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Spinal cord stimulation for low blood pressure and trunk control after spinal cord injury

Tests epidural electrical stimulation in people with spinal cord injury and orthostatic hypotension.

Key facts

Who runs it
Ecole Polytechnique Fédérale de Lausanne
Where
Switzerland1 site in 1 countryChoose a country to see its sites
Trial code
Registry title
Epidural Electrical Stimulation to Restore Hemodynamic Stability and Trunk Control in People With Spinal Cord Injury
Status
Recruiting
People taking part
20 people, planned
Started
29 Nov 2021
Expected to end
31 Dec 2030
Type of study
Interventional
Treatments tested
  • ARC-IM Investigational System implantation
Record updated
30 May 2025

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with a spinal cord injury between C3 and T6 who have low blood pressure when sitting or standing up (orthostatic hypotension). It tests an implanted spinal stimulation device (ARC-IM).

Age
18 years or older
Sex
All sexes
Disease stage
Spinal cord injury at level C3 to T6 (inclusive), at least 1 month after the injury. Confirmed orthostatic hypotension. Stable medical, physical and mental condition.
Earlier treatment
No botulinum toxin injections (bladder or other) in the 3 months before joining. No investigational drug study in the 30 days before.

Main reasons for not taking part

  • Spinal cord injury caused by a neurodegenerative disease
  • Heart attack or stroke in the past 6 months
  • Unable to stop blood-thinning or antiplatelet drugs around surgery
  • Implanted baclofen or insulin pump, or significant pressure ulcers
  • Pregnant, breastfeeding, or planning pregnancy

The registry criteria, word for word

Show all 25 criteriaShow less

Who can take part

  • 18 years of age or older
  • Must provide and sign the Informed Consent prior to any study related procedures
  • Spinal cord injury lesion level between C3 and T6 (inclusive)
  • SCI ≥ 1month
  • Confirmed orthostatic hypotension
  • Stable medical, physical and psychological condition as considered by the investigators
  • Able to understand and interact with the study team in French or English
  • Agrees to comply in good faith with all conditions of the study and to attend all scheduled appointments

Who cannot take part

  • Botulinum toxin vesical and non-vesical injections in the previous 3 months before the enrolment
  • Other clinically significant concomitant disease states (e.g., renal failure, hepatic dysfunction, cardiovascular disease, etc.),
  • Participation in another study with investigational drug within the 30 days preceding and during the present study,
  • SCI related to a neurodegenerative disease
  • Diseases and conditions that would increase the morbidity and mortality of spinal cord injury surgery
  • History of myocardial infarction or cerebrovascular event within the past 6 months
  • Other conditions that would make the subject unable to participate in testing in the judgement of the investigators
  • Clinically significant mental illness in the judgement of the investigators
  • Recurrent urinary tract infection refractory to antibiotics
  • Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders or dementia of the participant,
  • The inability to withhold antiplatelet/anticoagulation agents perioperatively
  • Presence of significant pressure ulcers
  • Presence of indwelling baclofen or insulin pump
  • Women who are pregnant (pregnancy test obligatory for woman of childbearing potential) or breast feeding,
  • Lack of safe contraception for women of childbearing capacity,
  • Intention to become pregnant during the course of the study,
  • Enrolment of the investigator, his/her family members, employees, and other dependent persons

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

The HemON study aims to evaluate the safety and preliminary efficacy of ARC-IM Therapy (Epidural Electrical Stimulation) to improve hemodynamic management and trunk control in people with sub-acute or chronic spinal cord injury (>= 1 month post injury) between C3 and T6 inclusive, who suffer from orthostatic hypotension.

The group in the trial

  • all participantsTreatment being tested

    All participants will be provided with the ARC-IM Investigational System (implantable and non-implantable parts)

    Treatment: ARC-IM Investigational System implantation

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Epidural Electrical Stimulation to Restore Hemodynamic Stability and Trunk Control in People With Spinal Cord Injury
Plain-language title
Spinal cord stimulation for low blood pressure and trunk control after spinal cord injuryGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 14 November 2026.
Record updated
30 May 2025