The Effect of Cancer Treatments on Speech Perception in Noise, Cognition, and Hearing-Related Quality of Life

NCT ID: NCT06551857

Last Updated: 2025-04-16

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

RECRUITING

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-10-02

Study Completion Date

2030-12-31

Brief Summary

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The study will assess the effect of cancer treatments on speech perception in noise, cognition, and hearing-related quality of life by monitoring 200 cancer patients receiving standard care for their underlying malignancy.

Detailed Description

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The study will assess the effects of four different types of cancer treatments on speech perception in noise, hearing thresholds, cognition, and hearing-related quality of life over a follow-up period of 3 years.

The speech perception in noise will be assessed using the Finnish matrix sentence test. Other hearing measures include transient and distortion product otoacoustic emissions, impedance audiometry and pure-tone audiometry extending to high frequencies (0.125kHz - 16kHz).

Hearing-related quality of life will be assessed using Speech, Spatial, and Qualities 12 -questionnaire, Vanderbilt Fatigue Scale 10 -questionnaire and Tinnitus Handicap Index. Cognitive functions will be assed using Functional Assessment of Cancer Therapy - Cognitive Function (FACT-Cog) questionnaire and neuropsychological tests. The neuropsychological tests included in the study are Continuous Performance Test, Continuous Auditory Test of Attention, Trail Making Test A \& B, Stroop Test, Coding and Digit span tasks from the Wechsler Adult Intelligence Scale - Fourth Edition, Word List task from Wechsler Memory Scale III, and Controlled Oral Word Association Test.

Neuropsychological assessments will be conducted at baseline and 1 year and 3 years after the end of the treatments. All other assessments will be conducted at baseline and at 3-4 months, 1 year, and 3 years after the end of the initial treatments.

Conditions

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Cancer Hearing Loss Ototoxic Cognitive Decline Quality of Life

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Cisplatin

50 patients receiving cisplatin as the standard care for their underlying malignancy

Chemotherapy, chemoradiation, radiation therapy

Intervention Type OTHER

Cancer treatment

Cisplatin-based chemoradion therapy in the head and neck region

50 patients receiving cisplatin-based chemoradiation therapy in the head and neck region as the standard care for their underlying malignancy

Chemotherapy, chemoradiation, radiation therapy

Intervention Type OTHER

Cancer treatment

Head and neck region radiation therapy

50 patient receiving head and neck region radiation therapy as the standard care for their underlying malignancy

Chemotherapy, chemoradiation, radiation therapy

Intervention Type OTHER

Cancer treatment

Oxaliplatin

50 patients receiving oxaliplatin as the standard care for their underlying malignancy

Chemotherapy, chemoradiation, radiation therapy

Intervention Type OTHER

Cancer treatment

Control

50 healthy volunteers who have never received any ototoxic medications

No interventions assigned to this group

Interventions

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Chemotherapy, chemoradiation, radiation therapy

Cancer treatment

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* written informed consent
* native Finnish speaker
* age-normative hearing
* for participants in the treatment arms: diagnosis of a malignancy that will be treated with curative intent with any of the following: 1) Cisplatin as the main chemotherapeutic agent, 2) oxaliplatin as the main chemotherapeutic agent, 3) cisplatin-based chemoradiation therapy in the head and neck region, 4) radiation therapy in the head and neck region

Exclusion Criteria

* inability to provide written informed consent
* Current or prior major otological condition that has affected or has had the potential to affect hearing
* Conductive or asymmetric sensorineural HL of any severity
* Severe sensorineural HL
* Prior malignancy treated with chemotherapeutics or radiation therapy
* Prior use of ototoxic medications
* Any significant disease or disorder which, in the opinion of the investigator, may either put the subject at risk by participation in the trial, or may influence the result of the trial.
* Any condition that, in the opinion of the investigator, would interfere with adherence to the trial requirements.

For participants in the treatment arms:

* Allergy or hypersensitivity to trial medications or their ingredients
* Pregnancy or breast-feeding, aim of becoming pregnant during the trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Turku University Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Tytti Willberg

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tytti Willberg, PhD

Role: PRINCIPAL_INVESTIGATOR

Turku University Hospital

Locations

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Turku University Hospital

Turku, Southwest Finland, Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Tytti Willberg, PhD

Role: CONTACT

+358 2 313 5979

Facility Contacts

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Tytti Willberg, PhD

Role: primary

+358 2 313 5979

Other Identifiers

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2024-513437-21-00

Identifier Type: CTIS

Identifier Source: secondary_id

T1700/2024

Identifier Type: -

Identifier Source: org_study_id

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