Evaluating cochlear implants for unilateral hearing loss in children and adults

A Post-approval, Prospective, Nonrandomized, Single-arm Multicenter Investigation to Evaluate the Safety and Effectiveness of Cochlear Implantation in Children and Adults With Unilateral Hearing Loss/Single-sided Deafness

Not applicable Interventional Cochlear · NCT05318417

This study is testing if cochlear implants can help children and adults with hearing loss in one ear hear better.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment60 (estimated)
Ages5 Years and up
SexAll
SponsorCochlear Industry-sponsored
Locations8 sites (Palo Alto, California and 7 other locations)
Trial IDNCT05318417 on ClinicalTrials.gov

What this trial studies

This investigation aims to assess the safety and effectiveness of cochlear implantation in individuals aged 5 years and older who suffer from unilateral hearing loss or single-sided deafness. Participants will receive the Cochlear™ Nucleus® Cochlear Implant System, and the study will evaluate its efficacy in improving hearing outcomes. The study includes both children and adults, ensuring a comprehensive understanding of the device's impact across different age groups. The goal is to support a change in the indication for use based on the findings.

Who should consider this trial

Good fit: Ideal candidates include individuals aged 5 years and older with severe sensorineural hearing loss in one ear and normal hearing in the other.

Not a fit: Patients with ossification or abnormalities that prevent cochlear implantation may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could significantly improve hearing capabilities and quality of life for patients with unilateral hearing loss.

How similar studies have performed: Previous studies have shown promising results with cochlear implants for similar conditions, indicating a potential for success in this investigation.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

• Individuals 18 years or older (Group A)

Ear to be Implanted:

Severe sensorineural hearing loss (HL) defined as: Pure-tone average at 0.5, 1, 2, 4 kHz \>80 dB HL ; Aided Consonant-Nucleus-Consonant Test (CNC) score ≤5% and

Normal Hearing Ear:

Normal or near normal hearing defined as an average of (0.5, 1, 2, 4kHz) ≤ 30 dB HL

• Children 5 years to 17 years, 11 months (Group B)

Ear to be Implanted:

Severe sensorineural HL defined as: Pure-tone average at 0.5, 1, 2, 4 kHz \>80 dB HL; Aided CNC score ≤5% and

Normal Hearing Ear:

Normal or near normal hearing defined as an average of (0.5, 1, 2, 4kHz) ≤ 30 dB HL

* Previous experience with a current conventional treatment option for unilateral \[SSD\] HL (HA, bone-conduction device, or CROS technology), if no previous experience a minimum trial period of two weeks is required
* English spoken as a primary language
* Willing and able to provide written informed consent

Exclusion Criteria:

* Ossification, abnormal cochlear nerve or any other cochlear anomaly that might prevent complete insertion of the electrode array
* Previous cochlear implantation
* Hearing loss of neural or central origin, including auditory neuropathy
* Duration of profound sensorineural HL \>10 years per self-report
* Active / chronic middle-ear infection; conductive HL in either ear
* Medical or psychological conditions that contraindicate undergoing surgery as determined by the Investigator
* Unrealistic expectations on the part of the participant/family, regarding the possible benefits, risks, and limitations that are inherent as determined by the Investigator
* Evidence of and/or suspected cognitive or developmental concern
* Unable or unwilling to comply with the requirements of the clinical investigation as determined by the Investigator
* Investigator site personnel directly affiliated with this study and/or their immediate families; immediate family is defined as a spouse, parent, child or sibling
* Cochlear employees or employees of Contract Research Organizations (CROs) or contractors engaged by Cochlear for the purposes of this investigation
* Pregnant or breastfeeding women
* Currently participating, or participated within the last 30 days, in another interventional clinical investigation/trial involving an investigational drug or device.

Where this trial is running

Palo Alto, California and 7 other locations

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.
Conditions Hearing Loss, UnilateralDeafness, Unilateral
Last reviewed 2026-06-15 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.