NCT01738490

Brief Summary

The overall aim of the study is to investigate the Ponto wide implant considering; initial implant stability, stability over time, skin reaction and long term success when loaded at 3 weeks post surgery. Patients' quality of life improvements following implantation will also be surveyed. More specifically the primary objective of this clinical study is to test the hypothesis

  • The new Ponto wide diameter implant offers increased implant stability measured as ISQ (implant stability quotient) compared to the previous generation Ponto implant. And the secondary objective is to
  • Investigate when in time implant stability is the lowest as the initial mechanical stability is gradually replaced by biological stability

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
59

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2012

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2012

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

November 28, 2012

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 30, 2012

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2014

Completed
2.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2016

Completed
Last Updated

November 27, 2017

Status Verified

November 1, 2017

Enrollment Period

2 years

First QC Date

November 28, 2012

Last Update Submit

November 23, 2017

Conditions

Keywords

Bone anchored hearing aidBone anchored implantImplant stabilityWide diameter implantLinear incisionPonto

Outcome Measures

Primary Outcomes (11)

  • ISQ (Implant Stability Quotient)

    ISQ (implant Stability Quotient) is a measurement scale for use with the Resonance Frequency Analysis (RFA) method of determining implant stability. The measurement is made using the Osstell Mentor equipment (Osstell, Sweden) with SmartPegs. ISQ values range from 1 to 100, the higher the score the higher the stability. The highest and lowest score obtained from perpendicular measurements will be registered.

    Surgery (0 days)

  • ISQ (Implant Stability Quotient)

    7 days after surgery

  • ISQ (Implant Stability Quotient)

    14 days after surgery

  • ISQ (Implant Stability Quotient)

    21 days after surgery

  • ISQ (Implant Stability Quotient)

    28 days after surgery

  • ISQ (Implant Stability Quotient)

    6 weeks after surgery

  • ISQ (Implant Stability Quotient)

    12 weeks after surgery

  • ISQ (Implant Stability Quotient)

    6 months after surgery

  • ISQ (Implant Stability Quotient)

    12 months after surgery

  • ISQ (Implant Stability Quotient)

    24 months after surgery

  • ISQ (Implant Stability Quotient)

    36 months after surgery

Secondary Outcomes (20)

  • Time of minimum ISQ (Implant stability quotient)

    0, 7, 14, 21 and 28 days after surgery

  • ISQ (Implant stability quotient) gradient

    0, 7, 14, 21 and 28 days, 6 weeks, 12weeks, 6 months after surgery

  • Skin condition according to Holgers score

    7 days after surgery

  • Skin condition according to Holgers score

    14 days after surgery

  • Skin condition according to Holgers score

    21 days after surgery

  • +15 more secondary outcomes

Study Arms (2)

Wide diameter implant

OTHER

Bone anchored hearing implant For the wide diameter arm (test group), the Ponto wide implant (diameter 4,5mm, length 4mm) and abutment 6mm developed by Oticon Medical AB (Gothenburg, Sweden) will be installed.

Device: Bone anchored hearing implant

Control group

OTHER

Bone anchored hearing implant For the control group, the previous generation Ponto implant (diameter 3,75mm, length 4mm) and 6mm abutment (Oticon Medical AB, Gothenburg, Sweden) will be installed.

Device: Bone anchored hearing implant

Interventions

Also known as: Ponto implant, Bone anchored hearing aid
Control groupWide diameter implant

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years or older
  • Patient indicated for an ear level bone anchored sound processor
  • Bone thickness at the implant site of at least 4 mm

You may not qualify if:

  • Longer abutment (\>6mm) required
  • Inability to participate in follow-up
  • Psychiatric disease in the medical history
  • Mental disability
  • Presumed doubt, for any reason, that the patient will be able to show up on all follow ups
  • Diseases or treatments known to compromise the bone quality at the implant site, e.g. radiotherapy, osteoporosis, diabetes mellitus.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Medical Center St Radboud

Nijmegen, 6500, Netherlands

Location

Related Publications (1)

  • Nelissen RC, den Besten CA, Mylanus EA, Hol MK. Stability, survival, and tolerability of a 4.5-mm-wide bone-anchored hearing implant: 6-month data from a randomized controlled clinical trial. Eur Arch Otorhinolaryngol. 2016 Jan;273(1):105-11. doi: 10.1007/s00405-015-3593-x. Epub 2015 Mar 20.

MeSH Terms

Conditions

DeafnessHearing LossHearing Loss, ConductiveHearing DisordersEar DiseasesOtorhinolaryngologic Diseases

Condition Hierarchy (Ancestors)

Sensation DisordersNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Myrthe KS Hol, MD, PhD

    University Medical Center St Radboud, Nijmegen, The Netherlands

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 28, 2012

First Posted

November 30, 2012

Study Start

June 1, 2012

Primary Completion

June 1, 2014

Study Completion

December 1, 2016

Last Updated

November 27, 2017

Record last verified: 2017-11

Data Sharing

IPD Sharing
Will not share

Locations