Acute Spinal Cord Injury (SCI) is a rare injury that leads to permanent neuromotor impairment and sudden disability. Approximately 25,000 people experience cervical SCI in the United States, Europe, and Japan every year. The purpose of this study is to see if elezanumab is safe and assess change in Upper Extremity Motor Score (UEMS) in participants with acute traumatic cervical SCI. Elezanumab is an investigational drug being developed for the treatment of SCI. Elezanumab is a monoclonal antibody, that binds to an inhibitor of neuronal regeneration and neutralizes the inhibitor, thus potentially promoting neuroregeneration. This study is "double-blinded", which means that neither trial participants nor the study doctors will know who will be given which study drug. Study doctors put the participants in 1 of 2 groups, called treatment arms. Each group receives a different treatment. There is a 1 in 3 chance that participants will be assigned to placebo. Participants 18-75 years of age with a SCI will be enrolled. Approximately 54 participants will be enrolled in the study in approximately 49 sites worldwide. Participants will receive intravenous (IV) doses of elezanumab or placebo within 24 hours of injury and every 4 weeks thereafter through Week 48 for a total of 13 doses. There may be a higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
60
Solution for infusion; Intravenous (IV)
Solution for infusion; Intravenous (IV)
University of California Davis Health /ID# 224892
Sacramento, California, United States
Shepherd Center, Inc /ID# 230370
Atlanta, Georgia, United States
Northwestern University Feinberg School of Medicine /ID# 218009
Chicago, Illinois, United States
University of Louisville Hospital /ID# 215948
Louisville, Kentucky, United States
Duplicate_Tufts Medical Center /ID# 225410
Boston, Massachusetts, United States
Upper Extremity Motor Score (UEMS)
The UEMS is a subscore of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) that grades function of 5 key muscles in the upper limbs on a scale of 0 to 5 on each side from total paralysis to active full range of movement, respectively.
Time frame: 52 Weeks
Number of Participants Experiencing Adverse Events
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.
Time frame: Up to approximately 91 Weeks
Change from Baseline in Spinal Cord Independence Measures (SCIM III) Self-Care Score
The SCIM III self-care score addresses four areas of self-care management: feeding, grooming, bathing, and dressing. It has a total of 4 questions. Scores range from 0-20 where a score of 0 defines total dependence and 20 is indicative of complete independence.
Time frame: Week 0 through Week 52
Change in Upper Extremity Motor Score (UEMS) From Baseline
The UEMS is a subscore of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) that grades function of 5 key muscles in the upper limbs on a scale of 0 to 5 on each side from total paralysis to active full range of movement, respectively.
Time frame: Week 0 through Week 52
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Brigham & Women's Hospital /ID# 216342
Boston, Massachusetts, United States
Duplicate_Boston University School of Medicine /ID# 218371
Boston, Massachusetts, United States
Beth Israel Deaconess Medical Center /ID# 218149
Boston, Massachusetts, United States
Regents of the University of Michigan /ID# 215890
Ann Arbor, Michigan, United States
Washington University-School of Medicine /ID# 215325
St Louis, Missouri, United States
...and 31 more locations