RECRUITING

Targeted Plasticity Therapy for Upper Limb Rehabilitation in Spinal Cord Injuries

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Texas Biomedical Device Center at UT Dallas has developed an innovative strategy to enhance recovery of motor and sensory function after neurological injury termed targeted plasticity therapy (TPT). This technique uses brief pulses of vagus nerve stimulation to engage pro-plasticity neuromodulatory circuits during rehabilitation exercises. Recovery is associated with neural plasticity in spared motor networks in the brain and spinal cord. Moreover, an early feasibility study and an independent, double-blind, placebo-controlled study in chronic stroke participants indicate that VNS is safe in participants with upper limb deficits, and yields a clinically-significant three-fold increase in neural connections during rehabilitation exercises. Given the track record of safety and potential for VNS to enhance recovery of upper limb motor function in spinal cord injured individuals, the purpose of this double blind randomized placebo controlled optional open-label extension study is to assess the safety of using a new device to deliver vagus nerve stimulation to reduce symptom severity in participants with SCI. Additionally, the study will assess the prospective benefit of the system and garner an initial estimate of efficacy for a subsequent trial. Participants may undergo additional sessions of training with VNS.

Official Title

Targeted Plasticity Therapy for Upper Limb Rehabilitation in Spinal Cord Injuries

Quick Facts

Study Start:2021-02-15
Study Completion:2025-04
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT04288245

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 64 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT
Inclusion CriteriaExclusion Criteria
  1. Age 18 years or older
  2. Willing and able to provide informed consent
  3. Able to understand and follow study procedures
  4. Stable medical condition
  1. Pregnancy or breastfeeding
  2. Severe psychiatric disorders
  3. Active substance abuse
  4. Unstable medical conditions
  5. Inability to comply with study requirements

Contacts and Locations

Study Contact

Alvaro Carrera
CONTACT
469-831-5321
alvaro.carrera@bswhealth.org

Principal Investigator

Michael Kilgard, PhD
PRINCIPAL_INVESTIGATOR
University of Texas at Dallas
Robert Rennaker, PhD
PRINCIPAL_INVESTIGATOR
University of Texas at Dallas
Seth Hays, PhD
STUDY_DIRECTOR
University of Texas at Dallas
Jane Wigginton, MD
PRINCIPAL_INVESTIGATOR
University of Texas Southwestern Medical Center
Rita Hamilton, DO
PRINCIPAL_INVESTIGATOR
Baylor Scott & White Institute for Rehabilitation
Michael Foreman, MD FACS
STUDY_DIRECTOR
Baylor Health Care System
Mark Powers, PhD
STUDY_DIRECTOR
Baylor Health Care System
Richard Naftalis, MD, FAANS, FACS
STUDY_DIRECTOR
Baylor Health Care System

Study Locations (Sites)

Baylor University Medical Center
Dallas, Texas, 75246
United States

Collaborators and Investigators

Sponsor: Baylor Research Institute

  • Michael Kilgard, PhD, PRINCIPAL_INVESTIGATOR, University of Texas at Dallas
  • Robert Rennaker, PhD, PRINCIPAL_INVESTIGATOR, University of Texas at Dallas
  • Seth Hays, PhD, STUDY_DIRECTOR, University of Texas at Dallas
  • Jane Wigginton, MD, PRINCIPAL_INVESTIGATOR, University of Texas Southwestern Medical Center
  • Rita Hamilton, DO, PRINCIPAL_INVESTIGATOR, Baylor Scott & White Institute for Rehabilitation
  • Michael Foreman, MD FACS, STUDY_DIRECTOR, Baylor Health Care System
  • Mark Powers, PhD, STUDY_DIRECTOR, Baylor Health Care System
  • Richard Naftalis, MD, FAANS, FACS, STUDY_DIRECTOR, Baylor Health Care System

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2021-02-15
Study Completion Date2025-04

Study Record Updates

Study Start Date2021-02-15
Study Completion Date2025-04

Terms related to this study

Keywords Provided by Researchers

  • Vagus Nerve Stimulation (VNS)
  • Rehabilitation
  • Targeted Plasticity Therapy

Additional Relevant MeSH Terms

  • Spinal Cord Injuries
  • Upper Extremity Paresis