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NCT05337748

Clinical Validation of the Lexie Lumen Hearing Aid

Completed NA Results posted Last updated 20 March 2025
What this trial tests

NA trial testing Lexie Self Test and Fit Group in Hearing Loss in 68 participants. Completed in 1 October 2022.

Timeline
11 April 2022
Primary endpoint
1 October 2022
1 October 2022

Quick facts

Lead sponsorhearX Group
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment68
Start date11 April 2022
Primary completion1 October 2022
Estimated completion1 October 2022
Sites1 location across South Africa

Drugs / interventions tested

Conditions studied

Sponsor

hearX Group

Who can join

Adults 18 to 99, any sex, with Hearing Loss. 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.

Abbreviated Profile of Hearing Aid Benefit (APHAB) Primary · Change from baseline assessment to final assessment after 30 day field trial use.

The Abbreviated Profile of Hearing Aid Benefit (APHAB) is a 24 item self-assessment inventory in which patients report the amount of trouble they experience hearing and communicating in noise in different everyday listening environments. Benefit is calculated by comparing the patient's reported difficulty in the unaided condition with their amount of difficulty when using amplification. The APHAB produces scores for 4 subscales: Ease of Communication (EC), Reverberation (RV), Background Noise (BN), and Aversiveness (AV).The final score is determined by subtracting the aided average from the un

GroupValue95% CI
Experimental : Lexie Self Test and Fit Group (Lexie STF)30.1± 21.9
Control: Lexie Professional Test and Fit Group (Lexie PTF)21.4± 21.5
International Outcome Inventory for Hearing Aids (IOI-HA) Secondary · Final assessment after 30 day field use

IOI HA is a seven item questionnaire designed to evaluate effectiveness of hearing aid treatment. The responses of the items are assigned a value of 1 to 5, with higher scores indicating a more favorable outcome. The total score is calculated as the sum of all the subscales. Minimum score for the total score is 7 and maximum score 35.

GroupValue95% CI
Experimental : Lexie Self Test and Fit Group (Lexie STF)3130 – 33
Control: Lexie Professional Test and Fit Group (Lexie PTF)3128 – 34
QuickSIN Speech in Noise Test Secondary · Baseline and benefit at the end of 30 day field use

The QuickSIN measures a persons ability to accurately hear speech in noise by determining a signal-to-noise ratio loss. A list of six sentences with five key words per sentence is presented in four-talker babble noise. The sentences are presented at pre-recorded signal-to-noise ratios which decrease in 5-dB steps from 25 (very easy) to 0 (extremely difficult). To score, the number of correctly repeated words from each of the six sentences are counted. The SNR loss is calculated by subtracting the total number of correct words from 25.5. Three lists are averaged to obtain an average SNR score.

GroupValue95% CI
Experimental : Lexie Self Test and Fit Group (Lexie STF)1.6± 4.4
Control: Lexie Professional Test and Fit Group (Lexie PTF)3.5± 4.5
Digits-in-noise Test (DIN) Secondary · Baseline unaided test and aided fitting final assessment after 30 day field use

The DIN measure primarily the auditory, or bottom-up, speech recognition abilities in noise. The test determines a speech reception threshold by presenting spoken digit triplets (e.g., 3-4-7) in speech weighted background masking noise. Twenty three digits are presented adaptively at different signal to noise ratios, based on correct or incorrect recognition of the digits. The speech reception threshold is determined by averaging the signal to noise ratios of the last 19 digit triplets. Benefit scores are calculated as unaided baseline- aided at 30 days after field trial use. Benefit scores ar

GroupValue95% CI
Experimental : Lexie Self Test and Fit Group (Lexie STF).50± 2.6
Control: Lexie Professional Test and Fit Group (Lexie PTF)0.13± 4.7
Live Speech Mapping Using Real Ear Measurements (REM) Secondary · Final assessment after 30 day field use

Real Ear Measurements (REM) involves placing a fine probe microphone into the ear canal to measure the sound at the eardrum. The hearing aid will be inserted in the ear alongside the probe microphone to measure the amplification effect within the patients ear taking into account the patient ear acoustics. Adjustments to the hearing aid can be made and measurement to best match the prescription target. The specific REM measure used will be Live Speech Mapping, which assesses the hearing aid output using realistic speech presented via a loudspeaker with the hearing aid in its normal mode of oper

250Hz
GroupValue95% CI
Experimental : Lexie Self Test and Fit Group (Lexie STF)0.6± 2.5
Control: Lexie Professional Test and Fit Group (Lexie PTF)3.0± 4.1
500Hz
GroupValue95% CI
Experimental : Lexie Self Test and Fit Group (Lexie STF)1.3± 3.1
Control: Lexie Professional Test and Fit Group (Lexie PTF)2.7± 4.0
1000 Hz
GroupValue95% CI
Experimental : Lexie Self Test and Fit Group (Lexie STF)4.7± 6.2
Control: Lexie Professional Test and Fit Group (Lexie PTF)4.3± 6.4
2000 Hz
GroupValue95% CI
Experimental : Lexie Self Test and Fit Group (Lexie STF)-2.7± 6.8
Control: Lexie Professional Test and Fit Group (Lexie PTF)0.6± 6.5
4000 Hz
GroupValue95% CI
Experimental : Lexie Self Test and Fit Group (Lexie STF)6.9± 7.6
Control: Lexie Professional Test and Fit Group (Lexie PTF)4.4± 6.4

Sponsor's own description

More than half a billion people globally have hearing loss. Most hearing loss is sensorineural, meaning that the hearing loss is irreversible and requires rehabilitation. The majority of people with hearing loss have mild to moderate degrees, for which the most effective treatment options are hearing aids. Over the past few years, there have been many developments in hearing technology and the service delivery models in which they are supplied. Traditional hearing care models include several visits to a qualified hearing professional who must both perform diagnostics and prescribe hearing aids, which in the past has been the only way to obtain hearing aids. However, newer developments include forms of self-fitting hearing aids that enable a user to perform threshold measurements to determine the degree of hearing loss and automatically program and fine-tune hearing aids. These devices are now becoming available as direct-to-consumer (DTC) or over-the-counter (OTC) hearing aids. Furthermore, alternative care models have been suggested to bolster access and uptake of assistive technology for hearing loss. Regulations on DTC and OTC hearing aids are starting to come into effect. In 2017, the FDA Reauthorization Act of 2016 directed the FDA to create a category for OTC hearing aids for adults with perceived mild-to-moderate hearing loss. In October 2021, the FDA formally proposed a rule to establish the OTC hearing aid category as part of this process. These changes in regulations would mean that soon, many of these self-fitting devices will become available. In response to these changes in service delivery models, the hearX group recently developed the Lexie Lumen hearing aids that can perform in-situ hearing threshold estimations and automatically prescribe hearing aid gain settings that closely approximate the gold-standard NAL-NL2 fitting prescription. This study aims to evaluate whether the performance of the novel Lexie self-test and self-fitting hearing aid is equivalent to the same hearing aid programmed professionally by an audiologist using a professionally obtained audiogram.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Effectiveness of an Over-the-Counter Self-fitting Hearing Aid Compared With an Audiologist-Fitted Hearing Aid: A Randomized Clinical Trial.
    De Sousa KC, Manchaiah V, Moore DR, Graham MA, et al · · 2023 · cited 55× · PMID 37052929 · DOI 10.1001/jamaoto.2023.0376
  2. Long-Term Outcomes of Self-Fit vs Audiologist-Fit Hearing Aids.
    De Sousa KC, Manchaiah V, Moore DR, Graham MA, et al · · 2024 · cited 10× · PMID 38990557 · DOI 10.1001/jamaoto.2024.1825

Verify or expand the search:

Other recruiting trials for Hearing Loss

Currently open trials in the same condition.

Other hearX Group trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05337748.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing