Restoring Hemodynamic Stability Using Targeted Epidural Spinal Stimulation Following Spinal Cord … (NCT05044923) | Clinical Trial Compass
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Restoring Hemodynamic Stability Using Targeted Epidural Spinal Stimulation Following Spinal Cord Injury
Canada8 participantsStarted 2021-12
Plain-language summary
The purpose of this study is to stimulate the circuits in the spinal cord that are directly responsible for hemodynamic control to restore hemodynamic stability in participants with chronic cervical or high-thoracic spinal cord injury. The ultimate objective of this study is to provide preliminary safety and efficacy measures on the ability of the hemodynamic Targeted Epidural Spinal Stimulation (TESS) to ensure the long-term management of hemodynamic instability and reduce the incidence and severity of orthostatic hypotension and autonomic dysreflexia episodes in individuals with chronic cervical or high-thoracic spinal cord injury. In addition, the long-term safety and efficacy of TESS on cardiovascular health, respiratory function, and quality of life in participants with chronic spinal cord injury will be evaluated.
Who can participate
Age range
18 Years – 70 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Age 18 to 70 years old
* Able to undergo the informed consent/assent process
* Radiologically confirmed spinal cord injury
* Spinal cord injury between C3 and T6
* Classified with American Spinal Injury Association Impairment Scale (AIS) A or B Spinal cord injury
* Stable medical, physical and psychological condition as considered by Investigators
* Greater than 1 year since initial injury and at least 6 months from any required spinal instrumentation
* Confirmed orthostatic hypotension and autonomic dysreflexia
* Willing to attend all scheduled appointments
Exclusion Criteria:
* Diseases and conditions that would increase the morbidity and mortality of spinal cord injury surgery
* The inability to withhold antiplatelet/anticoagulation agents perioperatively
* History of myocardial infarction or cerebrovascular event
* Other conditions that would make the subject unable to participate in testing in the judgment of the investigators
* Current and anticipated need for opioid pain medications or pain that would prevent full participation in the trial in the judgement of the investigators
* Current clinical diagnosis of mental illness
* Clinically significant cognitive impairment
* Current substance or alcohol abuse
* Botulinum toxin injections in the previous 6 months
* Presence of significant pressure ulcers
* Recurrent urinary tract infection refractory to antibiotics
* Current pregnancy
* Current breast feeding
* Unhealed spinal fractures
* Presence o…
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Occurrence of Adverse Events and Serious Adverse Events that are deemed related or possibly related to the study procedure or to the study investigational system, from implant surgery until the end of study
Timeframe: From implant surgery through study completion, an average of 7 months