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RecruitingNCT06529835NeuroSpan-1Updated Jun 26, 2026

A Comparison of NeuroSpan Bridge, NeuraGen Nerve Guide, and Nerve Autograft for Peripheral Nerve Repair

An interventional study of NeuroSpan Bridge and NeuroGen Nerve Guide in Peripheral Nerve Injuries, sponsored by Auxilium Biotechnologies. Recruiting at 8 sites in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-06-26.

Sponsored by Auxilium Biotechnologies · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2025; still recruiting 1 year 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This is a multicenter, prospective, randomized, subject and evaluator blinded clinical trial to asses the efficacy of Auxilium's NeuroSpan Bridge.

02

Conditions studied

  • Peripheral Nerve Injuries
03

In context

Peripheral Nerve Injuries

87 studies on the registry are indexed under Peripheral Nerve Injuries; 20 are open to participants now.

This study's planned enrollment of 80 is above the median of 44 across 58 interventional studies indexed under Peripheral Nerve Injuries.

Browse Peripheral Nerve Injuries studies →

Lead sponsor

This is the only study on the registry with Auxilium Biotechnologies as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients aged 18 to 80 with upper or lower extremity nerve injury with a gap of 0.5 to 3.0 cm.
  2. Nerve diameter at injury site ≤3mm.
  3. Nerve injury location is the arm from the shoulder to the wrist, including the hand or the leg from the hip to the ankle including the foot.
  4. For Motor Nerve Injuries: Distance from site of injury to the nearest innervated muscle: ≤100mm
  5. For Sensory and Mixed Nerve injuries: Distance from the site of injury to the nearest sensory nerve target: ≤250mm
  6. Repair must take place within 3 months from injury
  7. No contraindications to surgical repair (e.g., risk of concurrent infection, dog bite)

Exclusion criteria

Exclusion Criteria:

  1. Previous history of nerve repair attempt at the treated nerve.
  2. Concurrent disease that reduces nerve regeneration: diabetes, previous diagnosis of non-traumatic peripheral neuropathy, chemotherapy treatment, other causes of peripheral neuropathy.
  3. Allergy to Bovine products such as Bovine Collagen Nerve Cuff.
  4. Pregnancy or planning to become pregnant
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Active comparator
    NeuroGen Nerve Guide

    The control arm will comprise of subjects requiring injury repair of 0.5-1.0cm. These subjects will receive the NeuraGen Nerve Guide.

    Device: NeuroSpan Bridge · Device: NeuroGen Nerve Guide

  • Active comparator
    Nerve Autograft

    The control arm will comprise of subjects requiring injury repair of 1.1-3.0cm. These subjects will receive the Nerve Autograft.

    Device: NeuroSpan Bridge · Device: Nerve Autograft

Interventions

  • DeviceNeuroSpan Bridge

    The implant is used to connect peripheral nerve discontinuities. It is designed to be an interface between the nerve and surrounding tissue and to create a conduit for axonal growth across a nerve gap. The NeuroSpan Bridge is a novel scaffold to support regeneration that mimics the natural bio- architecture, providing multiple channels that are strictly linear so that axonal position is accurately maintained across the full length of the scaffold - over any length - to re-enter the distal nerve stump.

  • DeviceNeuroGen Nerve Guide

    The NeuraGen Nerve Guide is a resorbable implant for the repair of 0.5-1.0cm peripheral nerve discontinuities. NeuraGen Nerve Guide provides a protective environment for peripheral nerve repair after injury. It is designed to be an interface between the nerve and surrounding tissue and to create a conduit for axonal growth across a nerve gap. The semi-permeable type 1 collagen membrane allows for controlled resorption, appropriate nutrient diffusion and retention of representative Nerve Growth Factor.

  • DeviceNerve Autograft

    A nerve autograft is a surgical procedure that involves transplanting a segment of a patient's own sensory nerve tissue to repair a damaged peripheral nerve injury measuring 1.1-3.0cm. It is designed to be an interface between the nerve and surrounding tissue and to create a conduit for axonal growth across a nerve gap

06

What researchers measure

Primary outcomes

  1. Efficacy- Static two-point discrimination (s2PD) measured at 12 months.

    This endpoint will examine the change in Static two-point discrimination (s2PD) measured at 12 months.

    Time frame: 12 months

  2. Safety- Complications and adverse events including infections, inflammation, tissue rejections, neuroma formation, chronic pain, and device malfunctions occurring between the treatment procedure and the 12-month follow-up visit.

    This endpoint will examine complications and adverse events including infections, inflammation, tissue rejections, neuroma formation, chronic pain, and device malfunctions occurring between the treatment procedure and the 12-month follow-up visit.

    Time frame: 12 months

Secondary outcomes

  1. Motor function assessed by the British Medical Research Council grading system (categories 0, 1, 2, 3, 4, 5) at 12 months.

    This endpoint will examine motor function assessed by the British Medical Research Council grading system (categories 0, 1, 2, 3, 4, 5) at 12 months.

    Time frame: 12 months

  2. Sensory function assessed by the British Medical Research Council grading system at 12 months.

    This endpoint will examine sensory function assessed by the British Medical Research Council grading system at 12 months.

    Time frame: 12 months

  3. Moving 2 Point Discrimination test (m2PD) in the target digit at 12 months.

    This endpoint will examine Moving 2 Point Discrimination test (m2PD) in the target digit at 12 months.

    Time frame: 12 months

  4. The summary score from the Disabilities of the Arm Shoulder and Hand (DASH) questionnaire at 12 months.

    This endpoint will examine the summary score from the Disabilities of the Arm Shoulder and Hand (DASH) questionnaire at 12 months. The Disabilities of the Arm Shoulder and Hand (DASH) is a 30-item patient-reported outcome measure utilized to assess symptoms and function of the entire upper extremity. It is scored using the 5-point Likert-Scale measuring from "1" (lowest level of difficulty or severity) to 5" (highest level of difficulty or severity) based on the patient's reported ability to conduct the activities or tasks. A higher score indicates greater disability.

    Time frame: 12 months

  5. The summary score from the Disabilities of the Arm Shoulder and Hand (DASH) Work Module at 12 months.

    This endpoint will examine the summary score from the Disabilities of the Arm Shoulder and Hand (DASH) Work Module at 12 months. The Disabilities of the Arm Shoulder and Hand (DASH) Work Module is a 4 question patient-reported outcome measure utilized to assess the impact of the patients arm, shoulder, or hand problem on the patients ability to work. It is scored using the 5-point Likert-Scale measuring from "1" (lowest level of difficulty or severity) to 5" (highest level of difficulty or severity) based on the patient's reported ability to conduct the activities or tasks. A higher score indicates greater disability.

    Time frame: 12 months

  6. The summary score from the Disabilities of the Arm Shoulder and Hand (DASH) Sports/Performing Arts Module at 12 months.

    This endpoint will examine the summary score from the Disabilities of the Arm Shoulder and Hand (Dash) Sports/Performing Arts Module at 12 months. The Disabilities of the Arm Shoulder and Hand (DASH) Sports/Performing Arts Module is a 4 question patient-reported outcome measure utilized to assess the impact of the patients arm, shoulder, or hand problem on their ability to play a musical instrument, participate in sport or both. It is scored using the 5-point Likert-Scale measuring from "1" (lowest level of difficulty or severity) to 5" (highest level of difficulty or severity) based on the patient's reported ability to conduct the activities or tasks. A higher score indicates greater disability.

    Time frame: 12 months

Other outcomes

  1. Decrease in Surgery time between NeuroSpan Bridge vs. Nerve Autograft.

    This clinical measure will examine the decrease in Surgery time between NeuroSpan Bridge vs. Nerve Autograft.

    Time frame: 12 months

  2. Comparison in Surgery time between NeuroSpan Bridge vs. NeuraGen Nerve Guide.

    This clinical measure will examine the comparison in Surgery time between NeuroSpan Bridge vs. NeuraGen Nerve Guide.

    Time frame: 12 months

  3. Changes in Numerical Rating Scale (NRS) pain scores from baseline.

    This clinical measure will examine changes in Numerical Rating Scale (NRS) pain scores from baseline. Numerical Rating Scale (NRS) is a pain scale that measures a patient's pain intensity or other features. Patients are asked to circle the number between 0 and 10 that fits best to their pain intensity. Zero usually represents 'no pain at all' whereas the 10 represents 'the worst pain ever possible'.

    Time frame: 12 months

  4. Hospital/Outpatient center readmission rates within 30 days of surgery.

    This clinical measure will examine the Hospital/Outpatient center readmission rates within 30 days of surgery

    Time frame: 30 days

07

Study locations

8 of 8 sites recruiting
  • UC San Diego Health
    San Diego, California 92103, United States
    Recruiting
  • UCSF Orthopedic Institute
    San Francisco, California 94158, United States
    Recruiting
  • Medstar Union Memorial Hospital- The Curtis National Hand Center
    Baltimore, Maryland 21218, United States
    Recruiting
  • NYU Langone Orthopedic Center
    New York, New York 10003, United States
    • Ann Hu · Contact · Ann.Hu@nyulangone.org · 646-501-2180
    • Jaques Hacquebord, M.D. · Principal investigator
    Recruiting
  • OSU Wexner Medical Center
    Columbus, Ohio 43212, United States
    Recruiting
  • University of Pennsylvania- Penn Presbyterian Medical Center
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • UT Health Houston
    Houston, Texas 77030, United States
    • Tien Do · Contact · Tien.Do@uth.tmc.edu · 281-857-2353
    • Jeffrey Trost, MD · Principal investigator
    Recruiting
  • The San Antonio Orthopaedic Group (TSAOG Orthopaedics)
    San Antonio, Texas 78258, United States
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06529835
Lead sponsor
Auxilium Biotechnologies
Collaborators
MCRA
Responsible party
Sponsor
First posted
Jul 31, 2024
Start date
Mar 21, 2025
Primary completion
Dec 2027 (estimated)
Completion
Aug 2028 (estimated)
Last update
Jun 26, 2026

Study contacts

Jacob Koffler, PhD, MBA
Contact
j.koffler@auxiliumbio.com
858-699-9443

Oversight

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

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