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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06225245
Other study ID # PRO00037827
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date June 1, 2024
Est. completion date January 1, 2026

Study information

Verified date May 2024
Source The Methodist Hospital Research Institute
Contact Rachel Markley, MPH
Phone 713-441-3770
Email rmarkley@houstonmethodist.org
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The goal of this study is to investigate the effects of cervical epidural spinal stimulation with upper extremity training. This is an investigational study. The device used for epidural spinal stimulation (ESS) to deliver spinal stimulation is called the CoverEdgeX 32 Surgical Lead system. This device is approved by the Food and Drug Administration (FDA) for the treatment of severe pain and to manage chronic pain when other treatments have not been effective. In this study, the device is considered an investigational device because it is not approved for use in the treatment of spinal cord injury


Description:

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Study Design


Intervention

Device:
Epidural Spinal Stimulation (ESS)
ESS will be delivered using The CoverEdgeX 32 Surgical Lead at frequencies of 0.2 to 60 Hz with intensity up to 10 mA, adjusted to induce motor threshold responses in the target muscle for the above motor task (e.g., biceps brachii for elbow flexion) [31-33]. The ESS controller will only be operated by trained study team members. Therefore, stimulation will only be delivered during study visits. Stimulation will be administered for a maximum duration of 1 hour total per visit, varying according to the individual's tolerance and fatigue levels, with 5 - 10 minutes breaks interspersed between intervals of stimulation.

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
The Methodist Hospital Research Institute

Outcome

Type Measure Description Time frame Safety issue
Primary Assessment of Upper Limb Muscle Response Neuromotor outcomes in the upper limb muscles will be assessed, specifically targeting the upper arm, forearm, wrist, and fine motor movements. Measurements will be conducted during voluntary effort without spinal stimulation, as well as in the presence of Epidural Spinal Stimulation (ESS). The force output will be quantified in newtons (N), while the magnitude of EMG signals will be measured and expressed in millivolts (mV). Baseline (Week 4), Post Intervention (Week 7), Follow up (Week 10), Follow up (Week 13)
Secondary Assessment of Neurological Status International Standards for Neurological Classification of SCI (ISNCSCI). The total motor score has a range of 0 to 100, with specific key muscles assessed on both sides of the body. The sensory scores also range from 0 to 112, evaluating light touch and pinprick sensation in different dermatomes. Baseline (Week 1), Post Intervention (Week 8), Follow up (Week 16)
Secondary Assessment of Independence Spinal Cord Independence Measure (SCIM). The SCIM involves assessing various neurological functions and assigning scores. The SCIM has a scale ranging from 0 to 100, with higher scores indicating greater independence in activities of daily living. The minimum score signifies complete dependence, while the maximum score reflects complete independence. Baseline (Week 1), Post Intervention (Week 8), Follow up (Week 16)
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