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Cochlear Prosthesis ImplantationMICLONCT04677517

Impact of Microphone Positioning on Auditory Performance in Cochlear Implant Users

A study testing Modification of active microphone positioning, SPHERE protocol and French Matrix Test in people with Cochlear Prosthesis Implantation, run by Hospices Civils de Lyon at 1 site in France.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The construction of our auditory space requires several prerequisites, including localization abilities in 3D (azimuth, elevation and distance). These abilities rely on the proper development and functionality of the auditory system to extract various acoustic cues from our environment. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Cochlear Prosthesis Implantation
What is being tested?
Modification of active microphone positioning, SPHERE protocol and French Matrix Test
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteFrance
Study dates
1 Dec 2022to 1 Jun 2023
Phase
Interventional
Are there results?
None posted in the registry

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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 to 75 inclusive
  • Regular follow-up in the Ear Nose and Throat department of the Edouard Herriot hospital in Lyon
  • Post-lingual deafness
  • Fitted with two Advanced Bionics (AB) cochlear implants (Naïda Q70 or Naïda Q90 processor) Or fitted with one AB cochlear implant and a contralateral hearing aid
  • Fitted with the latest implant for more than 1 year
  • Normal or corrected vision
  • Able to understand experimental instructions
  • Affiliated with a social security scheme

Who cannot join

  • Oculomotor disorder
  • Bilateral vestibular areflexia
  • Adult subject to a legal protection measure (guardianship, curatorship)

Trial locations and contacts

1 site in 1 country.

France1 site
  • Hôpital Edouard Herriot - service ORL

    Lyon, 69003

Other trials in France

About this study

The construction of our auditory space requires several prerequisites, including localization abilities in 3D (azimuth, elevation and distance). These abilities rely on the proper development and functionality of the auditory system to extract various acoustic cues from our environment. Extraction and analysis of these auditory cues are based on the synchronous use of ears, called binaurality. Other natural behaviours are useful to precisely determine the location of a sound source: visual information and head movements.

The slightest anatomical-functional change (e.g. unilateral hearing loss, malformation of the pinna) can disturb spatial hearing abilities. Many patients with hearing loss are fitted with a hearing aid (HA) or a cochlear implant (CI) to ensure the best speech understanding. However, this auditory rehabilitation remains insufficient to restore a good perception of spatial hearing. One of the key point to improve sound localization seems to be microphone positioning on hearing aids. Several questions remain on the optimal microphone positioning.

Being tested
Modification of active microphone positioning, SPHERE protocol, French Matrix Test, Quality of life questionnaire, Likert scale
Keywords
Cochlear implants users, microphone, virtual reality, spatial hearing perception

What participants receive

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

  • Modification of active microphone positioningDevice

    Patient will pass the experimental tests described above with 3 different active microphone positions :

    • on the cochlear implant processor;
    • on the antenna
    • in front of the external ear canal

    Patient will pass the tests 1 week after each microphone position change, so that they can get used to the new position in their everyday life.

  • SPHERE protocolBehavioural

    Patient's 3D localization in noise will be assessed thnks to a 3D localization system called SPHERE based on virtual reality.

    Data from spatial hearing perception will be recorded in three-dimensional space (azimuth, elevation, and depth). First, the pointing error will be computed separately for azimuth, elevation, and depth, in terms of constant error (absolute and signed) and variable error. Then, these separate errors will be combined into a cumulative error "3d-D" (the 3d-D value), hence summarizing all three space dimensions, and taking into account absolute and variable error in one measure.

  • French Matrix TestBehavioural

    This test assesses the intelligibility threshold defined as the noise level (in decibels) for which the subject can repeat 50% of the words heard (in dichotic listening), resulting in an Speech Recognition Threshold (SRT) value

  • Quality of life questionnaireBehavioural

    The Speech, Spatial and Qualities of Hearing Scale short-form with 15 items (SSQ15) questionnaire is performed in order to evaluate auditory abilities of patients in different daily life situations.

  • Likert scaleBehavioural

    This subjective evaluation will be added to evaluate difficulties and self-confidence felt by participants during the SPHERE protocol and the French Matrix Test.

Study groups in NCT04677517
Study groupRoleWhat they receive
Implanted patientsExperimentalAll the participants are patients with post-lingual deafness and fitted with cochlear implants
Receives: Device: Modification of active microphone positioning; Behavioral: SPHERE protocol; Behavioral: French Matrix Test; Behavioral: Quality of life questionnaire; Behavioral: Likert scale

What is being measured

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

  1. Change from baseline in 3d-D value at day 7

    We will compare 3d-D values obtained with baseline microphone position (at day 0) and 1 week after the first microphone positioning change. Baseline microphone position is defined as the usual position at inclusion and might vary from one patient to another. Combined with change in SRT values and SSQ15 scores, these results will allow us to assess the effect of microphones positioning on spatial auditory performance.

    Measured: Baseline and day 7

  2. Change from baseline in 3d-D value at day 14

    We will compare 3d-D values obtained with baseline microphone position (at day 0) and 1 week after the second microphone positioning change. Baseline microphone position is defined as the usual position at inclusion and might vary from one patient to another. Combined with change in SRT values and SSQ15 scores, these results will allow us to assess the effect of microphones positioning on spatial auditory performance.

    Measured: Baseline and day 14

  3. Change from baseline in SRT value at day 7

    We will compare SRT values obtained with baseline microphone position (at day 0) and 1 week after the first microphone positioning change. Baseline microphone position is defined as the usual position at inclusion and might vary from one patient to another. Combined with change in 3d-D values and SSQ15 scores, these results will allow us to assess the effect of microphones positioning on spatial auditory performance.

    Measured: Baseline and day 7

  4. Change from baseline in SRT value at day 14

    We will compare SRT values obtained with baseline microphone position (at day 0) and 1 week after the second microphone positioning change. Baseline microphone position is defined as the usual position at inclusion and might vary from one patient to another. Combined with change in 3d-D values and SSQ15 scores, these results will allow us to assess the effect of microphones positioning on spatial auditory performance.

    Measured: Baseline and day 14

  5. Change from baseline in SSQ15 score at day 7

    We will compare SSQ15 scores obtained with baseline microphone position (at day 0) and 1 week after the first microphone positioning change. Baseline microphone position is defined as the usual position at inclusion and might vary from one patient to another. Combined with change in 3d-D values and SRT values, these results will allow us to assess the effect of microphones positioning on spatial auditory performance.

    Measured: Baseline and day 7

  6. Change from baseline in SSQ15 score at day 14

    We will compare SSQ15 scores obtained with baseline microphone position (at day 0) and 1 week after the second microphone positioning change. Baseline microphone position is defined as the usual position at inclusion and might vary from one patient to another. Combined with change in 3d-D values and SRT values, these results will allow us to assess the effect of microphones positioning on spatial auditory performance.

    Measured: Baseline and day 14

Timeline

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

  1. First posted21 Dec 2020
  2. Study start1 Dec 2022 (estimated)
  3. Primary completion1 Jun 2023 (estimated)
  4. Study completion1 Jun 2023 (estimated)

Why it stopped: The project has been replaced by anotherone with a different regulatory qualification

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
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04677517
Sponsor's protocol ID
69HCL20_1013
Acronym
MICLO
Status last verified
Jun 2024
First submitted
16 Dec 2020
Last updated
13 Jun 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Modification of active microphone positioning, SPHERE protocol and French Matrix Test in people with Cochlear Prosthesis Implantation, run by Hospices Civils de Lyon at 1 site in France.

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 8 inclusion and 3 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: withdrawn, as of the sponsor's last update on 13 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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?

The study was withdrawn before enrolling participants, so there are no results.

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 from baseline in 3d-D value at day 7 (time frame: Baseline and day 7). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 13 Jun 2024.

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