Effect of Donepezil on Speech Recognition in Cochlear Implant Users
Key facts
- Who runs it
- Vanderbilt University Medical Center
- Where
- Nashville, United StatesSee the site
- Trial code
- Status
- Completed
- Phase
- Early phase 1
- People taking part
- 50 people enrolled
- Started
- 10 Mar 2023
- Ended
- 1 Oct 2026
- Type of study
- Interventional, 2 groupsOne group gets a placebo (a dummy treatment), for comparison.
- Treatments tested
- Donepezil
- Placebo
- Record updated
- 14 October 2026
Who can take part
- Age
- 18 years to 100 years
- Sex
- Women and men
- Healthy volunteers
- Cannot take part
The registry criteria, word for word
Show all 20 criteriaShow less
Who can take part
- At least 6 months of cochlear implant use
- Age ≥ 18 years
- Post-lingual onset of deafness
- Audiometric thresholds meeting FDA-labeled indications for adult cochlear implantation
- Normal or corrected-to-normal vision assessed with a Snellen eye chart
- English verbal communication
- No participation in any other clinical trial within the past 3 months
- Physically healthy
- Female participants must have no child-bearing potential or agree to practice effective contraception during the study (such as established use of oral, injected or implanted hormonal methods of contraception; placement of an intrauterine device or intrauterine system; condom with spermicidal foam/gel/film/cream/suppository; occlusive cap with spermicidal foam/gel/film/cream/suppository; male partner sterilization; or true abstinence when this is in line with the preferred and usual lifestyle of the subject)
- Female participants of child-bearing potential must have a negative urine pregnancy test at the time of enrollment and before each study visit
Who cannot take part
- Current use of medications with known anticholinergic effects (such as tricyclic antidepressants, first-generation antihistamines, or bladder antispasmodics)
- Current or prior use of cholinesterase inhibitors
- Diagnosed neurological or sensory disorder (such as Alzheimer's disease, Parkinson's disease, epilepsy, stroke, autism, schizophrenia, or uncorrected visual impairment)
- Known hypersensitivity to donepezil hydrochloride or to piperidine derivatives
- Major active life-threatening illness
- Evidence of conductive hearing loss
- Positive urine pregnancy test at any time during the study
- Breastfeeding or nursing at any time during the study
- Use of tobacco or nicotine products in the past 1 month
- Severe anatomic abnormalities of the temporal bone
Where in United States
- Vanderbilt University Medical CenterNashville, United StatesNo longer taking part
About the trial
What the trial wants to find out
Hearing loss is a major cause of disability that affects over 48 million Americans. There are currently no medications used to treat sensorineural hearing loss. Cochlear implants can significantly restore hearing in adults with moderate to profound sensorineural hearing loss, but their utility is limited by the wide variability in hearing outcomes. Differences in cochlear implant outcomes may be explained by neuroplasticity, as neural networks must reorganize to process the new auditory information provided by the implant.
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The investigators predict that cholinergic enhancement with donepezil (an acetylcholinesterase inhibitor) may facilitate cortical reorganization in cochlear implant users, leading to functional improvements in speech recognition and cognition. In addition to taking donepezil, study participants will be asked to increase their daily processor use. Studies suggest that increasing daily device use can improve speech recognition, and this study will explore whether this effect can be augmented further with donepezil.
In this randomized, double-blind controlled trial, the investigators aim to assess the effects of donepezil on speech recognition, cortical plasticity, and cognition. Participants will start daily treatment with either donepezil 5 mg or placebo. Participants will be followed longitudinally at 1 month and 3 months after starting the study. The findings from this study will provide important insight into the mechanisms of hearing restoration and could potentially improve hearing and cognitive outcomes for future cochlear implant users.
The 2 groups in the trial
- ExperimentalTreatment being tested
Donepezil 5 mg, daily
Treatment: Donepezil
- ControlPlacebo, for comparison
Placebo, daily
Treatment: Placebo
Data and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Record updated
- 14 October 2026