New drug hopes to restore arm movement after spinal injury
NCT ID NCT04683848
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a drug called MT-3921 (Unasnemab) in 72 people with recent severe neck spinal cord injuries. The goal was to see if it could improve arm and hand function better than a placebo. Participants received the drug or placebo by IV over 6 months, and their motor scores were measured.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- MT-3921 (Unasnemab)
- What this could lead to
- If it works, this could point toward a treatment that improves arm and hand function after a severe neck spinal cord injury.
- What could go wrong
- This is a small, early-phase trial with only 72 people. The drug may not work better than placebo, and side effects are still being studied.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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72 people
The number who actually took part.
- Started
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Aug 2021
- Finished
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Apr 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Additional screening criteria check may apply for qualification: * Provide written informed consent prior to beginning any study procedures * Cervical spinal cord injury that meet all of the following criteria: * Classified as AIS A, AIS B or AIS C * ISNCSCI neurological level of injury between C4 and C7 (for C4, the subject must have at least 1 point of motor activity between C5 to C7) * UEMS ≤28 at Screening * Body mass index (BMI) \<40 Exclusion Criteria: Additional screening criteria check may apply for qualification: * Any concomitant injury that interferes with the procedures and examinations required by study protocol, including performance, interpretation or validity of neurological examinations * Poly-traumatic Injury as defined by Injury Severity Score (ISS) values \> 25 * Penetrating spinal cord injuries * Complete transection of the spinal cord * Any other significant pre-existing medical conditions prior to spinal cord injury or current conditions that, in the judgement of the iInvestigator, may increase the risks associated with study participation * History of anaphylaxis or clinically significant allergic reactions to any medication * History or presence of malignancy within the last 3 years prior to screening * Subjects with current SARS-CoV-2 infection (COVID-19) * Subjects with hereditary fructose intolerance * Psychoactive substance use disorder * Participation in any clinical trial of a new chemical entity within 12 weeks prior to Screening * Female subjects who are pregnant or lactating
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Augusta University
Augusta, Georgia, 30912, United States
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Brooke Army Medical Center in San Antonio
Houston, Texas, 78234, United States
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Carilion Clinic
Roanoke, Virginia, 24014, United States
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Carolinas Rehabilitation
Charlotte, North Carolina, 28203, United States
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Gifu University Hospital
Gifu, Gifu, 501-1194, Japan
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Hokkaido Spinal Cord Injury Center
Bibai-shi, Hokkaido, 072-0015, Japan
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Japan Organization of Occupational Health and Safety SPINAL INJURIES CENTER
Izuka-shi, Fukuoka, 820-8508, Japan
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Japanese Red Cross Kobe Hospital
Kobe, Hyōgo, 651-0073, Japan
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Medical College of Wisconsin - Froedtert Hospital
Milwaukee, Wisconsin, 53226, United States
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Murayama Medical Center
Musashimurayama-shi, Tokyo, 208-0011, Japan
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NSHA-Queen Elizabeth II Health Sciences Centre
Halifax, Nova Scotia, B3H3A7, Canada
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National Hospital Organization Kumamoto Medical Center
Kumamoto, Kumamoto, 860-0008, Japan
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Oregon Health and Science University - Center for Health & Healing
Portland, Oregon, 97239, United States
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Saint Louis University Hospital
St Louis, Missouri, 63110, United States
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Spectrum Health
Grand Rapids, Michigan, 49503, United States
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Tallahassee Neurological Clinic
Tallahassee, Florida, 32308, United States
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The Ottawa Hospital
Ottawa, Ontario, K1Y4E9, Canada
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The University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229, United States
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University of California Irvine
Orange, California, 92868, United States
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University of Cincinnati
Cincinnati, Ohio, 45219, United States
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University of Kentucky
Lexington, Kentucky, 40536, United States
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University of Mississippi Medical Center
Jackson, Mississippi, 39216, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
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