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Neurologic DisorderNCT05035823

COMMAND Early Feasibility Study: Implantable BCI to Control a Digital Device for People With Paralysis

A study testing Motor Neuroprosthesis (MNP) in people with Neurologic Disorder and Paralysis, run by Synchron Medical, Inc. at 3 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial 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. Read more about this study

Who is it for?
Ages 21 to 75 years
Conditions the study is for
Neurologic Disorder, Paralysis, Paralysis; Stroke
What is being tested?
Motor Neuroprosthesis (MNP)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
6 participants
Where
3 sitesUnited States
Study dates
27 Apr 2022to Sep 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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

Who cannot join

  • 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
Show all 9Show fewer
  • Psychiatric or psychological disorder
  • No study partner or caregiver
  • Unable to provide evidence of COVID vaccination

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • University at Buffalo Neurosurgery (UBNS)

    Buffalo, New York, 14203

  • Mount Sinai Health System

    New York, New York, 10029

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

Other trials in United States

About this study

Official title: Motor NeuroProsthesis to Restore Motor Control for the COMMAND of Digital Devices: An Early Feasibility Study (EFS) of Safety in Subjects With Severe Quadriparesis

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.

Being tested
Motor Neuroprosthesis (MNP)
Medical subject headings
Nervous System Diseases, Paralysis, Stroke, Amyotrophic Lateral Sclerosis, Muscular Dystrophies, Spinal Cord Injuries, Stroke, Lacunar, Brain Stem Infarctions

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Motor Neuroprosthesis (MNP)Device

    Type of implantable brain computer interface

Study groups in NCT05035823
Study groupRoleWhat they receive
SingleOtherImplantation of the motor neuroprosthesis medical device.
Receives: Device: Motor Neuroprosthesis (MNP)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Treatment-Related Serious Adverse Events

    Number of subjects with treatment-related adverse events

    Measured: 12 months post implant

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Sep 2021
  2. Study start27 Apr 2022
  3. Primary completion19 Sep 2024
  4. Study completionSep 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
6 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05035823
Sponsor's protocol ID
S-02-01
Status last verified
Sep 2026
First submitted
1 Sep 2021
Last updated
8 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Chetty N, Bennett J, Schone HR, Fry A, Yoo PE, Lacomis D, Oxley TJ, Collinger JL, Putrino DF, Weber DJ. Measuring motor intent for BCI control-A comparative analysis of signal quality of simultaneously recorded vECoG and scalp EEG. J Neural Eng. 2026 Sep 17;23(5):056022. doi: 10.1088/1741-2552/ae9eef.

    PubMed 42750660
  • 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.

    PubMed 41040697

Questions about this trial

What is this clinical trial studying?

A study testing Motor Neuroprosthesis (MNP) in people with Neurologic Disorder and Paralysis, run by Synchron Medical, Inc. at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 8 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Treatment-Related Serious Adverse Events (time frame: 12 months post implant). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05035823, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Sep 2026.

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