Evaluation of BiCROS Fitting Benefits

NCT ID: NCT05379231

Last Updated: 2025-06-11

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-11

Study Completion Date

2023-03-21

Brief Summary

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22 candidates for BiCROS hearing aids will be recruited and fitted with a hearing aid and a CROS device. Following a real-world trial, each participant will be tested on a range of outcome measures including speech recognition in noise, ratings of listening effort, and ratings of preference.

Detailed Description

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Unilateral Hearing Loss (UHL) can be defined as any degree of permanent hearing loss on one ear with normal hearing in the opposite ear. Unilateral hearing loss can be debilitating associated with audiological, psychosocial and educational challenges. Audiological challenges include the reduced ability to localize sounds, reduced awareness on the unaidable side and difficulties hearing in noise or at a distance.

One solution for unaidable UHL is Contralateral Routing of Signals (CROS) and Bilateral Contralateral routing of signals (BiCROS) using a so-called CROS transmitter together with a hearing aid.

The rationale for this clinical investigation is to collect clinical data with a rechargeable CROS transmitter to evaluate the benefits of a BiCROS fitting compared to the alternative treatment option, the monaural hearing aid fitting, and to no treatment in noisy listening situations.

Hearing tests, ear impressions and hearing aid fitting visits are mainly conducted at the National Centre for Audiology in London, Ontario. Those visits are available at the Sonova Innovation Centre Toronto in Mississauga, Ontario, upon request. Outcome measurements are only conducted at the National Centre for Audiology in London, Ontario.

Conditions

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Unilateral Deafness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

All participants were wearing the BiCROS fitting during home trial, and tested in-lab with all conditions, randomized and counterbalanced (BiCROS fitting, monaural fitting, unaided).
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Participants were wearing the BiCROS fitting during home trial, where no masking was possible. For in-lab tests, the CROS device was deactivated for the monaural condition, allowing for some masking. The unaided condition could not be masked. Participants were not aware which beamformer configuration was active during in-lab tests.

Study Groups

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BiCROS fitting with beamformer

Each participant will be fitted with the experimental CROS device on the unaidable ear and with a compatible hearing aid on the other ear. A beamformer (directional microphone) will be enabled during this measurement. Although each ear receives a different device configuration depending on the condition, the participant is assigned as a whole, and assignment is not by ears.

Group Type EXPERIMENTAL

Hearing aid fitting

Intervention Type DEVICE

A participant will wear a hearing aid with and without a CROS device on the unaidable ear.

BiCROS fitting omni

Each participant will be fitted with the experimental CROS device on the unaidable ear and with a compatible hearing aid on the other ear. The microphones will be omnidirectional. Although each ear receives a different device configuration depending on the condition, the participant is assigned as a whole, and assignment is not by ears.

Group Type EXPERIMENTAL

Hearing aid fitting

Intervention Type DEVICE

A participant will wear a hearing aid with and without a CROS device on the unaidable ear.

Monaural hearing aid fitting with beamformer

Each participant will be fitted with a hearing aid on the better hearing ear and no device on the unaidable ear. A beamformer (directional microphone) will be enabled during the measurement. Although each ear receives a different device configuration depending on the condition, the participant is assigned as a whole, and assignment is not by ears.

Group Type ACTIVE_COMPARATOR

Hearing aid fitting

Intervention Type DEVICE

A participant will wear a hearing aid with and without a CROS device on the unaidable ear.

Monaural hearing aid fitting omni

Each participant will be fitted with a hearing aid on the better hearing ear and no device on the unaidable ear. The microphone will be omnidirectional. Although each ear receives a different device configuration depending on the condition, the participant is assigned as a whole, and assignment is not by ears.

Group Type ACTIVE_COMPARATOR

Hearing aid fitting

Intervention Type DEVICE

A participant will wear a hearing aid with and without a CROS device on the unaidable ear.

Unaided condition

No intervention, the participants are not fitted with a CROS device and/or hearing aid.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Hearing aid fitting

A participant will wear a hearing aid with and without a CROS device on the unaidable ear.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* unaidable hearing loss in worse ear (\>N6)
* aidable hearing loss (N3 to N5) on the other ear
* fluent English speaker

Exclusion Criteria

\- aidable hearing loss in both ears
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Western University, Canada

OTHER

Sponsor Role collaborator

Sonova AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Susan Scollie

Role: PRINCIPAL_INVESTIGATOR

Western University, Canada

Locations

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National Centre for Audiology

London, Ontario, Canada

Site Status

Sonova Innovation Centre Toronto

Mississauga, Ontario, Canada

Site Status

Countries

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Canada

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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461

Identifier Type: -

Identifier Source: org_study_id

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