Comparing Site-selection Strategies

NCT ID: NCT03870217

Last Updated: 2024-06-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2020-08-01

Study Completion Date

2023-04-04

Brief Summary

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Several studies in the past have tried to deactivate electrodes that are less optimal to improve speech recognition outcomes. The study aims to compare the measures based on which the deactivation was performed. The investigators aim to first examine if the measures are strongly correlated each other, and then compare the deactivation effects across measures. These measures are mainly behavioral including electrode discrimination, amplitude modulation detection thresholds, low-rate and focused detection thresholds and electrode-modiolus distance. The endpoint of the study is speech recognition performance post deactivation.

Detailed Description

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Conditions

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Deafness

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cochlear implant users with Nucleus and AB devices

Speech recognition will be evaluated after poor electrodes are turned off.

Site selection

Intervention Type BEHAVIORAL

Turning off electrodes on the electrode array based on imaging and psychophysical measures

Interventions

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Site selection

Turning off electrodes on the electrode array based on imaging and psychophysical measures

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Native speakers of English
* Cochlear Nucleus cochlear implant users or Advanced Bionics users
* Postlingually deafened
* Has had device experience for at least one year
* Can be child or adult at the time of enrollment

Exclusion Criteria

* None
Minimum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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East Carolina University

OTHER

Sponsor Role lead

Responsible Party

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Heather Wright

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ning Zhou, PHD

Role: PRINCIPAL_INVESTIGATOR

East Carolina University

Locations

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Department of Communication Sciences and Disorders, ECU

Greenville, North Carolina, United States

Site Status

Countries

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United States

References

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Debruyne JA, Francart T, Janssen AM, Douma K, Brokx JP. Fitting prelingually deafened adult cochlear implant users based on electrode discrimination performance. Int J Audiol. 2017 Mar;56(3):174-185. doi: 10.1080/14992027.2016.1243262. Epub 2016 Oct 19.

Reference Type BACKGROUND
PMID: 27758152 (View on PubMed)

Garadat SN, Zwolan TA, Pfingst BE. Using temporal modulation sensitivity to select stimulation sites for processor MAPs in cochlear implant listeners. Audiol Neurootol. 2013;18(4):247-60. doi: 10.1159/000351302. Epub 2013 Jul 20.

Reference Type BACKGROUND
PMID: 23881208 (View on PubMed)

Nadol JB Jr. Patterns of neural degeneration in the human cochlea and auditory nerve: implications for cochlear implantation. Otolaryngol Head Neck Surg. 1997 Sep;117(3 Pt 1):220-8. doi: 10.1016/s0194-5998(97)70178-5.

Reference Type BACKGROUND
PMID: 9334769 (View on PubMed)

Nadol JB Jr, Young YS, Glynn RJ. Survival of spiral ganglion cells in profound sensorineural hearing loss: implications for cochlear implantation. Ann Otol Rhinol Laryngol. 1989 Jun;98(6):411-6. doi: 10.1177/000348948909800602.

Reference Type BACKGROUND
PMID: 2729822 (View on PubMed)

Noble JH, Labadie RF, Gifford RH, Dawant BM. Image-guidance enables new methods for customizing cochlear implant stimulation strategies. IEEE Trans Neural Syst Rehabil Eng. 2013 Sep;21(5):820-9. doi: 10.1109/TNSRE.2013.2253333. Epub 2013 Mar 19.

Reference Type BACKGROUND
PMID: 23529109 (View on PubMed)

Seyyedi M, Viana LM, Nadol JB Jr. Within-subject comparison of word recognition and spiral ganglion cell count in bilateral cochlear implant recipients. Otol Neurotol. 2014 Sep;35(8):1446-50. doi: 10.1097/MAO.0000000000000443.

Reference Type BACKGROUND
PMID: 25120196 (View on PubMed)

Zhou N. Monopolar Detection Thresholds Predict Spatial Selectivity of Neural Excitation in Cochlear Implants: Implications for Speech Recognition. PLoS One. 2016 Oct 31;11(10):e0165476. doi: 10.1371/journal.pone.0165476. eCollection 2016.

Reference Type BACKGROUND
PMID: 27798658 (View on PubMed)

Zhou N. Deactivating stimulation sites based on low-rate thresholds improves spectral ripple and speech reception thresholds in cochlear implant users. J Acoust Soc Am. 2017 Mar;141(3):EL243. doi: 10.1121/1.4977235.

Reference Type BACKGROUND
PMID: 28372106 (View on PubMed)

Zhou N, Pfingst BE. Psychophysically based site selection coupled with dichotic stimulation improves speech recognition in noise with bilateral cochlear implants. J Acoust Soc Am. 2012 Aug;132(2):994-1008. doi: 10.1121/1.4730907.

Reference Type BACKGROUND
PMID: 22894220 (View on PubMed)

Zwolan TA, Collins LM, Wakefield GH. Electrode discrimination and speech recognition in postlingually deafened adult cochlear implant subjects. J Acoust Soc Am. 1997 Dec;102(6):3673-85. doi: 10.1121/1.420401.

Reference Type BACKGROUND
PMID: 9407659 (View on PubMed)

Bierer JA, Litvak L. Reducing Channel Interaction Through Cochlear Implant Programming May Improve Speech Perception: Current Focusing and Channel Deactivation. Trends Hear. 2016 Jun 17;20:2331216516653389. doi: 10.1177/2331216516653389.

Reference Type BACKGROUND
PMID: 27317668 (View on PubMed)

Srinivasan AG, Padilla M, Shannon RV, Landsberger DM. Improving speech perception in noise with current focusing in cochlear implant users. Hear Res. 2013 May;299:29-36. doi: 10.1016/j.heares.2013.02.004. Epub 2013 Mar 1.

Reference Type BACKGROUND
PMID: 23467170 (View on PubMed)

Other Identifiers

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Zhou_R01_study4

Identifier Type: -

Identifier Source: org_study_id

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