Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Anatomy-based fitting for cochlear implant users

Official title: Anatomy-Based Fitting in Unexperienced Cochlear Implant Users

Run by Universitair Ziekenhuis Brussel · NCT05451628 · Data updated 2026-11-12

This study tests a new way to fit cochlear implants using CT scans of the ear to see if it helps people with severe hearing loss hear better compared to the usual fitting method.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment40 (estimated)
SponsorUniversitair Ziekenhuis Brussel
Academic / other
Locations2 sites (Brussels, Brussels Capital and 1 other locations)
StatusRecruiting
StartedMarch 30, 2022
Main results expectedJanuary 2027
Study endsJanuary 2027
Registry record updatedJuly 2, 2026
Trial IDNCT05451628 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with post-lingual severe to profound sensorineural hearing loss who are receiving a MED-EL cochlear implant.

Probably not a fit

Patients who are using Electric Acoustic Stimulation (EAS) or do not meet the inclusion criteria may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates a new fitting strategy for cochlear implants (CIs) that uses post-operative CT scans to create a personalized frequency-band distribution for sound perception. Currently, most CI recipients are fitted using a default map that does not consider individual cochlear anatomy. By aligning the fitting more closely with the natural frequency distribution of a normal hearing cochlea, the study aims to improve auditory outcomes for patients with severe to profound hearing loss. Participants will be randomly assigned to receive either the standard fitting or the new anatomy-based fitting approach.

Why it matters

Potential benefit: If successful, this approach could lead to improved sound perception and overall hearing outcomes for cochlear implant users.

How similar studies have gone: While this approach is innovative, similar studies have not been widely reported, indicating that this may be a novel method in cochlear implant fitting.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥ 18 years
* Post-lingual onset of severe to profound sensory-neural hearing loss in the implanted ear(s)
* Post-operative Computed Tomography (CT) scan of the CI electrode available
* Pre-operative result of pure-tone audiometry, speech test in quiet and in noise available
* Subject implanted with MED-EL cochlear implant(s)
* Subjects received a Flex28, FlexSoft or Standard electrode
* Subject planned to receive a SONNET 2, SONNET 3 or RONDO 3 audio processor on the newly implanted side
* Audio processor not yet activated on the newly implanted side
* The most apical active electrode contact has to be inserted at least 450°
* Minimum of 10 active channels can be activated
* Fluent in the language of the test centre
* Signed and dated Informed Consent Form (ICF) before the start of any study-specific procedure

Exclusion Criteria:

* Lack of compliance with any inclusion criteria
* Electric Acoustic Stimulation (EAS) user (user of an EAS audio processor)
* Implanted with C40+, C40X and C40C
* Implanted with an Auditory Brainstem Implant (ABI) or Split electrode array
* Anything that, in the opinion of the Investigator, would place the subject at increased risk or pre-clude the subject's full compliance with or completion of the study

Where it's running

  • University Hospital Brussels
    Brussels, Brussels Capital, Belgium
    Recruiting
  • Antwerp University Hopsital
    Antwerp, Belgium
    Recruiting

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.