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Hearing Loss, SensorineuralNCT05950412

Paraverbal Components of Language and Cochlear Implant

An observational study of Hearing Loss, Sensorineural, run by Fondazione Policlinico Universitario Agostino Gemelli IRCCS at 1 site in Italy.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The investigators evaluated patients older than 6 years old, with severe hearing loss, cochlear implant wearers, able to perform a series of tests (TUISE, the pitch discrimination test, the melody discrimination test, VAS) to assess the skills of perceiving spectral components of music and understanding emotional… Read more about this study

Who is it for?
Ages 6 years and older
Conditions the study is for
Hearing Loss, Sensorineural
How many people
37 participants
Where
1 siteItaly
Study dates
1 Jun 2023to 1 Jul 2024
How long will I take part?
1 Year
Phase
Observational
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 6 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients undergoing cochlear implantation, able to understand and perform the test administered.

Who may be able to join

  • patients with severe-profound sensorineural hearing loss undergoing cochlear implantation at Fondazione Policlinico Universitario A. Gemelli-IRCCS, Rome, Italy;
  • Intracochlear implant placement in soft surgery technique, by mastoidectomy and posterior tympanotomy and insertion of the electrode array through the round window
  • age >6 years
  • patients without associated disabilities, with good auditory verbal perceptual skills and adequate language skills
  • the ability to understand and perform the tests administered

Who cannot join

  • pulsating tinnitus
  • congenital malformation of the auditory system
  • history of vestibular schwannoma, active middle ear disease and complete ossification of the cochlea.

Trial locations and contacts

1 site in 1 country.

Walter Di Nardo, Professor contact

+39 3394533003

walter.dinardo@policlinicogemelli.it

Italy1 site, 1 recruiting
  • Fondazione Universitaria Policlinico Agostino Gemelli IRCCS

    Rome, Lazio, 00168

    Walter Di Nardo, Professor, +393394533003, walter.dinardo@policlinicogemelli.it

    Recruiting

Other trials in Italy

About this study

Official title: Relationship Between Pitch Discrimination, Music Abilities and Emotional Speech Perception in School Aged Children With Cochlear Implant

The investigators evaluated patients older than 6 years old, with severe hearing loss, cochlear implant wearers, able to perform a series of tests (TUISE, the pitch discrimination test, the melody discrimination test, VAS) to assess the skills of perceiving spectral components of music and understanding emotional states of language investigating the relationship between musical ability, pitch discrimination and paraverbal language comprehension.

Read the detailed description

The investigators evaluated patients with severe hearing loss, undergoing cochlear impantation, to assess the skills of perceiving spectral components of music and understanding emotional states of language.

Each patient will undergo:

  1. Music test: a battery of music tests has been designed to assess CI-mediated music perception. The software will be installed on a computer, which is normally used to adapt patients' maps in routine adaptation sessions. It consists of two parts: A) the pitch discrimination test; B) the melody discrimination test
  2. In the pitch discrimination test, the stimuli consist of pairs of notes played by a piano and spaced at least one semitone apart, semitone being the smallest interval in traditional Western music. The notes are distributed within the middle three octaves (C4, C5, C6, each corresponding to the following frequency bands: 262 Hz-523 Hz, 523 Hz-1046 Hz, and 1046 Hz- 1976 Hz), used for most of the pieces, for a total of 36 notes. After listening to each pair of notes, the patient is asked to indicate whether they are the same or different in pitch. It consists of seven levels of increasing difficulty determined by the reduction in the distance between notes: the 1st level included pairs of notes 12 semitones apart (easiest task), while the 7th level included notes one semitone apart (most difficult task). Each level is further divided into two tests: TEST A: consisting of two parts (each of 10 questions) in which the subject must choose between 2 notes belonging to the 5th and 6th musical octaves (523-1976 Hz). TEST B: consists of two parts (each of 10 questions) in which the subject must choose between 2 notes belonging to the 4th and 5th musical octaves (262-988 Hz). In the last 2 levels (6th and 7th levels) there are 20 more questions investigating discrimination on the middle (related to the 5th octave). At the end the score of each level will be calculated (as the percentage of correct answers) and the final total score.
  3. The melody discrimination test consists of 6 popular cartoon songs in digital recording, synthesized with Finale™ 2008 (MakeMusic Inc., Eden Prairie, MN). Before the test performance, subjects will be asked to watch a 30-second cartoon scene and memorize the corresponding song from an IBM© laptop (IBM, Armonk, USA). Each song will be presented twice, for a total of 12 entries. The music test is divided into two sessions: in session 1, full version songs (instrumental plus vocal) for a total of 6 voices. Patients will indicate the distinctive character on the screen for each song. In session 2, songs in melodic version, presented in random order for a total of 6 musical items. An overall score will be calculated based on the correctly identified elements.
  4. TUISE test (Auditory Test Identifying Emotional States): the Auditory Test of Identifying Emotional States (T.U.I.S.E.) is a new instrument to assess emotional states. It consists of 4 subtests, each consisting of 15 questions. Each item involves an audio recording of short sentences spoken with varying intonation by different readers of both sexes. To ensure proper administration, all background noise was removed and semantically neutral sentences were chosen. In addition, a glossary was developed with explanations and examples for all the emotional states presented. In the 1st subtest, the task is to identify among the four basic emotions (happy, sad, angry, scared) which one best described the speaker's emotional state (only one term, among the four words, correctly represented what the speaker was thinking or feeling). In the 2nd subtest, more complex emotions are assessed as patients have to identify among four terms regarding complex emotional states varied for each item, the one that correctly expressed the emotional state expressed by the speaker (joking, doubtful, agitated, rude, concerned, friendly, bored, excited, hopeful, surprised, overbearing and angry). In the 3rd subtest, which required speaker discrimination, each item consisted of two recordings. They are, in fact, presented with several pairs of vocal traces, and the patient has to distinguish whether each item is presented by different people or not. Finally, the 4th subtest consists to identify the gender of the speaker. Each item consists of an audio track and the patient have to mark whether the speaker is male or female.
  5. Visual analog scale (VAS scale): it is used to estimate, with a score from 1 to 10, how pleasant it is to listen to music.

The aim is to investigate the relationship between musical ability, pitch discrimination and paraverbal language comprehension.

Keywords
Paraverbal Components of Language and Cochlear Implant
Medical subject headings
Hearing Loss, Sensorineural

What is being measured

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

  1. Pitch discrimination test

    The stimuli consist of pairs of notes played by a piano and spaced at least one semitone apart, semitone being the smallest interval in traditional Western music. The patient is asked to indicate whether they are the same or different in pitch. It assesses discriminative skills

    Measured: 6 months after cochlear implantation

  2. Melody discrimination test

    Consists of 6 popular cartoon songs in digital recording. Subjects will be asked to watch a 30-second cartoon scene and memorize the corresponding song. In session 1, full version songs (instrumental plus vocal) for a total of 6 voices. Patients will indicate the distinctive character on the screen for each song. In session 2, songs in melodic version, presented in random order for a total of 6 musical items. It assesses discriminative skills

    Measured: 6 months after cochlear implantation

  3. TUISE (Auditory Test of Identifying Emotional States)

    is a new instrument to assess emotional states. It consists of 4 subtests, each consisting of 15 questions. Each item involves an audio recording of short sentences spoken with varying intonation by different readers of both sexes. To ensure proper administration, all background noise was removed and semantically neutral sentences were chosen. In addition, a glossary was developed with explanations and examples for all the emotional states presented.

    Measured: 6 months after cochlear implantation

  4. VAS

    to estimate, with a score from 1 to 10, how pleasant it is to listen to music

    Measured: 6 months after cochlear implantation

Timeline

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

  1. First posted18 Jul 2023
  2. Study start1 Jun 2023
  3. Primary completion1 Dec 2023 (estimated)
  4. Study completion1 Jul 2024 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
37 participants (estimated)
Target duration
1 Year
IDs, dates and publications
ClinicalTrials.gov ID
NCT05950412
Sponsor's protocol ID
5427
Status last verified
Jun 2023
First submitted
10 Jul 2023
Last updated
24 Jul 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Issing C, Baumann U, Pantel J, Stover T. Cochlear Implant Therapy Improves the Quality of Life in Older Patients-A Prospective Evaluation Study. Otol Neurotol. 2020 Oct;41(9):1214-1221. doi: 10.1097/MAO.0000000000002741.

    PubMed 32925841
  • Di Nardo W, Anzivino R, Giannantonio S, Schinaia L, Paludetti G. The effects of cochlear implantation on quality of life in the elderly. Eur Arch Otorhinolaryngol. 2014 Jan;271(1):65-73. doi: 10.1007/s00405-013-2396-1. Epub 2013 Feb 15.

    PubMed 23411946
  • Qazi OU, van Dijk B, Moonen M, Wouters J. Understanding the effect of noise on electrical stimulation sequences in cochlear implants and its impact on speech intelligibility. Hear Res. 2013 May;299:79-87. doi: 10.1016/j.heares.2013.01.018. Epub 2013 Feb 8.

    PubMed 23396271
  • Kressner AA, May T, Dau T. Effect of Noise Reduction Gain Errors on Simulated Cochlear Implant Speech Intelligibility. Trends Hear. 2019 Jan-Dec;23:2331216519825930. doi: 10.1177/2331216519825930.

    PubMed 30755108
  • Jiam NT, Caldwell MT, Limb CJ. What Does Music Sound Like for a Cochlear Implant User? Otol Neurotol. 2017 Sep;38(8):e240-e247. doi: 10.1097/MAO.0000000000001448.

    PubMed 28806333
  • Jiam NT, Limb CJ. Rhythm processing in cochlear implant-mediated music perception. Ann N Y Acad Sci. 2019 Oct;1453(1):22-28. doi: 10.1111/nyas.14130. Epub 2019 Jun 6.

    PubMed 31168793
  • Nardo WD, Cantore I, Cianfrone F, Melillo P, Fetoni AR, Paludetti G. Differences between electrode-assigned frequencies and cochlear implant recipient pitch perception. Acta Otolaryngol. 2007 Apr;127(4):370-7. doi: 10.1080/00016480601158765.

    PubMed 17453456
  • Vermeire K, Landsberger DM, Van de Heyning PH, Voormolen M, Kleine Punte A, Schatzer R, Zierhofer C. Frequency-place map for electrical stimulation in cochlear implants: Change over time. Hear Res. 2015 Aug;326:8-14. doi: 10.1016/j.heares.2015.03.011. Epub 2015 Apr 1.

    PubMed 25840373
  • Canfarotta MW, Dillon MT, Buss E, Pillsbury HC, Brown KD, O'Connell BP. Frequency-to-Place Mismatch: Characterizing Variability and the Influence on Speech Perception Outcomes in Cochlear Implant Recipients. Ear Hear. 2020 Sep/Oct;41(5):1349-1361. doi: 10.1097/AUD.0000000000000864.

    PubMed 32205726
  • Di Nardo W, Scorpecci A, Giannantonio S, Cianfrone F, Parrilla C, Paludetti G. Cochlear implant patients' speech understanding in background noise: effect of mismatch between electrode assigned frequencies and perceived pitch. J Laryngol Otol. 2010 Aug;124(8):828-34. doi: 10.1017/S0022215110000320. Epub 2010 Mar 5.

    PubMed 20202276
  • Di Nardo W, Scorpecci A, Giannantonio S, Cianfrone F, Paludetti G. Improving melody recognition in cochlear implant recipients through individualized frequency map fitting. Eur Arch Otorhinolaryngol. 2011 Jan;268(1):27-39. doi: 10.1007/s00405-010-1335-7. Epub 2010 Jul 16.

    PubMed 20635091
  • Di Nardo W, Schinaia L, Anzivino R, De Corso E, Ciacciarelli A, Paludetti G. Musical training software for children with cochlear implants. Acta Otorhinolaryngol Ital. 2015 Oct;35(4):249-57.

    PubMed 26824211

Questions about this trial

What is this clinical trial studying?

An observational study of Hearing Loss, Sensorineural, run by Fondazione Policlinico Universitario Agostino Gemelli IRCCS at 1 site in Italy.

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 5 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: status not confirmed, as of the sponsor's last update on 24 Jul 2023. 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 Italy. 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?

Results are not available in the source record.

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

Contact Walter Di Nardo, Professor (+39 3394533003, walter.dinardo@policlinicogemelli.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pitch discrimination test (time frame: 6 months after cochlear implantation). The study lists 4 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 NCT05950412, which also lists 12 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 24 Jul 2023.

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