Effect of Donepezil on Speech Recognition in Cochlear Implant Users (NCT05438264) | Clinical Trial Compass
Active — Not RecruitingEarly Phase 1
Effect of Donepezil on Speech Recognition in Cochlear Implant Users
United States50 participantsStarted 2023-03-10
Plain-language summary
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.
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.
Who can participate
Age range18 Years – 100 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
✓. 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
Exclusion criteria
✕. Evidence of conductive hearing loss
✕. Diagnosed neurological or sensory disorder (such as Alzheimer's disease, Parkinson's disease, epilepsy, stroke, autism, schizophrenia, or uncorrected visual impairment)
. Positive urine pregnancy test at any time during the study
✕. Breastfeeding or nursing at any time during the study
✕. Known hypersensitivity to donepezil hydrochloride or to piperidine derivatives
✕. 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
✕. Use of tobacco or nicotine products in the past 1 month