Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID07234903

ARC-IM Therapy To Support and Promote Recovery of Ambulatory Functions in People With Subacute and Chronic Spinal Cord Injury

Led by Ecole Polytechnique Fédérale de Lausanne · Updated on 2026-04-21

12

Participants Needed

2

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating ARC-IM Therapy, which uses epidural electrical stimulation, to support and promote the recovery of walking and other ambulatory functions in people with subacute and chronic spinal cord injuries. The study includes adults aged 18 to 65 who have sustained a traumatic spinal cord injury either less than 6 weeks ago (subacute) or more than 1 year ago (chronic). The goal is to assess the safety and preliminary effectiveness of this device in improving mobility. All participants will receive the ARC-IM Therapy, which delivers electrical impulses to the lower spinal cord region to aid walking. The study groups are divided by injury timing: one group with injuries less than 6 weeks old and another with injuries more than 1 year old. This device treatment will be monitored continuously throughout the study. Participants will undergo assessments including neurological classification, walking tests (10-Meter Walk Test, 6-Minute Walk Test, Timed Up and Go), walking indexes, gait analysis, goal attainment, and balance scales at baseline and multiple intervals up to 42 weeks after surgery. Safety is closely monitored throughout the study, focusing on any serious or related adverse events from implantation until study end, which can last up to 6 years. Participants must attend all scheduled visits and comply with the study requirements.

CONDITIONS

Brief Title

ARC-IM Therapy To Support and Promote Recovery of Ambulatory Functions in People With Subacute and Chronic Spinal Cord Injury

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 65 years at enrollment
  • ASIA Impairment Scale grade A, B, C, or D
  • Spinal cord injury level at T10 or higher with intact region above conus as shown by MRI
  • Injury sustained either less than 6 weeks ago (subacute group) or more than 1 year ago (chronic group)
  • Traumatic spinal cord injury
  • Stable medical, physical, and psychological condition
  • Residual upper limb function to support weight bearing
  • Ability to communicate in German, French, or English
  • Willingness to comply with study conditions and attend all visits
  • Signed informed consent prior to study procedures
  • Use of effective contraception for women of childbearing potential
Not Eligible

You will not qualify if you...

  • Pregnant or breastfeeding
  • Brain damage
  • History of epilepsy
  • Participation in another clinical study with drugs or devices within 30 days before or during this study
  • Previous stem cell injection in spinal cord
  • Conditions increasing risks of spinal cord injury surgery
  • Need for ventilator support
  • Contraindications to mobility such as unhealed fractures or nerve disorders
  • Non-traumatic spinal cord injury causes (ischemic, tumoral, autoimmune, etc.)
  • Anatomical limitations at implantation area like spinal stenosis or bone damage
  • Use of intrathecal baclofen pump
  • Active implanted devices
  • Other conditions preventing participation such as kidney, liver, or heart problems
  • Investigator, family members, employees, or dependent persons involved in the study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Up to 42 weeks post-implantation

Participants receive the ARC-IM Therapy, which delivers electrical impulses to the lumbosacral region of the spinal cord to support ambulatory functions.

Visits at Baseline, 6 weeks, 16 weeks, and 42 weeks post-implantation

Follow-up

Duration - Up to 6 years

Participants are monitored for safety and recovery outcomes following ARC-IM Therapy.

Continuous monitoring throughout the study period

Trial Site Locations

Total: 2 locations

1

Schweizer Paraplegiker-Zentrum (SPZ)

Nottwil, Canton of Lucerne, Switzerland, 6207

Not Yet Recruiting

2

Centre Hospitalier Universitaire Vaudois (CHUV)

Lausanne, Canton of Vaud, Switzerland, 1011

Actively Recruiting

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Research Team

J

Jocelyne Bloch, Prof. Dr. MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Activity-dependent spinal cord neuromodulation rapidly restores trunk and leg motor functions after complete paralysis.

Andreas Rowald, Salif Komi, Robin Demesmaeker...

https://pubmed.ncbi.nlm.nih.gov/35132264