Advancing neuromodulation through clinical research

StimCardio Medical is conducting a structured, multi-stage clinical program based on discussions and feedback from the FDA to evaluate its non-invasive, wearable neuromodulation platform.

Clinical studies are designed to assess system feasibility and safety, usability, physiological effects, clinical efficacy, and rhythm-related markers, with atrial fibrillation as the lead indication.

Clinical Studies

A stepwise, evidence-driven approach

The StimCardio clinical program includes:
  • Early feasibility and first-in-human studies
  • Randomized, sham-controlled pilot investigations
  • Mechanism-of-action studies
  • Ongoing multicenter clinical evaluations

This staged approach is intended to inform platform development, algorithm refinement, and future regulatory submissions.

Pilot randomized controlled study

This randomized, sham-controlled pilot study was designed to evaluate system behavior and rhythm-related markers under controlled conditions. Study findings were presented at a major international electrophysiology meeting (HRS 2025 - San Diego, CA).

STUDY FACT
Design:
Randomized, double-blinded, sham-controlled study
Population:
Patients with paroxysmal atrial fibrillation
Sample size:
n=31
ClinicalTrials.gov ID:
NCT05872776
Status:
Completed
clinical results:
Closed-Loop Monitoring and Neuromodulation Wearable Device
(%) Acute PAC Change
EHRA Change from Baseline (±95% CI)
Adjusted Median % AF Burden
Change from baseline
Change in Arrhythmia Burden
(AF+PAC) Between Groups
Baseline vs End Comparison of PAC Burden
(from 14 Day ECG patch)
Completed Studies

First clinical evidence of atrial arrhythmia management using non-invasive median nerve neuromodulation

This study provides the first clinical evidence demonstrating atrial arrhythmia management using non-invasive median nerve neuromodulation. Using direct epicardial mapping during open-heart surgery, investigators observed acute improvements in atrial electrophysiology, including enhanced conduction and favorable changes in atrial activation patterns, voltage and slope, all indicating an anti-arrhythmic effect.

STUDY FACT
Design:
Interventional clinical study with direct epicardial electrical mapping during open-heart surgery
Population:
Patients undergoing coronary artery bypass graft (CABG) or valve replacement surgery
Sample size:
n=25 (20 treated, 5 control)
Status:
Completed
clinical results:
Voltage (MV)
Slope (V/s)

First-in-Human (FIH) feasibility study

This study evaluated early system feasibility and performance in a real-world, at-home setting following cardioversion. Study findings were presented at a major international electrophysiology meeting.

STUDY FACT
Design:
Single-arm, home-use feasibility study
Population:
Patients following cardioversion
Sample size:
n=10
Status:
Completed
clinical results:
Acute PAC (AF arrhythmia precursor) reduction in individual patients
Mean group PAC reduction before vs. after therapy
StimCardio reduces AF recurrence rates by close to 50% after 8 weeks of therapy

FAQs About the Clinical Research

Is the StimCardio system approved for clinical use?

No. The StimCardio platform and Rhyvive wearable are investigational and are not approved or cleared by regulatory authorities for diagnosis or treatment.

Is the device available to patients today?


No. The device is investigational and is only available to participants enrolled in approved clinical studies.

What patient populations are being studied?

Current clinical studies focus on patients with atrial fibrillation, including paroxysmal and post-ablation populations. Additional indications may be explored as the platform evolves.

Is this intended to replace medications or ablation?

No. Rhyvive is under investigation for use as a physician-prescribed adjuvant to the standard of care and is not approved as a replacement for medications, ablation, or other interventions.

Can this device treat atrial fibrillation?

Rhyvive is currently being studied in clinical research. It is not approved to treat atrial fibrillation or any other condition.

Is this an emergency device?

No. Rhyvive is not designed to detect or respond to medical emergencies. Individuals experiencing symptoms or an emergency should seek immediate medical care.

How can providers learn more or participate in research?

Healthcare professionals interested in learning more or participating in clinical research may contact StimCardio Medical directly.