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NCT04854057

Pairing Intermittent Hypoxia and Transcutaneous Electrical Spinal Cord Stimulation to Promote Arm Use After Cervical SCI

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 sponsorSpaulding Rehabilitation Hospital
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingdouble
Primary purposetreatment
Enrollment3
Start date3 March 2021
Primary completion22 October 2021
Estimated completion22 October 2021
Sites1 location across United States

Drugs / interventions tested

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
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First-2-2 – -2
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First6-1 – 13
Round 1Day 10
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First55 – 5
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First7-1 – 15
Round 1 Day 15
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First66 – 6
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First7-3 – 17
Round 1 Week 8
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First88 – 8
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First-0.5-5 – 4
Round 2 Day 5
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First-1-1 – -1
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First11.56 – 17
Round 2 Day 10
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First11 – 1
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First1818 – 18
Round 2 Day 15
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First-2-2 – -2
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First1717 – 17
Round 2 Week 8
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First00 – 0
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First1616 – 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
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First-.47-.47 – -.47
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First1.650 – 3.30
Round 1 Day 10
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First-.63-.63 – -.63
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First1.63-0.33 – 3.60
Round 1 Day 15
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First-.33-.33 – -.33
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First2.63-0.17 – 5.43
Round 1 Week 8
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First.10.10 – .10
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First3.130.40 – 5.87
Round 2 Day 5
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First-.13-.13 – -.13
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First0.680.00 – 1.37
Round 2 Day 10
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First.63.63 – .63
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First1.531.53 – 1.53
Round 2 Day 15
GroupValue95% 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
GroupValue95% 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
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First00 – 0
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First0.980 – 1.97
Round 1 Day 10
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First00 – 0
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First0.300.00 – 0.60
Round 1 Day 15
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First.17.17 – .17
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First0.770.00 – 1.53
Round 1 Week 8
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First00 – 0
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First2.350.00 – 4.70
Round 2 Day 5
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First00 – 0
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First-2.28-4.57 – 0.00
Round 2 Day 10
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First00 – 0
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First0.270.27 – 0.27
Round 2 Day 15
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First.17.17 – .17
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First2.402.40 – 2.40
Round 2 Week 8
GroupValue95% CI
Intermittent Hypoxia (AIH) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First00 – 0
Intermittent Room Air (SHAM) + Transcutaneous Electrical Spinal Cord Stimulation (TESS) First1.371.37 – 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)

ReactionSystemIntermittent Hypoxia (AIH)…Intermittent Hypoxia (AIH)…Intermittent Room Air (SHA…Intermittent Room Air (SHA…
Pressure ulcerSkin 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):

  1. 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.

Other Spaulding Rehabilitation Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing