Actively Recruiting

Phase Not Applicable
Age: 18Years - 70Years
All Genders
NCT06207591

Investigation on the Cortical Communication System

Led by UMC Utrecht · Updated on 2025-10-03

2

Participants Needed

1

Research Sites

298 weeks

Total Duration

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Sponsors

U

UMC Utrecht

Lead Sponsor

J

Johns Hopkins University

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this clinical trial is to demonstrate communication through a brain implant in people in locked-in state, i.e. people with severe paralysis and communication problems. The main questions it aims to answer are efficient and stable control of Brain-Computer interface (BCI) functions for communication with attempted hand movements and operation of a keyword-based speech BCI. Participants will be implanted with four electrode grids, with in total 128 electrodes, on the surface of the brain and a connector on the skull. Participation includes visits of researchers for recording and training at home, 2-3 times per week for one year. Extension of participation after one year is possible. If successful, the participant will be able to use the BCI at home independently, without the presence of a researcher.

CONDITIONS

Official Title

Investigation on the Cortical Communication System

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 18 to 70 years
  • Clinical diagnosis of locked-in state or likely to develop it within 2 years caused by brain injury, stroke, neuromuscular or neurodegenerative disease, or similar
  • Current or expected complete or partial paralysis of all four limbs
  • Current or expected speech impairment related to motor function
  • Receiving invasive ventilation via tracheostomy or stable respiratory status allowing safe surgery
  • Cleared for surgery by study physicians
  • Meets neuropsychological criteria
  • Able to communicate reliably, such as through eye movement
  • Willing and able to give informed consent
  • Lives within reasonable distance from University Medical Center Utrecht
  • Vision and hearing largely intact
  • Consents to participate at study time
Not Eligible

You will not qualify if you...

  • Significant psychiatric, cognitive, or behavioral disorders interfering with consent or participation
  • Medical conditions that contraindicate surgery or interfere with participation, including infections, skin or bone problems, autoimmune diseases, epilepsy, cancer, or severe cardiovascular, metabolic, or kidney issues
  • Pre-surgical imaging findings making implantation too risky or impossible
  • Inability to undergo MRI due to incompatible implanted devices
  • Expected need for MRI after implantation

AI-Screening

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Trial Site Locations

Total: 1 location

1

University Medical Center

Utrecht, Netherlands, 3584CX

Actively Recruiting

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Research Team

M

Mariska J Vansteensel, PhD

CONTACT

E

Erik J Aarnoutse, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

1

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