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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT07139327
Registration number
NCT07139327
Ethics application status
Date submitted
17/08/2025
Date registered
24/08/2025
Date last updated
4/09/2025
Titles & IDs
Public title
A Pivotal Study to Evaluate the Efficacy and Safety of a Totally Implantable Cochlear Implant (TICI) System in Adults
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Scientific title
A Pre-market, Prospective, Interventional, Multicenter, Pivotal Study to Evaluate Efficacy and Safety of a Totally Implantable Cochlear Implant System in an Adult Population With Sensorineural Hearing Loss
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Secondary ID [1]
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CLTD5864
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Universal Trial Number (UTN)
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Trial acronym
ENTERPRISE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hearing Loss, Bilateral Sensorineural
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Condition category
Condition code
Ear
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Deafness
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Cochlear Implant
Experimental: TICI G2 Clinical Investigation System - Participants will be implanted with the TICI G2 Implant
Treatment: Devices: Cochlear Implant
TICI G2 Clinical Investigation System
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Speech recognition performance in quiet
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Assessment method [1]
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Percent correct word score from preimplantation to post-activation
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Timepoint [1]
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Preimplantation to 6 months post-activation
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Primary outcome [2]
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Incidence of adverse events and device deficiencies
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Assessment method [2]
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Frequency and severity of device and procedure-related adverse events, including device deficiencies
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Timepoint [2]
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Implantation to 6 and 12 months post-activation
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Secondary outcome [1]
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Speech recognition in quiet and noise
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Assessment method [1]
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Percent correct scores for word tests in quiet and speech reception threshold scores for sentence tests in noise
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Timepoint [1]
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Preimplantation to 12 months post-activation
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Secondary outcome [2]
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Speech Spatial Qualities questionnaire (SSQ-12)
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Assessment method [2]
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Speech, Spatial, and Qualities of Hearing Scale Global score (SSQ-12). Scores range from 0 to 10, where higher scores indicate greater ability (less hearing disability).
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Timepoint [2]
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Preimplantation to 12 months post-activation
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Secondary outcome [3]
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Cochlear Implant Quality of Life Profile (CIQOL-35)
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Assessment method [3]
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Cochlear implant hearing related quality of life score (CIQOL-35). Scored for six health domains (communication, emotional, entertainment, environment, listening effort, and social) each scaled from 0 to 100, where a higher score indicates better health.
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Timepoint [3]
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Preimplantation to 12-months post-activation
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Secondary outcome [4]
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Health Utilities Index (HUI 2/3)
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Assessment method [4]
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Health Utilities Index (HUI 2/3) Global score. Scores range from -0.36 to 1.00, where a negative score represents a state "worse than dead" and a top score of 1.00 is "perfect health"
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Timepoint [4]
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Preimplantation to 12 months post-activation
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Secondary outcome [5]
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Living with Cochlear Implants Questionnaire (LivCI)
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Assessment method [5]
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Living with Cochlear Implants Questionnaire (LivCI) evaluates the impact of a hearing device on four domains, Participation (range 0 to 12), Psychosocial \& Wellbeing (range 0 to 21), Stigma (range 0 to 15) and Management \& Aesthetics (range 0 to 18), where a higher domain score indicates positive patient report.
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Timepoint [5]
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Preimplantation to 12 months post-activation
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Secondary outcome [6]
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Patient Satisfaction Survey
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Assessment method [6]
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Device satisfaction rating. Scored by percentage of subjects that respond in each satifaction category: Strongly agree, Agree, Neither agree nor disagree, Disagree, Strongly disagree, where Strongly agree represents the highest satisfaction score.
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Timepoint [6]
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6 to 12 months post-activation
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Secondary outcome [7]
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Short Form (SF)-36 Health Survey
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Assessment method [7]
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SF-36 is scored for eight health domains, each scaled from 0 to 100, where a higher score indicates better health.
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Timepoint [7]
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8 to 10 months post-activation
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Secondary outcome [8]
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Time on air
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Assessment method [8]
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Hours of TICI G2 Investigational System usage
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Timepoint [8]
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Initial activation to 12 months post-activation
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Eligibility
Key inclusion criteria
* Individuals aged 18 years and older at time of consent.
* Clinically established post-linguistic moderately severe to profound sensorineural hearing loss (PTA4 of >55 dB HL), in the ear to be implanted.
* Meets local candidacy criteria for cochlear implantation.
* Compromised functional hearing with a hearing aid in the ear to be implanted, as determined by the investigator.
* Willing to undergo unilateral cochlear implantation.
* Candidate is a fluent speaker in the language used to assess speech perception performance as determined by the investigator
* Direct access to a compatible Smart Phone.
* Willing and able to provide written informed consent.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior cochlear implantation, in either ear, or medical plan for cochlear implantation during the clinical investigation, contralateral to the ear to be implanted.
* Candidates with single-sided deafness as determined by the investigator.
* 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.
* 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.
* Cochlear ossification, cochlear 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.
* Severe, or poorer, bilateral sensorineural hearing loss prior to 5 years of age, as reported by the participant.
* Severe, or poorer, sensorineural hearing loss for more than 20 years, as reported by the participant, in 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.
* Preexisting skin condition that could jeopardize wound healing, as determined by the investigator e.g., psoriasis, dermatitis, use of corticosteroids, uncontrolled diabetes.
* Unrealistic expectations on the part of the participant, regarding the possible benefits, risks, and limitations inherent to the surgical procedure(s) and prosthetic devices, as determined by the Investigator.
* Additional disabilities that may affect the subject's participation or safety during the clinical investigation.
* Women who are pregnant.
* 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 the investigation.
* Current participation, or participation in another interventional clinical study/trial in the past 30 days, involving an investigational drug or device.
* Unable or unwilling to comply with the requirements of the clinical investigation as determined by the Investigator (unless Cochlear sponsored and determined by Investigator or Sponsor to not impact this investigation).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Not applicable
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
1/09/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/10/2027
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Actual
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Sample size
Target
36
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [2]
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Westmead Hospital - Westmead
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Recruitment hospital [3]
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Royal Victoria Eye and Ear Hospital - East Melbourne
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Recruitment postcode(s) [1]
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2050 - Camperdown
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Recruitment postcode(s) [2]
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2145 - Westmead
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Recruitment postcode(s) [3]
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3002 - East Melbourne
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Recruitment outside Australia
Country [1]
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France
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State/province [1]
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La Tronche
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Country [2]
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France
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State/province [2]
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Lille
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Cochlear
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This clinical study examines the performance of an investigational totally implantable cochlear implant (TICI) system. The system includes an implantable microphone under the skin to detect speech and sound from the environment allowing the option to hear without the need of an external sound processor. This implant will be tested in adults with sensorineural hearing loss, a type of hearing loss caused by damage to the inner ear or auditory nerve (the nerve that carries sound signals from the ear to the brain). The study participants will undergo a series of tests that include testing their implant and their hearing. They will also complete questionnaires to see how they rate their hearing and overall general health.
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Trial website
https://clinicaltrials.gov/study/NCT07139327
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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PRS Specialist
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Address
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Country
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Phone
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+61 2 9428 6555
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT07139327
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