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Hearing LossNCT04041700

Clinical Performance, Safety and Patient Reported Outcomes of an Active Osseointegrated Steady-State Implant System

A study testing Osia 2 system in people with Hearing Loss, run by Cochlear at 3 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this clinical investigation is to collect data on objective and subjective hearing performance, quality of life and safety in adult subjects with conductive hearing loss, mixed hearing loss or single-sided sensorineural deafness. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hearing Loss
What is being tested?
Osia 2 system
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
29 participants
Where
3 sitesin 2 countries
Study dates
16 Aug 2019to 24 Sep 2020
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject with conductive hearing loss or mixed hearing loss in the ear to be implanted. Bone conduction thresholds with pure tone average (PTA4; mean of 0.5, 1, 2 and 4 kHz) of ≤ 55 dB sensorineural hearing loss.
  • OR Subject with single-sided sensorineural deafness who is a candidate for Baha surgery. Air conduction thresholds with a pure tone average PTA4 (mean of 0.5, 1, 2 and 3 kHz) of ≤ 20 dB sensorineural hearing loss in the good ear OR subject who is indicated for an (Air Conduction-Contralateral Routing of Signal (AC CROS) but-for some reason-cannot or will not use an AC CROS.
  • Adult subjects (18 years or older).
  • Previous experience from amplified sound through properly fitted amplification (for example but not limited to Hearing aid, Contralateral Routing of Signal (CROS) device, Bone conduction hearing device on softband).
  • Candidate is a fluent speaker in the language used to assess speech perception performance.
  • Willing and able to provide written informed consent

Who cannot join

  • Uncontrolled diabetes as judged by the investigator.
  • Condition that could jeopardise osseointegration and/or wound healing (e.g. osteoporosis, psoriasis, long-term systemic use of corticosteroids) or condition that may have an impact on the outcome of the investigation as judged by the investigator.
  • Insufficient bone quality and quantity to support successful implant placement.
  • Previous surgery and/or implantation with any bone conduction/active device on the side to be implanted, which may jeopardise the implantation and use of the Osia 2 system, as judged by the investigator.
  • Use of ototoxic drugs that could be harmful to the hearing, as judged by the investigator.
  • Unable to follow investigational procedures, e.g. to complete quality of life scales, or unwilling to comply with the requirements of the clinical investigation as determined by the investigator.
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  • Condition with a likely negative progression and/or with expected relapses jeopardising general wellbeing and health-related quality of life as judged by the investigator.
  • Subject that has received radiotherapy in the area of implantation or is planned for such radiotherapy during the study period.
  • Investigator site personnel directly affiliated with this study and/or their immediate families; immediate family is defined as a spouse, parent, child, or sibling.
  • Cochlear employees or employees of Contract Research Organisations or contractors engaged by Cochlear for the purposes of this investigation
  • Currently participating, or participated within the last 30 days, in another interventional clinical investigation involving an investigational drug or device.

Trial locations and contacts

3 sites in 2 countries.

3 sites in 2 countries

Australia2 sites
  • Sydney Cochlear Implant Centre

    Gladesville

  • The Royal Victorian Eye and Ear Hospital

    Melbourne

Other trials in Australia

Hong Kong1 site
  • Department of Otorhinolaryngology, Head and Neck Surgery Faculty of Medicine. The Chinese University of Hong Kong

    Hong Kong

Other trials in Hong Kong

About this study

Official title: A Prospective, Multicentre, Open Clinical Investigation Evaluating Clinical Performance, Safety and Patient Reported Outcomes With an Active Osseointegrated Steady-State Implant System (OSI) in Adult Subjects With Conductive Hearing Loss, Mixed Hearing Loss or Single-sided Sensorineural Deafness

The aim of this clinical investigation is to collect data on objective and subjective hearing performance, quality of life and safety in adult subjects with conductive hearing loss, mixed hearing loss or single-sided sensorineural deafness.

Conditions
Hearing Loss
Being tested
Osia 2 system
Keywords
Hearing Loss, Conductive, Hearing Loss, Mixed, Deafness, sensorineural single-sided
Medical subject headings
Hearing Loss, Hearing Loss, Conductive, Hearing Loss, Mixed Conductive-Sensorineural, Deafness

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Osia 2 systemDevice

    System includes the OSI200 implant surgically placed under the skin behind the ear, the BI300 implant osseointegrated in the bone and the external Osia 2 sound processor.

Study groups in NCT04041700
Study groupRoleWhat they receive
Osia 2 systemExperimentalNot described
Receives: Device: Osia 2 system

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Hearing Performance With the Osia 2 System at 3 Months Post-surgery Compared to Preoperative Unaided Condition Assessed Via Audiometric Thresholds

    Free field (Pure Tone Average 4, mean of 0.5, 1,2 and 4 kHz)

    Measured: Baseline before surgery, 3 months after surgery

  2. Change in Hearing Performance With the Osia 2 System at 3 Months Post-surgery Compared to Preoperative Unaided Situation Assessed Via Adaptive Speech Recognition in Noise

    Speech-to-noise ratio, 50% speech understanding

    Measured: Baseline before surgery, 3 months after surgery

Secondary outcomes (30)
  1. Change in Hearing Performance With the Osia 2 System at 4 Weeks and 6 Months Post Surgery Compared to Preoperative Unaided Situation Assessed Via Audiometric Thresholds

    Free field (Pure Tone Average 4, mean of 0.5, 1,2 and 4 kHz)

    Measured: Baseline before surgery, 4 weeks and 6 months after surgery

  2. Change in Hearing Performance With the Osia 2 System at 4 Weeks and 6 Months Post Surgery Compared to Preoperative Unaided Situation Assessed Via Adaptive Speech Recognition in Noise

    Speech-to-noise ratio, 50% speech understanding

    Measured: Baseline before surgery, 4 weeks and 6 months after surgery

  3. Change in Hearing Performance With the Osia 2 System at 4 Weeks, 3 Months and 6 Months Post Surgery Compared to Preoperative Unaided Situation Assessed Via Audiometric Thresholds

    Free-field [0.25, 0.5, 0.75, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0 and 8.0 kHz]

    Measured: Baseline before surgery, 4 weeks, 3 months and 6 months after surgery

  4. Change in Hearing Performance With the Osia 2 System at 4 Weeks, 3 Months and 6 Months Post Surgery Compared to Preoperative Unaided Situation Assessed Via Speech Recognition in Quiet

    % correctly perceived words at 50dB, 65dB and 80dB SPL

    Measured: Baseline before surgery, 4 weeks, 3 months and 6 months after surgery

  5. Change in Self-reported Hearing Outcome With the Osia 2 System at 3 Months and 6 Months Post Surgery Compared to the Preoperative Unaided Situation Via Abbreviated Profile of Hearing Aid Benefit (APHAB) Questionnaire

    Measuring change of Ease of communication, Reverberation, Background noise, Aversiveness and a Global score with the Osia 2 System from the pre-operative unaided situation. The absolute APHAB scale is between 0 and 100%, where 0% indicates no problems and 100% indicates always problem. The change from unaided to aided hearing is presented. A positive value indicates an impairment, a negative value an improvement.

    Measured: Baseline before surgery, 3 months and 6 months after surgery

  6. Change in Self-reported Hearing Outcome With the Osia 2 System at 3 Months and 6 Months Post Surgery Compared to the Preoperative Unaided Situation Via the Speech, Spatial and Qualities of Hearing Scale (SSQ) Questionnaire

    Measuring change of speech, spatial and hearing experiences with the Osia 2 System from the pe-operative unaided situation. A scale from 0 to 10 is used, where 0 represents "can not hear at all", and 10 "hear perfectly". The change from unaided to aided hearing is presented. A positive value indicates improved hearing, a negative value indicates impaired hearing.

    Measured: Baseline before surgery, 3 months and 6 months after surgery

  7. Change in Health-related Quality of Life With the Osia 2 System at 3 Months and 6 Months Post Surgery Compared to the Preoperative Unaided Situation Via the Health Utilities Index Mark III (HUI) Questionnaire

    Change of health status and health related quality of life using the generic quality of life scale Health Utilities Index (HUI3) when wearing Osia 2 System compared to the pre-operative unaided situation. A health utility value of 1.00 indicates perfect health while a score of 0.00 indicates death. The change from unaided to aided hearing is presented. A positive value indicates an improved quality of life, a negative value indicates impaired quality of life.

    Measured: Baseline before surgery, 3 months and 6 months after surgery

  8. Surgical Information: Soft Tissue Thickness

    Measured in mm

    Measured: Baseline before surgery or at surgery

  9. Surgical Information: Surgery Time

    Time in minutes between first incision to last suture

    Measured: At surgery

  10. Surgical Information: Bone Polishing/Removal at the Actuator Site

    Yes/No

    Measured: At surgery

  11. Surgical Information: BI300 Implant Length

    3 mm/4 mm

    Measured: At surgery

  12. Surgical Information: Location of BI300 Implant

    Measured in mm between the ear canal and the center of the actuator

    Measured: At surgery

  13. Surgical Information: Type of Anesthesia

    General/local

    Measured: At surgery

  14. Surgical Information: Soft Tissue Reduction

    Yes/No

    Measured: At surgery

  15. Surgical Information: Surgical Incision Type

    Examples: C-shaped/S-shaped/straight

    Measured: At surgery

  16. Surgical Information: Location of the Surgical Incision in Relation to the Actuator

    Anterior/posterior

    Measured: At surgery

  17. Surgical Information: Estimated Length of the Surgical Incision

    Measured in mm

    Measured: At surgery

  18. Surgical Information: Placement of the Coil

    Periosteal pocket (under periosteal)/on top of periosteum/on top of muscle)

    Measured: At surgery

  19. Usability Information: Magnet Choice

    Magnet strength ranging from 1 to 4 where 1 is the weakest and 4 the strongest. A magnet allows the external sound processor to be placed in the correct position over the implanted system including an internal magnet.

    Measured: At 4 weeks, 6 weeks, 3 months and 6 months after surgery

  20. Usability Information: Sound Processor Retention

    Assessed via a Visual Analog Scale 100 mm where 0 mm represents insufficient retention and 100 mm excellent retention

    Measured: At 4 weeks, 6 weeks, 3 months and 6 months after surgery

  21. Usability Information: Sound Processor Wearing Comfort

    Assessed via a Visual Analog Scale 100 mm where 0 mm represents no comfort at all and 100 mm excellent comfort

    Measured: At 4 weeks, 6 weeks, 3 months and 6 months after surgery

  22. Usability Information: Use of SoftWear Pad

    Yes/No

    Measured: At 6 weeks, 3 months and 6 months after surgery

  23. Usability Information: Daily Use of Sound Processor

    Average hours of daily use

    Measured: At 6 weeks, 3 months and 6 months after surgery

  24. Usability Information: Daily Streaming Time of Sound Processor

    Average hours of daily streaming

    Measured: At 6 weeks, 3 months and 6 months after surgery

  25. Usability Information: Battery Lifetime of Sound Processor

    Average hours of battery lifetime

    Measured: At 6 weeks, 3 months and 6 months after surgery

  26. Difference in Hearing Performance Between the Osia 2 System and a Baha 5 Power Sound Processor on a Baha Softband (Preoperative) at 4 Weeks, 3 Months and 6 Months Post Surgery Assessed Via Audiometric Thresholds

    Free-field [Pure Tone Average (PTA) 4, Mean of 0.5, 1, 2 and 4 kHz].

    Measured: Baseline before surgery, 4 weeks, 3 months and 6 months after surgery

  27. Difference in Hearing Performance Between the Osia 2 System and a Baha 5 Power Sound Processor on a Baha Softband (Preoperative) at 4 Weeks, 3 Months and 6 Months Post Surgery Assessed Via Audiometric Thresholds

    Free-field [0.25, 0.5, 0.75, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0 and 8.0 kHz].

    Measured: Baseline before surgery, 4 weeks, 3 months and 6 months after surgery

  28. Difference in Hearing Performance Between the Osia 2 System and a Baha 5 Power Sound Processor on a Baha Softband (Preoperative) at 4 Weeks, 3 Months and 6 Months Post Surgery Assessed Via Adaptive Speech Recognition in Noise

    Signal-to-noise ratio, 50% speech understanding

    Measured: Baseline before surgery, 4 weeks, 3 months and 6 months after surgery

  29. Difference in Hearing Performance Between the Osia 2 System and a Baha 5 Power Sound Processor on a Baha Softband (Preoperative) at 4 Weeks, 3 Months and 6 Months Post Surgery Assessed Via Speech Recognition in Quiet

    % correctly perceived words at 50dB, 65dB and 80dB SPL

    Measured: Baseline before surgery, 4 weeks, 3 months and 6 months after surgery

  30. Hearing Performance Using a Baha Softband (Preoperative) at Baseline and the Osia 2 System at 4 Weeks, 3 Months and 6 Months Post Surgery Assessed Via Bone Conduction (BC) Direct

    BC direct (0.25, 0.5, 0.75, 1.0, 1.5, 2.0, 3.0, 4.0 and 6.0 kHz)

    Measured: Baseline before surgery, 4 weeks, 3 months and 6 months after surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Aug 2019
  2. Study start16 Aug 2019
  3. Primary completion19 Jun 2020
  4. Study completion24 Sep 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04041700
Sponsor's protocol ID
CBAS5751
Status last verified
Jul 2021
First submitted
30 Jul 2019
Last updated
18 Aug 2021
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Cowan R, Lewis AT, Hallberg C, Tong MCF, Birman CS, Ng IH, Briggs R. Clinical performance, safety, and patient-reported outcomes of an active osseointegrated bone-conduction hearing implant system at 24-month follow-up. Eur Arch Otorhinolaryngol. 2024 Feb;281(2):683-691. doi: 10.1007/s00405-023-08133-3. Epub 2023 Aug 8.

    PubMed 37552281
  • Briggs R, Birman CS, Baulderstone N, Lewis AT, Ng IHY, Ostblom A, Rousset A, Tari S, Tong MCF, Cowan R. Clinical Performance, Safety, and Patient-Reported Outcomes of an Active Osseointegrated Steady-State Implant System. Otol Neurotol. 2022 Aug 1;43(7):827-834. doi: 10.1097/MAO.0000000000003590.

    PubMed 35878640

Questions about this trial

What is this clinical trial studying?

A study testing Osia 2 system in people with Hearing Loss, run by Cochlear at 3 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Australia, Hong Kong. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Aug 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Hearing Performance With the Osia 2 System at 3 Months Post-surgery Compared to Preoperative Unaided Condition Assessed Via Audiometric Thresholds (time frame: Baseline before surgery, 3 months after surgery). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04041700, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Aug 2021; AzTrials last refreshed its copy on 7 Nov 2026.

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