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NCT06142682 | RECRUITING | Cochlear Implant

Dexamethasone Eluting Cochlear Implant: a Pivotal Study
Sponsor:

Med-EL Elektromedische Device GesmbH

Brief Summary:

The newly developed MED-EL Cochlear Implant Mi1250 +FLEX28 DEX (CIDEXEL) incorporates the anti-inflammatory agent dexamethasone (DEX) into the electrode array. The passive elution of DEX during the post-implantation period has the purpose of counteracting the increase of the post-operative impedance induced by the insertion trauma. The aim of this clinical investigation is to obtain confirmatory data concerning safety and performances of the investigational device in the clinical population.

Condition or disease

Cochlear Implant

Intervention/treatment

Cochlear Implant

Phase

NA

Detailed Description:

The Cochlear Implant Mi1250 +FLEX28 DEX (CIDEXEL) is the Investigational Medical Device (IMD) under investigation. MED-EL CI systems consist of an implantable part (i.e. CIDEXEL), external components (i.e. technically compatible audio/speech processor and its accessories) and software that controls and powers the implant. The IMD CIDEXEL will be the implantable part of this new MED-EL CI System and shall only be used together with technically compatible MED-EL external components. None of the components mentioned above incorporates, as an integral part transplants or tissues or cells of human or animal origin. No products incorporating or derived from tissues or cells of human or animal origin were used during its manufacturing. • Primary Objective The primary objective of this clinical investigation is to confirm the clinical performance of the CIDEXEL by comparing Speech intelligibility results measured pre-operatively to those measured at the 6-months follow-up. For this clinical investigation to be successful, mean speech test results at the 6-months visit shall be superior to the mean speech test results obtained pre-operatively. (Monosyllables) • Secondary Objectives The secondary objectives of this clinical investigation are to measure: * Impedance Field Telemetry (IFT) values and derived measures * Fitting Maps reiteration appraisal * Electrically evoked Compound Action Potential (eCAP) and derived measures * Unaided audiograms obtained pre- and post-operatively * Hearing Preservation (HP) % * The improvement in generic quality of life (measured by the Health Utilities Index (HUI2\&3)) pre- to the 6-months visit * The improvement in disease specific quality of life (measured by the Nijmegen Cochlear Implant Questionnaire (NCIQ)) pre- to the 6-months visit * Surgical Usability and satisfaction (Ad Hoc questionnaire for the surgeons ) * Sentence test in noise results across the tested intervals (OlSa) * Speech, spatial and quality of hearing across the tested intervals (Speech, Spatial and Qualities of hearing scale (SSQ12)) * Sound quality over time (Hearing Implant Sound Quality Index (HISQUI)) * Wearing time (data Logging) * Safety Objective The purpose of this clinical investigation is to establish and verify the clinical safety of the CIDEXEL. To confirm the safety profile of the device which will be evaluated through the analysis of adverse events during the follow-up period. For the study to be considered a success, the results of the adverse event analysis shall never cause an unbalanced risk vs. benefit assessment biased towards the former.

Study Type : INTERVENTIONAL
Estimated Enrollment : 60 participants
Masking : NONE
Primary Purpose : TREATMENT
Official Title : Dexamethasone-Eluting Cochlear Implant Electrode (CIDEXEL): Pivotal Study
Actual Study Start Date : 2024-09-02
Estimated Primary Completion Date : 2025-09-02
Estimated Study Completion Date : 2025-12-31

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years to 85 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • Minimum age of eighteen (18) years at time of enrolment.
  • * Hearing loss on the ipsilateral ear (see Figure 8 for the specific audiological criteria).
  • * A functional auditory nerve in the ear to be implanted.
  • * Subjects reporting to having used an optimally fit hearing aids for a minimum of three months before the decision that a cochlear implant is the preferential option.
  • * Cochlea anatomy compatible with the insertion of a FLEX28 electrode array.
  • * Compatibility with a soft surgery approach as per clinical practice at the site.
  • * Post-lingual hearing impairment.
  • * Subject fulfilling indication criteria for a CI according to the local professional standards, as reported by the implanting surgeon.
  • * General health condition, psychological and emotional condition deemed compatible with the treatment and tests performed in this study and realistic expectations, as deemed appropriate by the implanting surgeon.
  • * Signed and dated informed consent before the start of any study-specific procedure.
Exclusion Criteria
  • * Lack of compliance with any inclusion criterion.
  • * Previously having received a cochlear implant on the ear chosen for placing the IMD.
  • * Evidence of ossification or any other cochlear anomaly that might prevent complete insertion of the electrode array or might cause increased risk of infection (e.g. dysplastic cochlea), as confirmed by medical examination and/or as per CT/MRT.
  • * Evidence of anatomic abnormalities that would prevent appropriate placement of the stimulator housing in the bone of the skull.
  • * Known allergic reaction or intolerance to the materials used in the implant (including medical grade silicone, platinum, iridium, parylene c, DEX).
  • * Known absence of cochlear development or if the cause of deafness is non-functionality of the auditory nerve and/or the upper auditory pathway.
  • * Evidence of active external or middle ear infection or history of recurrent middle ear infection in the ear to be implanted.
  • * Evidence of perforated tympanic membrane in the ear to be implanted.
  • * Patient reporting immunosuppressive therapy or corticosteroids therapy in the 4 weeks before enrolment.
  • * Evidence of concomitant use of medicinal substances that, in the opinion of the investigator, could alter the therapeutic efficacy of dexamethasone.
  • * Unwillingness or inability of the candidate to comply with all investigational requirements.
  • * Evidence of medical contraindications to surgery of the middle and inner ear and anaesthesia.
  • * Additional disabilities that would prevent or restrict participation in the audiological and medical evaluations required of the clinical investigation.
  • * Subject not capable of giving consent.
  • * Individual subjected to court-ordered or government-authorized deprivation of liberty as defined by § 27 MPDG.
  • * Evidence of Pregnancy.
Dexamethasone Eluting Cochlear Implant: a Pivotal Study

Location Details

NCT06142682

Please Choose a site

How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations

NOT YET RECRUITING

Germany,

ENT clinic of the Ruhr University Bochum

Bochum, Germany,

NOT YET RECRUITING

Germany,

Clinic and polyclinic for neck, nose and ear medicine

Dresden, Germany,

NOT YET RECRUITING

Germany,

University Hospital Frankfurt Clinic for ENT medicine

Frankfurt, Germany,

RECRUITING

Germany,

Martin Luther University Halle-Wittenberg, university clinic and polyclinic for ear, nose and throat medicine, head and neck surgery

Halle, Germany, 06097

NOT YET RECRUITING

Germany,

ENT clinic of the Hannover Medical School

Hannover, Germany,

NOT YET RECRUITING

Germany,

University Clinic for Calcon, Nose and Ear Healing

Tübingen, Germany,

NOT YET RECRUITING

Germany,

Clinic and polyclinic for neck, nasal and ear diseases, plastic and aesthetic operations. The University-Etheno Clinic in Würzburg

Würzburg, Germany,