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A Comparative, Controlled, Clinical Investigation and Quality Control of a New Hearing Aid

A Comparative, Controlled, Clinical Investigation and Quality Control of a New Hearing Aid in Comparison to the Currently Marketed Device

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03086018
Enrollment
30
Registered
2017-03-22
Start date
2017-03-13
Completion date
2017-06-28
Last updated
2019-11-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hearing Loss

Brief summary

The aim of this study is to investigate the performance of the hearing aid under laboratory as well as everyday conditions. In addition, the performance data of the hearing aid are compared with a Bernafon hearing aid already available on the market. The hearing aids are adapted according to the user requirements. The data collected in the study is intended to show that the benefit of the hearing aid being examined is identical or better than the current CE-marked hearing aid. A further aim is to improve the adaptation of the hearing device in such a way that the benefit for people with hearing impairments can be increased.

Detailed description

The reason for this study is to evaluate a new hearing aid. The goal is to evaluate the audiological performance and usability as well as features and functions in comparison to the hearing aid already CE marked. Furthermore, it is important to identify unexpected or unwanted behavior from the devices. This clinical investigation is a validation testing and is designed to evaluate the new hearing instrument system. As human subjects are involved, this validation test falls under the definition of a clinical investigation. The validation addresses the performance of the device with new functionality, and additionally addresses whether the end user can understand speech as well as with the current marketed device. End users will be tested in the lab with speech tests and usability tests. They will also participate in field tests after which they will answer questionnaires concerning their experience with the instruments. Evaluating the overall performance of the hearing instrument is important to verify that the end user is satisfied with the device and that all user requirements are fulfilled. Many of the features available in the new device have already been validated and are used in devices currently on the market. The purpose of this research is to show that the performance of the new device is as good as or better than the current device. Furthermore, speech should not be negatively affected with the addition of new features, the usability of the devices (that end users are able to handle the devices) should be as good as the current device, and there should be no artifacts or unwanted noises. Some measurements serve as quality control prior to product launch.

Interventions

DEVICESuccessor hearing aid to Juna

The participants will all be experienced hearing instrument device users and will be switched from their current (control) devices to the new test device which succeeds the Juna device.

Sponsors

Bernafon AG
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Masking description

The hardware will be obviously different from the control devices and impossible to blind.

Intervention model description

A single group, controlled test design will be used. There are various aspects of testing including lab and field tests.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* All classifications of hearing loss (sensorineural, conductive, mixed) * If the hearing loss is conductive or mixed it must be approved for amplification by a physician * All shapes of hearing loss (flat, sloping, reverse slope, notch) * Severity ranging from mild to severe * German speaking * Ability and willingness to sign the consent form

Exclusion criteria

* Contraindications for amplification * Active ear disease * Inability to follow the procedures of the study due to language problems, psychological disorders, dementia, or other cognitive problems of the participant, * A reduced mobility making them unable to attend weekly study appointments * A reduced ability to describe auditory impressions and the usage of the hearing aids * Uncooperative so that it is not possible to record a valid pure tone audiogram * A strongly reduced dexterity * Central hearing disorders * Bernafon employees * Family members of Bernafon employees

Design outcomes

Primary

MeasureTime frameDescription
Speech Intelligibility Performance2 hour period of speech testing during a lab appointment after wearing the devices for approximately 2 weeks.Speech test scores will be measured with speech reception thresholds (SRTs) of speech in noise in three conditions: unaided, aided with the current device, and aided with the new device. The score is measured by the the signal-to-noise ratio (SNR) at which 50% of words in a sentence list are correctly repeated. The speech is always presented at 65 dB and the background noise varies to maintain the 50% correct. A lower SNR score indicates a better score. The maximum score will be 15 dB and the minimum will be -5 dB.

Secondary

MeasureTime frameDescription
Subjective Performance of Aided BenefitA 2 week time period during which they will wear the devices and answer questionnaires about the experience.The subjective performance for the new device will be measured with the APHAB questionnaire (Abbreviated Hearing Aid Benefit Profile). The questionnaire is a list of 24 statement that the subjects must agree or disagree with using a scale of units from A to G (A being Always and G being Never). Each letter has a corresponding score used for the calculation: A receives 99, B receives 87, C receives 75, D receives 50, E receives 25, F recevies 12, and G receives 1. An average for each subscale is calculated, and a global or overall score can be calculated by taking the mean of the three positive subscales (Ease of communication, Background noise, and Reverberation). For these three subscales a higher score indicates a better performance. The highest possible score is 99 and the lowest is 1. The fourth scale (Aversiveness) is a negative scale meaning that a higher score means a worse performance. The highest possible score is 99 and the lowest is 1.
Speech Intelligibility Performance With New Feature2 hour period of speech testing during a lab appointment after wearing the devices for approximately 2 weeks.Word recognition test scores will be measured with two signal-to-noise ratio (SNR) levels in percent correct in two conditions, with the new feature on and the new feature off. The test is a speech test with the words stated in noise at either a 5 dB SNR or a 15 dB SNR. The subject is presented with 5 rhyming words and must choose which word they heard. It is a forced choice meaning that the test will not continue with the next word until they've made a selection. They cannot leave any blank and are not penalized for wrong answers. The score is a percentage of words correct with the maximum score being 100% and the minimum being 0%. A higher score means a better outcome.
Handling/Usability Performance2 hour period of usability testing with tasks and questionnaires.The usability of the new device will be measured with a 3-point rating scale used by the tester to evaluate tasks performed by the end user as well as questionnaires and interviews. The questionnaire asks subjects to perform tasks, and the clinician rates the ease with which they complete the tasks. 2 is the highest score meaning that they could complete without help, 1 means that they required some assistance, and 0 means that they could not complete the task. A higher score means a better outcome.
EventsA 2 hour period of interviews and questionnaires after having worn the devices for approximately 2 weeks and keeping a diary to make notes of device behavior.Events will be measured by the reporting of unexpected sounds or behavior of the device through questionnaires, diaries, and interviews. The number of events reported including AEs related to the device will be used to measure the outcome. Less events is a better outcome.

Countries

Switzerland

Participant flow

Participants by arm

ArmCount
Experimental: Successor Hearing Aid to Juna
The intervention is the new hearing aid which is the successor to the Juna device. The participants will use their current device as a control. They will wear the intervention device for approximately two weeks.
30
Total30

Withdrawals & dropouts

PeriodReasonFG000
Final Testing for End of TrialAdverse Event1
Final Testing for End of TrialWithdrawal by Subject1

Baseline characteristics

CharacteristicExperimental: Successor Hearing Aid to Juna
Age, Continuous67 years
Hearing Instrument Experience30 Participants
Race and Ethnicity Not Collected— Participants
Region of Enrollment
Switzerland
30 participants
Sex: Female, Male
Female
6 Participants
Sex: Female, Male
Male
24 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 0
other
Total, other adverse events
11 / 30
serious
Total, serious adverse events
1 / 30

Outcome results

Primary

Speech Intelligibility Performance

Speech test scores will be measured with speech reception thresholds (SRTs) of speech in noise in three conditions: unaided, aided with the current device, and aided with the new device. The score is measured by the the signal-to-noise ratio (SNR) at which 50% of words in a sentence list are correctly repeated. The speech is always presented at 65 dB and the background noise varies to maintain the 50% correct. A lower SNR score indicates a better score. The maximum score will be 15 dB and the minimum will be -5 dB.

Time frame: 2 hour period of speech testing during a lab appointment after wearing the devices for approximately 2 weeks.

ArmMeasureGroupValue (MEAN)Dispersion
Successor Hearing Aid to JunaSpeech Intelligibility PerformanceUnaided-1.25 dB SNRStandard Deviation 1.45
Successor Hearing Aid to JunaSpeech Intelligibility PerformanceAided with current device-3.89 dB SNRStandard Deviation 0.99
Successor Hearing Aid to JunaSpeech Intelligibility PerformanceAdided with new device-5.22 dB SNRStandard Deviation 1.09
Secondary

Events

Events will be measured by the reporting of unexpected sounds or behavior of the device through questionnaires, diaries, and interviews. The number of events reported including AEs related to the device will be used to measure the outcome. Less events is a better outcome.

Time frame: A 2 hour period of interviews and questionnaires after having worn the devices for approximately 2 weeks and keeping a diary to make notes of device behavior.

ArmMeasureValue (NUMBER)
Successor Hearing Aid to JunaEvents4 Units of AEs related to device
Secondary

Handling/Usability Performance

The usability of the new device will be measured with a 3-point rating scale used by the tester to evaluate tasks performed by the end user as well as questionnaires and interviews. The questionnaire asks subjects to perform tasks, and the clinician rates the ease with which they complete the tasks. 2 is the highest score meaning that they could complete without help, 1 means that they required some assistance, and 0 means that they could not complete the task. A higher score means a better outcome.

Time frame: 2 hour period of usability testing with tasks and questionnaires.

ArmMeasureValue (NUMBER)
Successor Hearing Aid to JunaHandling/Usability Performance97 percentage of tasks scored with 2
Secondary

Speech Intelligibility Performance With New Feature

Word recognition test scores will be measured with two signal-to-noise ratio (SNR) levels in percent correct in two conditions, with the new feature on and the new feature off. The test is a speech test with the words stated in noise at either a 5 dB SNR or a 15 dB SNR. The subject is presented with 5 rhyming words and must choose which word they heard. It is a forced choice meaning that the test will not continue with the next word until they've made a selection. They cannot leave any blank and are not penalized for wrong answers. The score is a percentage of words correct with the maximum score being 100% and the minimum being 0%. A higher score means a better outcome.

Time frame: 2 hour period of speech testing during a lab appointment after wearing the devices for approximately 2 weeks.

ArmMeasureGroupValue (MEAN)Dispersion
Successor Hearing Aid to JunaSpeech Intelligibility Performance With New Feature+5 SNR WAKO Feature on73.5 percent correct out of 100%Standard Deviation 5.2
Successor Hearing Aid to JunaSpeech Intelligibility Performance With New Feature+5 SNR WAKO Feature off73.7 percent correct out of 100%Standard Deviation 4.95
Successor Hearing Aid to JunaSpeech Intelligibility Performance With New Feature+15 SNR WAKO Feature on87.27 percent correct out of 100%Standard Deviation 4.08
Successor Hearing Aid to JunaSpeech Intelligibility Performance With New Feature+15 SNR WAKO Feature off88.1 percent correct out of 100%Standard Deviation 4.63
Secondary

Subjective Performance of Aided Benefit

The subjective performance for the new device will be measured with the APHAB questionnaire (Abbreviated Hearing Aid Benefit Profile). The questionnaire is a list of 24 statement that the subjects must agree or disagree with using a scale of units from A to G (A being Always and G being Never). Each letter has a corresponding score used for the calculation: A receives 99, B receives 87, C receives 75, D receives 50, E receives 25, F recevies 12, and G receives 1. An average for each subscale is calculated, and a global or overall score can be calculated by taking the mean of the three positive subscales (Ease of communication, Background noise, and Reverberation). For these three subscales a higher score indicates a better performance. The highest possible score is 99 and the lowest is 1. The fourth scale (Aversiveness) is a negative scale meaning that a higher score means a worse performance. The highest possible score is 99 and the lowest is 1.

Time frame: A 2 week time period during which they will wear the devices and answer questionnaires about the experience.

Population: For this questionnaire, two participants had left the study and data was not collected.

ArmMeasureGroupValue (MEDIAN)Dispersion
Successor Hearing Aid to JunaSubjective Performance of Aided BenefitEase of Communication37.38 Units on a scaleStandard Deviation 24.11
Successor Hearing Aid to JunaSubjective Performance of Aided BenefitBackground Noise44.29 Units on a scaleStandard Deviation 16.89
Successor Hearing Aid to JunaSubjective Performance of Aided BenefitReverberation42.08 Units on a scaleStandard Deviation 23.96
Successor Hearing Aid to JunaSubjective Performance of Aided BenefitAversiveness-17.63 Units on a scaleStandard Deviation 26.14
Successor Hearing Aid to JunaSubjective Performance of Aided BenefitGlobal Score40.30 Units on a scaleStandard Deviation 20.49

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026