Drug-Releasing ear implant could boost hearing for millions
NCT ID NCT06598059
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new cochlear implant that slowly releases a drug called dexamethasone to reduce swelling and tissue damage after surgery. The goal is to see if this helps the implant work better and improve hearing in adults with severe hearing loss. About 56 adults will receive the implant and be monitored for up to 6 months.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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56 people
The number who actually took part.
- Started
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Jan 2025
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 18 years or older, at time of consent. * Postlinguistic moderately severe to profound sensorineural hearing loss, defined by a four frequency (500, 1000, 2000, 4000 Hz) pure-tone average unaided threshold (PTA4) ≥ 60 decibels hearing level (dB HL), in the ear to be implanted (For this study, moderately severe is defined by a four-frequency, pure-tone average threshold (PTA4) over the range 500 through 4000 Hz of more than 55 dB HL through 70 dB HL, inclusive. Profound is defined by a PTA4 of more than 90 dB HL). * Pure-tone average unaided threshold (500 through 4000 Hz) ≥ 30 dB HL, in the contralateral ear. * Preoperative aided word score ≤ 40% correct in the ear to be implanted. * Evidence of pneumococcal vaccination (e.g., Pneumovax) according to local guidelines. * Candidate is proficient in the language used to assess speech perception performance. * Willing and able to provide written informed consent. Exclusion Criteria: * Intra-axial (within the brain) lesions or deafness due to lesions of the acoustic nerve affecting the ear to be implanted. * Middle ear infection (including acute otitis media, chronic otitis media, suppurative otitis media, or serous drainage) in the ear to be implanted either at the time of surgery or within 3 months prior to enrolment. * Active autoimmune disease or active immunosuppressive therapy. * Presence of a tympanic membrane perforation or a history of otologic surgery within 3 months prior to enrolment, in the ear to be implanted. * Previously reported diagnosis of auditory neuropathy, in the ear to be implanted. * Previously reported diagnosis, in the ear to be implanted, of Large Vestibular Aqueduct Syndrome (LVAS), Meniere's disease, or cochlear hydrops. * Ossification, otosclerosis, malformation or any other cochlear anomaly, such as common cavity, that might prevent complete insertion of the electrode array, in the ear to be implanted. * Current cerebrospinal fluid (CSF) shunts or drains, existing perilymph fistula, skull fracture or CSF leaks. * Previously reported diagnosis of bacterial meningitis. * Known allergic reaction or contraindication to dexamethasone or corticosteroids. * Severe, or poorer, bilateral sensorineural hearing loss prior to 5 years of age, as reported by the subject. (For this study, severe is defined by a PTA4 of more than 70 dB HL through 90 dB HL, inclusive). * Severe, or poorer, sensorineural hearing loss for more than 20 years, as reported by the subject, in the ear to be implanted. * Prior cochlear implantation in either ear. * Medical plan for cochlear implantation during the clinical investigation, contralateral to the ear to be implanted. * Medical or psychological conditions that contraindicate general anaesthesia, surgery, or participation in the clinical investigation as determined by the Investigator. * Unrealistic expectations on the part of the subject regarding the possible benefits, risks, and limitations inherent to the surgical procedure(s) and prosthetic devices, as determined by the Investigator. * Women who are pregnant. * Additional disabilities that may affect the subject's participation or safety during the clinical investigation. * Unable or unwilling to comply with all 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 spouse, parent, child, or sibling. * Cochlear employees or employees of Contract Research Organisations or contractors engaged by Cochlear for the purposes of this investigation. * Current participation, or participation in another interventional clinical study/trial in the past 30 days, involving an investigational drug or device unless Cochlear sponsored and determined by Investigator or Sponsor to not impact this investigation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Henry Ford Health
Detroit, Michigan, 48202, United States
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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NYU Langone Health
New York, New York, 10017, United States
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New York Eye and Ear Infirmary
New York, New York, 10010, United States
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Northwell Health Long Island Jewish Medical Center
New York, New York, 11042, United States
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Oregon Health & Science University
Portland, Oregon, 97239, United States
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Rocky Mountain Ear Center
Englewood, Colorado, 80113, United States
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UCLA Medical Center
Los Angeles, California, 90095, United States
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University Hospitals
Cleveland, Ohio, 44106, United States
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University of Iowa
Iowa City, Iowa, 52242, United States
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Washington University
St Louis, Missouri, 63141, United States
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Other studies related to the condition(s) this trial covers.
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