Comparing speech understanding methods for cochlear implant users

Comparison of Speech Understanding Between Tonotopy-based Fitting and Evolutionary Algorithm-based Setting: a Prospective Cross-sectional Study

NA · MED-EL Elektromedizinische Geräte GesmbH · NCT06737185

This study tests whether a new way of setting up cochlear implants helps adults understand speech better in noisy places compared to the traditional method.

Quick facts

PhaseNA
Study typeInterventional
Enrollment22 (estimated)
Ages18 Years and up
SexAll
SponsorMED-EL Elektromedizinische Geräte GesmbH (industry)
Locations1 site (Dijon)
Trial IDNCT06737185 on ClinicalTrials.gov

What this trial studies

This study aims to compare speech recognition in noise between two fitting methods for cochlear implants: a traditional tonotopic setting and a modified version using evolutionary algorithms. Adult patients who have been implanted for at least six months will participate, and their speech recognition abilities will be assessed in both quiet and noisy environments. The study also evaluates subjective auditory spatial perception and musical perception. The goal is to determine if the evolutionary algorithm-based fitting provides better outcomes than the standard method.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older who speak French and meet the criteria for cochlear implantation.

Not a fit: Patients with retro-cochlear pathologies, such as auditory neuropathy or vestibular schwannoma, may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance speech recognition capabilities for cochlear implant users, improving their overall communication and quality of life.

How similar studies have performed: While there have been studies on cochlear implant fitting methods, the use of evolutionary algorithms in this context is relatively novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult patient (\>= 18 years old) speaking French
* Patient who fulfils the criteria for cochlear implantation

Exclusion Criteria:

* retro-cochlear pathology: auditory neuropathy, vestibular schwannoma

Where this trial is running

Dijon

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Sensorineural Hearing Loss, Bilateral, cochlear implant, evolutionary algorithms, tonotopy-based fitting

Last reviewed 2026-05-15 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.