ClinicalTrials.gg
Enrolling by invitationNCT05554692Updated Mar 25, 2025

Peripheral and Central Influences on Auditory Temporal Processing & Speech Perception in Older Cochlear Implantees

An interventional study of Diagnostic tests of cochlear implant function and Diagnostic tests of auditory function in Hearing Loss, Cochlear Hearing Loss and Hearing Loss, Sensorineural, sponsored by University of Maryland, College Park. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-03-25.

Primary conditionHearing Loss, SensorineuralRegistry: Hearing LossReclassifiedWhy we changed it
Registry
Hearing Loss — the first condition term the registry derived for this study.
ClinicalTrials.gg
Hearing Loss, Sensorineural
Why
  1. The study's listed conditions name Hearing Loss, Sensorineural, a narrower term within Hearing Loss.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University of Maryland, College Park · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Non-randomized
Ages
18 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 141 studies in Hearing Loss, Sensorineural with a site in United States — 34 open to participants now, 38 under way, 1 of them phase 3. Hearing Loss, Sensorineural · United States.

Planned enrollment
6th of 115
300 · median 38
Started
2022
with 13 others
No phase
89 of 141
21 open now
Primary completion
2027-03
later than 14 of 37 live
Registered
91st of 141
by date

Among the 141 studies in Hearing Loss, Sensorineural with a site in United States, this one is the 6th largest by planned enrollment of the 115 interventional ones that give a count, is one of 14 that started in 2022, is one of 89 with no phase, reaches primary completion later than 14 of the 37 other live ones, and was the 91st registered.

Hearing Loss, Sensorineural

346 studies on the registry are indexed under Hearing Loss, Sensorineural; 101 are open to participants now.

Browse Hearing Loss, Sensorineural studies →

Open to participants now

34 of the 141 studies in Hearing Loss, Sensorineural with a site in United States are open now. Recruiting first, the newest first:

29 more — sign in →

All 34 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 70 Hearing Loss, Sensorineural studies recruiting now, 39 (56%) set no upper age limit and 19 (27%) stop at 75 or younger; 26 take children under 18; 17 take healthy volunteers.

This study: 18 Years to 85 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 141 studies in Hearing Loss, Sensorineural with a site in United States, or all of them as a file.
02

Study summary

Older adults who use cochlear implants to address hearing loss show wide variation in benefit. This research investigates the role of normal aging, the health of peripheral and central auditory pathways, and positioning of the cochlear implant electrode array in contributing to this variability. A range of input types from simple auditory signals to spoken sentences is used to examine these questions.

Read the detailed description

This research aims to understand age-related temporal processing in older cochlear-implant (CI) users. The overall objective is to disentangle the peripheral and central contributions to age-related temporal processing deficits in this population. The central hypothesis is that age-related speech perception deficits are explained by unique contributions from peripheral and central auditory functions, significantly affecting outcomes in older CI users.

The central hypothesis will be tested by determining (1) the extent to which temporal processing of simple signals from single-electrode stimulation can be explained by aging and the peripheral electrode-to-neural interface; (2) the extent to which speech perception can be explained by aging and the peripheral electrode-to-neural interface; (3) the extent and manner in which central auditory compensation overcomes peripheral processing deficits that contribute to age-related performance declines in CI subjects.

Outcome measures collected in this project include behavioral measures of speech and auditory perception and electrophysiological responses.

Also collected are questionnaire-based reports of history of CI device use, cognitive screening measures, and imaging-based information regarding electrode placement in the cochlea.

Better understanding of the locus of age-related temporal processing deficits in this population will aid in developing age-specific guidance regarding CI candidacy, programming, and rehabilitation, thereby improving expected benefit and quality of life.

03

Conditions studied

  • Hearing Loss
  • Cochlear Hearing Loss
  • Hearing Loss, Sensorineural
  • Aging

Browse trials for

04

In context

Hearing Loss, Sensorineural Reclassified

346 studies on the registry are indexed under Hearing Loss, Sensorineural; 101 are open to participants now.

This study's planned enrollment of 300 is above the median of 32 across 247 interventional studies indexed under Hearing Loss, Sensorineural.

Browse Hearing Loss, Sensorineural studies →

Lead sponsor

University of Maryland, College Park is the lead sponsor of 62 studies on the registry; 15 are open to participants now.

Compared within Hearing Loss, Sensorineural, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Hearing Loss. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

For Cochlear Implant arm:

Inclusion Criteria:

  • cochlear implant in one or both ears
  • post-lingual onset of deafness
  • 1+ years cochlear implant experience
  • use of Cochlear-brand implants
  • implanted after 2004

Exclusion Criteria:

  • use of non-Cochlear-brand cochlear implants
  • no use of oral language
  • pregnant women are not eligible for the imaging portion of the study.
  • residual acoustic hearing with unaided thresholds \<90 dB HL at more than two standard audiometric frequencies
  • other known disability or neurological disorder

For Typical Hearing arm:

Inclusion Criteria:

  • audiometrically normal hearing, near-normal hearing, or mild/moderate hearing loss.

Exclusion Criteria:

  • severe hearing loss
  • history of neurological disorders
  • history of middle-ear disorders
06

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    Enrolled Participants - Older adults with cochlear implants

    Individuals who already use at least one cochlear implant.

    Diagnostic Test: Diagnostic tests of cochlear implant function

  • Other
    Enrolled Participants - Adults with typical hearing

    Control group to provide baseline or comparison data

    Diagnostic Test: Diagnostic tests of auditory function

Interventions

  • Diagnostic testDiagnostic tests of cochlear implant function

    Because the subjects in the study will use CI devices that they have already received as part of their standard-of-care treatment, the medical device itself is not an intervention for the purposes of this study. The intervention here will be to carry out diagnostic tests of CI function. This will include perceptual tests of temporal discrimination and speech understanding.

  • Diagnostic testDiagnostic tests of auditory function

    The intervention here will be to carry out diagnostic tests of hearing. This will include perceptual tests of temporal discrimination and speech understanding.

07

What researchers measure

Primary outcomes

  1. Perceptual forward-masking recovery

    Basic measurement of temporal processing - A masker stimulus encountered before a probe/target stimulus can affect the perception of the probe stimulus to a greater/lesser degree depending on their separation in time and their absolute and relative levels. Percent correct discrimination as a function of time separation and level manipulations, as measured from a behavioral response, will be reported.

    Time frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. No required time frame for NH comparison listeners. This measure will be collected once within a 6-month time period for each participant.

  2. Perceptual gap detection thresholds

    Basic behavioral measurement of temporal processing - The ability to detect a silent gap within a stimulus typically varies depending on frequency and level characteristics of the stimulus in which the gap is embedded and also with the hearing history and age of the listener. Gap detection threshold is the shortest gap duration that can be reliably detected under a given set of conditions and is typically reported in milliseconds.

    Time frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. No required time frame for NH comparison listeners. This measure will be collected once within a 6-month time period for each participant.

  3. Perceptual duration discrimination thresholds

    Basic measurement of temporal processing - Perceptual duration discrimination thresholds summarize a listener's ability to tell apart stimuli that differ in temporal extent. Percent correct discrimination as a function of duration difference, overall stimulus duration, and level manipulations, as measured from a behavioral response, will be reported.

    Time frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. No required time frame for NH comparison listeners. This measure will be collected once within a 6-month time period for each participant.

  4. Perceptual amplitude discrimination thresholds

    Basic measurement of auditory processing - Perceptual amplitude discrimination thresholds summarize a listener's ability to tell apart stimuli that differ in level. Percent correct discrimination as a function of level difference size and average level, as measured from a behavioral response, will be reported.

    Time frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. No required time frame for NH comparison listeners. This measure will be collected once within a 6-month time period for each participant.

  5. Speech perception

    Word discrimination, consonant, vowel, and sentence perception tests. The ability to discriminate between and identify recorded words, phonemic contrasts, and sentences will be assessed behaviorally. Results are reported in terms of percent correct words or phonemes.

    Time frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. No required time frame for NH comparison listeners. This measure will be collected once within a 6-month time period for each participant.

  6. Amplitude modulation detection performance

    Measure of ability to perceive amplitude modulation using modulation depth thresholds. Amplitude modulation detection performance summarizes a listener's ability to detect the presence of slower-changing amplitude variations applied to a faster-varying carrier signal. The modulation depth of the resulting combined signal can vary between 0 to 100% of the carrier signal with larger values indicating more extreme amplitude fluctuation. This research reports on the amount of modulation that can be detected as a function of different modulator and carrier frequencies, as well as overall stimulus level, as assessed via behavioral report.

    Time frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. No required time frame for NH comparison listeners. This measure will be collected once within a 6-month time period for each participant.

Secondary outcomes

  1. Electrically evoked compound action potential (ECAP)

    ECAP amplitude growth function slopes will be used to predict perceptual performance. This measure uses clinically-available software to track the growth in auditory nerve response (peak-to-peak amplitude) as input level is varied from threshold to the maximal level at which the signal is comfortably loud. The slope of input-output function will be measured for each electrode along the electrode array of each CI study participant. Steeper slopes (measured in microvolts/current unit) will be interpreted as indicating better neural health of the associated auditory neurons.

    Time frame: Time Frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. Not collected from NH listeners. This measure will be collected once within a 6-month time period for each participant.

  2. Electrically evoked compound action potential (ECAP) forward masking recovery

    Electrophysiological measurement of auditory nerve refractory time. This measure will be used to predict perceptual performance. Detection thresholds will be measured as masker and probe inputs are varied among a fixed set of levels and the interval between masker and probe is adjusted in duration.

    Time frame: Time Frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. Not collected from NH listeners. This measure will be collected once within a 6-month time period for each participant.

  3. Electrically or acoustically evoked auditory brainstem response (ABR) - Wave V amplitude

    Wave V from the ABR is a reflection of brainstem/midbrain processing. We will measure Wave V amplitude (microV) as the masker and probe levels and masker-to-probe interval are varied. This will be used to predict perceptual performance.

    Time frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. No required time frame for NH comparison listeners. This measure will be collected once within a 6-month time period for each participant.

  4. Electrically or acoustically evoked auditory brainstem response (ABR) - Wave V latency

    Wave V from the ABR is a reflection of brainstem/midbrain processing. We will measure Wave V latency (ms) as the masker and probe levels and masker-to-probe interval are varied. This will be used to predict perceptual performance.

    Time frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. No required time frame for NH comparison listeners. This measure will be collected once within a 6-month time period for each participant.

  5. Cortical auditory evoked potential - N1 and P2 amplitude

    Cortical (N1 and P2) amplitude (microV) in response to sound will be used to predict perceptual performance. This is an obligatory response from the auditory cortex that indicates sound detection.

    Time frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. No required time frame for NH comparison listeners. This measure will be collected once within a 6-month time period for each participant.

  6. Cortical auditory evoked potential - N1 and P2 latency

    Cortical (N1 and P2) latency (ms) in response to sound will be used to predict perceptual performance. This is an obligatory response from the auditory cortex that indicates sound detection. There is evidence that this latency varies as a function of aging.

    Time frame: Post-treatment - after at least 1 year use of a cochlear implant if CI user. No required time frame for NH comparison listeners. This measure will be collected once within a 6-month time period for each participant.

08

Study locations

1 site
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — De-identified data that document, support, and validate research findings will be made available when the main findings have been accepted for publication. De-identified data relevant to the project will be disseminated to researchers on and off-campus by request and review of the PI. After publication, research products from this project will be archived at the Digital Repository at the University of Maryland(DRUM). DRUM is a long-term, open access repository managed and maintained by the University of Maryland Libraries. Researchers and the general public can download data and code files, associated metadata and documentation, and any guidelines for reuse.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Following publication, available for at least seven years.

Access criteria: Investigators whose proposed use of the data has been approved by an independent review committee

10

Timeline

Tracking 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 Mar 2027, 55 months after the start.

Of 82 non-industry interventional studies with no phase under Hearing Loss, Sensorineural, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 83. This study's planned 55 months is above that.

Counting every sponsor, half of 162 studies reached it within 22 months; a quarter within 6 and three quarters within 44.

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

Registered
Aug 31, 2022
First posted
Sep 26, 2022
StartActual
Aug 3, 2022
Primary completionEst.
Mar 2027
CompletionEst.
Mar 2027
Last update
Mar 25, 2025
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.
No changes since tracking began. The registry record was last updated on Mar 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05554692
Lead sponsor
University of Maryland, College Park
Responsible party
Matthew Goupell (Professor, Department of Hearing and Speech Sciences, University of Maryland, College Park) — Principal investigator
First posted
Sep 26, 2022
Start date
Aug 3, 2022
Primary completion
Mar 2027 (estimated)
Completion
Mar 2027 (estimated)
Last update
Mar 25, 2025

Study contacts

Matthew J. Goupell, PhD
principal investigator · University of Maryland, College Park
Samira B. Anderson, PhD
study director · University of Maryland, College Park
Sandra Gordon-Salant, PhD
study director · University of Maryland, College Park

Oversight

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

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