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RecruitingNCT07879326mTUNE-R33Updated Oct 16, 2026

Towards Implementation of Universal Newborn Hearing Screening in Kenya

An interventional study of Hearing and ear health screening in Hearing Loss, Bilateral or Unilateral and Otitis Media With Effusion in Children, sponsored by University of Washington. Recruiting at 1 site in Kenya. Open to participants aged 5 Months to 7 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by University of Washington · Not applicable, Interventional, and Screening

Updated Oct 16, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Not applicable
Ages
5 Months to 7 Months
Sex
All
01

Study summary

The goal of this observational study is to learn if smartphone hearing screening devices can help to understand the role of ear infections in hearing loss in infants with HIV exposure. The main questions it will answer are 1) What is the screening accuracy of smartphone hearing screening? 2) What is the incidence of ear infections and of abnormal hearing screening findings in infants with and without HIV exposure? Researchers will follow infants with and without HIV exposure for 6 months and will use smartphone and conventional hearing and ear health screening devices at the same time to see if the smartphone devices can help detect ear infections. Parent and infant participants will visit the clinic 3 times over 6 months. At these visits, infants will have hearing and ear health checked using smartphone and conventional devices.

Read the detailed description

This study will leverage smartphone hearing screening devices to understand the role of otitis media with effusions in hearing loss in infants with HIV exposure. Aim 1 will determine screening accuracy of smartphone-based otoacoustic emissions based hearing screening versus conventional otoacoustic emissions based hearing screening. Hypotheses. Sensitivity and specificity will be high for smartphone otoacoustic emissions testing vs conventional otoacoustic emissions testing. Smartphone otoacoustic emissions testing can detect hearing loss in high-risk infants. Aim 2 will estimate and compare incidence of otitis media with effusions and concurrent abnormal otoacoustic emissions testing with otitis media with effusions in infants with and without HIV exposure. Hypothesis. Incidence of otitis media with effusions will be high. Exploratory Hypothesis. HIV exposure will increase the risk of otitis media with effusions.

02

Conditions studied

  • Hearing Loss, Bilateral or Unilateral
  • Otitis Media With Effusion in Children

Keywords

  • Hearing Loss
  • Otitis Media with Effusion
03

In context

Hearing Loss

1,109 studies on the registry are indexed under Hearing Loss; 233 are open to participants now.

This study's planned enrollment of 400 is above the median of 40 across 778 interventional studies indexed under Hearing Loss.

Browse Hearing Loss studies →

Lead sponsor

University of Washington is the lead sponsor of 1,431 studies on the registry; 226 are open to participants now.

Of its 158 completed or terminated interventional studies of FDA-regulated products, 136 (86%) have results posted.

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

04

Who can participate

Ages eligible
5 Months to 7 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Is at least 18 years old
  • Is a biological mother for the infant participant
  • Willing to disclose HIV status with confirmation from medical record
  • Planning to reside in the study catchment for the next 6 months

Infants must meet all of the following criteria:

  • Age 5 to 7 months
  • at least one patent ear canal

Exclusion criteria

Exclusion Criteria:

  • Unwilling to provide locator information for contact
05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
400 participants (estimated)

Study arms

  • Experimental
    Hearing and ear health screening

    Hearing will be screened using smartphone and conventional devices that detect otoacoustic emissions. Ear health will be screened using a smartphone device that uses acoustic reflectometry to detect middle ear fluid.

    Device: Hearing and ear health screening

Interventions

  • DeviceHearing and ear health screening

    Hearing will be screened using smartphone and conventional devices that detect otoacoustic emissions. Ear health will be screened using a smartphone device that uses acoustic reflectometry to detect middle ear fluid.

06

What researchers measure

Primary outcomes

  1. Otitis media with effusions and concurrent abnormal otoacoustic emissions testing with otitis media with effusions.

    We will estimate prevalence at each time point and incidence of otitis media with effusions as events per 1000 child weeks.

    Time frame: Enrollment, 3 and 6 months follow-up

  2. Screening accuracy of smartphone-based otoacoustic emissions based hearing screening versus conventional otoacoustic emissions based hearing screening.

    We will estimate sensitivity and specificity of smartphone OAE, using conventional OAE as a gold standard. We will calculate agreement between smartphone and conventional OAE using Spearman rank correlation coefficients and Kappa test statistics.

    Time frame: At enrollment, 3 and 6 months follow-up

07

Study locations

1 of 1 sites recruiting
  • Mathare North Health Centre
    Nairobi, Kenya
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — All data other than patient direct or indirect identifiers will be shared.

Access criteria: Other researchers can contact the MPIs and complete an approved Data Sharing Agreement.

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

Start is estimated for Sep 2026; primary completion for Sep 2028, 24 months later.

Of 268 non-industry interventional studies with no phase under Hearing Loss, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 61. This study's planned 24 months is below that.

Counting every sponsor, half of 444 studies reached it within 17 months; a quarter within 5 and three quarters within 41.

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

Registered
Oct 9, 2026
First posted
Oct 16, 2026
StartEst.
Sep 24, 2026
Primary completionEst.
Sep 2028
CompletionEst.
Sep 2028
Last update
Oct 16, 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.
Registered
First appeared on the registry. No changes since
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    First appeared on the registry

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
NCT07879326
Responsible party
Sarah Benki-Nugent (Associate Professor: School of Medicine, Allergy and Infectious Diseases and Global Health, University of Washington) — Principal investigator
First posted
Oct 16, 2026
Start date
Sep 24, 2026 (estimated)
Primary completion
Sep 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Oct 16, 2026

Study contacts

Sarah Benki-Nugent, PhD
Contact
benki@u.washington.edu
206-685-9713
Sarah Benki-Nugent, PhD
principal investigator · University of Washington

Oversight

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

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