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NCT02189798

Implantation of the HiRes90K™ Advantage Cochlear Implant With HiFocus™ Mid-Scala and Development of a Combined Electric and Acoustic Stimulation Technology in Adults With Partial Deafness

Terminated NA Results posted Last updated 8 May 2025
What this trial tests

NA trial testing HiRes 90K™ Advantage implant with HiFocus™ Mid-Scala electrode in Hearing Loss in 67 participants. Terminated before completion.

Timeline
21 October 2014
Primary endpoint
29 March 2022
29 March 2022

Quick facts

Lead sponsorAdvanced Bionics
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment67
Start date21 October 2014
Primary completion29 March 2022
Estimated completion29 March 2022
Sites11 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Advanced Bionics — full company profile →

Who can join

18 and older, any sex, with Hearing Loss or Partial Deafness. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Unaided Pure-tone Average (PTA) Hearing Threshold Measurements Primary · Twelve months post device activation

Unaided pure tone hearing threshold measurement in the implanted ear at months 3, 6 and 12 months after surgery compared to pre-implant audiometric thresholds (using pure-tone average of 125 - 1000 Hz for comparison)

Baseline PTA
GroupValue95% CI
Newly Implanted Subjects46.7± 8.7
Existing Implanted72.0± 19.5
3 Month PTA
GroupValue95% CI
Newly Implanted Subjects69.4± 12.1
Existing Implanted71.6± 20.5
6 Month PTA
GroupValue95% CI
Newly Implanted Subjects67.5± 12.2
Existing Implanted72.6± 18.9
12 Month PTA
GroupValue95% CI
Newly Implanted Subjects71.6± 15.6
Existing Implanted74.5± 17.1
Consonant-Nucleus-Consonant (CNC) Word Recognition Test in Quiet Primary · Up to 12 months post device activation

Consonant-Nucleus-Consonant (CNC) Word Recognition Test in quiet in the treated ear measured at Month 1, 3, 6 and 12 post device activation compared to pre-implant speech perception testing in quiet. Scores are determined on scale of 0% to 100% words correct with higher scores indicating a better outcome.

Baseline
GroupValue95% CI
Newly Enrolled19.3± 13.5
Existing Implanted61.5± 19.5
Month 1 Post Device /EAS Activation
GroupValue95% CI
Newly Enrolled31.3± 25.8
Existing Implanted67.1± 17.8
Month 3 Post Device /EAS Activation
GroupValue95% CI
Newly Enrolled50.4± 28.0
Existing Implanted70.5± 15.9
Month 6 Post Device /EAS Activation
GroupValue95% CI
Newly Enrolled50.5± 25.6
Existing Implanted72.7± 18.3
Month 12 Post Device /EAS Activation
GroupValue95% CI
Newly Enrolled51.1± 25.0
Existing Implanted73.3± 19.2
Speech Perception Testing (AzBio) in Noise. Primary · up to 12 months post device activation

Speech perception testing (AzBio) in noise in the treated ear measured at Month 1, 3, 6 and 12 post device activation compared to pre-implant speech perception testing in quiet. Scores are determined on scale of 0% to 100% words correct with higher scores indicating a better outcome.

Baseline
GroupValue95% CI
Newly Enrolled11.9± 8.5
Existing Implanted46.2± 22.6
1 Month Post Device/ EAS Activation
GroupValue95% CI
Newly Enrolled19± 19.7
Existing Implanted55.0± 27.1
3 Month Post Device/ EAS Activation
GroupValue95% CI
Newly Enrolled42.1± 28.3
Existing Implanted57.7± 25.8
6 Month Post Device/ EAS Activation
GroupValue95% CI
Newly Enrolled44.4± 28
Existing Implanted62.6± 27.1
12 Month Post Device/ EAS Activation
GroupValue95% CI
Newly Enrolled46.2± 26.3
Existing Implanted64.1± 23.2

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events (AEs) were documented from the signing of the informed consent form through two weeks after the final study visit, up to 12 months post-activation in the main phase. In the extended use phase, participants were assessed annually, with AEs tracked as reported until exit. The first subject exited at 24 months, while the last exited at 84 months post-device activation.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Newly Implanted Group
Serious: 16/49 (33%)
Deaths: 1/49
Existing Implanted Group
Serious: 0/18 (0%)
Deaths: 0/18
Extended Use Phase - Newly Implanted Group
Serious: 1/15 (7%)
Deaths: 0/15
Extended Use Phase - Existing Implanted Group
Serious: 0/9 (0%)
Deaths: 0/9

Serious adverse events (10 terms)

ReactionSystemNewly Implanted GroupExisting Implanted GroupExtended Use Phase - Newly…Extended Use Phase - Exist…
Postoperative decrease/loss of residual hearingEar and labyrinth disorders
PneumoniaRespiratory, thoracic and mediastinal disorders
Severe inflammation from extensive radiation damageGeneral disorders
DeathGeneral disorders
Fractured left femoral head secondary to fallMusculoskeletal and connective tissue disorders
Fractured rib secondary to fallMusculoskeletal and connective tissue disorders
Crushed legs secondary to Motor Vehicle AccidentMusculoskeletal and connective tissue disorders
Hospitalization due to Health SetbackGeneral disorders
Complication at Implant SiteEar and labyrinth disorders
Torn Shoulder TendonMusculoskeletal and connective tissue disorders
Other adverse events (48 terms — click to expand)

ReactionSystemNewly Implanted GroupExisting Implanted GroupExtended Use Phase - Newly…Extended Use Phase - Exist…
Vertigo or DizzinessEar and labyrinth disorders
Post-operative Pain - Implanted earSurgical and medical procedures
Musculoskeletal injury, sprain or fractureMusculoskeletal and connective tissue disorders
Device related/ Programming ProblemsProduct Issues
Upper Respiratory Tract InfectionRespiratory, thoracic and mediastinal disorders
Complication at Implant siteSkin and subcutaneous tissue disorders
Ear Irritation/PainEar and labyrinth disorders
HeadachesGeneral disorders
Oral/Dental DisturbanceGeneral disorders
Renal illness (injury, stones or failure)Renal and urinary disorders
Skin Irritation (General)Skin and subcutaneous tissue disorders
Tinnitus - Implanted EarEar and labyrinth disorders
Oral/Taste disturbanceGeneral disorders
ConstipationGastrointestinal disorders
EpistaxisGeneral disorders
External/Middle Ear Postoperative SymptomEar and labyrinth disorders
AnemiaBlood and lymphatic system disorders
Numbness (Implanted Ear)Ear and labyrinth disorders
Postoperative decrease/loss of residual hearingEar and labyrinth disorders
Postoperative Sensation of clogged ear (Implanted Ear)Ear and labyrinth disorders
Prostate DysfunctionReproductive system and breast disorders
Sleep DeprivationGastrointestinal disorders
Condition of the Contralateral earEar and labyrinth disorders
AnxietyPsychiatric disorders
Decreased ConcentrationGeneral disorders
DepressionPsychiatric disorders
Parkinson's DiseaseNervous system disorders
Eye Fluttering - Right eyeEye disorders
Facial EdemaGeneral disorders
FeverGeneral disorders
Leaky Heart ValveCardiac disorders
Lockjaw with painGeneral disorders
Macular DegenerationEye disorders
Pain due to bone fracture from a fallMusculoskeletal and connective tissue disorders
FatigueGeneral disorders
PneumoniaRespiratory, thoracic and mediastinal disorders
Nausea after implant surgery in contralateral earGastrointestinal disorders
Postoperative popping noise (Implanted Ear)Ear and labyrinth disorders
Postoperative Sensitivity during testing (Implanted Ear)Ear and labyrinth disorders
PrediabetesEndocrine disorders

Most-reported serious reactions: Postoperative decrease/loss of residual hearing, Pneumonia, Severe inflammation from extensive radiation damage, Death, Fractured left femoral head secondary to fall, Fractured rib secondary to fall, Crushed legs secondary to Motor Vehicle Accident, Hospitalization due to Health Setback.

Data from ClinicalTrials.gov NCT02189798 adverse events section.

Sponsor's own description

The purpose of this feasibility study is to evaluate whether low-frequency acoustic hearing sensitivity can be preserved in newly implanted adults with partial deafness (considerable low frequency acoustic hearing profiles with severe-to-profound high frequency sensorineural hearing loss) using the HiResolution™ 90K™ Advantage cochlear implant with the HiFocus™ Mid-Scala electrode to support the development of electro-acoustic stimulation technology (EAS).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Neurosensory Prosthetics: An Integral Neuromodulation Part of Bioelectronic Device.
    Ezeokafor I, Upadhya A, Shetty S. · · 2021 · cited 6× · PMID 34867141 · DOI 10.3389/fnins.2021.671767

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