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Not yet recruitingNCT05624983OTOEMHFUpdated Nov 22, 2022

Exploration of High Frequency Otoacoustic Emissions and Developmental Language Disorders

An interventional study of acoustic otoemisions and Otoscopy in Language Development Disorders, sponsored by University Hospital, Clermont-Ferrand. Not yet recruiting at 1 site in France. Open to participants aged 2 Years to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-11-22.

Sponsored by University Hospital, Clermont-Ferrand · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
138
Allocation
Non-randomized
Ages
2 Years to 17 Years
Sex
All
01

Study summary

Among the objective non-invasive audiological explorations the distorsion products of otoacoustic emissions (DPOAE) allow to quickly assess the function of the cochlear outer hair cells (without the active participation of the subject). This technique is used in newborn screening. While humans are able to perceive sounds in a frequency range of 20Hz to 20kHz, routine clinical audiological assessment is only concerned with frequencies between 1-4kHz.

This obscures the importance of high frequencies (HF) which can be easily assessed by DPOAEs. In young children, the perception of these high frequencies could also play an important role in language acquisition.

The main objective of this study is to evaluate the relationship between subtle high-frequency hearing impairment, as assessed by the DPOAE (non-invasive, rapid and simple audiological test), and language delay or difficulties in a pre-, peri- and school-age pediatric population.

02

Conditions studied

  • Language Development Disorders

Keywords

  • Language development disorders
  • otoemisions
  • child
  • high frequencies
  • hearing
03

In context

Language Development Disorders

121 studies on the registry are indexed under Language Development Disorders; 49 are open to participants now.

This study's planned enrollment of 138 is above the median of 74 across 106 interventional studies indexed under Language Development Disorders.

Browse Language Development Disorders studies →

Lead sponsor

University Hospital, Clermont-Ferrand is the lead sponsor of 859 studies on the registry; 179 are open to participants now.

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

04

Who can participate

Ages eligible
2 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria for case (children with language disorder):

  • Normal hearing (after an audiometry test, even if an ENT consultation has been carried out beforehand and if the doctor has not found any hearing problem, as defined in the NF EN ISO 70292017-04 standard, and according to an average hearing loss calculated according to the BIAP \<20dB HL)
  • Free and of the parental authority and the patient
  • Affiliated to the social security system
  • Presenting a developmental language acquisition disorder (score according to the EVALO / EVALEO test)
  • For children between 15 and 17 years of age, completion of the EVALEO test before their 16th birthday

Inclusion Criteria for control (children without language disorder) :

  • Normal hearing (after an audiometry test, even if an ENT consultation has been performed beforehand and if the doctor has not found any hearing problem, as defined in the NF EN ISO 70292017-04 standard, and according to an average hearing loss calculated according to the BIAP \<20dB HL)
  • Free and informed consent of the parental authority and the patient
  • Enrolled in the social security system

Exclusion Criteria:

  • Hearing disorder identified during the inclusion visit (presence of cerumen or foreign body in the earwax plug or foreign body in the external auditory canal, tympanometry suggesting a middle ear disorder, audiometry with thresholds outside the normal thresholds outside the normal range (0-20dB HL), absence of responses in (0-20dB HL), absence of responses in acoustic otoemissions or acoustic distortion products) on conversational frequencies between 500Hz and 4kHz.
  • Declaration by the parents of an ENT follow-up for a hearing disorder and/or a speech therapy for a language disorder
  • Refusal of participation evoked by the subject
Terms in these criteria, in plain language(1)

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.

05

Study design

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

Study arms

  • Experimental
    Case group (children with language disorder)

    Hearing diagnostic test

    Diagnostic Test: acoustic otoemisions · Diagnostic Test: Otoscopy · Diagnostic Test: Audiometry · Diagnostic Test: Tympanometry

  • Other
    controle group (children without language disorder)

    Hearing diagnostic test

    Diagnostic Test: acoustic otoemisions · Diagnostic Test: Otoscopy · Diagnostic Test: Audiometry · Diagnostic Test: Tympanometry

Interventions

  • Diagnostic testacoustic otoemisions

    TOAE and DPOAE

  • Diagnostic testOtoscopy

    presence of earwax checked by video otoscop

  • Diagnostic testAudiometry

    Hearing Threshold will be measured with the AD528 interacoustics

  • Diagnostic testTympanometry

    Tympanic mobility will be measyred with the Titan interacoustics

06

What researchers measure

Primary outcomes

  1. HF DPOAE measurement

    at frequencies 4265, 4688, 5154, 5666, 6229, 6847, 7527, 8275, 9096 and 10000 Hz

    Time frame: Day 1

Secondary outcomes

  1. Presence or absence of HF DPOAE

    assessed by tympanometry, categorisation of this categorisation of this into 3 classes A, B and C frequency will be defined by a signal to noise ratio \> 6 dB. The absence of DPOAE for each frequency will be defined by a signal to noise ratio ≤ 6 dB.

    Time frame: Day 1

  2. Functional status of the middle ear

    assessed by tympanometry, categorisation of this categorisation of this into 3 classes A, B and C

    Time frame: Day 1

  3. Determination of the average hearing loss (baseline pure tone audiometry)

    according to the BIAP, average of audiometric thresholds at 500Hz thresholds at 500Hz, 1kHz, 2kHz and 4kHz

    Time frame: Day 1

  4. Laterality of hearing loss at the DPOAE level with a classification into 3 groups

    Not affected bilaterally affected, unilateral affected, bilateral affected; one side is considered to be affected if at least one of the at least one of the HF DPOAEs is ≤ 6 dB.

    Time frame: Day 1

  5. Severity and type of language impairment assessed by the EVALO/ EVALEO

    assessment and scoring by speech and language therapists

    Time frame: day 1

07

Study locations

1 site
  • CHU Clermont-Ferrand, UMR INSERM 1107
    Clermont-Ferrand, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05624983
Responsible party
Sponsor
First posted
Nov 22, 2022
Start date
Jan 1, 2023 (estimated)
Primary completion
Jul 1, 2027 (estimated)
Completion
Jul 1, 2027 (estimated)
Last update
Nov 22, 2022

Study contacts

Lise Laclautre
Contact
promo_interne_drci@chu-clermontferrand.fr
04 73 75 11 95

Oversight

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

Not currently enrolling

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