Investigation of Sky Automatic Technologies in Pediatrics: Clinical Trial Identifier NCT06400992 - Insurance News | InsuranceNewsNet

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May 20, 2024 Newswires
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Investigation of Sky Automatic Technologies in Pediatrics: Clinical Trial Identifier NCT06400992

Insurance Daily News

2024 MAY 20 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Staff editors report on the newly launched clinical trial, NCT06400992, which has the following summary description: “The hypothesis of this research is that the AS Target setting provides the best estimate of the settings required to optimize listening in noise. As such, it is expected that speech in noise performance will be best in the AS Target condition, followed by the AS Clinic condition, and the Omni condition will be the least favourable for speech in noise performance”

As a matter of record, on May 7, 2024, NewsRx staff editors report that the available information provided by Assistance Publique - Hopitaux de Paris on this trial include:

Tracking Information

Trial Identifier NCT06400992
First Submitted Date May 2, 2024
First Posted Date May 6, 2024
Results First Submitted Date Not Provided
Results First Posted Date Not Provided
Last Update Submitted Date May 2, 2024
Last Update Posted Date May 6, 2024
Primary Completion Date June 30, 2024
Start Date June 2024
Current Primary Outcome Measures •Speech in noise perception (FraSimat) Omni vs AS Target [ Time Frame: 6 months ] -- Difference in the FraSimat score obtained with the Sky HS programmed in Omni versus the score obtained in AS Target
Current Secondary Outcome Measures •Speech in noise perception (FraSimat) AS Clinic vs Omni [ Time Frame: 6 months ] -- Difference in the FraSimat score obtained with the Sky HS programmed in AS Clinic versus the score obtained in Omni
•Speech in noise perception (FraSimat) AS clinic vs AS Target [ Time Frame: 6 months ] -- Difference in the FraSimat score obtained with the Sky HS programmed in AS Clinic versus the score obtained in AS Target
•Patient satisfaction - device [ Time Frame: 6 months ] -- A patient questionnaire will be used to determine patient satisfaction with the devices
•Patient satisfaction -listening [ Time Frame: 6 months ] -- With the help of the audiologist, patients will discuss and rate listening quality in different listening situations.
•Audiologist programming modifications [ Time Frame: 6 months ] -- An audiologist questionnaire will be used to determine the programming modifications and decisions made by the audiologist for each individual patient
Other Outcome Measures Not Provided
Change History Complete list of historical revisions of study NCT06400992

Descriptive Information

Brief Title Investigation of Sky Automatic Technologies in Pediatrics
Official Title Investigation of Sky Automatic Technologies in Pediatrics
Brief Summary The hypothesis of this research is that the AS Target setting provides the best estimate of the settings required to optimize listening in noise. As such, it is expected that speech in noise performance will be best in the AS Target condition, followed by the AS Clinic condition, and the Omni condition will be the least favourable for speech in noise performance
Detailed Description The ability to hear speech in noise is particularly important for children, as they are often in complex listening situations like classrooms or playgrounds. In children with hearing loss, the ability to understand speech in noise is further degraded not only by decreased audibility of speech sounds, but also additionally by the distortion spectral and temporal processing cues, and reduced binaural processing abilities. Cochlear implant manufacturers have introduced a number of technologies designed to improve speech recognition in background noise. Sound processing algorithms use a variety of strategies to facilitate listening in noise, and research has shown that these advances do lead to improved performance. AutoSense Sky OS 3.0 (AutoSense Sky OS, AS) is an automatic auditory scene classification system specifically designed for children’s typical listening situations, like classrooms and playgrounds. This technology is available in the new Sky CI M90 (Sky CI), which is the latest generation of sound processor (SP) from Advanced Bionics, designed for children. This algorithm is also available in the Sky Link M90 hearing aid (Sky Link). This means that bimodal patients, using one Sky Link and one Sky CI can benefit from AutoSense Sky OS in addition to children with two Sky CI. The combination of the two hearing devices (HD) tested in this research, whether it be two Sky CI or one Sky CI and one Sky Link, will be referred to as the Sky Hearing System (Sky HS). As usual in standard care, children with Sky HS can have their hearing system programmed in three ways (at the discretion of the clinician): Omnidirectional mode, in which the AutoSense Sky OS is deactivated and no modifications are made by the clinician (no sound treatment) AS Target, in which the AutoSense Sky OS is active and programmed with the parameters suggested by the programming software (Target) and no modifications are made by the clinician AS clinic, in which the AutoSense Sky OS is active, and settings have been modified by the clinician (mixed setting). The goal of this research is to compare speech in noise perception in each of those three possible programming conditions used in the standard care. The hypothesis of this research is that the AS Target setting provides the best estimate of the settings required to optimize listening in noise. As such, it is expected that speech in noise performance will be best in the AS Target condition
Study Type Interventional
Study Phase Not Applicable
Study Design Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Primary Purpose: Supportive Care
Masking: None (Open Label)
Condition Hearing Loss
Intervention •Device: Cochlear implant processor Sky CITM M90 (CI-5295)
The Sky CI available to included patients (no procedures added) offers the AutoSense Sky OS technology with the three following programming conditions possible. This three condition are fitting and evaluated in noise 6 months after inclusion: Omnidirectional mode : no sound treatment AS Target : Autosense is active and no modifications are made by clinician AS Clinique : Autosense is active and modified by the clinician
•Device: Hearing Aid, including sound processor Phonak: Sky Link M90
The device is fitting and programmed for home especially for the purpose research at inclusion. The Clinical map parameters will be verified according to clinical routine. The Sky Link offers the AutoSense Sky OS technology with the three following programming conditions possible. This three condition are fitting and evaluated in noise 6 months after inclusion: Omnidirectional mode : no sound treatment AS Target : Autosense is active and no modifications are made by clinician AS Clinique : Autosense is active and modified by the clinician
•Diagnostic Test: French simplified matrix test (FraSimat)
The FraSimat speech in noise test will be tested, 6 months before inclusion in the three different fitting configurations: omni, AS clinic, AS Target. The speech will be presented from the front, noise from 180°. Noise will be presented at a fixed level of 65 dB SPL while the speech signal will be adapted to find the 50% speech reception threshold (SRT).
•Behavioral: Audiologist Fitting Questionnaire
After the fitting of Hearing Aid at inclusion, the audiologist will complete a questionnaire describing the fitting and justifying fitting decisions and will collect the demographic information
•Behavioral: Patient Satisfaction Questionnaire
The patient will be giving a Patient satisfaction Questionnaire, with questions regarding device and accessory use. The audiologist will go over the instructions for filling out the questionnaire at inclusion. Patients will be asked to complete the questionnaire and return it at the next visit, 6 months after inclusion.
•Behavioral: AutoSens Feedback Discussion Form
6 months after inclusion and fitting, the audiologist discusses the use of AS clinic with the subject and completes the AS questionnaire (questionnaire on the experience of using the processor in different listening situations).
Study Arms •Experimental: Bilaterally implanted patients
patient with two cochlear implant in each ear
Interventions:
⚬Device: Cochlear implant processor Sky CITM M90 (CI-5295)
⚬Device: Hearing Aid, including sound processor Phonak: Sky Link M90
⚬Diagnostic Test: French simplified matrix test (FraSimat)
⚬Behavioral: Audiologist Fitting Questionnaire
⚬Behavioral: Patient Satisfaction Questionnaire
⚬Behavioral: AutoSens Feedback Discussion Form
•Experimental: Bimodal patients
patient with cochlear implant in one ear and fitted with hearing aid audio in the other ear
Interventions:
⚬Device: Hearing Aid, including sound processor Phonak: Sky Link M90
⚬Diagnostic Test: French simplified matrix test (FraSimat)
⚬Behavioral: Audiologist Fitting Questionnaire
⚬Behavioral: Patient Satisfaction Questionnaire
⚬Behavioral: AutoSens Feedback Discussion Form

Recruitment Information

Recruitment Status Not yet recruiting
Estimated Enrollment 20
Estimated Completion Date December 2024
Primary Completion Date June 30, 2024 (Final data collection date for primary outcome measure)
Eligibility Inclusion Criteria: Be between 6 and 16 years of age at the time of inclusion Use spoken French as their primary mode of communication Ability to perform the Simplified French Matrix test in Noise Bimodal group: use the Sky CI processor or be eligible for a Sky CI processor upgrade on one side and use a contralateral hearing aid Bilaterally implanted group: use two Sky CI processors or be eligible for an upgrade to two Sky CI processors Obtain signed consent from legal guardian(s) Be enrolled in a health insurance plan or eligible for coverage Exclusion Criteria: Severe neurological pathology identified prior to inclusion identified by MRI + /- neuro-pediatric workup Severe cognitive, psychiatric, or developmental disabilities identified prior to inclusion Family does not understand French
Sex/Gender Sexes Eligible for Study: All
Ages 6 years to 16 years
Accepts Healthy Volunteers No
Contacts Primary contact: Nathalie LOUNDON, MD, PhD, +33 1 71 39 67 82, [email protected]
Backup contact: Laure CHOUPEAUX, Master, 0144381711, [email protected]
Listed Location Countries France
Removed Location Countries

Administrative Information

NCT Number NCT06400992
Other Study ID Numbers APHP230143
2023-A02351-44
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product Not Provided
Plan to Share Data No
Plan to Share Data (IPD) Description Not Provided
Responsible Party Assistance Publique - Hopitaux de Paris
Collaborators Advanced Bionics AG
Investigators Study Director: Nathalie LOUNDON, MD,PhD, APHP
Information Provided By Assistance Publique - Hopitaux de Paris
Verification Date April 2024

(Our reports deliver fact-based news of research and discoveries from around the world.)

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