COMMAND Early Feasibility Study: Implantable BCI to Control a Digital Device for People With Paralysis
Motor NeuroProsthesis to Restore Motor Control for the COMMAND of Digital Devices: An Early Feasibility Study (EFS) of Safety in Subjects With Severe Quadriparesis
1 other identifier
interventional
6
1 country
3
Brief Summary
The Synchron motor neuroprosthesis (MNP) is intended to be used in subjects with severe motor impairment, unresponsive to medical or rehabilitative therapy and a persistent functioning motor cortex. The purpose of this research is to evaluate safety and feasibility. The MNP is a type of implantable brain computer interface which bypasses dysfunctional motor neurons. The device is designed to restore the transmission of neural signal from the cerebral cortex utilized for neuromuscular control of digital devices, resulting in a successful execution of non-mechanical digital commands.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Apr 2022
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 1, 2021
CompletedFirst Posted
Study publicly available on registry
September 5, 2021
CompletedStudy Start
First participant enrolled
April 27, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 19, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2026
ExpectedApril 29, 2025
April 1, 2025
2.4 years
September 1, 2021
April 24, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Treatment-Related Serious Adverse Events
Number of subjects with treatment-related adverse events
12 months post implant
Study Arms (1)
Single
OTHERImplantation of the motor neuroprosthesis medical device.
Interventions
Eligibility Criteria
You may qualify if:
- Severe quadriparesis
- Able to give consent
- Appropriate candidate for neurointerventional procedure
- Able and willing to access all clinical testing and not impeded by geographical location
- Proficient in English
- Have a study partner
You may not qualify if:
- Active condition resulting in immunosuppression
- Unsuitable for general anesthesia
- Anaphylactic allergy to contrast media
- Allergy to nickel
- History of pulmonary embolism
- History of recent deep vein thrombosis
- Psychiatric or psychological disorder
- No study partner or caregiver
- Unable to provide evidence of COVID vaccination
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
University at Buffalo Neurosurgery (UBNS)
Buffalo, New York, 14203, United States
Mount Sinai Health System
New York, New York, 10029, United States
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213, United States
Related Publications (1)
Chetty N, Kacker K, Feldman AK, Yoo PE, Bennett J, Fry A, Tal I, Hardy NF, Ebrahimi S, Echavarria C, Sawyer A, Schone HR, Harel NY, Nogueira RG, Majidi S, Levy EI, Kandel A, Hill KK, Opie NL, Lacomis D, Collinger JL, Oxley TJ, Putrino DF, Weber DJ. Signal properties and stability of a chronically implanted endovascular brain computer interface. medRxiv [Preprint]. 2025 Sep 25:2025.09.19.25335897. doi: 10.1101/2025.09.19.25335897.
PMID: 41040697DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DEVICE FEASIBILITY
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 1, 2021
First Posted
September 5, 2021
Study Start
April 27, 2022
Primary Completion
September 19, 2024
Study Completion (Estimated)
September 1, 2026
Last Updated
April 29, 2025
Record last verified: 2025-04