Actively Recruiting

Phase Not Applicable
Age: 5Years +
All Genders
Healthy Volunteers
ID05923203

Binaural Cue Sensitivity in Children and Adults With Combined Electric and Acoustic Stimulation

Led by Hearts for Hearing · Updated on 2025-10-20

160

Participants Needed

4

Research Sites

13 weeks

Total Duration

On this page

Sponsors

H

Hearts for Hearing

Lead Sponsor

N

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are investigating how combined Electric and Acoustic Stimulation (EAS) using cochlear implants can benefit both children and adults with hearing loss. This study focuses on understanding speech recognition, binaural processing, and spatial hearing in individuals who use EAS, as compared to those with only cochlear implants or normal hearing. The trial aims to fill gaps in knowledge about how EAS affects hearing development, especially in children, and how it supports the binaural system's growth over time. Participants in the study include adults and children with cochlear implants fitted with an FDA-approved EAS system, which combines electric stimulation from the implant with acoustic amplification from a hearing aid in the implanted ear. The study also includes groups of age-matched normal hearing children and adults for comparison. The research will track outcomes at multiple time points, such as within one month of EAS activation, and at 6, 12, and 24 months, to observe both acute and long-term effects of EAS on hearing abilities. Throughout the study, participants will undergo tests measuring speech recognition in noise, spatial hearing ability, and sensitivity to binaural cues like interaural time and level differences. Behavioral and objective assessments, including cortical auditory evoked potentials, will be used to evaluate hearing outcomes. Data logging will verify EAS usage, and participants will be monitored over time to assess developmental trajectories and the benefits of EAS technology in real-world hearing situations.

CONDITIONS

Brief Title

Combined Electric and Acoustic Hearing (EAS) in Children and Adults

Who Can Participate

Age: 5Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Children aged 5 to 17 years with normal hearing or with at least one cochlear implant and binaural low-frequency acoustic hearing
  • Adults aged 18 years and older with normal hearing or with at least one cochlear implant and binaural low-frequency acoustic hearing
  • Participants must have at least one cochlear implant and bilateral mild to severe sensorineural hearing loss
  • Audiometric thresholds in the non-cochlear implant ear must indicate mild sensorineural hearing loss; participants with single-sided deafness are excluded
  • Unaided audiometric thresholds must be 80 dB HL or better at 125 and 250 Hz in both ears
  • Nonverbal cognitive abilities must be within the typical range
  • Adults must pass cognitive screening using Montreal Cognitive Assessment (MoCA or HI-MoCA)
  • Willingness to use EAS technology verified through device data logging
Not Eligible

You will not qualify if you...

  • Nonverbal intelligence standard score below 85
  • MoCA or HI-MoCA score below 26 for adult participants

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 24 months

Participants receive a clinical fitting of a combined electric and acoustic stimulation (EAS) system, which includes a cochlear implant and hearing aid in the implanted ear(s). This fitting uses FDA approved clinical software and audiologic verification to provide low-frequency acoustic amplification and mid-to-high frequency electric stimulation.

Multiple visits including at or within 1 month of EAS activation, and follow-up visits at 6 months, 12 months, and 24 months (pediatric participants)

Follow-up

Duration - Up to 24 months

Participants are monitored over time to assess EAS benefit for speech recognition, spatial discrimination, and binaural cue sensitivity through behavioral and electrophysiological measures.

Visits coincide with treatment time points for outcome assessments at 1 month, 6 months, 12 months, and 24 months (pediatric participants)

Trial Site Locations

Total: 4 locations

1

Hearts for Hearing

Edmond, Oklahoma, United States, 73120

Actively Recruiting

2

Vanderbilt University Medical Center

Nashville, Tennessee, United States, 37232

Completed

3

University Of Texas at Austin

Austin, Texas, United States, 78712

Actively Recruiting

4

University Of Wisconsin Madison

Madison, Wisconsin, United States, 53706

Actively Recruiting

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Research Team

R

René Gifford, PhD

J

Jourdan T Holder, AuD, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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