The NERVGEN-291 miracle!

If it's on your mind and it has to do with multiple sclerosis in any way, post it here.
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

DIM wrote: Mon Nov 25, 2024 1:00 pm NervGen Completes Dosing Another Group With MS Candidate NVG-291

https://multiplesclerosisnewstoday.com/ ... e-nvg-291/
This phase 1 trial appears to have been misidentified by Multiple Sclerosis News Today. This article's title states...
NervGen Completes Dosing Another Group With MS Candidate NVG-291

NVG-291 is an investigational therapy for MS and other nervous system disorders
Patricia Valerio, PhD avatar

by Patricia Valerio, PhD | November 18, 2022
However, the study description at ClinicalTrials.gov clearly states that it was a phase 1 trial for spinal cord injury.

https://clinicaltrials.gov/study/NCT05308953
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

On March 13, 2025 Nervgen participated in the Virtual Life Sciences Investor Forum. Nervgen CEO Mike Kelly's presentation can be found at the following link.

Note, registration is required, but real info is optional.

https://www.virtualinvestorconferences. ... 325LSIFVIC
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

NervGen Initiates Expanded Access Policy

March 31, 2025 7:30 AM EDT

https://www.newsfilecorp.com/release/246658

• The U.S. Food and Drug Administration (FDA) informed the company that an expanded access protocol for NVG-291 may proceed.

Vancouver, British Columbia--(Newsfile Corp. - March 31, 2025) - NervGen Pharma Corp. (TSXV: NGEN) (OTCQB: NGENF), a clinical-stage biotech company dedicated to developing neurorestorative therapeutics, today announced the company has initiated an expanded access policy to allow treatment use of the investigational product NVG-291 for those individuals with spinal cord injury (SCI) who have participated in NervGen clinical trials and meet specific eligibility criteria. The company received a request from a physician for expanded access to NVG-291 for a subject who participated in the chronic cohort of the Phase 1b/2a clinical trial. After the company submitted an expanded access protocol for NVG-291 to the FDA, the FDA informed the company that the study could proceed.

NVG-291 is an investigational drug in clinical development that has not been approved by regulatory authorities for marketed use. It is unknown whether it is effective for the treatment of individuals with SCI, and there may be unknown risks associated with its use. Expanded Access programs allow patients who have unmet medical needs with serious or life-threatening conditions to access investigational products that are not yet approved by the FDA outside of a clinical trial.

"NervGen is committed to the continued clinical development and evaluation of NVG-291 as a potential novel treatment approach in spinal cord injury," said Daniel Mikol, M.D. Ph.D., NervGen's Chief Medical Officer. "As we announce this expanded access policy for specific participants, we continue to enroll the subacute cohort of the Phase 1b/2a study in SCI as we prepare to unblind the efficacy and safety results from the chronic cohort of this study in early June 2025."

The company's expanded access policy provides a potential opportunity for individuals living with SCI who have participated in NervGen clinical trials to continue access to NVG-291 for treatment. The company's decision to change its expanded access policy was based, in part, upon a special circumstance related to a physician request for access to NVG-291.

For information about NervGen's expanded access policy for NVG-291 and the process to submit a request, please refer to the company's policy.

[Continued]
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

Nervgen CEO Mike Kelly gave a presentation at the 2025 Bloom Burton & Co. Healthcare Investor Conference on May 5, 2025. He noted that the current phase 1b/2a clinical trial will have a readout of the chronic spinal cord injury (SCI) NVG-291 treatment arm in 5 weeks. He reported that patient recruitment for the subacute SCI arm of the trial is still ongoing. Mike Kelly also stated that NVG-291 had been approved for expanded access upon the request of one patient's doctor. Expanded access allows the patient to continue receiving NVG-291 after the patient had completed their participation in the trial. You can view the presentation at the following link.

https://event.summitcast.com/view/hG2Kh ... EE8LWSmtQV
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

NervGen Pharma to Present Topline Data for NVG-291 Phase 1b/2a Chronic Cohort Study at the American Spinal Injury Association Annual Scientific Meeting

May 21, 2025 7:30 AM EDT | Source: NervGen Pharma Corp.

https://www.newsfilecorp.com/release/252834

Vancouver, British Columbia--(Newsfile Corp. - May 21, 2025) - NervGen Pharma Corp. (TSXV: NGEN) (OTCQB: NGENF), a clinical-stage biotechnology company dedicated to developing neuroreparative therapeutics, today announced that topline results from the chronic cohort of the ongoing Phase 1b/2a study of NVG-291 will be presented as an oral presentation at the 52nd American Spinal Injury Association Annual Scientific Meeting being held June 2-4, 2025 in Scottsdale, AZ.

"We are looking forward to completing the data analysis, unblinding the data, and presenting the first results from the chronic cohort in this initial proof-of-concept, double-blind, placebo-controlled clinical trial of NVG-291 in spinal cord injury ("SCI")," stated Daniel Mikol, MD, Ph.D., NervGen's Chief Medical Officer. "In this trial we have incorporated both clinical assessments as well as electrophysiological assessments of connectivity, as we feel this gives the highest probability of observing and characterizing an efficacy signal with NVG-291. We are hopeful that the results of the chronic cohort of our Phase 1b/2a trial may demonstrate, for the first time, the potential for NVG-291 to enable neural repair in individuals with SCI and will support further investigation of NVG-291 in SCI."

Presentation Details:

Presenting Author: Daniel Mikol MD, Ph.D., Chief Medical Officer, NervGen
Presentation Title: A 16-week Placebo-controlled Phase 1b/2a Study of NVG-291: Results for the Chronic Cohort
Session Name: General Session 6: Clinical Trial Updates: Clinical Trials: What's the Latest and When Will it Get Here?
Session Date: Tuesday, June 3, 2025
Session Time: 10:40 AM-11:40 AM MST
Location: Arizona Ballroom I, Grand Hyatt Scottsdale Resort, 7500 E. Doubletree Ranch Rd., Scottsdale, AZ
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

NervGen Pharma Reports Positive Topline Data from the Chronic Cohort of its Phase 1b/2a Clinical Trial Evaluating NVG-291 in Spinal Cord Injury

June 02, 2025 07:00 ET

https://www.globenewswire.com/news-rele ... njury.html

• Study met its primary endpoint by achieving statistical significance on one of its two pre-specified co-primary endpoints, demonstrating increased electrical connectivity between the brain and hand muscle in individuals with a cervical level spinal cord injury (SCI).

• Study also showed a positive trend in the secondary endpoint evaluating change in “GRASSP” score, a measure designed specifically to assess hand function in people with cervical injuries.

• As the first pharmaceutical candidate to show improved motor recovery based on increased motor evoked potential amplitude, these study results represent a significant scientific advance and step forward in the potential to treat SCI, where there remains no approved pharmaceuticals to enable sustained functional recovery.

• Topline safety and efficacy results reinforce the potential of NVG-291 to promote nervous system repair in individuals living with traumatic cervical SCI; NervGen intends to review results and development plan with the U.S Food and Drug Administration (FDA).

• Topline results from the chronic cohort will be presented at the American Spinal Injury Association (ASIA) Annual Scientific Meeting on June 3, 2025.

• Investor and analyst call to review topline data results will be held on June 3, 2025.

VANCOUVER, British Columbia, June 02, 2025 (GLOBE NEWSWIRE) -- NervGen Pharma Corp. (TSXV: NGEN) (OTCQB: NGENF), a clinical-stage biotech company dedicated to developing neuroreparative therapeutics, today announced positive topline results from the chronic cohort (1-10 years post injury) of its Phase 1b/2a clinical trial evaluating its lead drug candidate, NVG-291, as a potential treatment for spinal cord injury. NVG-291 met one of its co-primary endpoints and demonstrated promising changes in “GRASSP” score, a measure designed specifically to assess hand function in individuals with cervical SCI.

Topline results from the trial support the potential of NVG-291 to promote nervous system repair. The trial met a co-primary endpoint demonstrating improved motor connectivity in individuals with cervical chronic SCI receiving NVG-291 (n=10) compared to placebo (n=10). Data showed that subjects receiving NVG-291 achieved a three-fold increase in the strength of motor connectivity to an important hand muscle (first dorsal interosseus), as measured by change in the normalized motor evoked potentials (MEP) amplitude. (Baseline/Week 12 actual results: 6.207/18.773 for NVG-291 vs. 6.527/7.760 for placebo, p-value 0.0155). The second co-primary endpoint evaluating connectivity in a leg muscle (tibialis anterior) did not achieve statistical significance. The co-primary endpoint approach to the trial design is intended to permit only one of the co-primary endpoints to achieve statistical significance, though with a more rigorous p-value of <0.025 being required.

“As a scientist and clinician dedicated to enhancing rehabilitation outcomes for individuals with SCI, I am encouraged by the results from the chronic cohort of the NVG-291 clinical trial,” said Monica A. Perez, PT, Ph.D., Scientific Chair, Arms + Hands Lab, Shirley Ryan AbilityLab and principal investigator of this trial. “A threefold increase in MEP is generally considered substantial and, in this study, the data separation from placebo is clear. I believe that data demonstrating changes in motor connectivity underscore the potential of this new drug candidate to provide functional restoration and improve the quality of life for people with SCI.”

“We are excited to have achieved positive study results demonstrating both improved hand-motor connectivity and improved function in the chronic cohort of our Phase 1b/2a trial. This data supports the therapeutic potential of NVG-291 and represents a big step forward in advancing this drug candidate,” said Mike Kelly, NervGen’s President and Chief Executive Officer. “This data demonstrates, for the first time, that a drug candidate can assist in achieving functional improvement for individuals in the chronic stage of SCI who have plateaued in their recovery. It is important to highlight that changes in upper extremity motor function can provide individuals living with SCI the opportunity for meaningful improvements in their performance of daily functions as well as their independence. Lastly, on behalf of the entire team at NervGen, I would like to thank the investigators, all those involved in the trial at Shirley Ryan AbilityLab, and the individuals with SCI who participated in this trial.”

Positive trends were also seen in the secondary endpoint evaluating the change from baseline in the Graded Redefined Assessment of Strength, Sensation and Prehension (GRASSP) Test, with the strongest improvements being in quantitative prehension. GRASSP is a validated test of hand function, sensation and strength comprised of four tests and is designed specifically to assess hand function in individuals with cervical SCI. The quantitative prehension performance subtests scores an individual’s ability to carry out specific gross or fine motor tasks and requires control, orientation of the hand, strength and endurance. A positive trend, though not sufficient to reach statistical significance, toward improvement in the quantitative prehension score was observed (actual change from baseline at week 12: +3.7 for NVG-291 and +0.4 for placebo; linear mixed effects modeled results: +3.1 for NVG-291 1.0 for placebo group, p= 0.1416); 50% of the individuals receiving NVG-291 vs. 10% in the placebo group had an improvement of at least 4 points.

“What I am particularly excited about are the changes in GRASSP scores as these are very important clinical outcomes for patients living with SCI,” said James Guest, MD, PhD, FACS, Professor of Neurological Surgery at the University of Miami. “For individuals with cervical SCI, their level of independence depends on their hand and arm functions. Based on my clinical experience, if an individual with a cervical SCI had to pick what is most important to them, upper extremity function is most often what they would choose. An increase in quantitative prehension can allow for a meaningful improvement in independence.”

In a preliminary post hoc analyses, positive trends toward improvement were also seen for changes on the nine-hole peg test (9-HPT), a measure of upper extremity dexterity. Although not statistically significant based on topline analyses, these results in the secondary endpoints warrant further analysis. We did not see any clear effects on changes in the other secondary endpoints of pinch force, 10-meter Walk Test and Upper and Lower Extremity Motor Scores, although additional analyses are ongoing and have the potential to provide additional insights into the data and NVG-291’s therapeutic effects.

“This is the first placebo-controlled trial of which we are aware that an investigational drug candidate has achieved statistical significance on a primary endpoint, in this case a quantitative biomarker of motor connectivity,” said Daniel Mikol, MD, Ph.D., NervGen’s Chief Medical Officer. “We are highly encouraged by the clear trends in improved GRASSP scores, and we look forward to additional forthcoming analyses to gain further insights into the results already observed. Results from this trial will also guide us in the design of future trials in SCI. We plan to meet with the FDA in the coming months to discuss these results and the path forward for NVG-291. In addition, we continue to enroll participants in the subacute cohort (20-90 days post injury) of the trial.”

We believe that the preliminary efficacy signal observed in the chronic cohort in this study supports clinical advancement of NVG-291 in chronic SCI. NVG-291 was generally safe and well tolerated. The most common adverse event was mild/moderate injection site reactions. There were no treatment discontinuations or serious adverse events in the NVG-291 group.

SCI results in a loss of connectivity that sends and receives electrical signals to and from the brain and can cause changes in feeling, movement, strength, and body functions below the site of injury. NVG-291 is a potential first-in-class therapeutic peptide that targets the body’s natural inhibitors of repair. It is thought to promote natural repair processes (such as axonal regeneration, neuroplasticity, and remyelination) to improve the connections disrupted by SCI. Since there are currently no approved pharmaceuticals to enable functional recovery in SCI, NervGen’s study represents a meaningful and significant step forward for the SCI treatment landscape.

[Continued]
User avatar
DIM
Family Elder
Posts: 668
Joined: Thu Feb 28, 2008 3:00 pm
Location: GREECE
Contact:

Re: The NERVGEN-291 miracle!

Post by DIM »

Improvement only for the upper part (hands), not statistically significant for the lower part of the body...
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

For some reason, they used an experimental design that had the alpha set at 0.025. The standard level for statistical significance is 0.05. This may have been a factor in the outcome. In effect, their experimental design made it more difficult for their study to acheive statistical signficance in both clinical endpoints. In addition, the current results are only for the chronic arm of the trial. The sub-acute arm may likely yield better results as it more closely resembles their preclinical model.
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

Here's Nervgen's presentation reporting the chronic treatment arm results.

https://nervgen.com/wp-content/uploads/ ... -final.pdf
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

NervGen Pharma Announces Expanded CONNECT SCI Study Data Demonstrating Unprecedented Durable Improvement in Function, Independence, and Quality of Life in Chronic Spinal Cord Injury

https://nervgen.com/nervgen-pharma-anno ... rd-injury/

• Week 16 follow-up data, coupled with blinded exit interviews conducted up to 364 days after the study period, confirm durable and wide-ranging upper and lower-body improvements compared to placebo.

• Participant-reported outcomes highlight substantial improvements in bladder control and muscle spasticity compared to placebo.

• Statistically significant reduction of hyperactive reticulospinal signaling in upper and lower limbs (via startle MEP), together with previously reported increases in corticospinal signaling (via MEP), establish the biological basis for NVG-291’s clinical efficacy.

• Company completed a U.S. Food and Drug Administration (FDA) Type C meeting in September; FDA confirmed that multiple regulatory routes are available to support approval of NVG-291 as the first pharmacologic treatment for spinal cord injury.

VANCOUVER, British Columbia – Nov. 24, 2025 – NervGen Pharma Corp. (“NervGen” or the “Company”) (TSXV: NGEN) (OTCQB: NGENF), a clinical-stage biopharmaceutical company developing first-in-class neuroreparative therapeutics for spinal cord injury (SCI) and other traumatic and neurologic disorders, today announced expanded CONNECT SCI Study data demonstrating unprecedented durable improvement in function, independence, and quality of life in individuals living with chronic SCI.

“The expanded CONNECT SCI Study data builds upon our landmark topline results and represents a moment of real hope for the SCI community and a defining milestone for NervGen. NVG-291 continues to demonstrate the ability to restore clinically meaningful function and drive dramatic, real-world improvements in daily independence and quality of life. More importantly, we are observing durable clinical benefits that extend well beyond the 12-week treatment period. Taken together, these findings validate the biologic repair mechanisms first discovered by Dr. Jerry Silver and mark the successful translation of his pioneering work, challenging the long-held belief that the central nervous system cannot repair itself after neurologic trauma,” said Adam Rogers, MD, Interim Chief Executive Officer at NervGen Pharma.

“We recognize that the clinical progress achieved to date and the continued advancement of NVG-291 would not be possible without the support and participation of the SCI community. We are deeply grateful to the individuals and families who placed their trust in NervGen and the Shirley Ryan AbilityLab through their participation in the CONNECT SCI Study. Their courage, commitment and determination have helped to advance the field of neurorepair, bringing us closer to a future where meaningful recovery, even years after SCI, is possible.”

Week 16 and Post-Study Clinical Data from the Phase 1b/2a CONNECT SCI Study

The CONNECT SCI Study was a 16-week placebo-controlled trial in individuals with chronic SCI. Twenty participants (avg. 3.5 years post-injury) were randomized to receive daily subcutaneous NVG-291 or placebo for 12 weeks, followed by a 4-week observation period to assess durability of response at Week 16. In addition, blinded qualitative exit interviews were conducted to provide insight into participants’ real-world experiences and evaluate improvements beyond Week 16.

NVG-291 Functional Gains were Durable and Continued to Improve at and After Week 16

• Functional gains continued to increase four weeks after treatment ended. NVG-291 participants demonstrated a 2.6-fold greater mean improvement in GRASSP Total Score compared to placebo at Week 16.

• Hand function improvements were durable and continued to further strengthen post-treatment, with NVG-291 participants experiencing a 3.7-fold greater mean improvement in GRASSP Quantitative Prehension compared to placebo at Week 16.

• Blinded exit interviews conducted up to 364 days after Week 16 revealed that NVG-291 participants reported more consistent, durable, and wide-ranging functional gains, particularly in upper and lower limb movement, compared to placebo.

• NVG-291 participants further reported that functional improvements often directly enabled greater daily independence and activity, compared to placebo.

Quality of Life Improvements Observed in NVG-291 Participants Following Study Completion

Blinded qualitative exit interviews were conducted by an institutional review board (IRB) approved clinical research organization (CRO). These interviews reinforced and extended the observed quantitative findings, underscoring NVG-291’s potential to deliver clinically meaningful and durable improvements.

• NVG-291 participants reported greater overall improvement on the Participant Global Impression of Change scale.

• 75% (6/8) of NVG-291 participants reported “much” or “very much” improved overall symptoms compared to 33% (3/9) on placebo.

• 67% (6/9) of NVG-291 participants reported improved bladder control compared to 22% (2/9) of placebo participants.

• 56% (5/9) of NVG-291 participants reported reduced muscle spasticity compared to 22% (2/9) of placebo participants.

• NVG-291 participants were more likely than placebo to report sustained improvements across key quality of life domains, including reduced reliance on medications or mobility aids, and greater physical activity tolerance

Blinded Exit Interviews Highlight the Real-World Impact of NVG-291 Treatment1

“I can now take care of myself: brush my hair, brush my teeth, cut my own food. I’ve even started working on art projects. I can open a can of soda, or twist open a bottle of water. All of these were impossible before the study and more importantly, I’ve continued to maintain my improvements.”

– NVG-291 treated participant 158 days after study completion

“Before the study, I couldn’t go four hours without my bladder leaking, and I’d need catheterization every two hours. I used to rely on Botox treatments, but I’m now catheterizing less and continuing to notice improvements in my bladder control.”

– NVG-291 treated participant 360 days after study completion

“I started to notice that I could voluntarily hold my bladder for longer without leaking when not catheterized. I used to experience autonomic dysreflexia when attempting to hold my bladder where my heart would beat faster and I’d begin to sweat. I don’t experience that anymore.”

– NVG-291 treated participant 17 days after study completion

“I used to experience tightness and spasticity throughout my body multiple times a day. I can now move my arms better, my walking has improved now that I feel less tight, and the frequency and severity of the spasms has decreased. These improvements have continued since ending the study.”

– NVG-291 treated participant 350 days after study completion

[Continued]
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

One patient's experience from the trial.

User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

View videos of patients walking after the trial compared to baseline.

https://vimeo.com/1139791186/3699d84008?fl=pl&fe=vl

https://vimeo.com/1139793323/6fce04856e?fl=pl&fe=vl
User avatar
NHE
Volunteer Moderator
Posts: 6449
Joined: Sat Nov 20, 2004 3:00 pm
Contact:

Re: The NERVGEN-291 miracle!

Post by NHE »

Nervgen's November 2025 corporate presentation which discusses the phase 1b/2a study results.

https://nervgen.com/wp-content/uploads/ ... erview.pdf
Post Reply

Return to “General Discussion”