[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT02310399":3,"trial-entities:NCT02310399":151,"trial-summary:NCT02310399":154},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":6,"overall_status":7,"completion_date":8,"status_verified_date":9,"last_update_date":10,"start_date":11,"sponsor_name":12,"lead_sponsor_class":13,"has_dmc":14,"brief_summary":15,"detailed_description":16,"conditions":17,"keywords":19,"study_type":24,"primary_purpose":25,"phases":26,"enrollment_info":28,"interventions":31,"primary_outcomes":39,"secondary_outcomes":44,"sex":49,"minimum_age":50,"maximum_age":51,"healthy_volunteers":52,"eligibility_criteria":53,"std_ages":95,"locations":98,"central_contacts":119,"overall_officials":127,"references":130,"see_also_links":150},"NCT02310399","S14-01010","Auditory Brainstem Implant (ABI) in Children With No Cochleae or Auditory Nerves","RECRUITING","2030-05","2026-08","2026-08-28","2014-05","NYU Langone Health","OTHER",true,"This study is a feasibility study of the Nucleus 24 ABI in children without NF2. It will be conducted as a repeated-measures, single subject experiment in order to accommodate the known variability in cochlear implant clinical results. Data obtained in the course of this study will be compared with the existing published outcome data from children with normal hearing and with cochlear implants (CIs). These comparisons may provide additional useful information about the progress of ABI subjects' performance over time. Also, this may allow the results of the current study to be utilized to design future pivotal studies of the device in the pediatric population.","The purpose of this study is to evaluate the clinical safety and efficacy of the Nucleus™ 24 Auditory Brainstem Implant (ABI) in pediatric patients who do not have Neurofibromatosis Type 2 (NF2); specifically, children with total hearing loss due to severe cochlear anomalies, cochlear nerve disorders or failed cochlear implantation. These conditions can include: developmental or acquired cochlear nerve deficiency (CND), cochlear aplasia, post-meningitis cochlear ossification, or cochlear malformation. This study proposes to implant up to 10 pre-linguistic young children (18 mos to 5 yrs. of age) and up to 10 post-linguistic children (\\\u003C21 yrs of age) with the Nucleus 24 Multichannel ABI in an attempt to demonstrate safety of the surgical procedure and device stimulation and the potential for auditory benefit beyond that experienced with a CI. These children would not qualify for the Nucleus ABI device, as their etiology is not an approved indication such as neurofibromatosis Type 2(NF2). Further, these children do not benefit from conventional hearing aids or cochlear implants.\n\nTwo groups of children will be included: Group 1 will include prelingiustic deaf children ages 18 months - 5 years and Group 2 will include postlinguistic deaf children \\\u003C 21 years of age. Post-operative evaluations will be conducted at the initial activation and at 1, 3, 6, 12, 18, 24, 30, and 36-month intervals post-activation in order to demonstrate the emergence of open-set speech perception abilities prior to study cessation. Experience in the CI literature has shown that a minimum of 2 years of device usage is required for children with pre-lingual hearing impairment to develop some open-set speech perception abilities. While Group 2 is post-linguistic and some may have had significant hearing prior to becoming deaf, the same time intervals will be used for consistency. Blinding or masking procedures are not included in the design, as the presence\u002Fabsence of a brainstem implant cannot be easily concealed from the device recipients and\u002For clinical investigators.",[18],"Hearing Loss, Bilateral (Causes Other Than Tumors)",[20,21,22,23],"Auditory Brainstem Implant","Deafness","Hearing Loss","ABI","INTERVENTIONAL","TREATMENT",[27],"NA",{"count":29,"type":30},20,"ESTIMATED",[32],{"type":33,"name":34,"description":35,"armGroupLabels":36},"DEVICE","Nucleus ABI541 Auditory Brainstem Implant","Surgical implantation of the Nucleus ABI541 Auditory Brainstem Implant device",[37,38],"Post-Lingual Deafness","Pre-lingual Deafness",[40],{"measure":41,"description":42,"timeFrame":43},"ABI Device Complications","Study participants will be monitored on a case-by-case basis for ongoing or unanticipated medical complications. Adverse events will be tracked on a case-by-case basis and recorded at the time of occurrence and followed up at resolution. Any adverse events will be reported to the NYUSOM IRB. Should there be concern for the safety of the subjects because of their participation in the study by the investigators or the IRB, the study would be halted at least temporarily and a detailed discussion with the investigators and the IRB would be undertaken.","5 Years from date of surgery",[45],{"measure":46,"description":47,"timeFrame":48},"Audiologic Performance with ABI (Hearing, Speech and Language Assessments)","The following audiometry and speech perception tests will be administered as age-appropriate:\n\n* Detection audiogram, aided and unaided individual ears\n* IT-MAIS or MAIS\n* LING 6 sound test\n* ESP Low Verbal or Standard- MLV @ 50dB HL\n* PB-k words and phonemes- MLV @ 50dB HL\n* MLNT- recorded @ 60dB SPL\n* LNT- recorded @ 60dB SPL\n* HINT-C- 2 lists of 10 @ 60dB SPL\n* CNC- 50 words @ 60dB SPL\n\nEach child will receive speech\u002Flanguage intervention using the Comprehensive Assessment of Spoken Language (CASL, Elizabeth Carrow-Woolfolk, 1999) The following tests will be administered when appropriate:\n\n* The Oral and Written Language Scales (OWLS)\n* Goldman-Fristoe Test of Articulation\n* The Peabody Picture Vocabulary Test (PPVT)\n* The Rossetti Infant-Toddler Language Scale\n* Pre-School Language Scale, (PLS-5)\n* The Expressive Vocabulary Test, 2nd Ed\n* The Peabody Picture Vocabulary Test, 4th Ed","36 months from date of surgery","ALL","18 Months","21 Years",false,{"inclusion":54,"exclusion":79,"raw_text":94},[55,56,57,58,59,60,61,62,63,64,59,65,66,67,68,69,70,71,72,73,74,75,76,77,78],"MRI +\u002F- CT evidence of one of the following:","Cochlear nerve deficiency","Cochlear aplasia or severe hypoplasia","Severe inner ear malformation","Post-meningitis ossification","When a cochlea is present or patent, lack of significant benefit from CI despite consistent use (\\>6 mo.)","No or limited speech perception ability (limited to pattern perception on closed set testing materials using the CI)","Lack of progress in auditory skills development","Post-linguistic hearing loss (\\\u003C21 yrs. of age) with:","Loss or lack of benefit from appropriate CI without the possibility for revision or contralateral implantation. Examples might include:","Bilateral temporal bone fractures with cochlear nerve avulsion","Failed revision CI without benefit","Previously developed open set speech perception and auditory-oral language skills","No medical contraindications","Willing to receive the appropriate meningitis vaccinations","No or limited cognitive\u002Fdevelopmental delays.","Strong family support","Reasonable expectations from parents\u002Fguardians including a thorough understanding:","of potential benefits and limitations of ABI","of parental role in rehabilitation","that the child may not develop spoken language as a primary communication mode or even sufficient spoken language to make significant academic progress in an aural\u002Foral environment","Involvement in a rehabilitation program that emphasizes development of auditory skills with or without the use of supplementary visual communication.","Able to comply with study requirements including travel to investigation sites.","Informed consent for the procedure from the child's parents\u002Flegal guardian.",[80,81,82,83,84,85,86,87,88,89,90,91,92,93],"Pre- or post-linguistic child currently making significant progress with CI Even for the very young children (18 months of age with 6 months of use), nearly all children with a good auditory signal from their CI will show evidence of improvement in these metrics over time.","MRI evidence of one of the following:","normal cochlea and cochlear nerves or NF2","brainstem or cortical anomaly that makes implantation unfeasible","Clear surgical reason for poor CI performance that can be remediated with revision CI or contralateral surgery rather than ABI.","Intractable seizures or progressive, deteriorating neurological disorder","Patients with evidence of Chiari malformation, hydrocephalus, spina bifid a","Patients with any foreseeable need for a future MRI scan","Unable to participate in behavioral testing and mapping with their CI. If this appears to be an age effect, ABI will be delayed until we can be assured that the child will be able to participate, as reliable objective measures of mapping are currently not available for mapping these devices.","Unable to tolerate general anesthesia (cardiac, pulmonary, bleeding diathesis, etc.).","Need for brainstem irradiation","Unrealistic expectations on the part of the subject\u002Ffamily regarding the possible benefits, risks and limitations inherent to the procedure and ABI device.","Unwilling to sign the informed consent.","Unwilling to make necessary follow-up appointments.","Inclusion Criteria:\n\nGroup 1: Prelinguistic hearing loss (birth-5 years; age at implantation of ABI 18 months-5 years)\n\n• Pre-linguistic hearing loss (birth-5 yrs.; age at ABI 18 months-5yrs) with both:\n\n* MRI +\u002F- CT evidence of one of the following:\n\n  * Cochlear nerve deficiency\n  * Cochlear aplasia or severe hypoplasia\n  * Severe inner ear malformation\n  * Post-meningitis ossification\n* When a cochlea is present or patent, lack of significant benefit from CI despite consistent use (\\>6 mo.)\n\n  * No or limited speech perception ability (limited to pattern perception on closed set testing materials using the CI)\n  * Lack of progress in auditory skills development\n\nGroup 2: Post-linguistic hearing loss (\\\u003C21 yrs. of age)\n\n* Post-linguistic hearing loss (\\\u003C21 yrs. of age) with:\n\n  * Loss or lack of benefit from appropriate CI without the possibility for revision or contralateral implantation. Examples might include:\n\n    * Post-meningitis ossification\n    * Bilateral temporal bone fractures with cochlear nerve avulsion\n    * Failed revision CI without benefit\n  * Previously developed open set speech perception and auditory-oral language skills\n* No medical contraindications\n* Willing to receive the appropriate meningitis vaccinations\n* No or limited cognitive\u002Fdevelopmental delays.\n* Strong family support\n* Reasonable expectations from parents\u002Fguardians including a thorough understanding:\n\n  * of potential benefits and limitations of ABI\n  * of parental role in rehabilitation\n  * that the child may not develop spoken language as a primary communication mode or even sufficient spoken language to make significant academic progress in an aural\u002Foral environment\n* Involvement in a rehabilitation program that emphasizes development of auditory skills with or without the use of supplementary visual communication.\n* Able to comply with study requirements including travel to investigation sites.\n* Informed consent for the procedure from the child's parents\u002Flegal guardian.\n\nExclusion Criteria:\n\nFor both Groups 1 and 2:\n\n* Pre- or post-linguistic child currently making significant progress with CI Even for the very young children (18 months of age with 6 months of use), nearly all children with a good auditory signal from their CI will show evidence of improvement in these metrics over time.\n* MRI evidence of one of the following:\n\n  * normal cochlea and cochlear nerves or NF2\n  * brainstem or cortical anomaly that makes implantation unfeasible\n* Clear surgical reason for poor CI performance that can be remediated with revision CI or contralateral surgery rather than ABI.\n* Intractable seizures or progressive, deteriorating neurological disorder\n* Patients with evidence of Chiari malformation, hydrocephalus, spina bifid a\n* Patients with any foreseeable need for a future MRI scan\n* Unable to participate in behavioral testing and mapping with their CI. If this appears to be an age effect, ABI will be delayed until we can be assured that the child will be able to participate, as reliable objective measures of mapping are currently not available for mapping these devices.\n* Unable to tolerate general anesthesia (cardiac, pulmonary, bleeding diathesis, etc.).\n* Need for brainstem irradiation\n* Unrealistic expectations on the part of the subject\u002Ffamily regarding the possible benefits, risks and limitations inherent to the procedure and ABI device.\n* Unwilling to sign the informed consent.\n* Unwilling to make necessary follow-up appointments.",[96,97],"CHILD","ADULT",[99],{"facility":100,"status":7,"city":101,"state":101,"zip":102,"country":103,"contacts":104,"geoPoint":116},"NYU Cochlear Implant Center","New York","10016","United States",[105,110,113],{"name":106,"role":107,"phone":108,"email":109},"Kristin Montella","CONTACT","212-263-8182","km302@nyumc.org",{"name":111,"role":112},"John T. Roland, MD","PRINCIPAL_INVESTIGATOR",{"name":114,"role":115},"Susan B. Waltzman, PhD","SUB_INVESTIGATOR",{"lat":117,"lon":118},40.71427,-74.00597,[120,124],{"name":121,"role":107,"phone":122,"email":123},"William Shapiro","212-263-3311","William.Shapiro@nyulangone.org",{"name":125,"role":107,"email":126},"Ashley Feng","Ashley.Feng@nyulangone.org",[128],{"name":129,"affiliation":12,"role":112},"John T. Roland, Jr., MD",[131,135,138,141,144,147],{"pmid":132,"type":133,"citation":134},"19546832","BACKGROUND","Colletti V, Shannon R, Carner M, Veronese S, Colletti L. Outcomes in nontumor adults fitted with the auditory brainstem implant: 10 years' experience. Otol Neurotol. 2009 Aug;30(5):614-8. doi: 10.1097\u002FMAO.0b013e3181a864f2.",{"pmid":136,"type":133,"citation":137},"18496153","Colletti L, Zoccante L. Nonverbal cognitive abilities and auditory performance in children fitted with auditory brainstem implants: preliminary report. Laryngoscope. 2008 Aug;118(8):1443-8. doi: 10.1097\u002FMLG.0b013e318173a011.",{"pmid":139,"type":133,"citation":140},"19704357","Sennaroglu L, Ziyal I, Atas A, Sennaroglu G, Yucel E, Sevinc S, Ekin MC, Sarac S, Atay G, Ozgen B, Ozcan OE, Belgin E, Colletti V, Turan E. Preliminary results of auditory brainstem implantation in prelingually deaf children with inner ear malformations including severe stenosis of the cochlear aperture and aplasia of the cochlear nerve. Otol Neurotol. 2009 Sep;30(6):708-15. doi: 10.1097\u002FMAO.0b013e3181b07d41.",{"pmid":142,"type":133,"citation":143},"22196501","Sennaroglu L, Ziyal I. Auditory brainstem implantation. Auris Nasus Larynx. 2012 Oct;39(5):439-50. doi: 10.1016\u002Fj.anl.2011.10.013. Epub 2011 Dec 22.",{"pmid":145,"type":133,"citation":146},"25377987","Colletti L, Shannon RV, Colletti V. The development of auditory perception in children after auditory brainstem implantation. Audiol Neurootol. 2014;19(6):386-94. doi: 10.1159\u002F000363684. Epub 2014 Nov 4.",{"pmid":148,"type":133,"citation":149},"24294682","Colletti L, Wilkinson EP, Colletti V. Auditory brainstem implantation after unsuccessful cochlear implantation of children with clinical diagnosis of cochlear nerve deficiency. Ann Otol Rhinol Laryngol. 2013 Oct;122(10):605-12.",[],{"nct_id":4,"conditions":152,"biomarkers":153},[22],[],{"nct_id":4,"found":14,"summary":155,"prompt_version":165},{"design":156,"status":157,"heading":158,"summary":159,"follow_up":160,"word_count":161,"commitments":162,"compensation":163,"drugs_mentioned":164},"This is an interventional study that plans to enroll 20 participants. It is designed as a repeated-measures, single-subject experiment.","completed","Auditory Brainstem Implant (ABI) for Children with Severe Hearing Loss","This study is looking at the safety and effectiveness of the Nucleus ABI541 Auditory Brainstem Implant in children and young adults (ages 18 months to 21 years) who have severe hearing loss and cannot benefit from regular hearing aids or cochlear implants. This includes conditions like missing or underdeveloped cochlear nerves, severe inner ear problems, or hearing loss after meningitis. The study aims to see if this implant can help these children hear better. Researchers will compare the results to children with normal hearing and those with cochlear implants to learn more about how the ABI helps over time. The study plans to enroll 20 participants, but its current status is unclear.","Participants will be followed for ABI Device Complications for 5 years from the date of surgery.",112,"Not specified in the trial record.","Not stated in the trial record.",[34],null]