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NVG-291

Phase 3

Chronic Spinal Cord Injury | Small molecule | Neurology |NervGen Pharma Corp.|Last Updated: Sep 25, 2026

Development status

Highest phase Phase 3
Registered trials 3 across 1 sponsor since Apr 2022

Target and mechanism

Molecular targetPTPσ
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment150

FDA Designations

FAST_TRACKORPHAN_DRUG

Clinical trial landscape

NVG-291 · 3 trials · 4 indications

Phase 3 1Phase 1 2
NCT07799532A Trial Investigating the Efficacy and Safety of NVG-291 in Subjects With Chronic Spinal Cord InjuryChronic Spinal Cord Injury
NOT YET_RECRUITING150 Analytics
PHASE3NOT YET_RECRUITING
A Trial Investigating the Efficacy and Safety of NVG-291 in Subjects With Chronic Spinal Cord Injury
Chronic Spinal Cord InjuryUnlock trial analytics

Study Endpoints

Primary Endpoints

Efficacy of NVG-291 as measured by change from baseline in combined Graded and Redefined Assessment of Strength, Sensibility and Prehension (GRASSP) Quantitative Prehension (QtP) score
Baseline to Week 12

Change from baseline to Week 12 in the combined GRASSP QtP score. The combined GRASSP QtP score is the sum of four Prehension Performance task scores for the right and the left hand and ranges from 0 to 40. A higher score on GRASSP QtP indicates improved prehension performance.

Electrophysiological
12 weeks

MEP amplitudes (corticospinal contribution) in key target muscle groups

Adverse Events
Assessed through 7 days following the last dose of study drug

number and frequency of adverse events

Secondary Endpoints

Efficacy of NVG-291 as measured by change at Week 12 in Patient Global Impression of Change (PGIC)
Week 12
Efficacy of NVG-291 as measured by change at Week 12 in Clinician Global Impression of Change (CGIC)
Week 12
Efficacy of NVG-291 as measured by change from baseline in Spinal Cord Independence Measure Version III (SCIM-III)
Baseline to Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NVG-291 ArmEXPERIMENTALParticipants will receive NVG-291 administered once daily by subcutaneous injection for 12 weeks during the double-blind treatment period. Randomization will occur in a 1:1 ratio and will be stratified by country (United States or Canada) and baseline American Spinal Injury Association (ASIA) Impairment Scale category (C or D).
Placebo ArmPLACEBO_COMPARATORParticipants will receive placebo administered once daily by subcutaneous injection for 12 weeks during the double-blind treatment period. Randomization will occur in a 1:1 ratio and will be stratified by country (United States or Canada) and baseline American Spinal Injury Association (ASIA) Impairment Scale category (C or D).
NVG-291 for InjectionEXPERIMENTALInjected under the skin (subcutaneous).
PlaceboPLACEBO_COMPARATORInjected under the skin (subcutaneous).
NVG-291 SADEXPERIMENTALDoses will begin at the lowest dose level in Cohort 1, increasing in dose with each subsequent cohort to the highest dose level in Cohort 6 or until a maximum tolerated dose (MTD) is reached.
NVG-291 MADEXPERIMENTALParticipants will receive 1 dose daily for for 14 consecutive days. The maximum starting dose for MAD will be 2 dose levels lower than the maximum dose achieved during SAD. There will be a maximum of 3 dosing cohorts in Part 2. The maximum daily dose in Part 2 will not exceed the maximum daily dose tolerated in Part 1.
NVG-291 MAD - Males and Premenopausal FemalesEXPERIMENTALParticipants will receive 1 dose daily for for 14 consecutive days. The dose maximum daily dose in Part 3 will not exceed the maximum daily dose tolerated in either Part 1 or 2.

Interventions

NameTypeDescription
NVG-291DRUGNVG-291 is an investigational peptide therapeutic administered by subcutaneous injection. Participants randomized to the experimental arm will receive NVG-291 once daily for 12 weeks. NVG-291 is designed to promote nervous system repair and functional recovery following chronic spinal cord injury.
PlaceboDRUGMatching placebo is supplied as a sterile lyophilized formulation matching NVG-291 in appearance and route of administration. Participants randomized to the placebo arm will receive placebo once daily by subcutaneous injection for 12 weeks.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites18

Inclusion Criteria: 1. Provide written informed consent prior to any study-specific procedures. 2. Be 18 to 75 years of age, inclusive. 3. Have chronic cervical spinal cord injury resulting from acute traumatic injury occurring 1 to 10 years prior to randomization. 4. Have motor-incomplete cervical...

Countries:United StatesCanadaAustralia
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Recent Changes (Last 90 Days)

LOWSep 25, 2026NCT07799532lastUpdatePostDate: changed
LOWSep 25, 2026NCT07799532lastUpdatePostDate: changed
LOWSep 2, 2026NCT07799532NEW_TRIAL: changed
LOWSep 2, 2026NCT07799532NEW_TRIAL: changed
LOWSep 2, 2026NCT07799532NEW_TRIAL: changed
MEDIUMJul 16, 2026NCT05965700TRIAL_REMOVED: changed
MEDIUMJul 16, 2026NCT05965700TRIAL_REMOVED: changed
MEDIUMJul 16, 2026NCT05965700TRIAL_REMOVED: changed

Frequently asked questions about NVG-291

What is NVG-291 used for in chronic spinal cord injury?

NVG-291 is an investigational small molecule being developed for the treatment of chronic spinal cord injury. It is currently in Phase 3 clinical development for this indication. The drug is designed to target the PTPσ receptor, which is involved in inhibiting nerve regeneration.

What does NVG-291 target?

NVG-291 targets PTPσ, a receptor that inhibits nerve regeneration following spinal cord injury. By modulating this target, the drug aims to promote neural repair and functional recovery in patients with chronic spinal cord injury.

Who makes NVG-291?

NVG-291 is being developed by NervGen Pharma Corp., a biopharmaceutical company listed on the stock exchange under the ticker symbol NGEN. The company is conducting clinical trials to evaluate the drug's safety and efficacy in spinal cord injury patients.

What phase is NVG-291 in?

NVG-291 is currently in Phase 3 clinical development for chronic spinal cord injury. It has received Fast Track and Orphan Drug designations from the FDA. The drug is investigational and has not yet been approved for commercial use.

What clinical trials is NVG-291 in?

NVG-291 is being evaluated in a Phase 3 trial (NCT07799532) for chronic spinal cord injury, which is not yet recruiting and plans to enroll 150 participants in the United States and Canada. Two Phase 1 trials have been completed: NCT05965700 in spinal cord injury subjects and NCT05308953 in healthy adults.

Is NVG-291 the same as any other drug?

NVG-291 is the sole name provided for this investigational drug. No alternative names or aliases have been reported for this compound in the available clinical trial information.