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NCT04854057
Pairing Intermittent Hypoxia and Transcutaneous Electrical Spinal Cord Stimulation to Promote Arm Use After Cervical SCI
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Summary Quick facts Who can join Endpoints Results Adverse events Publications Related trials Sources
Terminated
NA
Results posted
Last updated 10 January 2024
What this trial tests
NA trial testing AIH - Intermittent Hypoxia - hypoxia air mixture in Spinal Cord Injuries in 3 participants. Terminated before completion.
Timeline
3 March 2021
Primary endpoint 22 October 2021
22 October 2021
Quick facts
Lead sponsor Spaulding Rehabilitation Hospital
Phase NA
Status Terminated
Study type INTERVENTIONAL
Allocation randomized
Design crossover
Masking double
Primary purpose treatment
Enrollment 3
Start date 3 March 2021
Primary completion 22 October 2021
Estimated completion 22 October 2021
Sites 1 location across United States
Drugs / interventions tested
AIH - Intermittent Hypoxia - hypoxia air mixture SHAM - Intermittent Room Air - room air mixture TESS - Transcutaneous Electrical Spinal Cord Stimulation + Functional Task Practice
Conditions studied
Sponsor
Spaulding Rehabilitation Hospital
Who can join
Adults 18 to 65, any sex, with Spinal Cord Injuries. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Change in Upper Extremity Function
Primary
· Once each intervention week (days 5, 10, and 15), and once at follow-up (week 8)
Change compared to baseline in upper extremity function performance metrics after treatment assessed using the Graded Redefined Assessment of Strength, Sensation and Prehension test (GRASSP v2). Range: -188 to 188. Higher values represent a better outcome.
Round 1 Day 5
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -2 -2 – -2 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 6 -1 – 13
Round 1Day 10
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 5 5 – 5 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 7 -1 – 15
Round 1 Day 15
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 6 6 – 6 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 7 -3 – 17
Round 1 Week 8
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 8 8 – 8 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -0.5 -5 – 4
Round 2 Day 5
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -1 -1 – -1 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 11.5 6 – 17
Round 2 Day 10
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 1 1 – 1 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 18 18 – 18
Round 2 Day 15
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -2 -2 – -2 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 17 17 – 17
Round 2 Week 8
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0 0 – 0 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 16 16 – 16
Change in Upper Extremity Strength - Cylindrical Grip - Less Impaired Hand
Primary
· Once each intervention week (days 5, 10, and 15), and once at followup (week 8)
Change in upper extremity strength compared to baseline assessed using dynamometers to measure grip forces.
Round 1 Day 5
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -.47 -.47 – -.47 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 1.65 0 – 3.30
Round 1 Day 10
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -.63 -.63 – -.63 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 1.63 -0.33 – 3.60
Round 1 Day 15
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -.33 -.33 – -.33 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 2.63 -0.17 – 5.43
Round 1 Week 8
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First .10 .10 – .10 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 3.13 0.40 – 5.87
Round 2 Day 5
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -.13 -.13 – -.13 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0.68 0.00 – 1.37
Round 2 Day 10
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First .63 .63 – .63 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 1.53 1.53 – 1.53
Round 2 Day 15
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First .47 .47 – .47 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -0.43 -0.43 – -0.43
Round 2 Week 8
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First .50 .50 – .50 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -0.10 -0.10 – -0.10
Change in Upper Extremity Strength - Cylindrical Grip - More Impaired Hand
Primary
· Once each intervention week (days 5, 10, and 15), and once at followup (week 8)
Change in upper extremity strength compared to baseline assessed using dynamometers to measure grip forces.
Round 1 Day 5
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0 0 – 0 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0.98 0 – 1.97
Round 1 Day 10
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0 0 – 0 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0.30 0.00 – 0.60
Round 1 Day 15
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First .17 .17 – .17 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0.77 0.00 – 1.53
Round 1 Week 8
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0 0 – 0 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 2.35 0.00 – 4.70
Round 2 Day 5
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0 0 – 0 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First -2.28 -4.57 – 0.00
Round 2 Day 10
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0 0 – 0 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0.27 0.27 – 0.27
Round 2 Day 15
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First .17 .17 – .17 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 2.40 2.40 – 2.40
Round 2 Week 8
Group Value 95% CI Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 0 0 – 0 Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First 1.37 1.37 – 1.37
Adverse events — posted to ClinicalTrials.gov
Time frame: 199 days.
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First Round 1
Serious: 0/1 (0%)
Deaths: 0/1
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First Round 2
Serious: 0/1 (0%)
Deaths: 0/1
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First Round1
Serious: 0/2 (0%)
Deaths: 0/2
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First Round2
Serious: 0/2 (0%)
Deaths: 0/2
Other adverse events (1 terms — click to expand) Reaction System Intermittent Hypoxia (AIH)… Intermittent Hypoxia (AIH)… Intermittent Room Air (SHA… Intermittent Room Air (SHA… Pressure ulcer Skin and subcutaneous tissue disorders — — — —
Data from ClinicalTrials.gov NCT04854057 adverse events section .
Sponsor's own description
The purpose of this study is to test the efficacy of mild breathing bouts of low oxygen (intermittent hypoxia) combined with transcutaneous electrical spinal cord stimulation on restoring hand function in persons with chronic incomplete spinal cord injury.
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
Combining Therapeutic Strategies to Treat the Injured Spinal Cord: A Translational Perspective.
Sherman BC, Schmidt Read M, Hoh DJ, Guest JD, et al ·
· 2025
· cited 2×
· PMID 40929022
· DOI 10.1177/08977151251371710
Verify or expand the search:
Other recruiting trials for Spinal Cord Injuries
Currently open trials in the same condition.
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Verify against primary sources
Data sources for this page
Trial protocol + status : ClinicalTrials.gov NCT04854057 (US National Library of Medicine, public domain)
Publications : Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links : matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor : as reported to ClinicalTrials.gov by Spaulding Rehabilitation Hospital
Last refreshed : 10 January 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04854057.
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