Actively Recruiting

Phase Not Applicable
Age: 22Years - 75Years
All Genders
NCT06506279

Motor Recovery Through Plasticity-Inducing Cortical Stimulation

Led by University of Washington · Updated on 2026-04-13

4

Participants Needed

1

Research Sites

255 weeks

Total Duration

On this page

Sponsors

U

University of Washington

Lead Sponsor

N

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Using the CorTec Brain Interchange (BIC) System, we will examine the effect of a plasticity-inducing therapy regime on the rehabilitation of upper limb impairment post-stroke. This study's main objective is to implement and evaluate neuroplasticity-inducing stimulation. The stimulation methods for inducing neuroplasticity have been selected based on prior preclinical and intraoperative work that has shown promise in providing rehabilitative benefits for stroke patients. We will be structuring this study as an open prospective feasibility study.

CONDITIONS

Official Title

Motor Recovery Through Plasticity-Inducing Cortical Stimulation

Who Can Participate

Age: 22Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 22 and 75 years
  • History of ischemic stroke
  • At least 6 months since ischemic cortical stroke
  • Hemiparesis requiring surgical intervention for upper limb impairment
  • Able to participate meaningfully in rehabilitation with upper extremity Fugl-Myer score of 25-45
  • Disability level between 3 and 4 on the modified Rankin Scale
  • At least 30% preservation of corticospinal pathways on MRI
  • Observable upper limb motor response to transcranial magnetic stimulation
  • Available for 54 weeks of multiple study visits (38 weeks implanted, 16 weeks post-explant follow-up)
  • All criteria assessed within 90 days before device implantation, with possible exceptions for MRI review
Not Eligible

You will not qualify if you...

  • Unable to stop anti-platelet medication 7 days before and 3 days after surgery
  • Receiving therapeutic anticoagulation
  • History of unprovoked deep vein thrombosis or pulmonary embolism
  • Bleeding disorder increasing hemorrhage risk with study procedures
  • Other medical history indicating increased thrombosis risk as judged by investigators
  • History of seizures
  • Pregnancy
  • Geriatric Depression Score over 10
  • Montreal Cognitive Assessment below 22 unless due to aphasia and approved by investigator
  • Columbia Suicide Scale ideation score above 1
  • Aphasia or cognitive deficits preventing communication of pain or understanding of tasks
  • Severe neglect as measured by NIH Stroke Scale question 11 score of 2
  • Cardiac conditions increasing safety risk
  • History of spontaneous hemorrhagic stroke
  • Major active neurological, psychiatric, or medical conditions interfering with study
  • Active infection requiring antimicrobial therapy
  • Unable to participate in proposed rehabilitation
  • Presence of other implanted devices (pacemakers, cochlear implants, etc.)
  • Need for occupational, physical, or speech therapy outside the study protocol
  • Additional screening needed for shoulder conditions causing pain
  • Any other medication or condition that may affect study integrity as determined by clinical staff

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

University of Washington

Seattle, Washington, United States, 98104

Actively Recruiting

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Research Team

A

Amy Anderson

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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