mRNA-based heart pacemaker

mRNA biological pacemaker

['FUNDING_R01'] · JOHNS HOPKINS UNIVERSITY · NIH-11251225

This project uses short-lived mRNA delivered in lipid nanoparticles to turn heart muscle cells into natural pacemakers for adults with slow heart rhythms.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorJOHNS HOPKINS UNIVERSITY (nih funded)
Locations1 site (BALTIMORE, UNITED STATES)
Trial IDNIH-11251225 on ClinicalTrials.gov

What this research studies

Researchers will use mRNA packaged in lipid nanoparticles (similar to formulations already tested in people) to reprogram ventricular heart cells so they behave like pacemaker cells. They will test this approach in laboratory experiments and animal models to create and measure new pacing activity in the heart. The team will track where the mRNA goes in the body, how long the effect lasts, and any safety issues. The goal is to identify the right patient groups and safety data needed to move toward a first-in-human trial.

Who could benefit from this research

Good fit: Ideal candidates would be adults with symptomatic bradyarrhythmias or atrioventricular block who are considering or eligible for pacemaker therapy.

Not a fit: This preclinical project may not help people under 21, those with other primary cardiac conditions, or patients who need immediate pacing support right now.

Why it matters

Potential benefit: If successful, this could provide a non-surgical, infection-free alternative to implanted electronic pacemakers for people with symptomatic bradycardia.

How similar studies have performed: Related gene-based and mRNA delivery approaches have produced pacemaker-like activity in lab and animal studies and lipid nanoparticle delivery has been safe in human vaccine trials, but using mRNA to create a lasting biological pacemaker in patients is still novel.

Where this research is happening

BALTIMORE, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.