ClinicalTrials.gg
Active, not recruitingNCT05318417PAS-SSDUpdated Sep 30, 2026

Investigation to Evaluate the Safety and Effectiveness of Cochlear Implantation in Children and Adults With Unilateral Hearing Loss/Single-sided Deafness

An interventional study of The Cochlear™ Nucleus® Cochlear Implant (CI) System in Hearing Loss, Unilateral and Deafness, Unilateral, sponsored by Cochlear. Active, not recruiting at 6 sites in United States. Open to participants aged 5 Years and older. Per ClinicalTrials.gov, last updated 2026-09-30.

Sponsored by Cochlear · Not applicable, Interventional, and Treatment

Updated Sep 30, 2026Now Active, not recruiting2 sites removedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
5 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 30 studies in Hearing Loss, Unilateral with a site in United States — 5 open to participants now, 8 under way, none of them phase 3. Hearing Loss, Unilateral · United States.

Planned enrollment
5th of 21
60 · median 35
Started
2022
with 3 others
No phase
18 of 30
3 open now
Registered
24th of 30
by date
Lead sponsor
3 of 30
Cochlear

Among the 30 studies in Hearing Loss, Unilateral with a site in United States, this one is the 5th largest by planned enrollment of the 21 interventional ones that give a count, is one of 4 that started in 2022, is one of 18 with no phase, and was the 24th registered.

Hearing Loss, Unilateral

51 studies on the registry are indexed under Hearing Loss, Unilateral; 7 are open to participants now.

Browse Hearing Loss, Unilateral studies →

Open to participants now

5 of the 30 studies in Hearing Loss, Unilateral with a site in United States are open now. Recruiting first, the newest first:

All 5 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 6 Hearing Loss, Unilateral studies recruiting now, 1 sets no upper age limit and 4 stop at 75 or younger; 5 take children under 18; 2 take healthy volunteers.

This study: 5 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

The aim of the study is to assess the continued efficacy and safety of cochlear implantation in participants aged 5 years and above with Unilateral Hearing Loss (UHL)/Single Sided Deafness (SSD) supporting a change indication for use.

03

Conditions studied

  • Hearing Loss, Unilateral
  • Deafness, Unilateral
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Individuals 18 years or older (Group A)

Ear to be Implanted:

Severe sensorineural hearing loss (HL) defined as: Pure-tone average at 0.5, 1, 2, 4 kHz >80 dB HL ; Aided Consonant-Nucleus-Consonant Test (CNC) score ≤5% and

Normal Hearing Ear:

Normal or near normal hearing defined as an average of (0.5, 1, 2, 4kHz) ≤ 30 dB HL

  • Children 5 years to 17 years, 11 months (Group B)

Ear to be Implanted:

Severe sensorineural HL defined as: Pure-tone average at 0.5, 1, 2, 4 kHz >80 dB HL; Aided CNC score ≤5% and

Normal Hearing Ear:

Normal or near normal hearing defined as an average of (0.5, 1, 2, 4kHz) ≤ 30 dB HL

  • Previous experience with a current conventional treatment option for unilateral [SSD] HL (HA, bone-conduction device, or CROS technology), if no previous experience a minimum trial period of two weeks is required
  • English spoken as a primary language
  • Willing and able to provide written

Exclusion criteria

Exclusion Criteria:

  • Ossification, abnormal cochlear nerve or any other cochlear anomaly that might prevent complete insertion of the electrode array
  • Previous cochlear implantation
  • Hearing loss of neural or central origin, including auditory neuropathy
  • Duration of profound sensorineural HL >10 years per self-report
  • Active / chronic middle-ear infection; conductive HL in either ear
  • Medical or psychological conditions that contraindicate undergoing surgery as determined by the Investigator
  • Unrealistic expectations on the part of the participant/family, regarding the possible benefits, risks, and limitations that are inherent as determined by the Investigator
  • Evidence of and/or suspected cognitive or developmental concern
  • Unable or unwilling to comply with the requirements of the clinical investigation as determined by the Investigator
  • Investigator site personnel directly affiliated with this study and/or their immediate families; immediate family is defined as a spouse, parent, child or sibling
  • Cochlear employees or employees of Contract Research Organizations (CROs) or contractors engaged by Cochlear for the purposes of this investigation
  • Pregnant or breastfeeding women
  • Currently participating, or participated within the last 30 days, in another interventional clinical investigation/trial involving an drug or device.
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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Other
    Children and adults with unilateral hearing loss/single-sided deafness

    Device: The Cochlear™ Nucleus® Cochlear Implant (CI) System

Interventions

  • DeviceThe Cochlear™ Nucleus® Cochlear Implant (CI) System

    The Cochlear™ Nucleus® CI systems are designed to provide useful hearing. The system works by converting sound in the environment into electric pulses that stimulate the auditory nerve, allowing the brain to perceive sound. The Cochlear™ Nucleus® CI system has implanted and external components. Implanted component: The CI is surgically implanted under the skin behind the ear. It includes a receiver/stimulator to receive and decode the electrical signals from the sound processor and an electrode to deliver these signals to the cochlear. External components: The external components include a sound processor, and associated accessories and cables. The system is programmed by a Cochlear proprietary programming system, Custom Sound®.

06

What researchers measure

Primary outcomes

  1. Change in sentence in noise scores at 12 months post-activation in the binaural (CI and normal hearing (NH)) listening condition compared to preoperatively in the best listening (NH alone or NH and hearing aid) condition in 3 speaker configurations.

    Measured with the Bamford-Kowal-Bench Sentence in Noise test (BKB-SIN). List of sentences are presented at 65 dBA with the level of noise varied stepwise at fixed signal to noise ratio to obtain a Speech Reception Threshold (SRT) where participants are able to repeat key words 50% of the time. Score range is not specified as metric is adaptive; lower scores indicate better performance. The 3 speaker configurations are: speech front/noise front; speech front/noise to NH ear; speech front/noise to poorer ear.

    Time frame: pre-implantation, 12 months post-activation

  2. Number of procedure and device related adverse events classified by type, frequency and severity.

    Time frame: 36 months post-activation

Secondary outcomes

  1. Change in participant reported spatial hearing at 12 months post-activation compared to pre-operative ratings.

    Assessed via Speech, Spatial, and Qualities of Hearing Scale (SSQ) questionnaire (parent or participant version dependent on age). Rating ranges from 0 (no ability) to 10 (complete ability). Higher scores indicate greater perceived abilities.

    Time frame: pre-implantation, 12 months post-activation

  2. Change in word recognition at 12 months post-activation in the CI alone condition compared to preoperative aided condition in the poorer hearing ear alone.

    Measured via the Consonant-Nucleus-Consonant (CNC) Word Recognition Test. The score is the total number of words correct expressed as percent correct (range of 0-100); higher score is better.

    Time frame: pre-implantation, 12 months post-activation

07

Study locations

6 sites
08

References and documents

Individual participant data

Plan to share: No — Cochlear do not have an approved platform for public sharing of IPD collected in this study. Data may be provided to individual researchers on request.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2022 (actual). Primary completion is estimated for May 2027, 57 months after the start.

Of 24 interventional studies with no phase under Hearing Loss, Unilateral, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 83. This study's planned 57 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 17, 2022
First posted
Apr 8, 2022
StartActual
Aug 19, 2022
Primary completionEst.
May 2027
CompletionEst.
Jun 2027
Last update
Sep 30, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Active, not recruiting
changed Sep 30, 2026
Sites
2 sites removed
Show 2 removed
  • Nationwide Children's Hospital · Columbus, United States
  • University of Texas Southwestern Medical Center- Department of Otolaryngology Head and Neck Surgery · Dallas, United States
Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    Recruiting→Active, not recruiting
    2 sites removed
    Show 2 removed
    • Nationwide Children's Hospital · Columbus, United States
    • University of Texas Southwestern Medical Center- Department of Otolaryngology Head and Neck Surgery · Dallas, United States
    + 2 other changes: verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05318417
Lead sponsor
Cochlear
Collaborators
NAMSA
Responsible party
Sponsor
First posted
Apr 8, 2022
Start date
Aug 19, 2022
Primary completion
May 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Sep 30, 2026

Study contacts

Jillian Crosson
study director · Cochlear

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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