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Completed

NCT Number: NCT04202185

Evaluation of a Cohort of Congenital Deep Deafness Patients and/or With Auditory Neuropathy, Looking for DFNB9

Evaluation of a cohort of deaf children looking for autosomal recessive deafness-9 (DFNB9).

Clinical and audiologic evaluation of patients with known auditive neuropathy / auditory dys-synchrony (ANAD) or recently diagnosed congenital severe to profound hearing loss (HL), and assessing genetic analysis looking for DFNB9. The investigators expect to compile genotypic and phenotypic characterization of 25 children with DFNB9 within 4 years.

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Key information

Age range

Up to 25 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Unité d'Audiophonologie et d'Implantation cochléaire - Necker hospital

Paris, 75015, France

About this study

ANAD is not a rare type of hearing loss. Nevertheless, its profile is heterogeneous and the pathology remain underdiagnosed. The investigators will screen all new patients with bilateral severe to profound HL, looking for DFNB9. They will analyse their electrophysiology (auditory potential, and otoacoustic emission), and their audio-vestibular profile, at an early stage and one year after inclusion. All patients will be seen in the genetic clinic. Also, the investigators will analyse all patients with ANAD profile and patients known with ANAD.

All informations will provide precise data base to allow a better understanding of the pathology. It might also lead to select the best candidates for future gene therapy

Who can participate

Healthy volunteers accepted: No

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

G1a / Inclusion Criteria:

  • Child from 0 to 3 years old
  • Child with severe to profound bilateral deafness newly diagnosed with:
  • Average hearing threshold> 70 decibel on each ear
  • and / or no response to 70 decibel PEA on each ear
  • and / or no response to ASSR

G1b / Inclusion Criteria:

  • Child under 16
  • Child with newly diagnosed hearing neuropathy : tonal/vocal dissociation (when this is possible), and/or modified PEA, and/or discordant ASSR, and/or OEA present.

G2 / Inclusion Criteria:

  • Adult patient under 25 or child
  • Patient with deafness with auditory neuropathy
  • Patient known to have 1 or 2 mutations of the otoferlin protein

Exclusion criteria

  • Other type of deafness such as : unilateral deafness, deafness of transmission, malformation syndrome, known genetic familial deafness not DFNB9
  • Patient without medical insurance
  • Lack of consent to DNA sampling, of one or both biological parents (consent of the care)

Treatment and study plan

Data Collection

Other

Retrospective collection data from diagnostic Data collected following to medical exam as part of care

Genetic analysis

Genetic

Research of mutation and identification of genetic panel as part of care

Primary outcomes

  1. Prevalence of deafness caused by DFNB9

    Time frame: 3 months

    Prevalence and type of bi-allelic pathogenic changes Otoferlin Molecular analysis will be done by Next Generation Sequencing Capture method

Secondary outcomes

  1. Audiological characteristics in free fields at diagnosis

    Time frame: 1 day

    audiometric thresholds on 500, 1000, 2000, 4000 Hz in free fields

  2. Audiological characteristics in separate ears at diagnosis

    Time frame: 1 day

    audiometric thresholds on 500, 1000, 2000, 4000 Hz in separate ears

  3. Audiological characteristics in free fields at 12 months or last record

    Time frame: 12 months

    audiometric thresholds on 500, 1000, 2000, 4000 Hz in free fields

  4. Audiological characteristics in separate ears at 12 months or last record

    Time frame: 12 months

    audiometric thresholds on 500, 1000, 2000, 4000 Hz in separate ears

  5. Electrophysiological characteristics : auditory evoked potentials (PEA) at diagnosis

    Time frame: 1 day

    PEA thresholds per ear

  6. Electrophysiological characteristics : auditory evoked potentials (PEA) at 12 months or last record

    Time frame: 12 months

    PEA thresholds per ear

  7. Electrophysiological characteristics : auditory Steady State Response (ASSR) at diagnosis

    Time frame: 1 day

    ASSR thresholds per ear at 500, 1000, 2000, 4000 Hz

  8. Electrophysiological characteristics : auditory Steady State Response (ASSR) at 12 months or last record

    Time frame: 12 months

    ASSR thresholds per ear at 500, 1000, 2000, 4000 Hz

  9. Electrophysiological characteristics : otoacoustic emissions (OEAs) at diagnosis

    Time frame: 1 day

    OEAs status

  10. Electrophysiological characteristics : otoacoustic emissions (OEAs) at 12 months or last record

    Time frame: 12 months

    OEAs status

  11. Vestibular characteristics : per-oral endoscopic myotomy (PEOM) at diagnosis

    Time frame: 1 day

    PEOM

  12. Vestibular characteristics : per-oral endoscopic myotomy (PEOM) at 12 months or last record

    Time frame: 12 months

    PEOM

  13. Vestibular characteristics : video Head Impulse Test (VHIT) at diagnosis

    Time frame: 1 day

    VHIT

  14. Vestibular characteristics : video Head Impulse Test (VHIT) at 12 months or last record

    Time frame: 12 months

    VHIT

  15. Caloric Tests at diagnosis

    Time frame: 1 day

    Caloric Tests

  16. Caloric Tests at 12 months or last record

    Time frame: 12 months

    Caloric Tests

  17. Clinical development scale at diagnosis

    Time frame: 1 day

    For child under 3 years with : walk age, sitting age and head held age

  18. Clinical development scale at 12 months or last record

    Time frame: 12 months

    For child under 3 years with : walk age, sitting age and head held age

Sponsors and collaborators

Lead sponsor

Assistance Publique - Hôpitaux de Paris

Other

Collaborators

  • URC-CIC Paris Descartes Necker Cochin

Registry information

Acronym: AUDIOFERLINE

Important dates

Study start
2020
Primary completion
2023
Study completion
2024
First posted
Dec 17, 2019
Registry last updated
Feb 13, 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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