Comparison of the Bilateral Sequential and Simultaneous Cochlear Implantation in the Deaf Children (Cochleo)
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Purpose
In France the indication of bilateral cochlear implant (CI) is limited to specific cases. The impact on perception and language of bilateral CI simultaneous versus sequential has to be established before discussing the enlargement of indications.
| Condition | Intervention | Phase |
|---|---|---|
|
Deafness |
Procedure: bilateral cochlear Implantation in sequential Procedure: bilateral cochlear Implantation in simultaneous |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Interest of the Bilateral Cochlear Implantation in the Deep Deaf Children Respect to the Unilateral Implantation - a Randomized Test |
- Measurement of the score of perception of words in open list [ Time Frame: 12 months after the implantation ] [ Designated as safety issue: No ]Measurement of the score of perception of words in open list in the noise 12 and 24 months after the implantation
- Measurement of the capability of localization right/left [ Time Frame: 12 and 24 months after the implantation ] [ Designated as safety issue: No ]Measurement of the capability of localization right/left
- Measurement of the level of comprehension and production [ Time Frame: 24 months after the implantation ] [ Designated as safety issue: No ]Measurement of the level of comprehension and production after 24 months after the implantation
- Evaluation of the medical monitoring about the materiovigilance and the eventual complications [ Time Frame: During all the duration of the study ] [ Designated as safety issue: No ]Evaluation of the medical monitoring about the materiovigilance and the eventual complications
- Measurement of the vestibulometry and of the children's psychomotor development [ Time Frame: 12 and 24 months after the implantation ] [ Designated as safety issue: No ]Measurement of the vestibulometry and of the children's psychomotor development
- Analysis of the parent questionnaires of the quality of life [ Time Frame: 12 and 24 months after implantation ] [ Designated as safety issue: No ]Analysis of the parent questionnaires of the quality of life
| Enrollment: | 0 |
| Study Start Date: | January 2012 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: sequential
implantation bilateral sequential
|
Procedure: bilateral cochlear Implantation in sequential
bilateral cochlear Implantation in sequential
Other Name: bilateral cochlear Implantation in sequential
|
|
Experimental: simultaneous
implantation bilateral simultaneous
|
Procedure: bilateral cochlear Implantation in simultaneous
bilateral cochlear Implantation in simultaneous
Other Name: bilateral cochlear Implantation in simultaneous
|
Detailed Description:
French multicentric study. 100 children, profound, congenitally deaf, aged between 10 months and 40 months, with indication of unilateral CI will be included. Randomization: 50 sequential at one year CI versus 50 simultaneous bilateral CI, their results compared. Main measures at 12 and 24 months: speech perception in silence and in noise. Other measures: sound localisation, oral language, vestibular impact, quality of life.
Eligibility| Ages Eligible for Study: | 8 Months to 38 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Deep bilateral congenital deafness.
- Age at the implantation: from 10 to 40 months, included.
- Criteria for indication of unilateral implantation (those considered by the HAS (2007))
- Deep bilateral deafness
- Threshold prosthetic equal or above 60 dB
- Intelligibility test in open list, below 30%, (to children under 3 years old : raw score in the questionnaire of the M.A.I.S. (72) below 15 with 2 apparatus)
- No medical nor radiologic contraindication
- Entitled child for welfare (excepted medical state aids)
- French spoken at home
- Agreement firms for the study by the two genitors
Exclusion Criteria:
- Neurologic and/or psychiatric known related disorders
- Malformation of the inner ear: the MRI scanners are routine examinations, in case of a cochlear implantation evaluation.
- Progressive or acquired deafness
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT01499901 History of Changes |
| Other Study ID Numbers: | P091204, HAO 09048 |
| Study First Received: | December 6, 2011 |
| Last Updated: | November 16, 2012 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) France: French Data Protection Authority |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
deafness unilateral implantation bilateral auditory perception |
Additional relevant MeSH terms:
|
Deafness Hearing Loss Hearing Disorders Ear Diseases Otorhinolaryngologic Diseases |
Sensation Disorders Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013