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Hearing Loss, SensorineuralPRESERVENCT06268340

Hearing and Structure Preservation Via ECochG

A study testing ECochG monitored CI surgery incl. corrective action guide and Routine CI surgery without ECochG monitoring in people with Hearing Loss, Sensorineural and Severe-to-profound Hearing Loss, run by Advanced Bionics AG at 7 sites in 7 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of the study is to determine the benefit of using an ECochG-based corrective action guide during cochlear implant surgery compared to the traditional surgical approach without ECochG surveillance and guidance. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
ECochG monitored CI surgery incl. corrective action guide and Routine CI surgery without ECochG monitoring
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
102 participants
Where
7 sitesin 7 countries
Study dates
15 May 2024to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • Aged 18 years of age or older
  • Within cochlear implant inclusion criteria by local regulations/guidelines at the time of implantation
  • Severe to profound hearing loss (average air conduction unaided hearing threshold of ≥ 70 dB HL for 500, 1000, 2000 and 4000 Hz) in the ear to be implanted
  • Air conduction unaided hearing threshold ≤ 70 dB HL at 500 Hz in the ear to be implanted
  • Less than 15 years of severe to profound deafness on the implant ear prior to surgery
  • Post-lingually acquired hearing loss in the ear to be implanted
Show all 11Show fewer
  • Normal cochlear anatomy as confirmed by pre-operative imaging in the ear to be implanted
  • Listed for an Advanced Bionics HiRes Ultra (3D) HiFocus SlimJ electrode array
  • Listed for cochlear implant surgery under general anaesthesia
  • Fluent in local language
  • Given informed consent to participate in the study

Who cannot join

  • Abnormal cochlear anatomy (including ossification) as identified by pre-operative radiological evaluation in the ear to be implanted
  • Any pre-existing cochlear or middle ear pathology, such as otosclerosis, cholesteatoma, or previous middle ear surgery in the ear to be implanted
  • Any medical conditions that would increase the risk of local complications during cochlear implantation, such as autoimmune diseases or active local infections
  • Diagnosis of auditory spectrum neuropathy disorder
  • Deafness due to lesions of the acoustic nerve or central auditory pathway
  • Deafened by meningitis
Show all 11Show fewer
  • Single sided deafness (average for 500, 1000, 2000 and 4000 Hz in the better ear ≤ 30 dB HL)
  • Asymmetric hearing loss (average for 500, 1000, 2000 and 4000 Hz in the better ear > 30 dB HL and ≤ 55 dB HL)
  • History of previous cochlear implantation/re-implantation on either ear
  • Any contraindications to computed tomography (CT) scans
  • Concurrent participation in other cochlear implant related studies

Trial locations and contacts

7 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

Unai Martinez de Estibariz, Mr contact

+34666964128

unai.martinez@advancedbionics.com

7 sites in 7 countries

Belgium1 site, 1 recruiting
  • Universitair Ziekenhuis Gent

    Ghent, Gent, 9000

    Ingeborg Dhooge, Dr

    Freya Swinnen, Dr

    Recruiting

Other trials in Belgium

France1 site, 1 recruiting
  • Le Centre Hospitalier Régional Universitaire de Tours

    Tours, Tours, 37000

    David Bakhos, Prof

    Mathieu Robier, Mr

    Recruiting

Other trials in France

Germany1 site, 1 recruiting
  • Universitätsklinikum Freiburg Klinik

    Freiburg im Breisgau, Freiburg, 79106

    Antje Aschendorff, Prof

    Thomas Wesarg, Dr

    Recruiting

Other trials in Germany

Italy1 site, 1 recruiting
  • Ospedale Martini

    Torino, TO, 10141

    Diego Di Lisi, Dr

    Patrizia Consolino, Dr

    Recruiting

Other trials in Italy

Poland1 site, 1 recruiting
  • World Hearing Center

    Warsaw, Nadarzyn, 05-830

    Piotr Skarżyński, Prof

    Adam Walkowiak, Dr

    Recruiting

Other trials in Poland

Spain1 site, 1 recruiting
  • Hospital Universitario Clinico San Cecilio

    Granada, Granada, 18007

    Nicolas Müller, Dr

    Jose Pineda

    Recruiting

Other trials in Spain

United Kingdom1 site, 1 recruiting
  • Cambridge University Hospitals NHS Foundation Trust

    Cambridge, England, CB2 0QQ

    Matthew E Smith, Dr

    Patrick Axon, Dr

    Recruiting

Other trials in United Kingdom

About this study

Official title: Preservation of Hearing and Structure Using an Electrocochleography Based Corrective Action Guide

The goal of the study is to determine the benefit of using an ECochG-based corrective action guide during cochlear implant surgery compared to the traditional surgical approach without ECochG surveillance and guidance.

Read the detailed description

Cochlear implantation is a highly effective method of rehabilitating hearing in individuals with severe to profound hearing loss. One current hurdle to optimising hearing outcomes following cochlear implantation is the unavoidable trauma caused to the inner ear during implant surgery. This damage can mean residual hearing that would remain valuable following implantation is lost. Various approaches have been trialed to preserve hearing during implantation surgery, modifying implantation technique and administering steroids. Electrocochleography (ECochG) is a monitoring technique that can be used during electrode insertion to record inner ear structural integrity and function.

The PRESERVE trial is an international, multi-centre, randomised controlled trial. The trial will randomly allocate adult cochlear implant recipients to undergo implantation surgery either with ECochG-guidance, or via the standard approach without guidance. Participants will be blinded, meaning they will not know which group they will be allocated to. Where ECochG is used, evidence of damage during insertion detected with the monitoring will trigger the surgeon to follow a corrective pathway. All other aspects of surgery and post operative care will follow standard clinical pathways for both groups.

Participants will have their natural hearing measured preoperatively, and 3- and 6-months following implant activation. The change in natural hearing thresholds at different frequencies, and the degree of hearing preservation will then be calculated and compared between the standard surgery and ECochG-guided group. Using their cochlear implant, understanding of speech will also be measured and compared between groups. In addition, participants will undergo a second CT scan following implantation surgery, and this will be compared to the routine pre-operative imaging to assess both the location of the implant electrode, and structural preservation of the cochlear. Throughout the study participants will remain under the care of their routine medical team.

Being tested
ECochG monitored CI surgery incl. corrective action guide, Routine CI surgery without ECochG monitoring
Keywords
Electrocochleography, Hearing Preservation, Structure Preservation, Intra-cochlear monitoring, Scalar translocations, Cochlear Microphonics, Corrective action guide, Cochlear Implants
Medical subject headings
Hearing Loss, Sensorineural

What participants receive

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

  • ECochG monitored CI surgery incl. corrective action guideProcedure or surgery

    Interventional surgery with surgeon having access to intra-operative ECochG monitoring feedback to deploy ECochG based corrective action guide

  • Routine CI surgery without ECochG monitoringProcedure or surgery

    Routine CI surgery with access to ECochG monitoring by surgeon

Study groups in NCT06268340
Study groupRoleWhat they receive
InterventionExperimentalECochG monitored CI surgery incl. corrective action guide
Receives: Procedure: ECochG monitored CI surgery incl. corrective action guide
ControlActive comparatorRoutine CI surgery without ECochG monitoring
Receives: Procedure: Routine CI surgery without ECochG monitoring

What is being measured

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

  1. Hearing Preservation

    Difference in dB (absolute) and % (relative) in low-frequency hearing preservation measured via air conduction pure tone audiometry

    Measured: From pre-operative to 6 months post-operative

Secondary outcomes (2)
  1. Structure Preservation

    Difference in mm of structure preservation (distance from electrode contact to basilar membrane) via radiological assessment of the position of the electrode array

    Measured: 1 month post-operative

  2. Speech perception

    Difference in speech perception scores in both quiet (%) and noise (dB SNR) using the International Matrix Test

    Measured: From pre-operative to 6 months post-operative

Timeline

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

  1. First posted20 Feb 2024
  2. Study start15 May 2024
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

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
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
102 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06268340
Sponsor's protocol ID
ABIntl-23-25
Acronym
PRESERVE
Status last verified
Jan 2026
First submitted
30 Jan 2024
Last updated
6 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bester C, Collins A, Razmovski T, Weder S, Briggs RJ, Wei B, Zakaria AF, Gerard JM, Mitchell-Innes A, Tykocinski M, Kennedy R, Iseli C, Dahm M, Ellul S, O'Leary S. Electrocochleography triggered intervention successfully preserves residual hearing during cochlear implantation: Results of a randomised clinical trial. Hear Res. 2022 Dec;426:108353. doi: 10.1016/j.heares.2021.108353. Epub 2021 Sep 20.

    PubMed 34600798
  • Buechner A, Bardt M, Haumann S, Geissler G, Salcher R, Lenarz T. Clinical experiences with intraoperative electrocochleography in cochlear implant recipients and its potential to reduce insertion trauma and improve postoperative hearing preservation. PLoS One. 2022 Apr 22;17(4):e0266077. doi: 10.1371/journal.pone.0266077. eCollection 2022.

    PubMed 35452461
  • Carlson ML, Driscoll CL, Gifford RH, Service GJ, Tombers NM, Hughes-Borst BJ, Neff BA, Beatty CW. Implications of minimizing trauma during conventional cochlear implantation. Otol Neurotol. 2011 Aug;32(6):962-8. doi: 10.1097/MAO.0b013e3182204526.

    PubMed 21659922
  • Dalbert A, Sim JH, Gerig R, Pfiffner F, Roosli C, Huber A. Correlation of Electrophysiological Properties and Hearing Preservation in Cochlear Implant Patients. Otol Neurotol. 2015 Aug;36(7):1172-80. doi: 10.1097/MAO.0000000000000768.

    PubMed 25839980
  • Koka K, Riggs WJ, Dwyer R, Holder JT, Noble JH, Dawant BM, Ortmann A, Valenzuela CV, Mattingly JK, Harris MM, O'Connell BP, Litvak LM, Adunka OF, Buchman CA, Labadie RF. Intra-Cochlear Electrocochleography During Cochear Implant Electrode Insertion Is Predictive of Final Scalar Location. Otol Neurotol. 2018 Sep;39(8):e654-e659. doi: 10.1097/MAO.0000000000001906.

    PubMed 30113557
  • Giardina CK, Brown KD, Adunka OF, Buchman CA, Hutson KA, Pillsbury HC, Fitzpatrick DC. Intracochlear Electrocochleography: Response Patterns During Cochlear Implantation and Hearing Preservation. Ear Hear. 2019 Jul/Aug;40(4):833-848. doi: 10.1097/AUD.0000000000000659.

    PubMed 30335669
  • Gifford RH, Dorman MF, Skarzynski H, Lorens A, Polak M, Driscoll CL, Roland P, Buchman CA. Cochlear implantation with hearing preservation yields significant benefit for speech recognition in complex listening environments. Ear Hear. 2013 Jul-Aug;34(4):413-25. doi: 10.1097/AUD.0b013e31827e8163.

    PubMed 23446225
  • Lenarz T, Timm ME, Salcher R, Buchner A. Individual Hearing Preservation Cochlear Implantation Using the Concept of Partial Insertion. Otol Neurotol. 2019 Mar;40(3):e326-e335. doi: 10.1097/MAO.0000000000002127.

    PubMed 30741914
  • O'Leary S, Mylanus E, Venail F, Lenarz T, Birman C, Di Lella F, Roland JT Jr, Gantz B, Beynon A, Sicard M, Buechner A, Lai WK, Boccio C, Choudhury B, Tejani VD, Plant K, English R, Arts R, Bester C. Monitoring Cochlear Health With Intracochlear Electrocochleography During Cochlear Implantation: Findings From an International Clinical Investigation. Ear Hear. 2023 Mar-Apr 01;44(2):358-370. doi: 10.1097/AUD.0000000000001288. Epub 2022 Nov 8.

    PubMed 36395515
  • Saoji AA, Patel NS, Carlson ML, Neff BA, Koka K, Tarigoppula VSA, Driscoll CLW. Multi-frequency Electrocochleography Measurements can be Used to Monitor and Optimize Electrode Placement During Cochlear Implant Surgery. Otol Neurotol. 2019 Dec;40(10):1287-1291. doi: 10.1097/MAO.0000000000002406.

    PubMed 31644474
  • Skarzynski PH, Lorens A, Walkowiak A, Polak M, Skarzynski H. Multi-Frequency Intraoperative Monitoring of Hearing Preservation during Cochlear Implantation. Life (Basel). 2022 Apr 25;12(5):636. doi: 10.3390/life12050636.

    PubMed 35629304
  • Verberne J, Risi F, Campbell L, Chambers S, O'Leary S. The Effect of Scala Tympani Morphology on Basilar Membrane Contact With a Straight Electrode Array: A Human Temporal Bone Study. Otol Neurotol. 2017 Jan;38(1):47-53. doi: 10.1097/MAO.0000000000001259.

    PubMed 27755369

Questions about this trial

What is this clinical trial studying?

A study testing ECochG monitored CI surgery incl. corrective action guide and Routine CI surgery without ECochG monitoring in people with Hearing Loss, Sensorineural and Severe-to-profound Hearing Loss, run by Advanced Bionics AG at 7 sites in 7 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 11 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: looking for participants now, as of the sponsor's last update on 6 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Belgium, France, Germany, Italy, Poland and 2 more countries. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Unai Martinez de Estibariz, Mr (+34666964128, unai.martinez@advancedbionics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Hearing Preservation (time frame: From pre-operative to 6 months post-operative). 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 NCT06268340, 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 6 Jan 2026.

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