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Neuromodulation
Vagus Nerve Stimulation for Spinal Cord Injury
N/A
Recruiting
Led By Rita Hamilton, DO
Research Sponsored by Baylor Research Institute
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Must demonstrate some residual upper limb and hand movement in either arm
Adult, aged 18-64
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from week 1 through study follow-up, approximately two years from the date of implant
Awards & highlights
Study Summary
This trial is testing whether or not a new device that delivers vagus nerve stimulation is safe and effective in reducing symptom severity in participants with spinal cord injuries.
Who is the study for?
Adults aged 18-64 with a spinal cord injury from trauma at least one year ago, who have some upper limb movement and are in good health. Candidates must be able to follow the study protocol and agree to VNS implantation surgery. Excluded are those with conditions affecting rehabilitation, cognitive deficits preventing informed consent, recent syncope or dysphagia, non-English speakers, pregnant or lactating individuals, substance abusers, participants in other trials, and those with significant medical issues.Check my eligibility
What is being tested?
The trial is testing vagus nerve stimulation (VNS) delivered by a new device during rehabilitation exercises for improving motor function in people with spinal cord injuries. It's a double-blind study where half of the participants will receive active VNS and the other half a placebo while undergoing training sessions.See study design
What are the potential side effects?
Potential side effects may include discomfort at the implant site, voice changes due to nerve stimulation, throat pain or tingling sensation during activation of the device. More serious risks could involve surgical complications or adverse reactions to electrical stimulation.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I can move my arms and hands a little.
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I am between 18 and 64 years old.
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I have a first-time cervical spinal cord injury with some motor function, graded B, C, or D.
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I have a first-time cervical spinal cord injury with some motor function, graded B, C, or D.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ from week 1 through study follow-up, approximately two years from the date of implant
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from week 1 through study follow-up, approximately two years from the date of implant
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Incidence of Adverse Events [Device Safety]
Secondary outcome measures
Graded Redefined Assessment of Strength, Sensibility, and Prehension (GRASSP)
Range of Motion, Articular
Restore System Feasibility during Rehabilitation
Trial Design
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Immediate Start Vagus Nerve Stimulation groupExperimental Treatment1 Intervention
The Immediate Start VNS group will receive rehabilitation and active stimulation for 18 in-office sessions over the course of approximately 6 weeks during phase 1. For phase 2, all subjects will be provided the option to participate in an open-label extension consisting of an additional 18 sessions of in-office rehabilitation with active VNS over the course of approximately 6 weeks. Participants that elect to continue in the open-label extension will be assessed approximately 1 week after the conclusion of the additional 18 sessions of therapy.
Group II: Delayed Start Vagus Nerve Stimulation groupPlacebo Group1 Intervention
The Delayed Start VNS group will receive equivalent rehabilitation with placebo stimulation for 18 in-office sessions over the course of approximately 6 weeks during phase 1. For phase 2, all subjects will be provided the option to participate in an open-label extension consisting of an additional 18 sessions of in-office rehabilitation with active VNS over the course of approximately 6 weeks. Participants that elect to continue in the open-label extension will be assessed approximately 1 week after the conclusion of the additional 18 sessions of therapy.
Find a Location
Who is running the clinical trial?
Baylor Research InstituteLead Sponsor
200 Previous Clinical Trials
203,206 Total Patients Enrolled
Wings for LifeOTHER
6 Previous Clinical Trials
833 Total Patients Enrolled
Defense Advanced Research Projects AgencyFED
18 Previous Clinical Trials
78,903 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- You have a history of misusing alcohol or using illegal drugs.I have health issues that make surgery risky or not possible.I do not have excessive scar tissue that makes surgery unsafe.I have significant brain injuries.You are currently feeling very suicidal or have recently tried to hurt yourself.You currently need or will likely need diathermy treatment.You have mental health or cognitive problems that could make it hard for you to take part in the study, according to a doctor's evaluation.I have had or currently have vagus nerve stimulation treatment.I currently have active cancer.I am a suitable candidate for a vagus nerve stimulator implant.I can understand and consent to the study on my own.I am eligible for a VNS implant surgery as confirmed by my medical team.I have serious health issues that could make surgery or anesthesia very risky.I have not taken immunosuppressants or had radiation therapy in the last 6 months.I have had surgery on the front of my neck and a check-up shows no vocal cord nerve damage.I have had recent trouble swallowing.I have fainted recently.I can move my arms and hands a little.I am between 18 and 64 years old.I have a first-time cervical spinal cord injury with some motor function, graded B, C, or D.My spinal cord injury from an accident happened over a year ago.I have serious circulation issues like blood clots or swelling in my limbs.I have a spinal cord injury from a sharp object, gunshot, or was born with it.I am not on any treatments that would affect VNS therapy.You have previously injured your vagus nerve.I have a first-time cervical spinal cord injury with some motor function, graded B, C, or D.I do not have severe breathing problems.
Research Study Groups:
This trial has the following groups:- Group 1: Immediate Start Vagus Nerve Stimulation group
- Group 2: Delayed Start Vagus Nerve Stimulation group
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Spinal Cord Injury Patient Testimony for trial: Trial Name: NCT04288245 — N/A
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Are elderly citizens qualified for this clinical trial?
"This trial is only for patients aged 18-64. There are 154 other clinical trials for patients that are younger and 823 for patients that are older."
Answered by AI
If a patient meets the requirements, can they enroll in the trial today?
"The clinical trial in question, which was first announced on February 15th 2021, is not currently seeking patients. This is according to the most recent update on clinicaltrials.gov from May 18th, 2022. There are, however, 1002 other medical studies that are actively recruiting patients."
Answered by AI
Who else is applying?
What state do they live in?
Texas
Alabama
What site did they apply to?
Baylor University Medical Center
What portion of applicants met pre-screening criteria?
Did not meet criteria
Met criteria
How many prior treatments have patients received?
0
1
Why did patients apply to this trial?
Hope of regaining full use of arms and hands.
PatientReceived 1 prior treatment
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