Trial Outcomes & Findings for Osia 2 Pediatric Expansion Study (NCT NCT05000931)

NCT ID: NCT05000931

Last Updated: 2024-12-11

Results Overview

Adverse events were reported from the time of implantation through 6-months.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

50 participants

Primary outcome timeframe

From implantation to 6 months post-surgery

Results posted on

2024-12-11

Participant Flow

Participants were recruited at seven US-based sites. The first participant was enrolled on 26 January 2022 and the last participant completed the study on 14 March 2024.

Participant milestones

Participant milestones
Measure
Implanted With the Osia 2 System
Osia 2 System in a pediatric population aged 5 - 11 years.
Overall Study
STARTED
50
Overall Study
COMPLETED
49
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Implanted With the Osia 2 System
Osia 2 System in a pediatric population aged 5 - 11 years.
Overall Study
Lost to Follow-up
1

Baseline Characteristics

Osia 2 Pediatric Expansion Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Implanted With the Osia 2 System
n=50 Participants
Osia 2 System in a pediatric population aged 5 - 11 years.
Age, Continuous
7 years
n=99 Participants
Sex: Female, Male
Female
23 Participants
n=99 Participants
Sex: Female, Male
Male
27 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
19 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
30 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
2 Participants
n=99 Participants
Race/Ethnicity, Customized
Asian
4 Participants
n=99 Participants
Race/Ethnicity, Customized
Native Hawaiian or Pacific Islander
0 Participants
n=99 Participants
Race/Ethnicity, Customized
Black or African American
2 Participants
n=99 Participants
Race/Ethnicity, Customized
White
33 Participants
n=99 Participants
Race/Ethnicity, Customized
Other
6 Participants
n=99 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
3 Participants
n=99 Participants
Region of Enrollment
United States
50 participants
n=99 Participants

PRIMARY outcome

Timeframe: From implantation to 6 months post-surgery

Population: 1 participant withdrew after the 4-week follow-up visit.

Adverse events were reported from the time of implantation through 6-months.

Outcome measures

Outcome measures
Measure
Implanted With the Osia 2 System
n=49 Participants
Osia 2 System in a pediatric population aged 5 - 11 years.
Number of Adverse Events Quantified by Type and Severity Between Implantation and 6-months Post-surgery.
Mild Events
73 Number of events
Number of Adverse Events Quantified by Type and Severity Between Implantation and 6-months Post-surgery.
Adverse Device Effects
32 Number of events
Number of Adverse Events Quantified by Type and Severity Between Implantation and 6-months Post-surgery.
Serious Adverse Events
8 Number of events
Number of Adverse Events Quantified by Type and Severity Between Implantation and 6-months Post-surgery.
Serious Adverse Device Effects
3 Number of events
Number of Adverse Events Quantified by Type and Severity Between Implantation and 6-months Post-surgery.
Unanticipated Adverse Device Effects
0 Number of events
Number of Adverse Events Quantified by Type and Severity Between Implantation and 6-months Post-surgery.
Moderate Events
10 Number of events
Number of Adverse Events Quantified by Type and Severity Between Implantation and 6-months Post-surgery.
Sever Events
4 Number of events

SECONDARY outcome

Timeframe: Baseline before surgery, 6 months post-surgery

Population: One participant withdrew prior to the 6-month visit. One participant was unable to complete the questionnaire during the 6-month visit.

Measuring change of speech, spatial, quality and conversational uses of hearing (27 items in 4 sections). Each item is scored by the parent on a scale of 0 to 10 where 0 corresponds to "not at all" and 10 to "perfectly" when rating their child's ability to hear and listen in everyday situations. The score of a participant is determined as the mean of the scores for the 4 different sections. Higher scores indicate less hearing disability.

Outcome measures

Outcome measures
Measure
Implanted With the Osia 2 System
n=48 Participants
Osia 2 System in a pediatric population aged 5 - 11 years.
Change From Baseline to 6-months Post-surgery in SSQ (Speech, Spatial and Qualities of Hearing Scale) Parent Questionnaire
1.63 score on a scale
Standard Deviation 1.53

SECONDARY outcome

Timeframe: Baseline before surgery, 4 weeks post-surgery

Population: 3 participants were unable to be included due to improper testing pre- and post-operatively.

The Pure Tone Average (PTA) is calculated as an average of the bone conduction thresholds collected at 500, 1000, 2000, and 4000 Hz. This measure was collected unaided both pre- and post-operatively to ensure no shift in bone conduction hearing as a result of the surgery.

Outcome measures

Outcome measures
Measure
Implanted With the Osia 2 System
n=47 Participants
Osia 2 System in a pediatric population aged 5 - 11 years.
Change From Baseline to 4-weeks Post-surgery in Unaided Bone Conduction Thresholds.
0.1 dB HL (decibel Hearing Level)
Standard Deviation 5.1

SECONDARY outcome

Timeframe: Baseline before surgery, 6 months post-surgery

Population: One participant withdrew prior to the 6-month visit. One participant was unable to complete the CNC word test during the baseline visit.

The CNC Words test consists of 10 recorded lists of 50 monosyllabic words. For this study, one list is administered per test condition at 60 dBA in sound field and scored as the number of phonemes and words correct, which will be expressed as a percentage correct when analyzed. The CNC word test has a score range of 0-100% with higher values indicating better scores.

Outcome measures

Outcome measures
Measure
Implanted With the Osia 2 System
n=48 Participants
Osia 2 System in a pediatric population aged 5 - 11 years.
Change in Word Recognition Using Consonant Nucleus Consonant (CNC) Words Presented in Quiet From Unaided Baseline to Aided 6-months Post-surgery.
63.7 percentage of correct words
Standard Deviation 24.6

SECONDARY outcome

Timeframe: Baseline before surgery, 6 months post-surgery

Population: One participant withdrew prior to the 6-month visit. One participant was unable to complete the BKB-SIN testing during the baseline visit.

The Bamford-Kowal-Bench Sentence in Noise test (BKB-SIN) consists of 36 paired lists. List of sentences are presented at 65 dBA with the level of noise varied stepwise at fixed signal to noise ratio to obtain a Speech Reception Threshold (SRT) where participants are able to repeat key words 50% of the time. Score range is not specified as metric is adaptive; lower scores indicate better performance.

Outcome measures

Outcome measures
Measure
Implanted With the Osia 2 System
n=48 Participants
Osia 2 System in a pediatric population aged 5 - 11 years.
Change in Sentence Recognition in Noise Using the Bramford Kowal Bench Speech-In-Noise (BKB-SIN) From Unaided Baseline to Aided 6-months Post-surgery.
10.1 db SNR (decibel Speech to Noise Ratio)
Standard Deviation 7.8

Adverse Events

Implanted With the Osia 2 System

Serious events: 7 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Implanted With the Osia 2 System
n=49 participants at risk
Osia 2 System in a pediatric population aged 5 - 11 years.
Ear and labyrinth disorders
Ear Infection
2.0%
1/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
General disorders
Wound dehiscence
2.0%
1/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Injury, poisoning and procedural complications
Tissue Breakdown
2.0%
1/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Congenital, familial and genetic disorders
Congenital Defect/Deformity
2.0%
1/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Respiratory, thoracic and mediastinal disorders
Bronchospasm
2.0%
1/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Respiratory, thoracic and mediastinal disorders
Pneumonia
2.0%
1/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Skin and subcutaneous tissue disorders
Skin Inflammation/Irritation
2.0%
1/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Vascular disorders
Hematoma
2.0%
1/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.

Other adverse events

Other adverse events
Measure
Implanted With the Osia 2 System
n=49 participants at risk
Osia 2 System in a pediatric population aged 5 - 11 years.
Injury, poisoning and procedural complications
Implant Pain
12.2%
6/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Ear and labyrinth disorders
Ear Infection
12.2%
6/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Infections and infestations
Viral Infection
12.2%
6/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Respiratory, thoracic and mediastinal disorders
Pharyngitis
10.2%
5/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Respiratory, thoracic and mediastinal disorders
Respiratory Tract Infection
16.3%
8/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.
Nervous system disorders
Headache
10.2%
5/49 • 12 months
Adverse events were reported from the time of implantation through 12-months post-op.

Additional Information

PRS Specialist, Clinical Affairs

Cochlear

Phone: +61 2 9428 6555

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor has first rights to publish the multi-site data. During the study and the 12-months following the conclusion of the study, the PI may not publish or present on its own data obtained under the study. The PI may publish on their own study data (without permission from the Sponsor) or the consolidated data (with written consent from the Sponsor) by providing notice and a copy of the publication to the Sponsor at least 30 days prior to submission and allowing the Sponsor 30 days to review.
  • Publication restrictions are in place

Restriction type: OTHER