Measuring electrical stapedial reflex thresholds for cochlear implant programming

The Value of Electrical Stapedial Reflex Thresholds (eSRTs) in Determining Upper Stimulation Levels in Cochlear Implant Maps

Observational Assistance Publique - Hôpitaux de Paris · NCT06051006

This study is testing if measuring electrical responses in the ear can help improve cochlear implant settings for children with severe hearing loss to make their listening experience better.

Quick facts

Study typeObservational
Enrollment30 (estimated)
Ages8 Years to 17 Years
SexAll
SponsorAssistance Publique - Hôpitaux de Paris Academic / other
Locations1 site (Paris)
Trial IDNCT06051006 on ClinicalTrials.gov

What this trial studies

This observational study aims to improve cochlear implant programming for children with profound hearing loss by utilizing electrical stapedial reflex thresholds (eSRTs) as an objective measure. The study will assess the correlation between eSRTs and subjective comfort levels in cochlear implant users aged 8-17 years. Participants will undergo various assessments, including eSRT and electric compound action potential (ECAP) measurements, to determine optimal stimulation levels for their cochlear implants. The goal is to enhance the accuracy of programming and improve auditory experiences for these patients.

Who should consider this trial

Good fit: Ideal candidates are children aged 8-17 years who have had cochlear implants for at least one year and primarily communicate in oral French.

Not a fit: Patients with severe neurological pathologies, cognitive impairments, or those who do not understand oral French may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to more effective cochlear implant programming, resulting in improved hearing outcomes for children with profound hearing loss.

How similar studies have performed: While some studies have explored objective measures in cochlear implant programming, the use of eSRTs specifically is less common and may represent a novel approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients between the ages of 8-17 years at the time of inclusion with cochlear implants for at least 1 year and followed at Hôpital Necker-Enfants malades
* Use oral French as the main mode of communication
* Have a tonal threshold with the cochlear implant of 40 dB or more
* Have a normal tympanogram
* Have a voice threshold of less than 70% at 30dB HL
* Information and non-opposition of holders of parental authority and minor patients to participate in the study

Exclusion Criteria:

* Present a severe neurological pathology before inclusion (which can be identified by an MRI +/- a neuro-pediatric assessment)
* Present, on inclusion, a cognitive or psychiatric impairment or severe developmental delay
* Be part of a family that does not understand oral French
* Patients under AME (State Medical Aid)

Where this trial is running

Paris

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 Profound Hearing LossCochlear ImplantsProfound hearing lossCochlear implantsCochlear implant programmingStapedial reflex
Last reviewed 2026-06-13 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.