Personalized ear-based vagus nerve stimulation for atrial fibrillation

Biomarker-guided optimization of transcutaneous vagal stimulation for atrial fibrillation

NIH-funded research University of Oklahoma Hlth Sciences Ctr · NIH-11249534

This work sees whether blood and ECG markers can help tailor noninvasive ear vagus‑nerve stimulation to reduce atrial fibrillation episodes in people with paroxysmal AF.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Oklahoma Hlth Sciences Ctr NIH-funded
Lab location1 site (Oklahoma City, United States)
Project IDNIH-11249534 on NIH RePORTER

What this research studies

If I join, doctors will use a noninvasive ear device that sends brief electrical pulses to the vagus nerve and change the dose based on heart and blood markers. They'll monitor my heart rhythm with ECGs and look at signals such as P-wave alternans plus blood-based biomarkers to decide the best stimulation settings. The team builds on a prior trial that lowered AF burden with this device but found some people responded better than others. Over months of at‑home stimulation and clinic visits, they will match stimulation patterns to the biomarkers to see if personalized settings work more consistently.

Who could benefit from this research

Good fit: Adults with paroxysmal (intermittent) atrial fibrillation who can use a home transcutaneous vagus‑nerve stimulator and attend clinic visits for ECG checks and blood draws are the best candidates.

Not a fit: People with long‑standing persistent AF, those with incompatible implanted cardiac devices, or those unable to use or tolerate the stimulation device may not benefit.

Why it matters

Potential benefit: Could reduce AF episodes for people who respond and help identify who is most likely to benefit from noninvasive vagus stimulation.

How similar studies have performed: A prior randomized trial from this group showed that chronic intermittent transcutaneous vagus stimulation cut AF burden compared with sham, but individual responses varied, so personalization is a next step.

Where this research is happening

Oklahoma City, 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.
Last reviewed 2026-06-13 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.