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Improved Speech Recognition Performance in Noise by Encoding Binaural Spatial Cues to the Cochlear Implant User.

Improved Speech Recognition Performance in Noise by Encoding Binaural Spatial Cues to the Cochlear Implant User.

Status
Withdrawn
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04357704
Acronym
APPIC
Enrollment
0
Registered
2020-04-22
Start date
2019-04-01
Completion date
2019-09-01
Last updated
2025-08-03

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

Conditions

Hearing Loss, Cochlear

Keywords

Iteraural Time Difference

Brief summary

The aim of the study is to evaluate the interaural time difference (ITD) benefit in patients with bilateral cochlear implants and to assess speech performance in noisy conditions compared to normal hearing listeners. Half of participants are bilateral cochlear implants users, while the other are normal hearing listeners.

Detailed description

Listening in noisy environments is part of everyday life, it is based on binaural phenomena such as spatial localization.

Interventions

OTHERS0N0

(no ITD)

OTHERS0N500

(ITD +500µs on noise)

OTHERS-500N500

(ITD -500µs on signal and +500 µs on noise)

OTHERS0N1000

(ITD + 1000 µs on noise)

OTHERS0Nuncorr

(no ITD cue, with uncorrelated stimulation frame)

Sponsors

Oticon Medical
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

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

Inclusion criteria

* Fluent in local language * Normal hearing listener: * pure tone threshold \> 25dB from 125Hz to 12kHz * Cochlear implant recipient * bilaterally implanted 6 months at least, the second implant should be implanted 6 months at least before participant inclusion * Digisonic SP® cochlear implants user

Exclusion criteria

* binaural sensitivity threshold \< 1000µs

Design outcomes

Primary

MeasureTime frameDescription
speech reception threshold (SRT) in bilateral cochlear implant user with ITD cueday 0SRT is used as an outcome measure to quantify the acuity for speech perception in noise with Interaural Time Difference between the two ears. Signal recognition in a background noise is assessed the following conditions S0N0, S0N500, S0N1000, S-500N500 et S0Nuncorr. The noise level is constant at 65 dB SPL, the signal level is modified in the adaptive procedure in order to converge towards a score of 50% of correct response.

Secondary

MeasureTime frameDescription
speech reception threshold (SRT) in bilateral cochlear implant user without ITD cue and in normal hearing listenersday 0SRT is used as an outcome measure to quantify the acuity for speech perception in noise without Interaural Time Difference between the two ears.
ITD sensitivity in bilateral cochlear implant userday 0Speech signal and noise are presented at 65dB SPL. Participant adjusts the Interaural Time Difference between the speech signal and noise between -1000 and +1000µs. Participant moves the cursor on the interface until he/she hears a difference in sound.
Preferred jitter in bilateral cochlear implant userday 0Speech signal and noise are presented at 65dB SPL. Participant adjusts the jitter of the train pulse timing from 0 to +1000µs to improve the Interaural Time Difference.

Outcome results

None listed

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