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Search / Trial NCT06288763

Nerve Transfer to Improve Function in High Level Tetraplegia

Launched by WASHINGTON UNIVERSITY SCHOOL OF MEDICINE · Feb 23, 2024

Trial Information

Current as of June 26, 2025

Recruiting

Keywords

Spinal Cord Injury Cervical Spinal Cord Injury Nerve Transfer Surgery High Cervical Spinal Cord Injury Cervical Sci Tetraplegia Quadriplegia Nerve Transfer Spinal Accessory Nerve

ClinConnect Summary

This clinical trial, titled "Nerve Transfer to Improve Function in High Level Tetraplegia," is studying whether nerve transfer surgeries can help patients with severe cervical spinal cord injuries (specifically those affecting the neck) regain better use of their arms and improve their overall quality of life. The researchers are looking for participants who are between 18 and 80 years old, have a complete spinal cord injury at the C1 to C4 level, and have not shown any natural improvement for at least six months.

Participants in the study will undergo standard surgeries to transfer nerves, as well as various tests and questionnaires before and after the operation to track their progress. They will also have regular follow-up appointments with their surgeon over the next few years and attend therapy sessions to aid in their recovery. This trial is currently recruiting and is open to all genders, providing a potential opportunity for individuals with specific spinal cord injury conditions to improve their arm function and overall well-being.

Gender

ALL

Eligibility criteria

  • Inclusion Criteria:
  • 18-80 years of age
  • High cervical SCI (motor level C1-C4)
  • Motor complete SCI AIS grade A-B
  • Plateaued spontaneous recovery for at least 6 months of non-operative therapy
  • SCI greater than 6 months and fewer than 60 months since injury
  • At least MRC 4/5 donor strength
  • Mentally and physically willing and able to comply with evaluations
  • Exclusion Criteria:
  • Active infection at the operative site or systemic infection
  • Any return or ongoing recovery of distal motor function
  • Significant joint contractures and/or limitations in passive range of motion in the arm
  • Mentally or physically compromised making it impossible to complete study activities
  • Immunologically suppressed
  • Currently undergoing long-term steroid therapy
  • Active malignancy
  • Pregnancy

About Washington University School Of Medicine

Washington University School of Medicine is a leading academic medical institution renowned for its commitment to advancing healthcare through innovative research, education, and patient care. With a strong emphasis on translating scientific discoveries into practical applications, the institution conducts a diverse array of clinical trials aimed at improving treatment outcomes and enhancing the understanding of various medical conditions. Its collaborative environment fosters partnerships between researchers, clinicians, and community stakeholders, ensuring that the trials not only contribute to scientific knowledge but also address the pressing health needs of diverse populations.

Locations

Ann Arbor, Michigan, United States

Philadelphia, Pennsylvania, United States

Baltimore, Maryland, United States

Stanford, California, United States

Salt Lake City, Utah, United States

Miami, Florida, United States

Saint Louis, Missouri, United States

Edmonton, Alberta, Canada

Houston, Texas, United States

Calgary, Alberta, Canada

Patients applied

0 patients applied

Trial Officials

Wilson Z. Ray, MD

Principal Investigator

Washington University School of Medicine

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported