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NCT02811549

Benefits of the HiResolution Bionic Ear System in Adults With Asymmetric Hearing Loss

Completed NA Results posted Last updated 21 August 2023
What this trial tests

NA trial testing HiResolution Bionic Cochlear Implant in Hearing Loss in 24 participants. Completed in 25 March 2020.

Timeline
7 November 2016
Primary endpoint
25 March 2020
25 March 2020

Quick facts

Lead sponsorAdvanced Bionics
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment24
Start date7 November 2016
Primary completion25 March 2020
Estimated completion25 March 2020
Sites2 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 Ear Diseases. 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.

Change in Consonant Nucleus-Consonant (CNC) Word Recognition Test (Implanted Ear Only) Primary · Baseline and Twelve months

The post-implant CNC word scores were compared to preimplant word scores. The CNC monosyllabic word test is a validated test of open-set word recognition ability. The test was administered in quiet at 60 target 0° azimuth) and scored as total number of words correct which is expressed for results/reporting as percentage correct. The CNC word test was the primary speech perception metric used for study inclusion determination and postoperative outcome comparison at defined intervals for this feasibility study. A higher percentage of recognized words represents better hearing of spoken words. Th

Baseline CNC Score
GroupValue95% CI
HiResolution Bionic Cochlear Implant2.13± 7.453
12 Month Post Implant CNC score
GroupValue95% CI
HiResolution Bionic Cochlear Implant61.14± 20.240
Change in Unaided Hearing Thresholds (Contralateral, Non-Implanted Ear, Only) Primary · Baseline and Twelve months

Unaided audiometric thresholds compared to preimplant. Standard audiometric procedures were used for the testing of inter-octave frequencies as necessary. • Unaided air conduction thresholds using insert earphones at octave frequencies were measured for the contralateral, non-implanted ear at 250, 500, 1000, 2000, 4000 and 8000 Hz. Clinical masking was completed as appropriate.

Pooled Air Conduction Threshold Data for the Contralateral Ear at Baseline 250 HZ
GroupValue95% CI
HiResolution Bionic Cochlear Implant17.14± 7.774
Pooled Air Conduction Threshold Data for the Contralateral Ear at 12 Month 250 HZ
GroupValue95% CI
HiResolution Bionic Cochlear Implant17.14± 8.254
Pooled Air Conduction Threshold Data for the Contralateral Ear at Baseline 500 HZ
GroupValue95% CI
HiResolution Bionic Cochlear Implant17.86± 14.769
Pooled Air Conduction Threshold Data for the Contralateral Ear at 12 Month 500 HZ
GroupValue95% CI
HiResolution Bionic Cochlear Implant20.00± 14.005
Pooled Air Conduction Threshold Data for the Contralateral Ear at Baseline 1000 HZ
GroupValue95% CI
HiResolution Bionic Cochlear Implant23.21± 17.277
Pooled Air Conduction Threshold Data for the Contralateral Ear at 12 Month 1000 HZ
GroupValue95% CI
HiResolution Bionic Cochlear Implant25.71± 18.172
Pooled Air Conduction Threshold Data for the Contralateral Ear at Baseline 2000 HZ
GroupValue95% CI
HiResolution Bionic Cochlear Implant28.57± 21.342
Pooled Air Conduction Threshold Data for the Contralateral Ear at the 12 Month 2000 HZ
GroupValue95% CI
HiResolution Bionic Cochlear Implant28.93± 20.679
Change in Speech Perception (Bilateral Listening Condition) - Speech Front, Noise Front Primary · Baseline and Twelve months

AzBio speech scores in speech front, noise front twelve months post implantation compared to preimplant bilateral sentence scores. The AzBio speech testing was the primary speech perception metric used for baseline and postoperative outcome comparison at defined intervals for this feasibility study. A higher percentage of recognized words represents better hearing of spoken words.

Baseline Pooled AzBio in Noise Data - Speech Front / Noise Front
GroupValue95% CI
HiResolution Bionic Cochlear Implant87.39± 15.382
Month 12 Pooled AzBio in Noise Data - Speech Front / Noise Front
GroupValue95% CI
HiResolution Bionic Cochlear Implant91.20± 13.08
Change in Lateralization Ability Testing (Bilateral Listening Condition) Primary · Baseline and Twelve months

Lateralization is ability to recognize the location of sound origin compared to preimplantation. The subject was asked to identify if the sentence was heard from the right or left loudspeaker. Scoring was based on the number of sentence locations correctly identified and expressed as a percent average. A higher percent average indicates a better ability to identify sound location.

Baseline Pooled Lateralization Ability Data
GroupValue95% CI
HiResolution Bionic Cochlear Implant72± 21.634
Month 12 Pooled Lateralization Ability Data
GroupValue95% CI
HiResolution Bionic Cochlear Implant89.10± 19.522
Change in Speech Perception (Bilateral Listening Condition) - Speech Front/Noise to Implanted Ear Primary · Baseline to Twelve Months

AzBio word scores in speech front, noise to implanted ear twelve months post implantation compared to preimplant bilateral sentence scores. The AzBio speech testing was a speech perception metric used for baseline and postoperative outcome comparison at defined intervals for this feasibility study. A higher percentage of recognized words represents better hearing of spoken words.

Baseline Pooled AzBio in Noise Data - Speech Front / Noise to Implanted Ear
GroupValue95% CI
HiResolution Bionic Cochlear Implant92.15± 15.689
Month 12 Pooled AzBio in Noise Data - Speech Front / Noise to Implanted Ear
GroupValue95% CI
HiResolution Bionic Cochlear Implant93.01± 10.165
Bilateral Listening Condition (Both Ears - Everyday Listening Condition for Each Ear) - Speech Front /Noise to Non-Implanted Ear. Primary · Baseline to Twelve Months

AzBio speech scores in speech front, noise to the contralateral ear at 12 months post implantation compared to preimplant bilateral sentence scores. The baseline speech perception testing was a speech perception metric used for baseline and postoperative outcome comparison at defined intervals for this feasibility study. A higher percentage of recognized words represents better hearing of spoken words.

Baseline Pooled AzBio in Noise Data - Speech Front / Noise to Contralateral Ear
GroupValue95% CI
HiResolution Bionic Cochlear Implant82.24± 19.318
Month 12 Pooled AzBio in Noise Data - Speech Front / Noise to Contralateral Ear
GroupValue95% CI
HiResolution Bionic Cochlear Implant89.10± 19.522

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events (AEs) were recorded and tracked between completion of the informed consent form (signed and dated) and two weeks after the participant's last study visit (approximately 13 months).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

HiResolution Bionic Cochlear Implant
Serious: 0/15 (0%)
Deaths: 0/15
Other adverse events (29 terms — click to expand)

ReactionSystemHiResolution Bionic Cochle…
Residual hearing loss with a PTA greater than 30dBEar and labyrinth disorders
Vertigo or DizzinessGeneral disorders
Numbness, discomfort, or pain at or around the pinnaEar and labyrinth disorders
Soreness, Tenderness, or Pain at or around the incision siteGeneral disorders
Taste DisturbanceGeneral disorders
Moderate Tinnitus, continuous - Right EarEar and labyrinth disorders
Severe Tinnitus - Left EarEar and labyrinth disorders
Severe Tinnitus - Right earEar and labyrinth disorders
Complication at implant siteSurgical and medical procedures
Mild Tinnitus, intermittent - Left EarEar and labyrinth disorders
Allergy induced asthmaRespiratory, thoracic and mediastinal disorders
AnxietyGeneral disorders
Cerumen ImpactionEar and labyrinth disorders
GranulomaGeneral disorders
HeadacheGeneral disorders
ImbalanceGeneral disorders
Itching in implanted earEar and labyrinth disorders
LightheadednessGeneral disorders
Mild ear pressureEar and labyrinth disorders
mild head & neck pain post-surgeryGeneral disorders
Pain and Anxiety when wearing external deviceGeneral disorders
Sinus InfectionInfections and infestations
Small scab superior pole of incision line related to the patient's haircutGeneral disorders
Jaw Pain when chewingGeneral disorders
Tongue NumbnessGeneral disorders
Transient PainGeneral disorders
Unsteady GaitGeneral disorders
Moderate Tinnitus, continuous - Left EarEar and labyrinth disorders
Aural fullnessEar and labyrinth disorders

Data from ClinicalTrials.gov NCT02811549 adverse events section.

Sponsor's own description

The purpose of this feasibility study is to evaluate the benefit of unilateral implantation in adults who have severe to profound sensorineural hearing loss in one ear, and up to moderate sensorineural hearing loss in the other ear (asymmetric hearing loss).

Publications & conference data

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

  1. Current Profile of Adults Presenting for Preoperative Cochlear Implant Evaluation.
    Holder JT, Reynolds SM, Sunderhaus LW, Gifford RH. · · 2018 · cited 98× · PMID 29441835 · DOI 10.1177/2331216518755288

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Other recruiting trials for Hearing Loss

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