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RecruitingNCT07465302SpiCoHUpdated Nov 9, 2026

Treating Spinal Cord Injury With Early Normobaric Hyperoxia

A Phase 2 interventional study of Normobaric Hyperoxia in Traumatic Spinal Cord Injuries, sponsored by University of Florida. Recruiting at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by University of Florida · Phase 2, Interventional, and Treatment

Updated Nov 9, 2026Start date movedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years to 85 Years
Sex
All
01

Study summary

SpiCoH is a phase IIa, single center, open-label, clinical trial of intermittent normobaric hyperoxia in mechanically ventilated patients with traumatic cervical and/or thoracic spinal cord injury.

Read the detailed description

Intermittent normobaric hyperoxia (NBH) by increasing FiO2 to 100% for a duration of 4.5h (270 min), twice daily over five consecutive days. Instead of fixed 12-hour intervals between sessions, the two daily treatments will follow a pre-specified interval: a minimum of 1.5h (90min) between sessions for treatment B, and 10h (600min) for treatment A.

02

Conditions studied

  • Traumatic Spinal Cord Injuries

Browse trials for

Keywords

  • normobaric hyperoxia
  • hyperoxia
  • biomarkers
  • traumatic spinal cord injury
  • FiO2 100%
03

In context

Hyperoxia

115 studies on the registry are indexed under Hyperoxia; 13 are open to participants now.

This study's planned enrollment of 12 is below the median of 48 across 82 interventional studies indexed under Hyperoxia.

Browse Hyperoxia studies →

Lead sponsor

University of Florida is the lead sponsor of 1,287 studies on the registry; 199 are open to participants now.

Of its 180 completed or terminated interventional studies of FDA-regulated products, 143 (79%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 85 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

  1. Provision of signed and dated ICF by the subject or LAR
  2. Stated willingness to comply with all study procedures for the duration of the study
  3. Male or female subjects, aged ≥18 and ≤ 85 years
  4. Admitted with a diagnosis of blunt or penetrating traumatic cervical and/or thoracic SCI (maintaining dural sac integrity)
  5. Awake and able to interact and follow commands
  6. American Spinal Injury Association (ASIA) Impairment Scale (AIS) grades A, B or C
  7. Need for mechanical ventilation (MV), as determined by the treating physician
  8. Baseline PaO2 >80 mmHg before enrollment
  9. Capacity to initiate the study intervention within 24 hours of injury

Exclusion criteria

Exclusion Criteria:

  1. Evidence of traumatic brain injury by neuroimaging (either CT or MRI) including, but not limited to, traumatic subarachnoid hemorrhage, subdural hematoma, epidural hematoma, intracranial hemorrhage, parenchymal contusions, and blunt cerebrovascular injury grades II-V
  2. AIS grades D or E at time of arrival to hospital
  3. Persistent hypoxia requiring >40% FiO2 to maintain PaO2 >80 mmHg
  4. Concurrent injuries contraindicating lumbar drain placement, including, but not limited to: signs of infection at insertion site, elevated intracranial pressure, supratentorial mass lesion with mass effect, posterior fossa mass or uncorrected coagulopathy (thrombocytopenia \<100,000/μL or >1.5)
  5. Pre-existing neurologic conditions that would confound neurologic assessment or would make difficult to accurately assess neurologic and/or functional outcomes
  6. Pre-existing respiratory or pulmonary conditions that would impact ventilation mechanics or confound the assessment of respiratory recovery
  7. Participation in a concurrent /interventional study (observational studies allowed)
  8. Known to be pregnant, or with a positive pregnancy test
  9. Vulnerable populations such as prisoners and inmates (abiding GCP per the study IRB)
  10. Patient has any other medical condition as determined by the investigator, that may unfavorably alter the risk-benefit of study participation, adversely affect study compliance, or confound interpretation of study results
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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Intervention

    Normobaric hyperoxia

    Other: Normobaric Hyperoxia

Interventions

  • OtherNormobaric Hyperoxia

    Intermittent normobaric hyperoxia (NBH) by increasing FiO2 to 100% for a duration of 4.5h (270 min), twice daily over five consecutive days. Instead of fixed 12-hour intervals between sessions, the two daily treatments will follow a pre-specified interval: a minimum of 1.5h (90min) between sessions for treatment B, and 10h (600min) for treatment A.

06

What researchers measure

Primary outcomes

  1. Feasibility of early normobaric hyperoxic therapy

    Proportion of subjects receiving first normobaric hyperoxia therapy.

    Time frame: 24 hours from injury

  2. Preliminary efficacy of intermittent normobaric hyperoxia in achieving high oxygen concentrations systemically

    Serial PaO2

    Time frame: From enrollment to the end of intervention period at 5 days

  3. Preliminary safety of intermittent normobaric hyperoxia

    Four-point end-organ toxicity surveillance.

    Time frame: From completion of first treatment to end of 6 month follow up period

Secondary outcomes

  1. Feasibility of intermittent therapeutic hyperoxemia and elevated oxygen concentration

    Serial PaO2. Proportion of subjects receiving all 10 planned normobaric hyperoxia treatments.

    Time frame: From enrollment to the end of intervention period at 5 days

  2. Exploratory safety objectives

    Rates of study termination from demonstrated signs of organ injury attributable to hyperoxia determined by safety monitoring board

    Time frame: From enrollment to end of 6 month follow up period

  3. Feasibility - Timely Placement of Lumbar Drain

    Proportion of subjects with lumbar drain placed before initiation of normobaric hyperoxia.

    Time frame: Time of injury to 24hr post injury.

  4. Feasibility - Completion of Required Monitoring Lines

    Proportion of subjects with lumbar drain and arterial line for the duration of 5-day intervention period.

    Time frame: Day 0 to day 5

  5. Protocol Adherence - Sampling Deviations

    Rate of protocol violations or deviations related to missing samples or samples obtained outside the planned schedule for blood and/or CSF.

    Time frame: Enrollment to end of 6 month follow up period

  6. Sample Handling - Discarded Specimens

    Rate of discarded CSF or blood samples

    Time frame: From enrollment to end of 6 month follow up period

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data (IPD) underlying the primary results of this study-including de-identified clinical, physiologic, and outcome variables-will be made available following publication of the main results. Data will be shared in accordance with institutional policies and applicable regulations after all direct identifiers have been removed using a standardized de-identification protocol. The curated dataset, accompanying data dictionary, and analytic code (when applicable) will be deposited in the National Spinal Cord Injury Statistical Center (https://sites.uab.edu/nscisc/), where they will be accessible under a controlled-access model. Qualified researchers may request access by submitting a brief proposal outlining the intended use of the data; requests will be reviewed by the study team to ensure scientific validity and compliance with participant privacy protections. Data will remain available for the duration required by institutional policy.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Start date
Apr 15, 2026→Oct 31, 2026
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    Start date Apr 15, 2026→Oct 31, 2026
    + 1 other change: contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07465302
Responsible party
Sponsor
First posted
Mar 11, 2026
Start date
Oct 31, 2026
Primary completion
Mar 30, 2028 (estimated)
Completion
Sep 30, 2028 (estimated)
Last update
Nov 9, 2026

Study contacts

Andrew Kline
Contact
andrew.kline@neurosurgery.ufl.edu
352-273-9000
Ralisa Pop
Contact
Ralisa.Pop@neurology.ufl.edu
(352) 294-5693
Daryl Fields, MD, PhD
principal investigator · University of Florida

Oversight

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

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