Progrès de la recherche sur les LME

Recherche sur les LME

Les essais cliniques

Nos articles

  La recherche pour la guérison de la paralysie progresse

Des progrès significatifs ont été enregistrés pour trouver des therapies pour les lesions de la moelle épinière (LME). Diverses lignes de recherche prometteuses sont présentées ci-dessous

 Des traitements sont-ils testés sur les humains ?

Il y a de plus en plus d’essais cliniques dans le monde. Notre aperçu ci-dessous comprend des informations sur les études humaines en cours ou prévues à terme.

Quand les thérapies seront-elles disponibles ?

La plupart des traitements sont encore expérimentaux, mais un signe positif est que de plus en plus de biotechs / sociétés commerciales sont créées et investissent dans des thérapies prometteuses pour une récupération fonctionnelle après une LME

Progrès de la recherche pour guérison de la paralysie par lésion de la moelle épinière (LME)

Cette vue d’ensemble se concentre exclusivement sur un certain nombre de projets de recherche ou de thérapies clés en vue d’un rétablissement ou d’une guérison après une lésion chronique de la moelle épinière. Il n’a pas pour but d’être exhaustif. La recherche axée sur les lésions aiguës n’est pas incluse. Cet aperçu ne constitue en aucun cas une recommandation ou une approbation de l’un de ces projets ou essais cliniques.

Thème 1: PERMETTRE la réparation de la moelle épinière

Thème 2: REGENERER la moelle épinière

Thème 3: RE-ENTRAINER les circuits nerveux

Thème 1:

Permettre la réparation / régénération de la moelle épinière

Mise à jour: 12 septembre 2025

Réduction de la cicatrice gliale et neutralisation des inhibiteurs de croissance afin que la réparation devienne possible.

Introduction:

L’un des principaux obstacles à la récupération après une lésion chronique de la moelle épinière est la cicatrice qui apparaît quelques jours ou semaines après la blessure et qui empêche tout axone de se développer à partir de la zone de la lésion. L’une des principales stratégies de réduction des cicatrices consiste à utiliser l’enzyme chondroitinase. Divers peptides sont également testés à cette fin.
En outre, cette section décrit quelques-unes des diverses stratégies thérapeutiques utilisées pour neutraliser les inhibiteurs de croissance (souvent appelés NoGo) après une lésion de la moelle épinière et/ou pour favoriser la croissance nerveuse.

ONGOING STUDIES - SEE BELOW

The studies below (with orange heading) are recent, still ongoing or planned. Click on the + of the chapters below to see the detailed information about a given scientific study or research strategy.

 

ISP (Intracellular Sigma Peptide) / NVG-291– R.I.P. Dr. Jerry Silver/ NervGen Pharma – HUMAN TRIAL FIRST RESULTS and RECRUITMENT (USA)

Background info (update June 4th, 2025)

Soon after a spinal cord injury, a scar tissue, rich in inhibitory molecules, develops into a barrier to the regrowth of the injured axons. Late Dr Jerry Silver and his team at Case Western Reserve University (USA) have developed a molecule, known as intracellular sigma peptide (ISP) that helps regenerating axons ignore and bypass CSPGs (powerful inhibitory molecules in the scar). When ISP was administered non-invasively via injections under the skin, it was shown to lead to greatly improved bladder function and improved locomotion in animal models (rodents) with an ACUTE spinal cord injury.

Notably, the positive results at the acute stage of the SCI could unfortunately not be replicated in chronic settings, except when combined with another molecule/ treatment. At the end of 2023, a publication shed light upon the outcomes of an animal study using a combination of the ISP peptide and the PNNi molecule at the chronic stage of the injury. The results of this combinatory therapy are very encouraging. However, it is notable that the dosage of PNNi used in the experiment is comparatively much higher than the dose deemed as safe.

ISP has been licenced by NervGen, a publicly traded biotech with the goal to take the ISP therapy (a.k.a. NVG-291) to the market to treat various neurological conditions, including spinal cord injury.

 

Latest update (August 20th, 2025):

Clinical Trial results :

– NervGen communicated the outcomes of the human trials for people living with a chronic incomplete cervical spinal cord injury (1 to 10 year post injury).The following results were shared by the biotech:

  • The study reached one of its two main goals: it showed that people with cervical spinal cord injuries who received the drug had better electrical signaling between the brain and hand muscles.

  • The study also found a positive trend toward improved hand function, measured by a specialized test called the GRASSP score, which was designed to evaluate hand strength and dexterity in people with these types of injuries.

– While some of us may have hoped for a more pronounced improvement in functional recovery among the spinal cord injury patients who received the drug compared to placebo, the trial has nonetheless provided an important indication that the drug is safe and that it may help restore communication between the nervous system and muscles. Consistent with previous animal studies, this therapy will likely need to be combined with other treatments in order to achieve substantial sensorimotor recovery in the chronic stage of injury.  

– The outcomes of the human trial therapy for people with a sub-acute injury are not known yet as the trial is still ongoing for these patients (anticipated completion date: April 2026).

Pre-clinical studies (animal studies):

A few additional animal studies had been previously announced and are taking place besides the human trial:

A rodent trial for acute injuries is ongoing, including a combination of NVG-291 + sub-cutaneous e-stim (electro-stimulation/neuro-modulation of the spinal cord nerves, through the skin). The status of this study is not known to us.

A pig trial for chronic injuries has started in 2022 and is carried out by the Candace Floyd’s lab (University of Utah, USA), in cooperation with various partners. The trial features a combination of therapies, i.e. the ISP peptide (a.k.a. NVG-291)  and neuro-stimulation. 

 

Patient enrolment/ clinical trials (update August 2025):

After the June 2nd announcement by Nervgen Pharma regarding the outcomes of their trial for patients living with a chronic injury, it not known whether the trial is still recruiting patients, e.g. at sub-acute stage.

– The first group of participants was going to include people with a chronic spinal cord injury (min 1 year, max 10 years after injury). This part of the trial seems to be completed already.

– The second group includes people with a sub-acute SCI (10 to 49 days after the lesion occurred) and might still be recruiting participants.

Each cohort was expected to include 20 participants. A very important selection criteria is that patients have to have some remaining functions: CERVICAL INCOMPLETE  spinal cord injury (ASIA D or ASIA E). The trial includes a placebo group (a number of participants will thus not receive the full treatment).To know more about the selection criteria, see this page:

https://scitrials.org/trial/NCT05965700

 

CH’ASE IT: Chondroitinase and gene therapy for chronic SCI- PRE-CLINICAL stage (ANIMAL STUDIES - UK- NL)

Background info:

In animal studies, the application of a bacterial enzyme (a protein) called chondroitinase (Ch’ase) has repeatedly been shown to degrade scar tissue, promote nerve growth, and improve recovery. However, translating this approach to humans remains challenging. The project “CHASE-IT”, initiated by the International Spinal Research Trust (ISRT), aims to develop Ch’ase therapy into a treatment that is both safe and ready for clinical use. It is based on an international collaboration involving researchers in the UK, the Netherlands, and beyond. Recent experiments using gene therapy to deliver the enzyme have brought the therapy closer to human application. In these models, the gene for Ch’ase is expressed in an active form in human cells and can be switched on and off, ensuring controlled and optimal delivery.

Latest update (Oct. 2021):

Two alternative gene delivery therapies have been developed and are currently being tested:

a. Lentiviral vector delivery:
In this approach, the chondroitinase (Ch’ase) enzyme is delivered via a lentiviral vector — a virus that has been made harmless and adapted to carry therapeutic genes. The consortium demonstrated that this novel strategy led to improved walking and, remarkably, unprecedented recovery of upper limb function in rodent models of acute spinal cord injury. (See more details in the referenced article, accompanying video, and the Brain publication, August 2018.)

The same treatment was later tested in a rodent model of chronic spinal cord injury at the end of 2018. However, the most recent trial in this setting resulted in only modest functional improvements. Researchers are now focusing on combining the therapy with rehabilitation to enhance recovery. Further work will be required before the expected level of functional efficacy can be reached.

b. AAV vector delivery:
In this alternative approach, Ch’ase is delivered using an adeno‑associated viral (AAV) vector. AAV vectors have the advantage of already being employed in other human therapies, potentially facilitating the transition to clinical trials. Several AAV vectors were designed and tested by Verhaagen’s lab; however, further optimization is needed to ensure that expression of the enzyme can be completely switched off without residual “leakage.” Indeed, one issue identified was measurable background expression of chondroitinase even when the vector was in the “off” state.

Funding:
The first two rounds of studies (up to 2019) were co‑funded by the endParalysis Foundation and Spinal Research (UK). Since 2020, follow‑up studies have been supported by the Wings for Life Foundation. The current project specifically investigates the use of Ch’ase in rodent models of chronic spinal cord injury, in combination with physiotherapy, with the aim of improving functional recovery.

 

Patient enrolment/clinical trials/ next translational steps:

  • Once optimized, the AAV vector will be tested in both acute and chronic rodent models of spinal cord injury (SCI).

  • Discussions are ongoing regarding the possibility of testing the most effective version of the chondroitinase therapy in humans. This remains a long‑term goal.

Other pre-clinical studies concerning scar reduction

Background info:

Scar reduction is an essential and critical challenge when it comes to treating chronic spinal cord injury. Therefore, many labs and researchers are currently working on the subject. Here, we simply give a non exhaustive list of  various pre-clinical studies.

 

Latest update (August 2025):

  • USA: A biomaterial‑based approach combines nanoparticles with Ch’ase mRNA for localized delivery in rats with acute spinal cord injury (SCI). This work is led by Bill Murphy and Dan Hellebrand (publication 2022). The same group has recently conducted an animal trial at the chronic stage of injury. We have contacted them and hope to receive an update soon.

 

  • UK: An alternative delivery method for Ch’ase is being developed by Drs. Liang‑Fong Wong and Nicolas Granger from Bristol’s Faculty of Health Sciences. In studies published in 2017, the researchers combined therapies by modifying olfactory ensheathing cells (OECs) to express chondroitinase (ChABC). After transplantation into rodent SCI models, the team demonstrated successful secretion of the enzyme and partial removal of the glial scar. This resulted in enhanced nerve sprouting within the spinal cord, suggesting early signs of regeneration.In 2021, the therapy was tested on dogs suffering from paralysis. According to the study abstract, the researchers showed that genetically modified canine OECs (cOECs) could deliver sufficient levels of ChABC to achieve modest functional improvement. The results indicate that this genetically engineered cellular and molecular approach is a feasible combination strategy for SCI. More info here (rodent study – 2017) and here (Canine study – June 2021)                                      
  • OTHERS:
    • CANADA: alternative delivery method for Ch’ase. Dr Molly S. Shoichet. More info here (publication 2017)
    • USA: Ch’ase direct delivery for non-human primates with SCI.
    • USA: Rose Bengal Study by Dr. A. Parr (University of Minnesota). See January 2018 publication.

PNN-i study- Dr Kwok- University of Leeds- UK (animal study for SCI, but this drug is already on the market for other conditions)

Background info:

PNNi is a molecule that is already approved and used on the market to treat a rare disease. Recently, Dr. Kwok at the University of Leeds tested it as a potential therapy for spinal cord injury (SCI). In her animal studies, the drug showed promising results when administered in the acute (very early) stage of SCI. The molecule appears to neutralize both the perineural net (PNN) and the scar tissue, which normally inhibit nerve regrowth. The main advantage of this therapy—if the findings are confirmed and side effects prove manageable—is the potentially faster route to clinical application, since the drug is already licensed for use.

Latest update (August 2025):

The biotech company NeuroSolv Therapeutics is preparing to conduct a clinical trial of Perineline™ (also known as PNNi or 4MU) in collaboration with a leading spinal cord trauma hospital in the United States. At this stage, no details have been provided regarding the target patient group or the trial schedule.

According to the company’s website:

« NeuroSolv Therapeutics successfully demonstrated the potential for significant improvement from Perineline™ to the European Medicines Agency which approved Perineline™ as an Orphan Designated drug therapy in March 2022. This provides regulatory acceleration for rare conditions across Europe, the USA, the UK, and Japan to facilitate swift market authorisation and access to treatments.« 

Currently, there is still no information available about the specific patient population to be enrolled (e.g., acute vs. chronic SCI, complete vs. incomplete SCI).

Previous Update from the dosing study (including a cohort of animals with CHRONIC SCI ) which was funded by endParalysis, in cooperation with Gusu2cure (USA) and Marina Romoli Onlus (Italy) in 2020-2022:

The purpose of the study was to check the efficacy of the treatment at the chronic stage of SCI, and to determine the minimum dosage needed to reach a significant level of functional recovery. The study has proven that the molecule does indeed enable a clear functional recovery level in rats, even long after their initial injury, which is a very good outcome. PNNi molecule is used to treat people with a rare-disease and is thus suitable for clinical use. However, the latest study also showed that the dosage needed to achieve significant functional recovery in rats is higher than the one currently authorized on the market. Before going to human trial for use in spinal cord injury, it is necessary to finetune the treatment, either by increasing its efficacy so that it can be made effective at the authorized dosage or by addressing concerns of potential side effects and gaining regulatory approval for use at higher doses.

Patient enrolment/clinical trials/next translational steps:

The human trial planned by NeuroSolv Therapeutics is still in preparation. The steps toward clinical testing include submitting an IND application (which would allow the company to initiate a clinical trial in the USA), securing funding and investors, and potentially fine‑tuning the therapy.

 

PAST STUDIES - SEE BELOW

The studies below (with dark grey heading) seem to have been suspended or are currently standby, by lack of convincing results of human trials, or due to other challenges on the path to the clinic.

Click on the +  of the chapters below to see the detailed information about a given scientific study or research strategy.

 

ReNetX Bio – NOGO TRAP - HUMAN TRIAL COMPLETED (USA)

Background info:

The ReNetX technology, also known as the “NoGo‑Trap,” is designed to promote natural neuronal regrowth by blocking inhibitory factors that prevent repair. Unlike the earlier “Anti‑NoGo” approach, ReNetX is reported by the company to bind and neutralize three different types of growth inhibitors, rather than being limited to the NoGo protein alone.

Intrathecal delivery of the NoGo‑Trap protein in rodent models has been shown to stimulate axonal growth, accompanied by measurable functional improvement. The treatment appears to promote nerve sprouting and synaptic plasticity, and to a lesser extent, axonal regeneration.

In 2019–2020, ReNetX Bio initiated a Phase I/II clinical trial in patients with cervical spinal cord injury (complete or incomplete). More information: June 2019, ReNetX Bio

Latest update (August 2023):

In October 2022, ReNetX Bio reported the results of the RESET study of AXER‑204 for chronic spinal cord injury. The findings included the appearance of biomarkers indicating a biological effect. However, no sensory or functional recovery was observed in any of the participants. 

Patient enrolment/clinical trials:

This trial has been completed. More information on this past trial can be found here: https://scitrials.org/trial/NCT03989440

 

CRP (CSPG Reduction Peptide) – to reduce the scar at CHRONIC stage – Dr. Yu Shang Lee – Pre-clinical stage (Animal studies - USA & UK)

Background info:

The formation of a persistent glial scar at the site of injury limits nerve regrowth and leads to poor functional recovery in the chronic stages following spinal cord injury (SCI). Chondroitin sulfate proteoglycans (CSPGs) are the major components of this scar tissue.

To address this, Dr. Yu‑Shang Lee’s lab at the Cleveland Clinic (USA) developed a small peptide, known as the CSPG Reduction Peptide (CRP). CRP is particularly noteworthy for its non‑invasive delivery method, as it can be administered via subcutaneous injection. If proven effective, CRP could in principle be applied safely and easily in human patients, representing a valuable alternative to other scar‑modifying therapies currently under development, such as chondroitinase (Ch’ase).

The endParalysis Foundation and its partners have supported a series of animal studies to assess the robustness, replicability, and safety of CRP therapy in order to help advance it toward future human trials.

 

Latest update (October 2023):

2022–2023: CRP Replication + Combination Study

(Ronaldo Ichiyama’s lab, University of Leeds, UK)
This animal study, co‑funded by endParalysis and partners in 2022, aimed to verify whether the behavioral improvements previously reported with CRP treatment could be replicated by an independent lab, and whether these effects could be enhanced by combining CRP with electrical spinal cord stimulation (e‑stim).

E‑stim, delivered via an implanted stimulator, has repeatedly been shown in human studies to slightly or significantly improve functional outcomes by “awakening” dormant neural connections in the spinal cord.

Findings: Unfortunately, the study failed to demonstrate a significant effect of CRP. Outcomes did not differ between groups treated with e‑stim alone and those receiving e‑stim combined with CRP.


2020–2022: CRP Dosing Study

(Yu‑Shang Lee’s lab, Cleveland Clinic, USA)
Funds were pre‑allocated by endParalysis and partners at the end of 2019 to investigate dose‑response effects of CRP. The goal was to confirm earlier outcomes and determine whether higher CRP doses could yield additional functional improvement after chronic spinal cord injury.

Findings (as reported by Dr. Yu‑Shang Lee):

  • CRP treatment improved locomotion (first progress report) and lower urinary tract function.

  • Anatomical studies showed CRP reduced glial scarring and enhanced sprouting of serotonergic fibers, changes associated with functional recovery.


2018–2019: Rodent Study

(Yu‑Shang Lee’s lab, Cleveland Clinic, USA)
Following a preliminary small-scale study, Dr. Lee’s lab conducted additional experiments using rats with chronic T8 contusion SCI. This project was co‑funded by endParalysis in 2018 and assessed the efficacy of:

  • CRP alone

  • ISP alone (another peptide developed in Dr. Jerry Silver’s lab, Case Western Reserve University)

  • CRP + ISP combination therapy

Starting two months post‑injury, the animals received daily subcutaneous injections for three months. Both CRP and ISP were administered at low doses.

Findings:

  • CRP significantly improved bladder and locomotor function.

  • Combining CRP with ISP did not enhance these results.

  • ISP alone did not produce functional recovery in the chronic stage, even though Dr. Silver’s lab had previously shown it to be effective in the acute stage of SCI.

(Ronaldo Ichiyama’s lab, University of Leeds, UK)
This animal study, co‑funded by endParalysis and partners in 2022, aimed to verify whether the behavioral improvements previously reported with CRP treatment could be replicated by an independent lab, and whether these effects could be enhanced by combining CRP with electrical spinal cord stimulation (e‑stim).

E‑stim, delivered via an implanted stimulator, has repeatedly been shown in human studies to slightly or significantly improve functional outcomes by “awakening” dormant neural connections in the spinal cord.

Findings: Unfortunately, the study failed to demonstrate a significant effect of CRP. Outcomes did not differ between groups treated with e‑stim alone and those receiving e‑stim combined with CRP.


2020–2022: CRP Dosing Study

(Yu‑Shang Lee’s lab, Cleveland Clinic, USA)
Funds were pre‑allocated by endParalysis and partners at the end of 2019 to investigate dose‑response effects of CRP. The goal was to confirm earlier outcomes and determine whether higher CRP doses could yield additional functional improvement after chronic spinal cord injury.

Findings (as reported by Dr. Yu‑Shang Lee):

  • CRP treatment improved locomotion (first progress report) and lower urinary tract function.

  • Anatomical studies showed CRP reduced glial scarring and enhanced sprouting of serotonergic fibers, changes associated with functional recovery.


2018–2019: Rodent Study

(Yu‑Shang Lee’s lab, Cleveland Clinic, USA)
Following a preliminary small-scale study, Dr. Lee’s lab conducted additional experiments using rats with chronic T8 contusion SCI. This project was co‑funded by endParalysis in 2018 and assessed the efficacy of:

  • CRP alone

  • ISP alone (another peptide developed in Dr. Jerry Silver’s lab, Case Western Reserve University)

  • CRP + ISP combination therapy

Starting two months post‑injury, the animals received daily subcutaneous injections for three months. Both CRP and ISP were administered at low doses.

Findings:

  • CRP significantly improved bladder and locomotor function.

  • Combining CRP with ISP did not enhance these results.

  • ISP alone did not produce functional recovery in the chronic stage, even though Dr. Silver’s lab had previously shown it to be effective in the acute stage of SCI.

 

Patient enrolment/clinical trials/ next translational steps:

Between 2020 and 2023, endParalysis’ partner (Niall’s Foundation, UK) funded independent testing of CRP by a Contract Research Organization (CRO). These studies included pharmacodynamics (PD: how the drug acts on the body) and pharmacokinetics (PK: how the body processes the drug). Such tests are essential for any therapy progressing toward human trials.

Unfortunately, the various in vivo and in vitro experiments conducted by the CRO did not demonstrate a strong or consistent effect of CRP when delivered subcutaneously.

A separate study led by Dr. Brian Kwon (Canada) and funded by the U.S. Department of Defense (DoD) investigated CRP in a larger animal model—mini‑pigs with a T10 subacute spinal cord injury—using intrathecal delivery. As far as we are aware, the study failed to demonstrate CRP efficacy.

 

Thème 2:

Régénération/ Réparation de la moelle épinière

 MAJ :  12 septembre 2025

Thérapies de réparation et de neuro-régénération : cellules (souches), biomatériaux / échafaudages / hydrogels, facteurs de croissance et/ou combinaisons pour la récupération fonctionnelle et sensorielle après une lésion  médullaire chronique

Introduction: Les lésions de la moelle épinière entraînent une perte importante de tissus et un certain nombre de stratégies visent à remplacer et à restaurer l’architecture cellulaire dans l’espoir de faciliter la réparation. Ces stratégies comprennent, par exemple, des thérapies de transplantation de cellules (souches) ou la transplantation de tissus bio-ingénierie 3D pour remplacer/réparer les tissus/nerfs endommagés. Ces stratégies peuvent être renforcées en combinant des facteurs ou des molécules de croissance pour améliorer la repousse des neurones et des échafaudages en biomatériaux pour guider la repousse des nerfs. Elles peuvent également impliquer d’autres stratégies encourageant la neurorégénération et la neuroplasticité (c’est-à-dire le remodelage des signaux du cerveau et des nerfs de la moelle épinière). La liste ci-dessous est exclusivement axée sur les traitements potentiellement applicables aux LME chroniques, conformément à l’objectif de notre fondation, et ne couvre que quelques-uns des nombreux projets de recherche préclinique dans le monde entier, ainsi que la plupart des essais clés prévus ou en cours sur l’homme visant un niveau de récupération fonctionnelle. Elle n’est pas exhaustive et ne représente en aucun cas une recommandation pour une thérapie expérimentale donnée.

NEW! MSC Stem cells + Neurostimulation: Clinical trial Phase I/ II- Guttman Institute- Barcelona- Spain- RECRUITING SOON!

Background info (August 22nd, 2025): 

A new clinical trial will soon recruit patients in Barcelona, Spain. It is sponsored by the Guttman Institute. The primary aim is to evaluate the safety and feasibility of a combined therapeutic approach for chronic spinal cord injury (SCI). The study will investigate whether combining the intrathecal injection of allogeneic Wharton’s jelly mesenchymal stem cells (WJ-MSCs) with transcutaneous spinal cord stimulation (tSCS) is safe and viable in individuals with chronic traumatic Spinal Cord Injury. Patients will receive 3 doses of stem-cells, at 6week-intervals

Definitions:

  • Mesenchymal stem cells (MSCs): Multipotent adult stem cells that can differentiate into a variety of cell types, unlike many other adult stem cells. MSCs can be found in various parts of the body, including the umbilical cord, bone marrow, and adipose tissue (fat).

  • Wharton’s jelly mesenchymal stem cells (WJ-MSCs): A specific type of mesenchymal stem cells derived from Wharton’s jelly, which is the gelatinous connective tissue within the umbilical cord. These cells are known for their ability to support tissue regeneration and reduce inflammation and fibrosis (scarring of tissues).

  • Allogeneic stem cells: In contrast to autologous cells, which come from the patient themselves, allogeneic cells come from a human donor. It is not known to us why the investigators have chosen to use donor cells rather than the patient’s own cells.

  • Intrathecal administration/injection: The stem cells are injected directly into the cerebrospinal fluid (CSF) within the spinal canal, specifically into the intrathecal space (the area between the membranes surrounding the spinal cord). This method allows the stem cells to bypass the blood-brain barrier and directly access the central nervous system (brain and spinal cord). Intrathecal injections are typically performed via lumbar puncture (spinal tap) and are less invasive than transplanting cells directly into the spinal cord following a laminectomy to access the cord.

  • Transcutaneous spinal cord stimulation (tSCS): Neurostimulation occurs through the skin and does not involve any surgery to implant a neurostimulator. It is therefore considered not invasive.

 


Latest update (August 22nd, 2025)

We will post an update here as soon as the trial starts.

 


Clinical Trial/ patients enrolment (update August 22nd, 2025):

The new clinical trial is expected to start recruitment in September 2025 in Barcelona, Spain, and to end in December 2028.

It is sponsored by Guttman Institute in Barcelona, Spain. This study is a phase 1/2 trial, which means that it primarily aims to evaluate the safety and feasibility of a combined therapeutic approach for chronic spinal cord injury (SCI). It might also show efficacy.

All participants will receive active treatment with 12-month core follow-up + 2-year extended safety monitoring.

The key selection criteria are:

Participants with a chronic but relatively recent spinal cord injury (1 to 5 years post-injury).  – Age: 16-70 – Traumatic injury,  Cervical or Thoracic lesions C1-T12) – Severity: complete (ASIA A) or incomplete  (ASIA B/ C).

According to clinicaltrials.gov, this trial is announced but has not started yet. It is expected to start in September 2025. More info can be found here: 

NCT06922890 

NEW! Stand-Up Therapeutics – Gene therapy STUP-001: Clinical trial Phase I/ II - RECRUITING (Korea)

Background info (August 23rd, 2025): 

Stand-Up Therapeutics is a Korean bio-tech focused on the development of smart gene therapy technology. More precisely, they have developed « efficient Direct Lineage Reprogramming (DLR) technology that offer great opportunity, according to them, when compared to stem-cell reprograming. DLR enables the conversion of astrocytes cells into induced neuro, hence offering neural regeneration potential. In a 2023 publication, they highlight how gene therapy using efficient Direct Lineage Reprogramming technology can be applied to neurological diseases. The clinical trial page  states: ‘this gene therapy [is] designed to directly convert astrocytes into functional neurons within the spinal cord. In preclinical studies, STUP-001 demonstrated both successful astrocyte-to-neuron conversion and meaningful improvements in motor function ».


Latest update (August 22nd, 2025)

Stand Up Therapeutics is now recruiting patients in Seoul, Korea. The study is sponsored by Yonsei University This is a Phase I/II clinical trial primarily designed to assess the safety of the treatment, with efficacy also being evaluated. The full completion of the study is expected by the end of 2027.

 


Patient enrollment (update as of August 23, 2025):

According to ClinicalTrials.gov, the trial has now commenced and is actively recruiting 9 patients aged 19 to 60 years with chronic spinal cord injury (SCI), classified as AIS-A (complete injury) or AIS-B (incomplete injury).  

Including the screening phase, each participant will undergo a 7‑month evaluation period, during which safety, tolerability, and preliminary efficacy endpoints will be closely monitored. Further details are available on NCT06922890 .

NEW! IPS* / Reprogrammed Stem Cells – XS228- Phase I (Safety) clinical trial STARTED (China)

Background Information (updated August 28th, 2025)

XellSmart, a leading biotechnology company based in China, pioneers first-in-class, off-the-shelf iPSC-based treatments for Parkinson’s disease, ALS, and spinal cord injury. Its allogeneic induced pluripotent stem cell (iPSC) therapy has entered a global Phase I clinical trial, approved by both the US FDA and China’s NMPA. This therapy aims not only to repair, but also to regenerate neural cells in damaged spinal cords, with the potential to restore lost function. More information: PRnewwire.

Definitions:
Allogeneic stem cells: In contrast to autologous cells, which are derived from the patient, allogeneic cells come from a human donor.
Induced pluripotent stem cells (iPSC): Adult cells that have been reprogrammed to regain pluripotency, allowing them to differentiate into various types of cells, similar to embryonic stem cells. A small clinical trial in Japan has already demonstrated that iPSCs appear safe and may contribute to significant recovery in individuals with recent spinal cord injuries.


Latest update (August 28th, 2025):

As of July 2025, a Phase I clinical trial has been initiated to evaluate the safety and tolerability of XS228 (iPSC-Derived Motor Neuron Progenitor Cells) in patients with subacute spinal cord injury. According to recent reports, the first SCI patient has received this therapy through the clinical trial.


Patient Enrollment / Clinical Trials – RECRUITING PATIENTS IN CHINA (August 28th, 2025 update)

This trial is expected to enroll 12 patients with C4 to L2 spinal cord injuries, including both complete and incomplete injuries (ASIA A/B/C). The study location is Guangzhou, China.
Important: This trial does not apply to patients with chronic SCI. Eligible participants will be selected within 2 to 8 weeks after injury.

Learn more about the inclusion criteria here: NCT06976229

NEW HERE!!- STEM-CELLS + E-STIM SCAFFOLD - RISE-UP research project - EU

Background info (August 2025):

The RISE-UP project is a European research initiative focused on developing a new treatment for spinal cord injury by combining stem cells with a special electrically stimulated scaffold. The idea is to implant stem cells into the injured spinal cord, then use precise electric pulses to encourage the stem cells to turn into nerve cells and integrate with the injured tissue, promoting repair. The project involves a team of scientists, engineers, and clinicians from Italy, Spain, and France working together to create and test this innovative technology.


Latest update (August 2025):

As of the latest update, the RISE-UP team has successfully developed a prototype of the electrified scaffold and is in the process of testing it in the lab to understand how different electrical stimulations affect stem cell behavior. They have designed a flexible electrode that can fit the spinal cord’s shape and deliver electric pulses safely. 

 


Patient enrollment / clinical trial (update August 2025):

The project is still in the experimental stage and has not yet begun testing in human patients. The next steps will involve further laboratory research and preclinical studies to ensure safety and effectiveness before moving toward clinical trials in people with spinal cord injury.

NEW HERE!!- 3D material + STEM-CELLS + lab-grown tissues - PRE-CLINICAL - UNIVERSITY OF MINNESOTA - USA

Background Information (September 2025)

Scientists — including researchers from Dr. Ann Parr’s lab at the University of Minnesota — have pioneered a new approach to spinal cord repair by combining 3D bioprinting, stem cell technology, and lab-grown tissues.
Scientific publication: Advanced Healthcare Materials

This study demonstrated several key findings:

  • 3D bioprinted iPSC-derived spinal neural progenitor cells (sNPCs) successfully produced functionally active neurons in vitro (in the lab).
  • Transplantation of 3D bioprinted spinal cord organoid scaffolds improved functional recovery in rats with spinal cord injury (SCI).

Key Definitions

  • iPSC (Induced Pluripotent Stem Cells): stem cells generated in the lab by reprogramming adult cells (such as skin or blood cells) back into an embryonic-like state.

  • sNPCs (Spinal Neural Progenitor Cells): specialized cells derived from iPSCs that can give rise to various spinal cord cell types. In this study, they were embedded into a 3D bioprinted scaffold, which was transplanted into the injured spinal cords of rats. The scaffold functions as a guide or relay system, bridging the damaged area and directing new nerve cell growth.

  • Organoid: a 3D cluster of cells grown from stem cells (in this case, iPSCs) that mimics the structure, development, and function of a real organ — here, a portion of the spinal cord.

 


Latest Update (September 3, 2025)

“Regenerative medicine has brought about a new era in spinal cord injury research. Our laboratory is excited to explore the future potential of our ‘mini spinal cords’ for clinical translation.”
— Ann Parr, Professor of Neurosurgery, University of Minnesota
Source: Science Daily

 

 


Clinical Translation and Patient Enrollment (Update: September 3, 2025)

This therapy remains experimental and is still far from being tested in human patients. The immediate next steps include:

  • further in vitro research,

  • additional preclinical animal studies, and

  • detailed safety and efficacy evaluations.

These will be required before moving forward to clinical trials.

Limitations of the Current Animal Study (publication above)

  • Timing of treatment: In the study, therapy was administered immediately after injury (acute stage). More research is needed on its effectiveness in chronic SCI, which is far more relevant to most patients.

  • Type of injury: The experiments used a transection model (completely severed spinal cord). While this does occur in humans, the most common form of SCI is contusion (bruising and crushing injuries), which was not addressed in this study.

  • Functional refinement: The publication notes that further optimization is required. For instance, enabling regrowth of neurons in multiple directions through the scaffold could help restore not just motor function but also sensory recovery.

Adipose cells – Mayo Clinic – Clinical trial Phase II (safety+efficacy): Active but NOT recruiting patients anymore (USA)

Background Information (Update – August 2025):

In 2019, the Mayo Clinic conducted a first-in-human study to assess the safety of mesenchymal stem cells (MSCs) derived from adipose (fat) tissue. These autologous cells (collected from the patients themselves) were administered into the cerebrospinal fluid (CSF) of participants with spinal cord injury. The trial yielded unexpected results in one patient with a chronic, incomplete spinal cord injury. This individual, who had previously reached a recovery plateau and remained wheelchair-dependent, experienced significant functional improvement following the transplant of adipose-derived MSCs (AD-MSCs). Details of this case were published here.

It is important to note that this outcome was observed in only one patient; the other participants did not demonstrate similar improvements.

Building on these findings, a new clinical trial was launched in 2020 to evaluate both the safety and efficacy of intrathecal delivery (via lumbar puncture) of AD-MSCs in a larger group of patients with complete or incomplete spinal cord injuries. This randomized, crossover trial design ensured that participants who initially received only physical therapy (control group, no stem cells) later also received a single AD-MSC injection.


Latest Update (August 26th, 2025):

The Mayo Clinic has released interim results from the CELLTOP trial, which has enrolled 10 participants to date. Among them, 7 individuals have shown measurable improvement. Notably, one participant with an incomplete spinal cord injury—whose early progress was first reported in 2020—continues to improve and has demonstrated greater recovery than the other six responders.

More details are available in this U2FP blog post and in the April 2024 Nature publication. As highlighted in this Mayo Clinic article, Dr. Bydon emphasized that “an important next step is identifying which subsets of patients are most likely to benefit from stem cell therapies.” He further noted that research will continue with a larger, controlled trial in which patients are randomly assigned to either stem cell treatment or placebo.


Patient Enrollment (Update – August 26th, 2025):

According to ClinicalTrials.gov, the CELLTOP trial is currently active but no longer recruiting participants. Based on the published inclusion criteria, enrolled patients were individuals who had achieved some degree of recovery post-injury but had since plateaued.

Further information can be found under trial identifier NCT04520373. While the original enrollment target was 40 participants, the April 2024 Nature paper reported only on data from 10 individuals. It remains unclear whether the remaining participants will be recruited under this trial protocol or whether a new study will be initiated to expand and optimize the treatment strategy.

Mesenchymal stem cells from adipose tissue + EPO – Neurogel en Marche -TRIAL PLANNED- (China/France)

Background Information:

In March 2019, twelve patients with chronic spinal cord injuries (nine with paraplegia and three with quadriplegia) took part in an experimental treatment program at the International Treatment Center for Spinal Cord Injury in Kunming, China. Six French and six Chinese participants received a therapy consisting of an autologous cell growth matrix derived from adipose tissue—described as fat enabled—combined with erythropoietin (EPO). This intervention was followed by an intensive 14‑month rehabilitation program.

Although this initiative was not conducted as a registered clinical trial and does not appear in international trial registries, it is noteworthy because it was organized by a patient association on a non‑profit basis, with the aim of accelerating access to potentially promising therapies.

According to the Neurogel‑en‑Marche Association:

“All patients had an ASIA‑A score, with complete motor and sensory paralysis, including lesions sometimes greater than 6 cm. Patients continue to recover motor and sensory function even today. They have not yet reached a plateau in their recovery and continue to improve. The majority also experienced varying degrees of genito‑urinary and sphincteric improvements.”

It should be emphasized, however, that the degree of recovery varied considerably between participants, and some of the observed improvements may be linked to the prolonged intensive rehabilitation program. To date, no peer‑reviewed publication has reported outcomes from this initiative, although the French association has stated that a manuscript is in preparation. Further details can be found on the association’s website (Neurogel‑en‑Marche).


Latest Update (August 26th, 2025):

April 2025: An animal study investigating activated fat (AF) in rodents with acute spinal cord injury was published in Cells.

The study reported that AF reduced endogenous inflammation after spinal cord injury and led to significant improvements in sensorimotor function. Furthermore, activated adipose tissue appeared to restore the segmental sensorimotor loop and re‑establish communication between supra‑ and sub‑lesional spinal cord regions. These findings suggest that AF grafting may represent a promising therapeutic option for spinal cord repair following traumatic contusion in humans.

At present, however, no results have been published from animal studies in chronic SCI models, which the Neurogel‑en‑Marche Association previously announced.


Patient Enrollment / Human Trial (Update – April 2025)

The Neurogel‑en‑Marche Association is currently preparing a second experimental trial, potentially to be conducted in Europe and/or China. In a March 2024 Facebook post, the group announced plans to initiate a human study in individuals with acute spinal cord injuries. This project is reportedly being coordinated by Hôpital de La Timone (Marseille, France) and Hôpital Louis Pasteur (Colmar, France).

As of August 2025, no further official updates have been made available.

 

Nose Cells (OEC’s)+ Nerve Graft + rehab –Australia/ UK/ Poland- Human trial NOW RECRUITING (AU)

Background Information (Update – August 2025)

Poland / UK (2014–2016):

In October 2014, a paralyzed patient in Poland was reported to have regained significant function following a pioneering surgical procedure. In this approach, olfactory bulb–derived nerve cells(taken from deep within the brain) were transplanted into the spinal cord, together with peripheral nerve tissue from the patient’s ankle to bridge the lesion.

While this outcome must be interpreted cautiously given that it involved a single case, the result was notable: the patient improved from complete paraplegia (ASIA A) to incomplete injury (ASIA C) and regained multiple functions. Published data on this case can be accessed here.  

This groundbreaking work was championed by the late Dr. Geoffrey Raisman in the UK (d. 2016). A few additional patients were later treated by Dr. Pawel Tabakow in Poland, although similarly significant improvements have not been reported.

Although the related clinical trial remains officially listed as “recruiting” on ClinicalTrials.gov, the Walk Again Project at Wrocław Medical University does not appear to be actively enrolling participants at this time.

United Kingdom (Ongoing Research):

The Nicholls Spinal Injury Foundation continues to support complementary research into olfactory ensheathing cells (OECs). A new clinical trial in the UK is reportedly in preparation, though with a slightly modified protocol—potentially drawing on a different source of olfactory cells and applying revised patient selection criteria. At present, no public information has been released, but this effort may be directed toward acute rather than chronic injuries.

Relevant preclinical work includes a 2019 study on OEC transplantation combined with biomaterials. The authors concluded that:

“Combining OECs with biomaterials such as collagen significantly increases transplant size without reducing the repair capacity of OECs. This enhances the feasibility of bridging larger spinal cord injury areas, such as human contusion lesions. Furthermore, elongation of OECs guided along nanofibers provides directional pathways, potentially improving regeneration of nerve fibers in spinal cord injury.”          


Latest Update (August 23, 2025):

Australia:

Griffith University and the Perry Cross Foundation (Queensland, Australia) have announced the launch of patient recruitment for their clinical trial of olfactory nerve bridge cell transplantation combined with intensive exercise therapy.

How this approach differs from earlier efforts in Poland and the UK:

  • The therapy is still based on OECs, but the Australian team uses cells collected from a minimally invasive nasal biopsy (rather than removing tissue from the olfactory bulb deep in the brain).

  • The cells are then purified, engineered, and formed into 3D cellular nerve bridges, which neurosurgeons can implant directly into the injured spinal cord.

  • This configuration is expected to enhance survival of transplanted cells and leverage OECs’ regenerative potential more effectively.

According to the foundation: “This Spinal Injury Project is reinventing and rethinking how cells can grow, leading to the creation of new cell products. By combining advanced cell purification and engineering techniques, the team has designed 3D nerve bridges that can be accurately implanted into the lesion site.”

A  short explanatory video is available on the foundation’s website.


Patient Enrollment – Clinical trial (Australia – Update August 23, 2025)

The trial at Griffith University (Gold Coast, Queensland) is now recruiting. Recruitment proceeds through an Expression of Interest (EOI) process, in which potential participants complete an eligibility questionnaire, here.

Trial design:

  • Control group: intensive, long-term rehabilitation only.

  • Active group: intensive, long-term rehabilitation plus olfactory cell nerve bridge transplantation.

Eligibility (summary):

  • Complete (ASIA A) or incomplete (ASIA B or C) injuries.

  • Cervical injuries (C5–C8) or thoracic injuries (T1–T12).

  • Patients must have completed their initial physical rehabilitation.

Additional inclusion/exclusion criteria, along with FAQs, are available on the foundation’s project page. The trial does not yet appear on ClinicalTrials.gov.

 

IPS* / Reprogrammed Stem Cells – Phase I (Safety) clinical trial ONGOING (Japan)

Background Information (updated August 26, 2025):

In February 2019, Japan’s Ministry of Health approved the clinical use of induced pluripotent stem cells (iPS cells). These are cells created by reprogramming mature body cells back into an embryonic-like state, allowing them to differentiate into various cell types such as nerve cells. IPS cells demonstrate regenerative potential comparable to embryonic stem cells but avoid ethical controversies as no embryos are used.

This ongoing human trial follows successful experimental transplants in monkeys by Professor Hideyuki Okano and colleagues at Keio University, which enabled motor function restoration and walking ability. A scientific publication from September 2021 provided initial details about the upcoming human trial. The first patient surgery was reported in January 2022, and since then, three more patients have undergone the experimental treatment.

Regarding the mechanism of action, Dr. Okano explains:

“When we talk about ‘regeneration,’ we mean making something occur again. By transplanting neural stem cells into the spinal cord, developmental processes involving neurons, astrocytes, and oligodendrocytes can be repeated. This allows us to reestablish interrupted neuronal circuits, supplement axons with glial cells, restore myelin sheaths, repair damaged tissue structure, and restore functionality.”

The team is also developing a variant of iPS cells intended for treating chronic spinal cord injuries. A Dec. 1st, 2022 publication  details this mechanism and conditions under which such transplants may benefit chronic injuries, particularly when combined with other therapies.


Latest Update (August 26, 2025):

A Nature (March 2025) article reports that four patients have received the iPS experimental treatment, with two demonstrating significant functional improvement. The remaining two have shown little progress. All procedures occurred between two to four weeks post-injury (subacute phase), a period that can involve spontaneous recovery. This natural healing complicates attributing improvements solely to the treatment.


Patient Enrollment / Clinical Trials (August 26, 2025 update):

It remains uncertain whether additional patients will be enrolled in this trial or if new trials will be launched. Furthermore, it is not yet clear whether this iPS therapy will be applicable to chronic spinal cord injuries.

Neuroplast (NL) – Stem Cells from Bone Marrow – CLINICAL TRIAL NOT RECRUITING ANYMORE (Spain) & PLANNED (Denmark)

Background info (update August 26th, 2025):

Neuroplast is an independent company founded in 2013 and located on the Brightlands Maastricht Health Campus in The Netherlands. A preclinical study showed that Neurocells, the product of Neuroplast obtained from the patient’s own bone marrow, significantly improved both locomotor functions and survival in rats with spinal cord lesions compared to rats treated with placebo (drug without an active agent). Source: http://www.neuroplast.com/. A Phase I trial has shown the treatment to be safe. The therapy involves the transplantation of Neurocells and would take place in two different centers: Toledo (Spain) and Copenhagen (Denmark). The Neurocells are expected to have positive effects both in terms of neuroprotection and neuroplasticity and thus contribute to a level of functional return in both chronic and acute spinal cord injury. So far, the human trial has taken place only in Spain.


Latest update (August 26th, 2025):

We contacted Neuroplast to obtain an update and are awaiting their reply. No further information has been published recently regarding the efficacy results of the treatment tested in the recent clinical trial in Spain.

Phase II/III (efficacy) trial: In September 2023, the company reported that 16 patients had been treated and that the first trial results would be available in February 2024, with full study completion expected by August 2024. « The intervention group received Neuro-Cells® in the sub-acute phase after sustaining trauma, with six months follow-up to their primary endpoints. The placebo group initially received placebo but have been or will be treated with Neuro-Cells® after the initial six-month follow-up period. »


Patient enrolment/clinical trials (August 26th, 2025):

The Phase II trial (aiming to check efficacy), involving individuals with traumatic acute/sub-acute spinal cord injury (6–8 weeks after lesion) remains active but is no longer recruiting in Spain. It is unclear if patients will be recruited in Denmark. More information can be found here: NCT03935724.

Chronic SCI:
It is noteworthy that the ongoing trial recruiting patients in their sub-acute phase (6–8 weeks after SCI) will also test the therapy’s effect during the chronic phase. The protocol’s « early and late intervention cross-over design » assigns control-group patients to receive placebo at the sub-acute stage but then offers the stem-cell treatment six months after injury. Thus, although chronic SCI patients cannot enroll initially, the trial will nevertheless assess therapy effects at the chronic stage.

Neural stem cells transplant - USA (trial initiated by Neuralstem Inc) - Dr Ciacci, San Diego - Long Term patients follow-up

Background information (August 2025)

A clinical trial was launched in the USA in October 2014, sponsored by the biotech company Neuralstem, to evaluate the safety of their neural stem cells (NSI-566) in patients with chronic spinal cord injury. Four patients were treated. By October 2015, it was reported that the stem cell implantation had been safe and well-tolerated.

Since then, however, Neuralstem has effectively disappeared as a company pursuing therapies for spinal cord injury or ALS. First, it changed its name to Seneca Biopharma, marking a clear shift in focus. Later, following a merger, it became Palisade Bio and is now focusing exclusively on gastrointestinal therapies. As a result, there is nothing left of the original effort to advance research into therapies or cures for SCI and ALS. Unfortunately, this serves as another (sad) example of how market forces often do not align with the needs of patients, and how patient priorities may diverge from those of researchers and investors.


Latest update (August 27th, 2025)

The four patients who received neural stem cell transplants in 2014 have been followed closely by Dr. Ciacci in San Diego. They were the subject of a scientific report published in Cell Reports Medicine in December 2024, which described the long-term safety and clinical outcomes of the trial.

The publication confirmed that all four subjects tolerated the stem cell implantation procedure well. Two of the patients showed durable, electromyography-quantifiable evidence of neurological improvement, along with increased motor and sensory scores five years after transplantation. Importantly, all four patients originally had chronic (1–2 years post-injury), complete thoracic spinal cord injuries at the time of treatment.


Patient enrolment/ clinical trials (update August 2025)

The trial is still listed as recruiting patients on the ClinicalTrials.gov website. However, continuation appears unlikely since the sponsoring biotech company has long disappeared.

Dr. Wise Young- Umbilical Cord Blood Stem Cells (UCB) + combinations – Phase II CLINICAL TRIAL PLANNED (USA)- TRIAL TERMINATED IN TAIWAN

Background information (update August 2025):

In the fall of 2014, Dr. Wise Young (Rutgers University and SCINetChina) presented preliminary findings from the Umbilical Cord Blood (UCB) & Lithium Phase II clinical trial conducted in China. He explained that although none of the chronic ASIA A participants showed improved motor scores, 15 out of the 20 patients were able to take steps with the aid of a walker during rehabilitation.

You can view part of Dr. Young’s 2014 presentation at the Working2Walk symposium here.

The study has since been published in the open-access journal Cell Transplantation. See the publication abstract here.

Many questions remain regarding the extent of the reported “functional” recovery. For example: is the observed walking functional if patients’ motor scores did not improve—meaning they could not willfully contract any muscles? In addition, the source of reported improvements remains unclear. Because the treatment combined stem cell transplantation with intensive physiotherapy, it is difficult to identify which of the two (or both) primarily contributed to the changes.


Latest update (August 27th, 2025):

  • April 2025: We reached out to a member of Dr. Wise Young’s team for an update but have not yet received feedback.
    The most recent information dates back to a November 2024 Zoom call, during which Dr. Wise Young explained the current status of his research. He mentioned that the upcoming trial might instead take place in Hong Kong, as it is easier to raise funds there. American patients wishing to participate would therefore need to travel to Hong Kong.

    Dr. Young also described recent research focusing on T12/lumbar spinal cord injury models. In such cases, the Central Pattern Generator (CPG) ceases to function, and his findings suggest that a combination therapy approach may be necessary.

  • Earlier update (2023): Dr. Young was still actively raising funds to launch the U.S. trial and had expressed hope of starting in fall 2023.

    In a September 2021 presentation, he announced significant changes to the planned U.S. trial design: it would now include 40 participants and feature a control group (patients not receiving stem-cell treatment). Lithium would be removed from the protocol to simplify it. Instead, the trial would only involve UCB stem cells and/or intensive physiotherapy.

    The trial was initially expected to begin in January 2022. However, StemCyte—the company originally providing the stem cells—pulled out of the U.S. trial and launched their own trial in Taiwan. As a result, the team has had to seek a new cell source and restart the IND (Investigational New Drug) approval process from the beginning. The FDA is requiring additional safety and efficacy studies to validate any new stem cell sources.

 


Patient enrollment/ clinical trial (update August 27th, 2025):

  • USA and/or Hong Kong:
    The study remains in preparation and is not currently recruiting patients.
    The previously announced inclusion criteria were:

    • Complete injury between C5 and T11

    • Injury duration greater than 1 year

    • Age between 18–64 years

    For more information, contact: sciproject@dls.rutgers.edu.

  • StemCyte’s trial in Taiwan:
    The biotech company that had withdrawn from the U.S. clinical trial later launched its own study in Taiwan (NCT03979742). However, the company terminated the trial in February 2025 for strategic reasons.

 

Matricelf iPSCs neural implants/ bioscaffold - Israel - HUMAN STUDY PLANNED TO START IN 2026

Background Info (updated August 2025)

In 2023, Matricelf reported the “generation of autologous 3D-engineered tissues utilizing the patient’s own induced Pluripotent Stem Cells and Extracellular Matrix.” Source: Matricelf’s website.

Earlier, in 2022, a scientific paper was published entitled “3D Dynamic Biomaterial-Based Mimicking the Embryonic Development of the Spinal Cord.” The transplanted tissue, a bio-scaffold, consists of a thermo-responsive hydrogel prepared from the patient’s omentum (matrix), combined with iPSCs. These Induced Pluripotent Stem Cells (iPSCs) are adult stem cells reprogrammed to a pluripotent state, offering high differentiation potential. In this case, the cells originated from the patient and were reprogrammed into spinal cord motor neurons. The regenerative implants were shown to bridge the injured spinal tissue.

Possible limitations of the animal experiments described in the paper:

  • Injury model: Experiments were performed in mice with a hemi-section at the T10 level, 6 weeks after spinal cord injury. Some researchers consider a hemi-section less clinically relevant than a complete contusion model.

  • Scar-tissue resection: The scaffold/implant was inserted after surgical resection of the scar. This approach is debated, since potentially viable nerve cells could also be removed along with the glial scar.

Despite these concerns, the first results were encouraging. An MRI performed after treatment showed “a higher number of neurons with elevated expression of markers associated with axon sprouting during development and regeneration.” This correlated with a significantly higher level of functional recovery, as assessed by sensorimotor analyses.


Latest Update (August 27, 2025)

  • August 2025: Matricelf has now formed an Clinical Advisory Board and has obtained received regulatory approval for a « compassionate use program » in Israel, allowing treatment of up to 8 patients with severe SCI under strict protocols, pending final ethics committee approvals.

  • In March 2025, Matricelf and Cellino announced “a collaboration to accelerate the global biomanufacturing of personalized spinal cord injury treatments using Cellino’s Nebula™ technology combined with Matricelf’s breakthrough regenerative approach. This collaboration combines Cellino’s automated iPSC manufacturing with Matricelf’s double-autologous 3D differentiation process, paving the way for scalable, patient-specific regenerative therapies.” More details here.

  • Previous Updates:

    • March 2024: According to Matricelf’s [LinkedIn post], the company successfully completed a pilot safety study in rats using engineered human neural tissue for treating spinal cord injury. Over a six-month period, the implants were shown to meet strict safety standards, including maintenance of normal clinical features and absence of teratomas.

    • Matricelf also reported prior feasibility testing in a porcine model, considered closer to the human condition. Additional animal trials are planned before transitioning to human studies.


Patient Enrollment / Clinical Trial (Planned 2026)

According to Matricelf’s latest investor deck (April 2025), first-in-human trials are scheduled to begin in 2026. Source: Matricelf’s website.

  • In 2022, the company indicated that the trial would include 5–10 patients with spinal cord injury.

  • The 2022 scientific publication emphasized the importance of testing therapies for SCI at the chronic stage, when spontaneous recovery has plateaued—suggesting a focus on chronic injuries.

  • However, Matricelf’s LinkedIn updates state that the first clinical trial will target acute injuries.

  • As of now, the company’s website does not clarify whether chronic SCI patients will be included in the initial trial phase.

"Dancing molecules" biomaterial scaffold - ANIMAL STUDY (PRE-CLINICAL STAGE- USA)

 

Background info (update August 2025)

A scientific paper was published in 2021 featuring « Dancing Molecules » and their ability to « reverse paralysis. » The experiment focused on rodents with severe acute spinal cord injury (SCI). A video shows rats walking again 4–6 weeks after the injection (though their movement is far from normal, so the term « reverse paralysis » may be overstated). The discovery, led by Dr. Samuel Stupp (Northwestern University), attracted major media attention.

This « injectable therapy » is based on « super-molecular chemistry » and nanomedicine. The injected material looks like water but contains nanofilaments/nanofibers, which turn into a gel upon contact with body cells. Super-molecules are ensembles of thousands of molecules assembled together. The injected molecules are specially designed with signals to follow spinal cord cells, which have membrane receptors and are constantly moving.

The researchers claim that the therapy produces the following five effects (in rodents with acute SCI):

  • Regenerates axons after severe acute injury

  • Enhances vascular growth (blood vessels inside the spinal cord)

  • Remyelinates axons

  • Saves many motor neurons (essential for movement)

  • Diminishes the glial scar

 


Latest update (August 27th, 2025)

  • The Stupp lab is actively working to bring the « dancing molecules » bio-scaffold for acute SCI into clinical trials in the USA. While FDA authorization will take time, progress toward this goal is positive. The lab is also identifying optimal therapeutic combinations to make the treatment effective for chronic SCI, investigating various combinatory scenarios. Addressing the glial scar is a major challenge in chronic injury.

  • Earlier updates include:

    • In October 2023, Northwestern University and Northwestern Medicine published an article describing latest developments in Stupp’s lab, referencing an October 2023 publication about a molecular scaffold enhancing electrical activity and neuronal growth.

    • A January 2023 paper from Stupp’s lab described the advantage of combining the dancing molecules bio-scaffold with iPSCs (induced pluripotent stem cells genetically reprogrammed into neurons).

    • In September 2022, during the U2fp symposium, Dr. Stupp mentioned successful replication of the rodent study by a French lab on rats, showing similar recovery levels.


Patient enrollment/ clinical trial (update August 27th, 2025)

The Stupp lab is currently preparing an IND (Investigational New Drug) application to the FDA to initiate testing of the therapy in acute spinal cord injury models. Due to the complexity of this multi-molecule therapy, FDA categorization was initially uncertain, but it is now recognized under the Orphan Drug program, providing regulatory support as a single entity.

Delivery methods for injecting the therapy into the human spinal cord remain under discussion, with intradural injection (through the dura mater) considered the most likely approach, following consultations with neurosurgeons.

Chronic Spinal Cord Injury: Dr. Stupp emphasizes his determination to test the therapy in chronic spinal cord injury as well, although no timeline has yet been announced. It is likely that the biomaterial will need to be combined with an additional therapy—such as a molecule to alleviate the glial scar or a growth factor to promote axonal growth—to achieve significant functional recovery in cases of older injuries.

Smart-cells - Inteligex - Dr M. Fehlings, Canada - Animal studies

Background info (August 2025):

Dr. M. Fehlings created a biotech, Inteligex, to develop a combination therapy for spinal cord injury and advance it to the clinic. The therapy is based on « Smart Cells, » now referred to as ReStaRT cells. Fehlings, in a 2022 interview, states:
« Spinal cord regeneration is particularly challenging because at least three main cell types are damaged as a result of injury. For spinal cord regeneration to be successful we need the capability to replace: 1) Neurons that relay information via electro-chemical signaling, 2) oligodendrocytes that insulate the long processes extended by neurons known as axons, and 3) astrocytes that help maintain homeostasis in the nervous system. »

Inteligex Smart Cells are pluripotent stem cells. Tested on a cervical spinal cord injury model, the treatment is designed to enable axonal regeneration and also involves strategies to dissolve the glial scar and stimulate dormant neural connections.


Latest update (August 2025):

As of August 2025, there appears to be no recent update specifically on pre-clinical studies or the clinical translation pathway. However, the Inteligex website now highlights the use of AI to provide personalized treatments for people with acute or chronic spinal cord injury, stating:
« … Inteligex is developing state-of-the-art Artificial Intelligence (AI) solutions that allow for the accurate prediction of disease progression along with biomaterial strategies that, when combined with stem cell therapy, will provide a personalized treatment approach for SCI. »

More information about the therapy and their ReStaRT platform can be found in a video posted in 2023 on the biotech’s LinkedIn page. The video explains that ReStaRT cells are engineered to match both the patient’s level of injury and the time elapsed since injury, which is promising given the uniqueness of each spinal cord injury and the need for tailored treatments.


Patient enrollment/clinical trial (update August 2025):

The biotech aims to prepare the ReStaRT cell therapy for human use and clinical trials. However, the treatment is still in very early stages, and it will likely take considerable time before it is tested in human patients. It is currently unknown whether the trial will include chronic spinal cord injury cases. 

Targeted therapy for regeneration. Courtines PhD and Anderson PhD- EPFL- Zwitserland

Background info (June 4th, 2025):

Scientists at NeuroRestore/EPFL/CHU Vaudois, in Dr. G. Courtine’s lab in Switzerland, reported in Science (Sept. 2023) that they have developed a gene therapy that stimulates nerve regrowth across the lesion and guides nerves to reconnect to their natural targets below the injuries to restore motor function. The following very short video explains the background of the current therapy being developed at EPFL, Switzerland, involving G. Courtine, M. Anderson, and J. Squair.

You may also listen to Dr. J. Squair and Dr. M. Anderson in this podcast published by U2fp. Alternatively, you may read a very informative article by Sam Maddox for U2fP regarding this line of research here.

The earlier proof of concept was received as very promising, partly due to its highly focused and innovative approach. We, however, wanted to make it more clinically relevant. Therefore, we approached Dr. Anderson and suggested a more challenging but important experiment, whereby the treatment would be applied after the injury rather than before, and include a cohort of rodents with chronic SCI.


Update June 4th, 2025: Funding by endParalysis and GUSU2Cure Paralysis (2023–2025) — Results:

Study name: « Recovery of walking after chronic spinal cord injury paralysis by regenerating key neurons to their natural target with post-injury vector delivery »
Funding: 40K€ in 2023 (80% downpayment) and 10K€ in 2025.

We thank our partner GUSU2Cure Paralysis for co-funding the project with us at 50% of the total cost. Together, we funded the chronic application of a concept study led by Dr. Anderson in collaboration with Dr. Squair and Dr. Courtine (EPFL, Switzerland). Their gene therapy had previously been shown to stimulate nerve regrowth across lesions and guide nerves to reconnect to their natural targets below the injury, thereby restoring motor function in acute settings (i.e., shortly after injury).

The outcome of the therapy delivered at the chronic stage is as follows:

  • In anatomically complete spinal cord injuries (SCI), the chronic study did not yield positive results. Further analysis confirmed that the lesion core created too dense a physical barrier for axons to overcome, and consequently, all animals remained paralyzed.

  • However, in anatomically incomplete lesions (i.e., when some neural connections remain across the lesion), the therapy proved effective. Data demonstrated that enhancing neuronal growth above the injury alone is sufficient to drive regeneration and functional recovery in chronic SCI.

This approach and its results were described by Dr. Anderson during the U2FP 2024 research symposium. You can watch his highly informative presentation in this 10-minute video.


Patient enrollment / clinical trials / next translational steps:

This study is still at a very early stage. The study covered by the Sept. 2023 Science publication was a proof of concept. The protocol has to be made more clinically relevant to translate the therapy to humans with chronic complete spinal cord injury.

The next translational steps are going to start soon and include a study involving non-human primates living with chronic SCI.

Gene therapy- Blackmore Lab – Pre-clinical stage (animal studies- Marquette University USA)

Background info (update June 2025):

Triggering regenerative competence in chronically injured CST neurons with controlled cellular stress (24.3K€ funding by endParalysis to the Blackmore lab in 2023–2024):

One of the many obstacles to motor and sensory recovery after a complete spinal cord injury is that nerve regrowth does not occur spontaneously in the central nervous system. Researchers have often managed to obtain neuronal sprouting, which is a significant achievement, but this only leads to limited functional recovery. The target of this study is to enable long axonal regrowth, and more specifically to make Corticospinal Tract (CST) neurons more responsive to existing pro-regenerative approaches by using gene therapy.


Latest results and update (August 27th, 2025):

Update August 2025: The lab is currently working on the next step, i.e., an animal study including the stress-priming strategy as well as a few additional components, among them a nerve graft, to try to bypass the thick scar tissue that developed shortly after the spinal cord injury. The study is funded by one of our partner foundations.

Previous update/ results: EndParalysis seed funding enabled the Blackmore Lab (USA) to complete important experiments on a promising new approach to treating chronic spinal cord injury. Their research focused on a “stress priming” strategy, which aims to stimulate repair in the long nerve fibers (axons) that connect the brain to the lower spinal cord. Interruption of these long fibers due to injury causes paralysis after spinal cord injury. A key advantage of this approach is its potential to work at any stage after injury—even years later—by reactivating neurons that have been inactive.

Notably, while previous research worldwide has promoted the growth of side branches of these nerve fibers, this is the first time a team has succeeded in influencing the growth of the main axon itself. Dr. Blackmore notes, “Although the observed growth was subtle, the results and insights gained are very encouraging and provide crucial preliminary data for seeking further support for the next phase of research.”


Next translational steps toward clinical translation:

The path to human translation is still very far away since this study is only meant to test the innovative concept developed by Dr. Blackmore. However, if successful, this concept could bring a real breakthrough toward functional recovery after chronic spinal cord injury.

Mend The Gap - bio-materials platform for combination therapies - Basic/ pre-clinical research - UBC (Canada)

Background info (August 2025):

Mend The Gap is an interesting approach to spinal cord injury repair. It takes into account the huge complexity of SCI and the need to leverage knowledge across various disciplines to develop a combinatory treatment. The project’s goal is « bringing together scientists, engineers, clinicians, translation specialists, and the spinal cord injury community to address the grand challenge of repairing the spinal cord after injury. » A CAD 24 million grant has been allocated to the Mend The Gap platform by the Canadian federal government.


Latest update (August 2025):

We contacted the Mend The Gap team but have not received any update from them.

Earlier updates indicate that the biomaterial platform is still under development, and it is not known whether a roadmap toward clinical translation is available. However, the Mend The Gap website highlights four focused themes:

  • Theme 1: Biomaterials Bridges
    Manufacturing injectable biomaterials that provide a soft scaffold to guide nerve fiber regeneration.

  • Theme 2: Combination Treatments
    Combining drugs, rehabilitation training, and electrical stimulation to (a) promote axon growth, (b) reduce scar tissue formation, and (c) enhance integration of newly grown axons into functional spinal circuits.

  • Theme 3: Imaging & Injection
    Developing methods to inject biomaterials into the spinal cord without causing further damage, using biomedical imaging and artificial intelligence.

  • Theme 4: Ethics & Translation
    Understanding human preferences and values to identify suitable candidates for experimental SCI treatments, and developing methods to improve treatment literacy and communication for informed decision-making.

 


Patient enrollment / clinical trial (update August 2025):

The goal of Mend The Gap is to accelerate research toward finding a cure for spinal cord injury through broad knowledge sharing. It is currently unknown whether or when this will lead to a therapy and human clinical trials.

ARCHIVE (OLDER RESEARCH OR TRIALS)

  • SEE SECTIONS BELOW TO CHECK INFORMATION ABOUT COMPLETED OR CANCELLED HUMAN TRIALS FOR WHICH RESULTS WAS PUBLISHED/ REPORTED.

NC1 – Bone Marrow Stem Cells Intrathecal Injection- Late Dr. Vaquero (Spain) – INACTIVE?

Background info:

Vaquero (M.D. Puerta de Hierro University Hospital, Spain) has been studying the impact of the autologous (from oneself)) bone-marrow mesenchymal stem-cells  (MSC’s) intrathecal injection (in the subarachnoid space). Various phase I/III trials have been carried out on both incomplete and complete spinal cord injury patients. More scientific details and detailed results can be found in the three following publications: 2016 publication (complete SCI) and 2017 publication (results for incomplete SCI). According to the latter publication, the latest Phase II trial has shown varying types of (quality of life or clinical) improvement in all patients and resulted in significant improvement in three out of the nine patients measured (those changed from respectively Asia A, B, C Grades to Asia B, C, D (i.e. becoming more incomplete). 

In 2019 the newspaper El Mundo indicated that  (translated from Spanish): “Today, after a long process involving a small group of people with this condition [SCI], they have announced the end of the development of a therapy [NC1] and its approval by the Spanish Agency of Medicines. Everything is ready to start working with 30 new patients [with an incomplete spinal cord injury]. They also reported that “The number of patients will gradually rise over the following years, in a process which is dependent on submitting regular reports and an assessment of the outcomes.”  

Unfortunately, Dr. Vaquero passed away in 2020 and it is not clear what the consequences are on the clinical trial planned earlier. Some information about the trials is available though, on the following page in Spanish.

 

Latest update (MAY 2024):
We tried to get an update about the therapy and clinical trial that was expected to take place in Spain. Unfortunately, we could not find any relevant information. It looks like the clinical trial might have been suspended, after Dr Vaquero passed away in 2020. 

However, a scientific publication  (October 2022) describes the results of administrating the NC1 cellular treatment to two patients with incomplete paraplegia. Both patients had met with a spinal cord injury after an operation treating a begign lesion in their spinal cord. Both patients had met with a spinal cord injury after the surgery, but they could walk before the stem-cell transplantation.  The publication highlights various improvements in the field of pain, ambulation and autonomic function after the NC1 Cells were transplanted intrathecally.

 

Patients enrolment (Clinical trials):
There is currently no clinical trial  published on clinicaltrials.gov using the NC1 cell therapy for spinal cord injury patients.

 

Drug ES 135 (growth factor) – Human trial Phase 3- SUSPENDED (TAIWAN)

Background info:

ES135 is a recombinant human acidic fibroblast growth factor (rhFGF1) with 135 amino acids. With its effect to promote neurite outgrowth, ES135 can be applied to the medical use of repairing neuron function. The sequence of ES135 has been patented by Eusol-biotech in Taiwan, EU, China, and the United States.

Latest update (May 2024):

The human trial started in 2016 and was expected to last until 2024 according to clinicaltrial.gov. Unfortunately, the latter indicates that the trial has been suspended (update in April 2023. The reason included for this suspension is « low recruitment rate ». The patients recruitment criteria was not including whether the person should be at chronic or at acute stage of their SCI. If they wanted to focus on acute spinal cord injury patients, ie a few hours or days after their injury, it would explain why they could not recruit enough patients. Recruitment at the chronic stage of the injury is knowingly much easier and cheaper. We contacted the company to know more about this recruitment issue.

Patient enrolment/clinical trials:

160 patients with complete or incomplete SCI were expected to be recruited in Taiwan. However, the patient recruitment criteria was not precise and do not indicate if the therapy is applied at the acute or chronic stage. The trial was suspended in April 2024. More info: https://scitrials.org/trial/NCT03229031

 

BioArctic – SC0806 (biodegradable device+ FGF1) – CANCELLED (Sweden/ Slovenia)

Background info:

SC0806 is a combination of a biodegradable medical device and a drug substance/ a growth factor (FGF1) and nerve implant designed to support nerve regeneration across the injured area in the spinal cord. The therapy is developed by BioArctic AB, a Swedish research-based biopharma company. BioArctic has received regulatory approval in Estonia for a clinical study in patients with Complete Spinal Cord Injury. BioArctic has received funding from the European Union’s Horizon 2020 Research and Innovation Program to carry out this project. The company also develops therapies for Alzheimer and Parkinson.

Latest update (Nov. 2021):

The company had  announced in February 2019 that the study with the product candidate SC0806 for complete spinal cord injury had progressed into Phase II. Safety and tolerability of SC0806 was assessed as acceptable. However, the results from the preclinical studies could not be replicated in man. No treatment effects were shown as measured by motor evoked potential (MEP) in any of the patients, i. e. the primary endpoint was not met. No convincing effects were seen on any of the secondary endpoints regarding motor function, other functions, or quality of life. Based on the results BioArctic decided to stop recruitment to the study. 

Unfortunately, the company has also decided not to further develop the complete spinal cord injury project after the final patient has completed the training program.

Patient enrolment/clinical trials:

The trial is cancelled.

 

Schwann Cells and combinations – Miami Project- COMPLETED (USA)

Background info:

The Miami Project launched their Schwann Cell clinical trial for chronic spinal cord injury patients in February 2015.  The transplanted cells are autologous (coming from oneself).

Latest update (Sept 2021):

The Schwann cell clinical trial completed its phase 1 (to check safety) and showed that the cells were safe.  The Miami Project is now carrying out further studies combining the Schwann cells transplantation with various other therapeutic strategies such as intensive physical rehabilitation.   Further studies are also in preparation and might involve the combination of Schwann cells with, respectively, growth factors, antibodies, and cell-support matrices.

Patient enrolment/ clinical trial:

This study has now been completed and does not recruit patients anymore. We are not aware of other open studies yet.

 

 

Neural stem cells – Stemcell Inc., Miami Project- Pathway study - Phase 2 clinical trial STOPPED (USA)

Background info:  

The Pathway study was designed to test the effect of adult neural stem cells (derived from fetal tissue) transplantation to chronic spinal cord injury patients with a cervical lesion. Meaningful functional recovery was reported for a few patients who were, for example, better able to use their hand after the transplant.  The outcome was promising for many quadriplegic patients.  However, the recovery pattern was not expected to meet the study “endpoint” (objectives).  Results were therefore deemed as too moderate by Stemcell Inc. to continue the study (The company was running out of cash and it would have cost another $35 million to complete the trial enrolling 52 patients in total).  We hoped that the promising Pathway study might be taken over by another company but no such news has come through so far. Stemcell Inc. pulled the plug on the trial in May 2016 and announced a merger with Microbot Medical, in another, more lucrative market in August 2016.  More info here.

Latest update (Jan 2018):

In October 2017 we learned that the Pathway study might be taken over by a Chinese group. We did however not obtain any confirmation regarding this information.

Patient enrolment/ clinical trial:

This study does not recruit patients anymore.

 

Thème 3

Ré-entraîner la moelle épinière


MAJ: 12 septembre 2025

Stimulation électrique/ neuro-stimulation / magnétique /  et Intelligence Artificielle- Interfaces cerveaux- moelle épinière/ machine (BSI, BMI, BCI)

Introduction:

La stimulation électrique (E-stim – un terme qui peut désigner la stimulation électrique, la neuromodulation, la neurostimulation ou la stimulation épidurale), la stimulation magnétique, la TMS (stimulation magnétique transcrânienne), la stimulation du nerf vague (VNS), l’interface cerveau-machine ou cerveau-ordinateur (BMI/BCI), l’interface cerveau-moelle épinière (BSI) et l’intelligence artificielle (IA) englobent un ensemble de technologies utilisant différents protocoles, impliquant divers niveaux d’invasivité et produisant des résultats variés. Ces technologies reposent sur une base commune en neurotechnologie et visent principalement soit à générer des mouvements automatisés, soit à améliorer les fonctions autonomes (par exemple, le contrôle intestinal et vésical, la régulation de la tension artérielle) grâce à la modulation ou au renforcement des signaux neuronaux. Elles sont généralement considérées comme faisant partie de stratégies d’amélioration de la qualité de vie ou des soins, plutôt que comme des thérapies permettant de restaurer complètement la récupération fonctionnelle ou sensorielle, ou d’apporter une guérison après une lésion de la moelle épinière (SCI).

Dans le cas spécifique de la stimulation électrique (E-stim), qui cible l’automaticité de la moelle épinière, certains patients peuvent ressentir de légères améliorations fonctionnelles. Cela signifie que des muscles auparavant totalement paralysés et incontrôlables peuvent parfois être activés volontairement, même lorsque le neurostimulateur est éteint. Toutefois, ces améliorations sont principalement anecdotiques, observées en général chez des personnes présentant des lésions incomplètes, et n’ont pas encore été largement documentées par des publications scientifiques rigoureuses. 

Les neuro-technologies – Développement commercial (septembre 2025):

Le marché de la stimulation épidurale, délivrée via des dispositifs implantés, est dominé par des entreprises comme Onward Medical, Medtronic et Abbott. Leurs domaines de spécialisation diffèrent : Onward met l’accent sur la récupération fonctionnelle et la gestion de la pression artérielle, tandis que Medtronic et Abbott semblent cibler principalement la gestion de la douleur, tout en explorant également des applications liées à la récupération fonctionnelle.

La neurostimulation transcutanée gagne également du terrain. L’essai clinique d’Onward a montré des résultats significatifs et a conduit à l’approbation par la FDA de son stimulateur non invasif ARC-EX pour le marché américain. Parallèlement, SpineX et Aneuvo font progresser leurs études cliniques : SpineX se concentre sur le traitement des dysfonctionnements vésicaux et autonomes, tandis que le dispositif ExaStim d’Aneuvo est conçu pour améliorer la fonction motrice chez les patients paralysés.

Des approches mini-invasives, telles que l’Injectrode de Neuronoff — une électrode administrée par aiguille — sont développées afin de réduire la charge chirurgicale et d’élargir l’adoption des thérapies de neuromodulation.

Les interfaces cerveau-machine, qui connectent les signaux cérébraux à des stimulateurs médullaires (BSI) ou à des ordinateurs (BCI), restent limitées à des cas de tests précoces et sont fortement invasives, mais elles montrent un potentiel considérable. Bien que Neuralink ait suscité une attention médiatique importante pour ses travaux sur l’interface cerveau-ordinateur, les développements récents suggèrent que les premiers essais humains d’Onward avec une interface cerveau-moelle, associés aux percées rapportées par des équipes de recherche chinoises, pourraient faire progresser le domaine à un rythme plus rapide.


NEW! VAGUS NERVE STIMULATION - Human study results published- NEW HUMAN TRIAL IN PREPARATION (USA)

Background info (August 2025):

Researchers at UT Dallas demonstrated that closed-loop vagus nerve stimulation, paired with individualized rehabilitation, led to unprecedented recovery rates in people with chronic incomplete spinal cord injury (SCI). This approach uses a small device implanted in the neck to deliver electrical pulses to the brain during physical therapy, promoting brain rewiring and improved limb function.


Latest update / Results published or reported so far (August 28th, 2025):

Published in Nature (May 2025), the clinical trial has shown very promising results for people with incomplete spinal cord injury: « After 12 weeks of therapy composed of a miniaturized implant selectively activating the vagus nerve on successful movements, 19 people exhibited a significant beneficial effect on arm and hand strength and the ability to perform activities of daily living. »


Patient enrollment/ clinical trial (update August 2025):

Researchers are now advancing to a Phase 3 pivotal trial involving 70 participants at multiple U.S. institutions. This trial is intended to confirm the efficacy and safety results and could pave the way for FDA approval of closed-loop vagus nerve stimulation for spinal cord injury rehabilitation.

The new trial does not yet appear to be referenced on ClinicalTrials.gov.

NEW! Neuronoff Inc: Micro-invasive neurostimulation via Injectrode to improve bladder and chronic pain issues

Background information (update Sept. 5th, 2025):

Neuronoff Inc is an American company developing solutions for stimulating the sacral, pudendal (in the pelvic region), and posterior tibial nerves using their Injectrode technology. According to the company, the placement of that « Injectable Electrode » is minimally invasive and takes only five or ten minutes.


Latest Update (September 4th, 2025):

  • The minimally invasive Injectrode has been shown to be safe and easy to use in the LIFE clinical trial including patients with chronic back pain. More data: here.

  • A DOD-funded, 3-year-long study will assess both the implementation and the effectiveness of the Injectrode when implanted along the tibial nerve of people experiencing bladder issues due to spinal cord injury. Source: PRNewsWire.


Patient enrolment/ clinical trial (update Sept. 5th, 2025):
An upcoming clinical study using the Injectrode will assess the treatment of neurogenic bladder in individuals with spinal cord injury. This human study is planned but not registered yet.

 

Epidural Stimulation with an implanted stimulator- Many clinical trials ongoing/recruiting or planned

 

Background info (update Sept. 2025):
Patients undergoing this therapy receive a surgically implanted electrostimulation device—either a Medtronic neurostimulator, commonly used for neuropathic pain, or a device from newer companies on the market such as Onward Medical—positioned over a specific segment of the spinal cord. The targeted spinal region depends on the intended therapeutic outcome, such as improving motor function or supporting bladder, bowel, and/or sexual function.

Spinal cord electrostimulation is not a new idea; research dates back to at least 2000. The first published results of epidural stimulation with a Medtronic device appeared in 2014. Since then, numerous large-scale clinical trials and pilot studies have been conducted worldwide, with more currently underway to build on earlier results.

Importantly, electrostimulation should not be regarded as a cure; rather, it enhances quality of life and the outcomes of physical rehabilitation. It does not repair damaged nerves, but may activate residual neural pathways and support neuroplasticity. In some cases, motor functions gained during stimulation persist for a limited time even after the device is switched off.

Meanwhile, several companies—including Abbott and Medtronic—have developed new spinal cord neurostimulation systems that are currently being evaluated in a variety of human clinical trials. While many of these devices are primarily designed to relieve pain, they can also, in some cases, contribute to improved mobility for certain patients.


Latest Update (September 4th, 2025):

The ARC-IM implant has now been used in feasibility studies involving approximately 30 participants, demonstrating encouraging results that support regulatory approval goals (FDA and CE mark) within the next two to three years.


Latest Published or Reported Results (update September 4th, 2025):

  • March 2023 – Biking with epidural spinal cord stimulation:
    A March 2023 publication from the e-STAND clinical trial demonstrated that 7 patients using e-SCS achieved active cycling with stimulation. The best results occurred when stimulation was combined with active, conscious cycling effort.

  • May 2023 – Experimental Spinal + Brain implant (Drs Courtine & Bloch, Switzerland):
    After a spinal implant, a patient received a brain sensor enabling thought-driven walking. Notably, the patient had an incomplete injury and could stand and take some steps before treatment. Details at Nature publication (May 2023), with additional coverage here.

  • February 2022 – ONWARD/Dr Courtine (Switzerland):
    May 2022 paper in Nature: EES with a new ONWARD lead was tested in 3 individuals with complete sensorimotor paralysis (STIMO clinical trial). “Within a single day, activity-specific stimulation programs enabled these three individuals to stand, walk, cycle, swim, and control trunk movements.” Movements ceased when stimulation ended; only limited regeneration was observed. The use is primarily therapeutic.

  • June 2020 – E-stand trial (Dr Darrow, Minnesota):
    June 2020 publication: Of 7 patients with Asia A or B injuries, 4 exhibited volitional movement post-stimulation, with some effects persisting after device deactivation.

  • March 2019 – E-stand trial (Dr Darrow, Minnesota):
    Two women with complete SCI received e-stim without special physiotherapy; results were consistent with other reports (i.e., volitional movement with stimulation). One participant reported experiencing orgasm with the device on. More info here.

  • December 2018 (Dr Krassioukov, Canada):
    A 2018 publication on a single patient (motor-complete, sensory-incomplete injury) found neuromodulation applied to the lumbosacral cord could improve urinary tract and bowel routine, improving patient quality of life.

  • October 2018 – EPLF Switzerland/GTX Medical (now ONWARD):
    Targeted epidural stimulation plus intensive locomotor training improved mobility in 3 patients with incomplete SCI. Details here.

  • October 2018 – Mayo Clinic:
    Nature Medicine reported a patient regained step-taking ability (with trainer aid) through e-stim and intensive physical therapy. See here.

  • October 2018 – Dr Harkema, University of Louisville:
    Four patients gained independent standing and trunk stability (with stimulator on); one could walk short distances with a walker. Sensory-incomplete injuries showed best outcomes. Details here.

  • November 2017 – Dr Harkema:
    Conference poster indicated e-stim plus activity-based therapy may help urogenital and bowel function. More info here.

  • July 2015 – Dr Harkema, Louisville:
    Results published for four patients: Physical training plus stimulation allowed standing and stepping, though only under device activation. Most interestingly, all patients reported notable autonomic improvements.

 


Patient Enrollment / Clinical Trials Worldwide (update September 5th, 2025):

  • ARC-IM Empower BP Study (recruiting patients soon):
    Onward Medical’s ARC-IM device recently received FDA approval to initiate a pivotal “Empower BP” trial targeting blood pressure instability in SCI patients. The study will begin enrollment at 20 top research centers by the end of 2025. More info: https://scitrials.org/trial/NCT07147296.  

  • HemON study (Onward ARC-IM) – Europe/Canada:
    This trial evaluates if epidural stimulation can improve blood pressure and trunk control in chronic SCI (C3-T6). Recruitment is underway in Calgary (NCT05044923) and Europe (NCT05111093), including Sint Maartens Kliniek, Nijmegen (contact: Dr Ilse van Nes).

  • Minnesota – E-stand trial, 100 patients:
    E-stand website and NCT03026816 confirm ongoing recruitment for chronic injuries (C6-T10, ASIA A/B).

  • Kentucky – The Big Idea (Dr Harkema, Reeve Foundation):
    Recruiting 36 planned patients for research on lumbosacral epidural stimulation’s effects on autonomic and voluntary function. Study info: here.

  • UCLA (California):
    As of September 2025, Dr Lu’s study on hand function after cervical SCI and epidural stimulator implantation is listed as active but not recruiting. Details: NCT02313194 (results not yet published).

 

Transcutaneous e-Stimulation (through the skin) RECRUITING PATIENTS

 

Background information (updated Sept. 5th, 2025)

NRT was the very first start-up focusing on transcutaneous stimulation. It was taken over by another company, now known as ONWARD Medical, who now offers both implantable and non-implantable neurostimulation devices. Meanwhile Dr. R. Edgerton, the initiator of NRT, founded another start-up company SpineX. As per their new website, it looks like they shifted focus and are not targeting electric stimulation for functional recovery after spinal cord injury. Instead, they offer treatments for urinary incontinence due to neurogenic bladder (NB, a condition known by spinal cord injury patients). Besides, they are also developing technology to treat the root cause of cerebral palsy (CP).

Meanwhile, another company was set up to bring non-invasive spinal electrostimulation on the market, by the name of Aneuvo and is also testing their Transcutaneous EES platform on patients with chronic paralysis following spinal cord injury.

 


Latest updates (Sept. 10th, 2025 – non-exhaustive)

  • September 9th, 2025: Onward Medical has received CE Mark certification for the ARC-EX® System, enabling commercialization of their transcutaneous spinal cord stimulation system in the European Union and certain other countries. 

  • September 5th, 2025: A case study published by SpineX describes the many positive effects of long-term (30 sessions) transcutaneous neuro-stimulation with their device. The publication reports improvements in urinary bladder, bowel, and sexual function, as well as cardiovascular and sensorimotor functions, in one individual with chronic cervical SCI, 11 years post-injury. These are exceptional results for a non-invasive treatment. However, please note that this concerns a single patient, who was motor-complete but retained sensation below the level of injury and his paralysis was classified as ASIA B.
     

  • April 2025: Aneuvo Inc, now one of the key players in the field of transcutaneous neurostimulation, earned CE Mark Certification for their ExaStim device. This is just after Aneuvo launched the previously announced ASPIRE™ Home Study to Evaluate Home Use of ExaStim.
     

  • January 2025: Onward Medical announces that its ARC-EX transcutaneous neurostimulation device has been approved by the FDA for improving hand strength and sensation in people with spinal cord injury.


Results known so far (update Sept. 5th, 2025 – non-exhaustive)

  • April 2025: SpineX Inc, another key player focusing on neuromodulation targeting bladder, bowel, and sexual issues, reported that their CONTINENCE clinical trial (NCT05301335) has demonstrated safety and efficacy of the SCONE therapy. A BusinessWire article states that:

    – More than 50% of participants reported « clinically significant » improvement in neurogenic bladder symptoms.
    -These positive outcomes are observed in individuals with spinal cord injury or other conditions (Stroke and MS)
    – Additional benefits were reported in bowel and sexual function.
    – What means « clinically significant » in this case? At the end of the 12-week trial, the effect of the treatment was measured by a reduction of 10 points or more on the Neurogenic Bladder Symptom Score (NBSS), a key metric of bladder health. To illustrate this progress, Dr. V Reggie Edgerton, PhD, Co-Founder of SpineX Inc. stated: “Participants not only reported fewer episodes of urinary incontinence but also improvements in bladder sensation, urgency control, and reduced nighttime awakenings. Participants also reported needing fewer catheters throughout the day – a groundbreaking outcome.”

  • May 2024: In Onward Medical’s Up-LIFT clinical study, 90% of participants experienced improvements in upper limb strength or function, and 87% reported higher quality of life.

    Results have been shared in a Nature May 20th, 2024 publication. The Up-LIFT study was focused on people with a cervical spinal cord injury (thus referred to as tetraplegic or quadriplegic). It confirmed both safety and efficacy of their Transcutaneous Electro-Stimulation system, referred to as ARC-EX. With this device, the neurostimulation takes place through the skin and is therefore non-invasive. The publication shows that the vast majority of participants benefited. Indeed, 72% experienced some improvement in both strength and function of their hands or arms. Two very important aspects:

    – The improvement in strength and function was maintained even after the e-stimulator was switched off. It would be interesting to know whether the gain is also maintained after discontinuing the e-stim treatment, and how long.

    – All sixty participants had an incomplete spinal cord injury before starting the trial (they were classified as ASIA B, ASIA C or ASIA D, meaning they already had some sensation or ability to move below their lesion).

    In any case, the functional improvement in hands and/or arms is great news for people with incomplete cervical spinal cord injury, and the study shows that 87% of the patients reported an improvement in their quality of life. For further information, you may read our May 29th blog post on the subject.

  • February 2020: Dr. Edgerton and Dr. Parag Gad show that “We found that TESCoN [the non-invasive transcutaneous e-stimulation therapy offered by the SpineX company] led to decreased detrusor overactivity, improved continence, and enhanced LUT [Lower Urinary Tract] sensation across the different pathologies underlying LUT dysfunction. This study serves as a pilot in preparation for a rigorous randomized placebo-controlled trial designed to demonstrate the effect of TESCoN on LUT function in neurogenic and non-neurogenic conditions.” To be noted that the trial was carried out on 14 patients with LUT dysfunction, 5 of whom had spinal cord injury (other patients had other pathologies, e.g., MS). We are not talking about recovery of bladder function here but rather improvement of the symptoms. Read more in this 2020 publication.

  • May 2019: On the Recovery Research Program website (page now disabled), it read: “In a world-first, Professor Edgerton and his team have re-awakened the spinal cord and successfully restored feeling and function to more than 20 paralyzed people using non-invasive neurostimulation. Six of his patients have recovered hand movement, bladder and bowel control, sexual function and the ability to stand – unprecedented results in the history of medical science.” Once again, it appears that the announcement was rather imprecise and very misleading. The only publication found focuses on six patients only. It is noteworthy to add that these patients all had an INCOMPLETE spinal cord injury (Asia B or Asia C). The publication(Sept. 2018) documents solid hand-grip improvement in all six patients and mentions some improvement in autonomic functions.

     

  • July 2015: Dr. Reggie Edgerton’s group and NRT reported that five men with motor complete spinal cord injuries (two to six years after the injury) improved voluntary “locomotor-like” function. The experiments involved a transcutaneous stimulator in combination with an oral drug already approved for anxiety disorders. See the press release and video here and the scientific publication here. It is worth noting that the so-called “locomotor-like” movements obtained through this method are not functional since they are carried out without any weight bearing. It is, however, an impressive result given that it occurred without any surgery. This external stimulator technology is expected to be complementary to the implanted stimulators currently tried by other groups.

     


Patient enrolment/clinical trials (update Sept. 5th, 2025):

A few clinical studies using transcutaneous stimulation are underway or planned in various countries:

  • USA – Aspire HOME Study by ANEUVO: enrolls participants by invitation. The participants have a Cervical or High Thoracic SCI and test the Aneuvo ExaStim stimulator at home for 6 weeks. This clinical trial is expected to end in October 2025. More info: NCT06850363

  • USA – SPINEX – SCONE CLINICAL TRIAL – RECRUITING (USA) – This trial aims to check improvement in autonomic functions after transcutaneous stimulation with the Spinex appliance. This trial is expected to recruit 26 patients at acute or subacute stage of the SCI, by October 2026. More info: NCT06540859

Should you want to check other human studies using transcutaneous neurostimulation (tSCS) please check the scitrials website for an exhaustive list of trials.

BMI (Brain Machine Interface) for quadriplegic patients- Dr. A-Louis Benabid- Clinatec - France – RECRUITING?

Background information:

The Grenoble-Alpes University Medical Center (France) and regulatory authorities have granted Dr. Alim-Louis Benabid approval to begin the clinical research protocol “Brain-Computer Interface and Tetraplegia” at Clinatec. The study aims to demonstrate the feasibility for patients suffering from tetraplegia due to spinal cord injury to control an exoskeleton’s movements across several degrees of freedom via an implant that measures cerebral cortex activity. The trial will focus on five patients, and recruitment is currently underway. Leti, a stakeholder in this research, has designed a permanent electrocorticography implant called Wimagine®, unique worldwide. When placed on the surface of the cerebral cortex, it can transmit brain signals reliably for years. Source: www.clinatec.fr


Latest update (April 2025):

According to their news release on October 15, 2024, ONWARD Medical N.V., known for its work on electrical stimulation and neuromodulation for spinal cord injury patients, announced signing an exclusive license agreement with CEA to develop and commercialize the investigational WIMAGINE BCI designed by Clinatec as part of its investigational ARC-BCI System to restore thought-driven movement and bodily functions.

Earlier in 2024, the Clinatec website noted that « The Wimagine implant designed at Clinatec using a brain-computer interface (BCI), won an Innovation Award at the major international Consumer Electronics Show (CES) in Las Vegas […] »

Guillaume Charvet, head of the Cerveau-Machine program at CEA, said:
« BCI has been designed to ultimately improve the quality of life of disabled patients by enabling them to control their body’s movements directly via brain activity. Moreover, the system was the first to demonstrate in a paraplegic patient that synchronizing brain activity with movement promotes recovery from spinal cord injury. This gives us great hope in the search for rehabilitation solutions for disabled patients. »

An earlier announcement stated: « The first quadriplegic patient recruited within the trial was operated upon on June 21, 2017. » It remains unknown whether more patients have been recruited and operated on since then.


Patient enrolment (update September 9th, 2025):

The trial is still shown to be recruiting participants according to clinicaltrials.gov. Candidates should be quadriplegic, aged 18-40, fluent in French, and meet other inclusion criteria. The study is expected to enroll five tetraplegic patients, with an anticipated completion date in April 2029. More details: NCT02550522

Transcutaneous Magnetic Stimulation (TMS) of the lower spine (through the skin) for improved bladder function (dr Lu, UCLA- USA)

 

Background information:
In August 2018, neuroscientists were reported to have restored “significant bladder control” by five men with spinal cord injury. “We were excited to see a positive effect in all five patients after only four sessions of mild magnetic stimulation,” said Daniel Lu, the study’s principal investigator and an associate professor of neurosurgery at the David Geffen School of Medicine at UCLA. “The benefit persisted from two to four weeks, suggesting that the spinal cord’s neural circuitry retains a ‘memory’ of the treatment.”  While magnetic stimulation is quite similar to e-stim,  Lu’s team used magnetic stimulation because it’s non-invasive, painless and less costly than an electrical implant. Source: see this article

 

Latest update/Results so far (September 2023):
All five of the men regained the ability to urinate on their own during stimulation,” Lu said. “One patient — 13 years after his injury — was able to completely stop using a catheter and empty his bladder several times a day, up to four weeks after his last treatment.” For more detail see the August 2018 scientific publication The conclusion of that publication is that “neuromodulation of spinal micturition circuitry by TMSCS may be used to ameliorate bladder function”. The ability to urinate at will improved in each patient. Four of the men still had to use a catheter at least once each day — but that was still a significant drop from their average of more than six times a day before the treatment.

 

Patient enrolment/ Clinical trials (Update Sept. 2025) USA- California:

To our knowledge, many more patients have undergone the therapy and have shown progress. We are not aware of the current recruitment schedule but the clinicaltrials.gov website shows that the trial is still active and recruiting (USA).The trial is expected to end in January 2026. See  NCT02331979.

Transcranial Magnetic Stimulation (TMS), alone or in combination with other types of stimulation: Recruiting patients

Background Information: 

Transcranial Magnetic Stimulation (TMS) uses electromagnetic induction to generate electrical currents in the brain that may also influence neuronal circuits down the spinal cord. Recent studies, including research by the University of Helsinki, indicate that TMS could help patients acquire new voluntary movements and retain those abilities for a period even after stimulation is discontinued. Although consistent improvements in spasticity, pain, and voluntary motor function have been reported, most studies are small, short-term, and highlight the need for rigorously controlled trials to draw definitive conclusions.


Latest Update (September 8, 2025)

Several clinical studies are currently underway to evaluate TMS therapy for spinal cord injury and other nervous system disorders. TMS may be applied as a standalone therapy or, in some protocols, paired with additional forms of electrical stimulation.


Patient Enrollment (Update September 8, 2025)

Various trials are recruiting patients at major research institutions. Examples include:

  • Columbia University Medical Center (CUMC) – Combination of TMS and spinal electric stimulation:
    NCT06867809 – Recruiting patients (New York)

  • Shirley Ryan AbilityLab, Chicago:
    NCT02446210 – Status should be confirmed for ongoing recruitment.

Deep Brain Stimulation (DBS) - Switzerland- First results published / Recruiting patients for new trial

Background Information (September 2025):

By stimulating a region of the brain called the lateral hypothalamus (LH), scientists in Switzerland reported meaningful motor recovery in two individuals with incomplete spinal cord injuries (classified as ASIA C and ASIA D). Traditionally, the LH is not associated with motor activity; however, this first pilot study involving two men with incomplete SCI demonstrated that stimulating this area via deep brain stimulation (DBS) resulted in significant improvements in movement for both participants.

DBS is a well-established technique already used for conditions like tremors, Parkinson’s disease, and obsessive-compulsive disorder (OCD). This is the first reported instance of DBS being shown to enhance motor function following incomplete SCI in humans.


Latest Update / Latest Results (September 8, 2025)

  • Scientists at the EPFL/NeuroRestore Center in Switzerland (notably G. Courtine, J. Bloch, and J. Squair) published the first positive outcome of their DBS pilot trial in Nature (December 2024). The study found that DBS immediately improved walking in two participants with incomplete SCI. Additionally, after three months of rehabilitation, functional improvements persisted even when DBS was turned off. It should be noted both individuals were able to walk before treatment, but post-therapy they walked with greater ease and confidence.

  • Scientists at the University of Zurich are launching a clinical trial to investigate the effects of DBS in another part of the brain: the mesencephalic locomotor region (MLR), which is linked to motor command and locomotion.

 


Patient Enrollment / Clinical Trials (Update September 2025)

DBS is actively being tested with human participants living with incomplete spinal cord injury. Notable clinical trials include:

  • University of Zurich (Switzerland): A new study is recruiting patients with incomplete SCI (T10 level and above) to test DBS of the MLR in five participants. More details: NCT03053791.
    Important note: This therapy is invasive and involves brain surgery. Enrollment is limited to patients with an incomplete SCI (ASIA B, C, or D).

  • Previous Study (DBS of Hypothalamus): The pilot trial mentioned above remains listed as « recruiting » and was expected to enroll 3 patients. As of now, two individuals have completed therapy and are described in the Nature publication; it is possible that a third participant may be enrolled. More info: NCT04965727.
    Important note: This treatment is also invasive (requiring brain surgery) and restricted to people with an incomplete SCI (ASIA B, C, or D).

    NEW! Brain-Spinal Interface (BSI) / Neural bypass - Test cases in China (2025) and Switzerland (2023-2025)

    Background information (September 2025)

    China:
    In March 2025, Fudan University’s Institute of Science and Technology for Brain-Inspired Intelligence (ISTBI) in China announced a remarkable milestone regarding human application of their BSI (Brain-Spinal Interface) technology. The resulting “Neural Bypass” relies on three key steps:

    1. Capturing signals from the brain (e.g., intention to move the legs),

    2. Decoding those signals,

    3. Delivering tailored electrical pulses to the spinal cord to enable movement.

    Switzerland: 
    The achievement in China is probably comparable to what was previously accomplished by EPFL in Switzerland (led by Dr. G. Courtine and Dr. J. Bloch) for one (incomplete) SCI patient in 2023. More details about this Swiss study can be found in this Nature 2023 publication and in our blog post

    Comparison China vs Switzerland BSI:
    The China Focus article highlights that the Chinese technology may offer advantages because most patients reportedly regained movement within a few days, compared to months in the Swiss study. The therapy is described as minimally invasive—surgery lasts about four hours and involves the transplantation of a 1-mm diameter electrode in the brain and a small stimulator chip in the spine.


    Latest update and results (September 9, 2025)

    China:
    The article reports that three out of four treated patients regained leg movement by day 5 following surgery. It also mentions « renewed control over bodily functions » for at least one patient.

    Be aware:

    • There is no scientific publication available yet regarding the BSI treatment in China.

    • The article does not include specifics about the neurological status of the patients prior to treatment. It states that the patients could not walk, but the three participants who regained movement may have had incomplete spinal cord injuries, similar to the Swiss study.

    • Although the procedure appears simple, this type of experimental therapy remains complex and quite invasive—it is unlikely to scale up for large numbers of patients soon.

    Switzerland/France/Netherlands:
    In October 2024, Onward Medical announced that it had signed an agreement for exclusive rights to Clinatec’s WIMAGINE® Brain-Computer Interface.

    The same press release stated: « In September 2023, the Company announced a second individual was implanted with ARC-IM Therapy and a WIMAGINE BCI to restore upper limb function after paralysis. In September 2024, a third individual was implanted with an ARC-BCI System to restore thought-driven movement of her legs after a spinal cord injury (SCI). Additional implants are planned in the coming months. »

     


    Patient enrolment/clinical trials in Switzerland or China (update September 9, 2025)

    Switzerland/France:
    Additional patients may be recruited via the clinical trial NCT04632290.

    • Official Title: Brain-controlled Spinal Cord Stimulation in Patients With Spinal Cord Injury (STIMO-BSI)

    • The trial is currently listed as active but not recruiting. Estimated completion is March 2028.

    • Note: Only participants who were enrolled in the earlier STIMO trial and who already have a neurostimulator implanted are eligible for this BSI study.

    China:
    Fudan University indicates an intention to scale up and enroll more patients in a future clinical trial. No detailed schedule is available yet.

     

    Artificial Intelligence companies (AI) companies e.g.: NEURALINK (USA)

    Background information (updated September 2025):

    How could we report about BMI research, brain implants, and various studies without mentioning Elon Musk’s Neuralink? The company invests in AI (Artificial Intelligence) and human augmentation. It envisions, among other goals, helping people suffering from neurological conditions or diseases. The idea is that patients with a neurological shortcoming will be able to compensate for that by using direct communication between their brain and a computer or machine. A chip is implanted in the skull and transmits commands directly to the computer or device. This is how we have seen images of a chimp playing a computer game without using its hands but simply using thought. There is also the possibility for people who cannot use their hands to control their smartphone directly with their mind.

    We consider this a compensatory treatments rather than actual therapies aiming at functional recovery. Read our article about this: Here.


    Latest update (September 2025):

    • July 2025: Neuralink launched human studies in various regions outside the USA. For example, the GB-Prime study is now recruiting participants. Similar to their PRIME trial, GB-PRIME aims to evaluate the safety of the Neuralink implant and surgical robot and assess the initial functionality of their BCI for enabling people with severe paralysis to control devices and engage with the digital world using only their thoughts.

    • Earlier in the USA, the very first SCI patient received the Neuralink N1 chip and has demonstrated the ability to interact with a computer and play chess using only thought. In the meantime, several participants have been implanted, including the first human in 2024 and later patients in U.S. centers like the University of Miami. Initial results have been promising, with high success rates in surgeries (around 87%) and participants demonstrating control of devices such as moving cursors, playing video games, and using smartphones through neural signals. The implant is fully wireless and powered by a rechargeable battery. The study is ongoing and includes long-term follow-up to assess safety and usefulness in daily life.

     


    Patient enrolment/clinical trials (update September 9th, 2025):

    • The GB-PRIME clinical study is currently open to residents of Great Britain with limited or no ability to use both hands due to amyotrophic lateral sclerosis (ALS), spinal cord injury, or other neurological conditions. More information about the trial is available here: NCT07127172

    • Comparable clinical trials are also being conducted in CanadaNCT06700304 and in the UAE – NCT06992596.

    • The initial PRIME clinical trial is still ongoing and recruiting patients in the USA – NCT06429735. It is expected to enrol 10 participants (not all with spinal cord injury) in total and should be completed by January 2031.

     

    SYNCHRON "COMMAND" Clinical study – BMI – STENTRODE/ BIONIC SPINAL CORD – NOT RECRUITING PATIENTS anymore (USA)

    Background information (September 2025):

    Researchers at the University of Melbourne, with financial sponsorship from, among others, DARPA (US Defense Department), have developed a new minimally invasive brain-machine interface designed to enable people with spinal cord injuries to move limbs using thought, in combination with an exoskeleton or bionic limbs. More details are available in this article.

    The brain-machine interface consists of a stent-based electrode (“stentrode”) implanted within a blood vessel next to the brain. The “stentrode” records brain activity and converts these signals into electrical commands, which can then control movement through mobility-assist devices such as an exoskeleton. More information about this project is available in this video.

    The medical device and accompanying surgical technique allow implantation of the electrodes without open brain surgery.

    It is positioned inside a brain blood vessel located in the motor cortex, the brain area that controls movement. Importantly, this does not require open brain surgery.

     


    Latest updates (Sept. 10th, 2025)

    2025 update: Information on Synchron’s website suggests that the company’s focus has shifted from developing a “bionic spinal cord” for motor and functional recovery via a Brain-Spinal Interface (BSI), to optimizing a brain-computer interface intended to enable people to control digital devices using their thoughts. The project is apparently comparable to developments at Neuralink. It is unclear whether the original goal of supporting motor recovery, such as regaining walking ability, remains part of Synchron’s agenda.

    2024 update: A phase I clinical trial (SWITCH) tested the Stentrode™ device in participants with paralysis due to spinal cord injury. The trial has been completed and demonstrated that both the device and the implantation technique are safe. Results were published in this January 2023 publication.

    According to the publication:
    “At least 5 attempted movement types were decoded offline, and each patient successfully controlled a computer with the BCI. […] These final safety and feasibility data from the first in-human SWITCH study indicate that it is possible to record neural signals from a blood vessel. The favorable safety profile could promote wider and more rapid translation of BCI to people with paralysis.”

     


    Patients enrolment/ clinical trials (Updated Sept. 10th, 2025):

    A second clinical trial is currently recruiting patients in the USA to test the safety and feasibility of the device. The COMMAND trial is an Early Feasibility Study (EFS) that will primarily assess safety while also beginning to explore efficacy measures of the Synchron Switch™, a brain-computer interface implanted through blood vessels. The device allows people with no or limited mobility to operate technology such as mobile devices and computers using only their thoughts. More information on the trial: NCT05035823.

    BMI (Brain Machine Interface) for quadriplegic patients- Dr. A-Louis Benabid- Clinatec - France – RECRUITING?

    Background information:

    The Grenoble-Alpes University Medical Center (France) and regulatory authorities have granted Dr. Alim-Louis Benabid approval to begin the clinical research protocol “Brain-Computer Interface and Tetraplegia” at Clinatec. The study aims to demonstrate the feasibility for patients suffering from tetraplegia due to spinal cord injury to control an exoskeleton’s movements across several degrees of freedom via an implant that measures cerebral cortex activity. The trial will focus on five patients, and recruitment is currently underway. Leti, a stakeholder in this research, has designed a permanent electrocorticography implant called Wimagine®, unique worldwide. When placed on the surface of the cerebral cortex, it can transmit brain signals reliably for years. Source: www.clinatec.fr


    Latest update (September 2025):

    According to their news release on October 15, 2024, ONWARD Medical N.V., known for its work on electrical stimulation and neuromodulation for spinal cord injury patients, announced signing an exclusive license agreement with CEA to develop and commercialize the investigational WIMAGINE BCI designed by Clinatec as part of its investigational ARC-BCI System to restore thought-driven movement and bodily functions.

    Guillaume Charvet, head of the Cerveau-Machine program at CEA, said:
    « BCI has been designed to ultimately improve the quality of life of disabled patients by enabling them to control their body’s movements directly via brain activity. Moreover, the system was the first to demonstrate in a paraplegic patient that synchronizing brain activity with movement promotes recovery from spinal cord injury. This gives us great hope in the search for rehabilitation solutions for disabled patients. »

    An earlier announcement stated: « The first quadriplegic patient recruited within the trial was operated upon on June 21, 2017. » It remains unknown whether more patients have been recruited and operated on since then.


    Patient enrolment (update September 9th, 2025):

    The trial is still recruiting participants according to clinicaltrials.gov. Candidates should be quadriplegic, aged 18-40, fluent in French, and meet other inclusion criteria. The study is expected to enroll five tetraplegic patients, with an anticipated completion date in April 2029. More details: NCT02550522

    ARCHIVE (OLDER RESEARCH OR TRIALS)

    • SEE SECTIONS BELOW TO CHECK INFORMATION ABOUT COMPLETED OR CANCELLED HUMAN TRIALS FOR WHICH RESULTS WAS PUBLISHED/ REPORTED.

    Brain-Machine Interface (BMI)- Walk Again Project (WAP) - Dr. Miguel Nicolelis - Brazil

    Background informationWe regularly hear about paralyzed people being able to move a limb “just” by using their thought, i.e. by making use of a Brain-Machine Interface.  This was also the principle behind the experiment led and published in August 2016 by Dr. Miguel Nicolelis in Brazil (see Nature publication here). Eight paralyzed patients (out of which seven people had a complete spinal cord injury) were reported to recover partial neurologic function, both sensory and motor after a full year of training using a non-invasive BMI skullcap, along with a virtual reality training method.  As per the paper:  “Following 12 months of training with this paradigm, all eight patients experienced neurological improvements in somatic sensation (pain localization, fine/crude touch, and proprioceptive sensing) in multiple dermatomes.  Patients also regained voluntary motor control in key muscles below the SCI level […].  As a result, 50% of these patients were upgraded to an incomplete paraplegia classification. […] – As per the paper, the hypothesis is the neurological recovery results from both cortical and spinal cord plasticity triggered by long-term BMI usage. Next, to awakening dormant spinal cord nerve networks, the virtual training, which also includes bio-feedback, could also have helped the patient’s brain recover a previously erased representation of his lower limbs.

     

    Latest Update (September 2023)See the latest update about this project here.  According to this article: “Two patients with paraplegia regained the ability to walk with minimal assistance, through the employment of a fully non-invasive brain-machine interface that does not require the use of any invasive spinal cord surgical procedure”. The website dedicated to the Walk Again project is not online anymore. It is therefore unclear whether this project and approach will be followed by further research or human trials. Also, it has to be noted that the study however exciting from a scientific viewpoint, is yet limited to a laboratory experiment on a small number of patients.  Further investigation will be necessary to distinguish the impact of the heavy training from the pure BMI effects on the patient’s partial recovery before it can be applied in “real” life. 

    Trouver des essais cliniques pour VOTRE lésion de la moelle épinière ?

    Il n’existe actuellement aucun traitement curatif des lésions de la moelle épinière et toutes les thérapies mentionnées sur cette page sont en fait expérimentales, c’est-à-dire sans garantie de résultats et comportant un certain niveau de prise de risque.
    Cependant, les thérapies dites « non régulées/ commerciales », souvent appelées « tourisme médical ou tourisme des cellules souches », sont encore plus expérimentales car elles ne suivent pas les protocoles réglementaires et ne fournissent aucune sorte de transparence ou de suivi scientifique.  Ces thérapies sont qualifiées de « commerciales » car les patients doivent payer pour y avoir accès, contrairement à un essai clinique répertorié pour lequel la participation est gratuite.

     

    Comment trouver un essai clinique qui vous est applicable ?

    Les essais cliniques sont expérimentaux et ne garantissent donc aucun résultat. Cependant, ils contribuent au progrès scientifique et peuvent vous apporter une amélioration personnelle.
    Si vous souhaitez trouver et éventuellement vous inscrire à des essais cliniques aujourd’hui ou à l’avenir, ou simplement vous tenir au courant de ce qui se passe, nous vous recommandons de visiter et de vous abonner à www.scitrials.org. 

    Les essais cliniques sont :

    • fondés sur des données scientifiques
    • transparents en termes de protocole et de résultats
    • gratuits (vous ne devrez pas être facturé pour une thérapie expérimentale) 
    • approuvés par des organismes de réglementation et répertoriés dans clinicaltrials.gov
    Comment éviter les thérapies non- régulées / non-prouvées?

    Nous ne pouvons pas ignorer ces thérapies, car de nombreux patients y ont recours, souvent à un coût élevé, mais nous voulons mettre en garde les lecteurs contre l’absence de résultats fonctionnels prouvés, le coût, le manque de transparence et les risques éventuels liés à ces traitements expérimentaux, qui sont largement commercialisés et donc faciles à trouver sur Internet.

    Les thérapies non régulées / non validées : 

    • ne sont pas toujours fondées sur des bases scientifiques et peuvent être risquées
    • ne sont pas transparentes en termes de protocole et de résultats (pas de publication)
    • sont coûteuses (le coût vous sera facturé, sans aucune garantie) 
    • ne sont pas approuvées par les organismes de réglementation et non répertorié dans clinicaltrials.gov 

    Pour plus d’informations sur le thème « Thérapies expérimentales non prouvées / non réglementées / à but lucratif versus essais cliniques », nous vous invitons à consulter la présentation dans l’un de nos articles de blog ICI

    Nos derniers articles concernant  la recherche/ blog/ news

    Il ne s’agit que de quelques articles de blog et d’archives écrits sur les développements clés de la recherche sur les lésions de la moelle épinière. Pour rester informé des principaux développements dans le domaine de la recherche sur les lésions médullaires chroniques curatives, assurez-vous de consulter notre dernier aperçu de la recherche ci-dessus.  Pour en savoir plus sur les projets que nous finançons et leurs résultats, veuillez lire notre dernier rapport annuel et consulter la page « Notre financement de la recherche« . Merci !

     

    Chondroitinase Clinical Trial for Dogs
    Chondroitinase Clinical Trial for Dogs

        CHONDROITINASE (CH'ASE) CLINICAL TRIAL FOR DOGS: FIRST RESULTS Researcher's view - By Dr Thanos Didangelos - Kings College, London. - Dec 2016 One of the key pathological features of spinal cord injury is the accumulation of large quantities of scar...

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