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OpenTrials
Completed

NCT Number: NCT02905305

Cochlear Implant With Anti-Inflammatory Agent

In an effort to further preserve residual acoustic hearing after cochlear implantation, it may be beneficial to incorporate anti-inflammatory agents into the electrode array for passive elution over a time course after implantation. This study aims to assess the ease and effectiveness of such an electrode design, and to assess the preliminary safety of use of such a device in the post-operative period. This study is a first-time-in-human study of the investigational device.

In the first instance, the aim of the current investigation is to obtain first experience in use of a Combined Device in the adult clinical population, and to assess tools and techniques that may be considered in future clinical studies of similar devices.

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Key information

Age range

18 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The HEARing CRC

Melbourne, Victoria, 3053, Australia

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Duration severe to profound hearing impairment in implanted ear of less than or equal to 30 years
  • Post-lingual hearing impairment defined as onset of hearing loss at greater than two years of age
  • Evidence of Pneumovax vaccination within three years of implantation date (for subjects to be implanted with the investigational device)

Exclusion criteria

  • Ossification or any other cochlear anomaly that might prevent complete insertion of the electrode array or increased risk of infection (i.e. dysplastic cochlea), as confirmed by medical examination and imaging including MRI
  • Current use of grommets or evidence of tympanic membrane perforation
  • Known allergic reaction to dexamethasone or similar medicine
  • Diagnosis of Auditory Neuropathy
  • Active middle ear infection or history of middle ear infection within past two years
  • Unrealistic expectations on the part of the subject regarding the possible benefits, risks, and limitations that are inherent to the surgical procedure and use of the prosthetic device
  • Unwillingness or inability of the candidate to comply with all investigational requirements
  • Additional disabilities that would prevent or restrict participation in the audiological and medical evaluations required of the clinical investigation

Treatment and study plan

Contour Advance electrode with controlled dose of dexamethasone base

Device

The Combined Device consists of a standard cochlear implant receiver-stimulator coupled to a Contour Advance electrode loaded with a controlled dose of dexamethasone base.

Contour Advance electrode

Device

Standard Contour Advance electrode

Primary outcomes

  1. Surgical feedback

    Time frame: During surgery

    Questionnaire used to obtain surgical feedback from experienced cochlear implant surgeons regarding the electrode design, and ease and effectiveness of surgery, when using the Combined Device as compared to the Contour Advance electrode

  2. Safety of Combined Device

    Time frame: Monitoring over 24 months

    Monitoring of device related adverse events that occur during the study period, to assess the preliminary safety of the Combined Device

Secondary outcomes

  1. Electrode impedance

    Time frame: Testing over 24 months

  2. Electrically evoked compound action potential (ECAP)

    Time frame: Testing over 24 months

Sponsors and collaborators

Lead sponsor

The Hearing Cooperative Research Centre

Other

Collaborators

  • Cochlear
  • Royal Prince Alfred Hospital, Sydney, Australia
  • Royal Victoria Eye and Ear Hospital
  • St Vincent's Hospital Melbourne
  • Westmead Hospital

Registry information

Official study title

Pilot Evaluation of Combined Investigational Device: CI4CID With Controlled Dosage of Dexamethasone

Important dates

Study start
2013
Primary completion
2017
Study completion
2018
First posted
Sep 19, 2016
Registry last updated
Jul 6, 2021

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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