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NCT Number: NCT07338864

A Study to Evaluate Clinical Benefit, Performance and Safety of Cochlear Implants in Adults

The aim of this clinical investigation is to demonstrate the performance, clinical benefit and safety of commercial cochlear implant systems. Speech performance and subjective hearing results, and comparison with cochlear implant results available in literature, is intended to demonstrate the performance and clinical benefit of the cochlear implant systems investigated in this study.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University Hospital Düsseldorf

Düsseldorf, 40225, Germany

Location contact

Thomas Klenzner

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 18 years or older (at time of consent).
  • Clinically established post-linguistic moderately severe to profound sensorineural hearing loss, in the ear to be implanted.
  • Compromised functional hearing with hearing aid(s) or unlikely to receive benefit with hearing aid(s) in the ear to be implanted.
  • Cochlear implant candidate as determined by the Principal Investigator. Meets local candidacy criteria for cochlear implantation.
  • Candidate is a fluent speaker in the language used to assess speech perception performance.
  • Willing and able to comply with study follow-up schedule.
  • Willing and able to provide written informed consent.
  • Candidate has access to a Smartphone compatible with Nucleus Smart App.

Exclusion criteria

  • Prior cochlear implantation in the ear to be implanted.
  • Unrealistic expectations regarding the possible benefit, risks and limitations that are inherent to the surgical procedure and prosthetic device as determined by the investigator.
  • Any contraindications for cochlear implantation listed in the relevant product physician's guide (to be specified per sub-investigation).
  • Unable or unwilling to comply with the requirements of the clinical investigation as determined by the Investigator.
  • Investigator site personnel directly affiliated with this study and/or their immediate families; immediate family is defined as spouse, parent, child or sibling.
  • Cochlear employees or employees of Contract Research Organisations or contractors engaged by Cochlear for the purposes of this investigation.
  • Women who are pregnant.
  • Current participation, or participation in an interventional clinical study/trial in the past 30 days, involving an investigational drug or device (unless Cochlear sponsored and determined by Investigator or Sponsor to not impact this investigation).

Treatment and study plan

Cochlear Nucleus Nexa Cochlear implant (CI1032)

Device

Participants will be implanted with a CI1032 cochlear implant as determined by the treating clinician

Cochlear Nucleus Nexa Cochlear implant (CI1022)

Device

Participants will be implanted with a CI1022 cochlear implant as determined by the treating clinician

Cochlear Nucleus Nexa Cochlear implant (CI1012)

Device

Participants will be implanted with a CI1012 cochlear implant as determined by the treating clinician

Primary outcomes

  1. Mean within-participant change in the word recognition score in quiet

    Time frame: Preimplantation to 6 months post-activation

    Percent correct word score from preimplantation to post-activation in the implanted ear.

    Score range: 0 to 100% correct, where a higher score is a better outcome.

Secondary outcomes

  1. Incidence of adverse events and device deficiencies

    Time frame: From enrolment to 12 months post-activation

    Proportion of participants who experience an adverse event and the proportion of participants who experience a device deficiency

  2. Mean within-participant change in Speech Spatial Qualities questionnaire (SSQ-12)

    Time frame: Preimplantation to 3, 6 and 12 months post-activation

    Speech, Spatial and Qualities of Hearing Scale Global Score (SSQ-12). Scores range from 0 to 10, where high scores indicate greater ability (less hearing disability).

  3. Mean within-participant change in word recognition score in quiet

    Time frame: Preimplantation to 3 and 12 months post-activation.

    Percent correct word score from preimplantation to post-activation in the implanted ear. Score range: 0 to 100% correct, where a higher score is a better outcome.

  4. Mean within-participant change in Living with Cochlear implants questionnaire (LivCI)

    Time frame: Preimplantation to 3, 6 and 12 months post-activation

    Living with Cochlear Implants Questionnaire (LivCI) evaluates the impact of a hearing device on four domains, Participation (range 0 to 12), Psychosocial & Wellbeing (range 0 to21), Stigma (range 0 to 15) and Management & Aesthetics (range 0 to 18), where a higher domain score indicates a positive patient report.

  5. Mean within-subject change in speech recognition threshold in noise

    Time frame: 3, 6 and 12 months post-activation

    Speech reception threshold for a digit triplet test where 50% of the digits are correctly identified. The score upper limit is 20 dB, with no lower limit. A lower score indicates better performance.

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

Cochlear

Industry

Registry information

Official study title

A Post-market, Prospective, Observational Study to Evaluate Clinical Benefit, Performance and Safety of Cochlear™ Implants in an Adult Population: a Master Umbrella Investigation

Acronym: ORBIT-MU

Important dates

Study start
2026
Primary completion
2028
Study completion
2028
First posted
Jan 14, 2026
Registry last updated
Apr 2, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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