Clinical trial Recruiting at 7 sites Phase 1 Interventional Ages 18 to 75

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

PhasePhase 1
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment120 (estimated)
SponsorNovaGo Therapeutics AG
Industry-sponsored
Locations10 sites (Bayreuth and 9 other locations)
StatusRecruiting
StartedAugust 5, 2026
Main results expectedJuly 2029
Study endsJuly 2029
Registry record updatedOctober 23, 2026
Trial IDNCT07840196 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.