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Aún no reclutaNCT07893860Registro de ClinicalTrials.gov

Effect of a Totally Implantable Cochlear Implant on Tinnitus Severity in Adults With Preoperative Tinnitus

Sensorineural Hearing Loss · Tinnitus

LO ESENCIAL

De qué trata este estudio

El registro no identifica actualmente este estudio como reclutando. Consulta su estado antes de planificar una evaluación.

Tipo de estudio
De intervención
Fase
No aplica
Rango de edad
18 años - No especificado
Sexo admitido
Todos los sexos
Voluntarios sanos
No aceptados
Participantes
14 Estimado

Estos son puntos de partida, no una decisión de elegibilidad. El equipo debe revisar todos los requisitos.

Las explicaciones y la navegación están en español. Los textos proporcionados por el registro, incluidos títulos, resúmenes y criterios, se conservan en su idioma original. Puedes pedir orientación en español a WCR.

Acerca de la investigación

The purpose of this study is to investigate the degree of benefit to tinnitus symptoms by using a Totally Implantable cochlear implant (TICI) in a group of patients who have moderate-to-severe tinnitus pre-operatively.

Leer la descripción completa

Many studies show that cochlear implants can improve hearing and speech understanding in people with severe-to-profound sensorineural hearing loss. Beyond these hearing benefits, many recipients also report reduced tinnitus when using their cochlear implant. Tinnitus relief usually occurs while the cochlear implant is active and may remain stable over time. Some recipients may also continue to experience reduced tinnitus for a period after the implant is switched off. A totally implantable cochlear implant may provide additional benefit for people with hearing loss and moderate-to-severe tinnitus. Unlike a conventional cochlear implant, it can provide auditory stimulation during the day and night, including during sleep, when an external sound processor is usually removed.

¿Quién podría participar?

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Inclusion Criteria:

  • Individuals aged 18 years and older at time of consent.
  • Meets local candidacy criteria for cochlear implantation in the ear to be implanted.
  • Failure to satisfactorily treat tinnitus with conventional treatments including Tinnitus Retraining Therapy (TRT) for at least six (6) months as determined by the investigator.
  • Moderate to severe tinnitus handicap as determined by \>38 THI score (Grade 3 / Moderate or greater).
  • Duration of moderate to severe tinnitus \< 3 years, as determined by the investigator.
  • Willing to undergo unilateral cochlear implantation.
  • Candidate is a fluent speaker in the language used to assess speech perception performance as determined by the investigator (i.e. Spanish).
  • Direct access to a compatible Smart Phone.
  • Willing and able to provide written informed consent.

Exclusion Criteria:

  • Prior cochlear implantation, in either ear, or medical plan for cochlear implantation during the clinical investigation, contralateral to the ear to be implanted.

Participants who meet any of the exclusion criteria described below will not be eligible for this clinical investigation.

  • Prior cochlear implantation, in either ear, or medical plan for cochlear implantation during the clinical investigation, contralateral to the ear to be implanted.
  • Tinnitus of central origin, pulsatile tinnitus related to blood flow, paroxysmal tinnitus, somatosensory tinnitus, tinnitus related to vertigo or headache, or post-traumatic tinnitus, as determined by the investigator.
  • Intra-axial (within-the-brain) lesions or deafness due to lesions of the acoustic nerve affecting the ear to be implanted.
  • Middle ear infection (including acute otitis media, chronic otitis media, suppurative otitis media, or serous drainage) in the ear to be implanted either at the time of surgery or within 3 months prior to enrolment.
  • Presence of a tympanic membrane perforation or a history of otologic surgery within 3 months prior to enrolment, in the ear to be implanted.
  • Previously reported diagnosis of auditory neuropathy, in the ear to be implanted.
  • Cochlear ossification, cochlear malformation or any other cochlear anomaly, such as common cavity, that might prevent complete insertion of the electrode array, in the ear to be implanted.
  • Current cerebrospinal fluid (CSF) shunts or drains, existing perilymph fistula, skull fracture or CSF leaks.
  • Severe, or poorer, bilateral sensorineural hearing loss prior to 5 years of age, as reported by the participant.
  • Severe, or poorer, sensorineural hearing loss for more than 15 years, as reported by the participant, in the ear to be implanted.
  • Medical or psychological conditions that contraindicate general anaesthesia, surgery, or participation in the clinical investigation as determined by the investigator.
  • Preexisting skin condition that could jeopardize wound healing, as determined by the investigator e.g., psoriasis, dermatitis, use of corticosteroids, uncontrolled diabetes.
  • Unrealistic expectations on the part of the participant, regarding the possible benefits, risks, and limitations inherent to the surgical procedure(s) and prosthetic devices, as determined by the Investigator.
  • Additional disabilities that may affect the participant's participation or safety during the clinical investigation.
  • Pregnant women.
  • Investigator site personnel directly affiliated with this study and/or their immediate families. Immediate family is defined as spouse, parent, child or sibling.
  • Cochlear employees or employees of Contract Research Organisations or contractors engaged by Cochlear for the purposes of the investigation.
  • Current participation, or participation in another interventional clinical study/trial in the past 30 days, involving an investigational drug or device that is different from the device in this study.
  • Unable or unwilling to comply with the requirements of the clinical investigation as determined by the Investigator.
Entiende la evaluación inicial

Tratamiento, grupos y participación

El registro puede describir tratamientos y duración sin incluir un calendario completo. Pide al equipo las visitas, procedimientos, riesgos, costos y alternativas. Mantén tu atención habitual salvo que tu médico te indique un cambio.

Asignación
No aplica
Enmascaramiento
Sin enmascaramiento
Totally Implantable Cochlear Implant System

Participants will be implanted with the TI1132 implant

Device: Cochlear implant

Cochlear implant DEVICE

TICI G2 Clinical Investigation System

Prepara tus preguntas

Qué evalúan los investigadores

Estas medidas indican qué se estudia. No prueban que un tratamiento funcione.

Medidas principales

Evaluate the impact of the TICI G2 Clinical Investigation System usage on Tinnitus Handicap Inventory (THI) ratings

Plazo: Preoperative baseline to 6- months post-activation

Mean within-subject change in THI score. The THI measures tinnitus severity. The score ranges from Slight or No handicap (Grade 1): 0-16, Mild (Grade 2): 18-36, Moderate (Grade 3): 38-56, Severe (Grade 4): 58-76 to Catastrophic (Grade 5): 78-100

Medidas secundarias

Evaluate the change to speech perception using the TICI G2 Clinical Investigation System with external hearing (EH) compared with baseline in the ear to be implanted

Plazo: Pre-operative baseline to 6-months post-activation

Mean within subject change in speech in quiet from baseline as measured by word recognition using external hearing (sound processor on)

Evaluate the change to speech perception using the TICI G2 Clinical Investigation System with invisible hearing (IH) compared with baseline in the ear to be implanted

Plazo: Pre-operative baseline to 6-months post-activation

Mean within subject change in speech in quiet from baseline as measured by word recognition using invisible hearing (sound processor off)

Evaluate the subjective ratings of hearing ability in the preferred bilateral listening mode

Plazo: Pre-operative baseline to 6-months post-activation

Mean within subject change in the global score of the Speech, Spatial and Qualities of Hearing Scale (SSQ12). Scores range from 0 to 10, where higher scores indicate greater ability (less hearing disability).

Evaluate the overall health status as measured by the Health Utilities Index (HUI2/3)

Plazo: Pre-operative baseline to 6-months post-activation

Mean within subject change in the global score of the Health Utilities Index (HUI2/3). Scores range from -0.36 to 1.00, where a negative score represents a state "worse than dead" and a top score of 1.00 is "perfect health".

Evaluate the impact of the TICI G2 Clinical Investigation System usage on THI ratings

Plazo: Pre-operative baseline to 3-months post-activation

Mean within-subject change in THI score. The THI measures tinnitus severity. The score ranges from Slight or No handicap (Grade 1): 0-16, Mild (Grade 2): 18-36, Moderate (Grade 3): 38-56, Severe (Grade 4): 58-76 to Catastrophic (Grade 5): 78-100

Characterize the device usage over time of TICI G2 Clinical Investigation System

Plazo: Activation to 6-months post-activation

Average daily time on air, collected through software data logs of device use.

El registro no indica resultados publicados.

Revisa las tablas completas y sus limitaciones en el registro oficial.

Abrir resultados oficiales ↗

Centros de investigación (1)

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1 centros

Complejo Hospitalario Universitario Insular Materno Infantil de Gran CanariaLas Palmas de Gran Canaria, Las Palmas, SpainEstado desconocido
Angel Ramos Macias Prof., DoctorCONTACTramosorl@idecnet.com+34 609564507
Silvia Andrea Borkoski BarreiroCONTACTsilviaborkoski@hotmail.com
Ver ubicación en el mapa ↗

Equipo y fechas

Patrocinador principal
Cochlear
Inicio del estudio
2027-02 Estimado
Finalización primaria
2028-04 Estimado
Finalización del estudio
2028-04 Estimado
Primera publicación
26 oct 2026 Real
Última actualización
10 nov 2026 Real

Contactos oficiales del estudio

Angel Ramos Marcias Prof. DoctorCONTACTramosorl@idecnet.com+34 609564507
Silvia Andrea Borokoski BarrieroCONTACTsilviaborkoski@hotmail.com
Título oficial del estudio

A Prospective, Interventional, Repeated Measures Feasibility Study to Evaluate Change in Tinnitus Severity for Adult Recipients of a Totally Implantable Cochlear Implant System Who Experience Tinnitus Pre-Operatively

EL PRÓXIMO PASO, CON APOYO HUMANO

Consulta a Wellness Clinical Research

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Fuente: API v2 de ClinicalTrials.gov. Patrocinadores e investigadores envían la información. La NLM no aprueba la seguridad ni la ciencia de todos los estudios registrados. Aviso del registro.

Consultado: 12 nov 2026 · Última actualización del registro: 10 nov 2026