead sponsor
Advanced Bionics AG
Responsible party
Sponsor
First posted
Jun 18, 2021
Start date
Jul 6, 2021
Primary completion
Feb 5, 2026
Completion
Feb 5, 2026
Results posted
Jun 12, 2026
Last update
Jun 12, 2026

Study contacts

Arneborg Ernst, Prof. Dr.
principal investigator · Unfallkrankenhaus Berlin

Oversight

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

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