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How children and adults with cochlear implants and preserved hearing use both ears

Studies how both ears work together in cochlear implant users and people with normal hearing.

Key facts

Who runs it
Hearts for Hearing
Where
Oklahoma City, United StatesSee the site
Trial code
Registry title
Binaural Cue Sensitivity in Children and Adults With Combined Electric and Acoustic Stimulation
Status
Recruiting
People taking part
200 people, planned
Started
1 Jul 2025
Expected to end
30 Nov 2028
Type of study
Observational, 4 groups
Treatments tested
  • binaural processing over time
  • binaural processing over time for children and adults with normal hearing
Record updated
21 January 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for children and adults who use a cochlear implant together with their own remaining hearing (EAS). It also needs children and adults with normal hearing to compare with.

Age
Children with EAS: 5-17 years. Adults with EAS: 18+ years. Minimum age 5 Years.
Sex
All sexes can join.
Disease stage
EAS group: at least one cochlear implant and mild to profound hearing loss in both ears of the inner-ear or nerve type (sensorineural). Unaided hearing thresholds ≤ 80 dB HL at 125 and 250 Hz in both ears. Normal hearing group: thresholds 20 dB HL or better from 250-8000 Hz.
Earlier treatment
EAS group: must have at least one cochlear implant (CI). They must be willing to use EAS technology in the implanted ear(s), checked by device data logging.

Main reasons for not taking part

  • Deafness in only one ear (single-sided deafness, SSD)
  • Other diagnoses such as autism, auditory neuropathy, a neurological disorder or general cognitive impairment
  • Nonverbal thinking skills outside the typical range
  • Spoken English is not the main way of communicating

The registry criteria, word for word

Show all 4 criteriaShow less

Who can take part

  • Pediatric EAS: aged 5-17; Adult EAS: aged 18+ years
  • At least one CI and bilateral mild to profound sensorineural hearing loss with unaided audiometric thresholds ≤ 80 dB HL at 125 and 250 Hz, in both ears; Willingness to use EAS technology in the implanted ear(s) to be verified via data logging; Nonverbal cognitive abilities within the typical range; No co-morbid diagnoses such as autism, auditory neuropathy, neurological disorder, or general cognitive impairment; Use of spoken English as main mode of communication
  • For children and adults with normal hearing, they will demonstrate audiometric thresholds 20 dB HL or better from 250-8000 Hz

Who cannot take part

  • single-sided deafness (SSD)

Where in United States

  • Hearts for HearingOklahoma City, United StatesContact: Rene H Gifford, PhDTaking people

About the trial

What the trial wants to find out

There is a rapidly growing population of adult and pediatric cochlear implant (CI) recipients with acoustic hearing preservation in the implanted ear(s) allowing for combined Electric and binaural Acoustic Stimulation (EAS). Despite the rapid technological and surgical advancements that have led to this increased prevalence, there is limited research on EAS outcomes-particularly for pediatric EAS listeners-including the expected trajectory of benefit following EAS fitting and underlying mechanisms driving benefit in EAS users of all ages. Thus, the purpose of this project is to provide a comprehensive description of behavioral and electrophysiologic measures of binaural hearing in adults and children both with normal hearing and EAS users.

The 4 groups in the trial

  • Children with normal hearing

    Treatment: binaural processing over time and binaural processing over time for children and adults with normal hearing

  • Adults with normal hearing

    Treatment: binaural processing over time for children and adults with normal hearing

  • Children with bilateral steeply sloping sensorineural hearing loss

    Treatment: binaural processing over time

  • Adults with bilateral steeply sloping sensorineural hearing loss

    Treatment: binaural processing over time

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Binaural Cue Sensitivity in Children and Adults With Combined Electric and Acoustic Stimulation
Plain-language title
How children and adults with cochlear implants and preserved hearing use both earsGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 14 November 2026.
Record updated
21 January 2026