NG004 for incomplete cervical spinal cord injury
Official title: A Randomized, Double-blind, Placebo Controlled Clinical Trial to Investigate the Human Monoclonal Antibody NG004 in Acute, Incomplete Cervical Spinal Cord Injury (SCI) Patients
Run by NovaGo Therapeutics AG · NCT07840196 · Data updated 2026-11-12
This trial tests NG004 versus placebo to see if it is safe and helps motor function and daily life in adults with acute incomplete cervical spinal cord injury.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | NovaGo Therapeutics AG Industry-sponsored |
| Locations | 10 sites (Bayreuth and 9 other locations) |
| Status | Recruiting |
| Started | August 5, 2026 |
| Main results expected | July 2029 |
| Study ends | July 2029 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT07840196 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with acute incomplete cervical SCI (AIS B, C, or D), 4–28 days post-injury, stable and not completely dependent on ventilation.
✕Probably not a fit
Patients with penetrating spinal injuries, extensive multi-level damage, significant head trauma, or unstable conditions may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, double-blind, placebo-controlled study conducted at multiple centers. It investigates safety, tolerability, pharmacokinetics, and effects on motor function and daily living when NG004 is given after acute incomplete cervical SCI. Eligible participants are adults with AIS B, C, or D injury between 4 and 28 days post-injury, who are hemodynamically stable and not fully dependent on mechanical ventilation. The study excludes penetrating spinal cord injuries, extensive multi-level lesions, significant head trauma, or other conditions that could interfere with assessment. Primary and secondary outcomes focus on safety and functional recovery related to spinal cord regeneration pathways involving Nogo-A and SPROUT-2."
Why it matters
Potential benefit: If successful, NG004 could improve motor function and daily living for people with acute incomplete cervical SCI.
How similar studies have gone: Earlier research in spinal cord injury using regenerative pathways has shown safety signals and potential functional gains in similar approaches, though this exact NG004 program is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Acute incomplete cervical SCI (Neurological level of injury C1 ≤ lesion ≤ C8) with confirmed classification of American Spinal Injury Association (ASIA) impairment scale (AIS) B, C and D at Screening * 4-28 days post-injury and no earlier than 4 days after spinal surgery * No required mechanical ventilation or patients that do not completely depend on mechanical ventilation * Hemodynamically and clinical stable patient according to the acute SCI condition at baseline Exclusion Criteria: * Trauma caused by ballistic or other injury that directly penetrates the spinal cord including gunshot and knife wounds * Multiple levels of clinically relevant spinal cord lesions * Major brachial or lumbar plexus damage/trauma * Significant head trauma or other injury that was, in the opinion of the investigator, sufficient to interfere with the assessment of the spinal cord function * Other significant pre-existing or current severe systemic disease * History of or an episode of multiple sclerosis or Guillain-Barre syndrome * History of recent meningitis or meningoencephalitis * History of refractory epilepsy * Patients with uncontrolled bleeding diathesis and/or who require concomitant therapeutic anticoagulation and not related to SCI * Presence of any unstable medical or psychiatric condition * Drug dependence any time within the last 6 months before Screening * Pregnant or nursing women * History of a life-threatening allergic or immune-mediated reaction * Presence of infection around the location where the spinal needle insertions are planned for applying the intrathecal injections * Participation in any clinical investigation within 4 weeks prior to dosing or longer if required by local regulations * Patients who are unconscious
Where it's running
-
Klinik für Querschnittgelähmte, Klinikum Bayreuth
Bayreuth, Germany Recruiting -
Klinik für Paraplegiologie, Universitätsklinikum Heidelberg
Heidelberg, Germany Recruiting -
Zentrum für Rückenmarksverletzte, Unfallklinik Murnau
Murnau am Staffelsee, Germany Recruiting -
BG Klinik Tübingen
Tübingen, Germany Recruiting -
REHAB Basel
Basel, Switzerland Recruiting -
Swiss Paraplegic Centre
Nottwil, Switzerland Recruiting
Show 4 more locations
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Universitätsklinik Balgrist
Zurich, Switzerland Recruiting -
BG Universitätsklinikum Bergmannsheil
Bochum, Germany Not yet recruiting -
Zentrum für Rückenmarkverletzte und Klinik für Orthopädie, BG Klinikum Bergmannstrost
Halle, Germany Not yet recruiting -
BG Klinikum Hamburg
Hamburg, Germany Not yet recruiting
Study contacts
- Study coordinator: Director of Clinical Research
- Email: clinical@novagotx.com
- Phone: +41433005263
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.