ClinicalTrials.gg
RecruitingNCT06429735PRIMEUpdated Jan 9, 2026

Precise Robotically IMplanted Brain-Computer InterfacE

An interventional study of N1 Implant and R1 Robot in Tetraplegia/Tetraparesis, Quadriplegia and Cervical Spinal Cord Injury, sponsored by Neuralink Corp. Recruiting at 2 sites in United States. Open to participants aged 22 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-01-09.

Sponsored by Neuralink Corp · Not applicable, Interventional, and Device feasibility

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Registered 4 months after the study started (first participant enrolled Jan 2024, registered May 2024).
  • Started Jan 2024; still recruiting 2 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
22 Years to 75 Years
Sex
All
01

Study summary

The PRIME Study is a first-in-human early feasibility study to evaluate the initial clinical safety and device functionality of the Neuralink N1 Implant and R1 Robot device designs in participants with tetraparesis or tetraplegia. The N1 Implant is a skull-mounted, wireless, rechargeable implant connected to electrode threads that are implanted in the brain by the R1 Robot, a robotic electrode thread inserter.

02

Conditions studied

  • Tetraplegia/Tetraparesis
  • Quadriplegia
  • Cervical Spinal Cord Injury
  • Amyotrophic Lateral Sclerosis
  • Quadriplegia/Tetraplegia
  • Tetraplegic; Paralysis

Keywords

  • spinal cord injury
  • SCI
  • BCI
  • brain computer interface
  • ALS
  • quadriplegia
  • tetraplegic
  • paralysis
03

In context

Quadriplegia

222 studies on the registry are indexed under Quadriplegia; 75 are open to participants now.

This study's planned enrollment of 15 is close to the median of 15 across 193 interventional studies indexed under Quadriplegia.

Browse Quadriplegia studies →

Lead sponsor

Neuralink Corp is the lead sponsor of 7 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
22 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Severe quadriplegia (tetraplegia) due to spinal cord injury or amyotrophic lateral sclerosis (ALS) for at least 1 year without improvement, where quadriplegia is defined as having very limited or no hand, wrist, and arm movement and all levels below
  • ≥ 12 months.
  • Ability to communicate in English
  • Presence of a stable caregiver

Exclusion criteria

Exclusion Criteria

  • Moderate to high risk for serious perioperative adverse events
  • Active implanted devices
  • Morbid obesity ( > 40)
  • History of poorly controlled seizures or epilepsy
  • History of poorly controlled diabetes
  • Requires magnetic resonance imaging (MRI) for any ongoing medical conditions
  • Acquired or hereditary
  • Use of smoking tobacco or other tobacco products
  • Psychiatric or psychological disorder
  • Brain MRI demonstrating hemorrhage, tumor, distorted or adverse anatomy.
  • Any condition which, in the opinion of the Investigator, would compromise your ability to safely participate in the study or undergo the implantation procedure
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Neuralink N1 Implant and R1 Robot

    Implantation of the N1 Implant by the R1 Robot.

    Device: N1 Implant · Device: R1 Robot

Interventions

  • DeviceN1 Implant

    The N1 Implant is a type of implantable brain-computer interface

    Also known as: Neuralink N1 Implant, N1, Telepathy, Link

  • DeviceR1 Robot

    The R1 Robot is a robotic electrode thread inserter that implants the N1 Implant.

    Also known as: R1, Neuralink R1 Robot

06

What researchers measure

Primary outcomes

  1. Device-Related Adverse Events (AE)

    Time frame: 12 months post-implant

  2. Procedure-Related Adverse Events (AE)

    Time frame: 12 months post-implant

Secondary outcomes

  1. Device-Related Adverse Events (AE)

    Time frame: Up to 72 months post-implant

  2. Procedure-Related Adverse Events (AE)

    Time frame: Up to 72 months post-implant

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2024 (actual). Primary completion is estimated for Jun 2026, 29 months after the start.

Of 97 interventional studies with no phase under Quadriplegia, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 309. This study's planned 29 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
May 21, 2024
First posted
May 28, 2024
StartActual
Jan 9, 2024
Primary completionEst.
Jun 2026
CompletionEst.
Jan 2031
Last update
Jan 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06429735
Lead sponsor
Neuralink Corp
Responsible party
Sponsor
First posted
May 28, 2024
Start date
Jan 9, 2024
Primary completion
Jun 2026 (estimated)
Completion
Jan 2031 (estimated)
Last update
Jan 9, 2026

Study contacts

Neuralink Clinical Team
Contact
clinical-team-ct@neuralink.com
(877) 398-4465
Francisco Ponce, MD
principal investigator · Barrow Neurological Institute
Jonathan Jagid, MD
principal investigator · University of Miami

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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