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Atrial Fibrillation (AF)US-RESTNCT07595068

Low-Intensity Focused Ultrasound Targeting the Stellate Ganglion for Regulating Autonomic Nerve Function and Sleep Quality in Perioperative Patients With Cardiovascular Diseases

A study testing Low-intensity focused ultrasound (LIFU) targeting the left stellate ganglion in people with Atrial Fibrillation (AF) and Cardiovascular Diseases, run by Renmin Hospital of Wuhan University at 7 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this multicenter, double-blind, randomized controlled trial is to evaluate the efficacy and safety of low-intensity focused ultrasound (LIFU) stellate ganglion modulation for improving autonomic function and sleep quality in perioperative cardiovascular disease patients. Read more about this study

Who is it for?
Ages 18 to 79 years
What is being tested?
Low-intensity focused ultrasound (LIFU) targeting the left stellate ganglion
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
7 sitesChina
Study dates
20 May 2026to 1 Apr 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 79 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with cardiovascular disease (CVD) and scheduled to undergo cardiology-related surgical treatment
  • Able to receive and tolerate the aforementioned cardiology-related surgical treatment
  • Aged between 18 and 79 years (inclusive), with no restriction on gender
  • Agree to accept random allocation of the treatment strategies
  • With clear consciousness, no severe mental disorders or cognitive impairment; voluntarily sign the written informed consent form (ICF) and are willing to actively cooperate with the study treatment

Who cannot join

  • Have used sedative-hypnotic drugs, antipsychotic drugs, opioid analgesics, antihistamines, non-steroidal anti-inflammatory drugs (NSAIDs), central nervous system (CNS) stimulant drugs, or any other medications that alter sleep architecture within the past 30 days
  • Have a history of cervical infection, trauma, severe cervical deformity, or prior cervical surgery
  • Unable to complete the daily study intervention as required by the trial protocol
  • Are participating in another clinical trial, or have participated in other clinical trials with interventions that may interfere with the results of this study
  • Have undergone major surgery or general anesthesia within the past 30 days
  • Have a history of alcohol abuse
Show all 12Show fewer
  • Are female subjects who are pregnant or lactating, or plan to become pregnant during the study period
  • Have severe cognitive impairment, severe psychiatric disorders, epilepsy, or other related neurological disorders
  • Have concomitant malignant tumor or severe dysfunction of vital organs
  • Have active systemic infection
  • Have significant bleeding tendency, or renal failure undergoing regular hemodialysis
  • Are deemed unsuitable for the trial by the investigator for any other reason -

Trial locations and contacts

7 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Songyun Wang, MD contact

+86 13871262107

wsy7982@126.com

7 sites in 1 country

China7 sites, 7 recruiting
  • Huangshi Central Hospital

    Huangshi, Hubei, 430060

    Kai Zhang, MD, +86 13907230225, zk9620@163.com

    Not yet recruiting
  • Jingzhou Central Hospital

    Jingzhou, Hubei, 430060

    Keping Yang, MD, +86 18107168679, 30461400@qq.com

    Not yet recruiting
  • Renmin Hospital of Wuhan University

    Wuhan, Hubei, 430060

    Songyun Wang, MD, +86 13871262107, wsy7982@126.com

    Recruiting
  • Wuhan Central Hospital

    Wuhan, Hubei, 430060

    Long Wang, MD, +86 15761600527, 319921605@qq.com

    Not yet recruiting
  • Wuhan Third Hospital

    Wuhan, Hubei, 430060

    Dongsheng Li, MD, +86 18872288277, lidongsheng693@sina.com

    Not yet recruiting
  • Xiangyang Central Hospital

    Xiangyang, Hubei, 430060

    Tongjian Zhu, MD, +86 15971160197, whuzhutongjian@126.com

    Not yet recruiting
  • Yichang Central People's Hospital

    Yichang, Hubei, 430060

    Zhuli Guo, MD, +86 15271455251, guozhuli@yczxyy.com

    Not yet recruiting

Other trials in China

About this study

Official title: Low-Intensity Focused Ultrasound Targeting the Stellate Ganglion for Regulating Autonomic Nerve Function and Sleep Quality in Perioperative Patients With Cardiovascular Diseases: A Multicenter, Double-Blind, Randomized Controlled Trial

The goal of this multicenter, double-blind, randomized controlled trial is to evaluate the efficacy and safety of low-intensity focused ultrasound (LIFU) stellate ganglion modulation for improving autonomic function and sleep quality in perioperative cardiovascular disease patients.

The main questions it aims to answer are:

Read more
  1. Does LIFU improve heart rate variability and sleep characteristics from baseline at 3-7 days post-surgery compared to sham ultrasound?
  2. Does LIFU improve serological markers, vital signs, Pittsburgh Sleep Quality Index (PSQI), and reduce >30-second perioperative arrhythmias?
  3. What is the safety profile of LIFU in this population? 200 eligible patients will be randomized 1:1 to receive either active LIFU (2.0W, 1MHz, 50% duty cycle, 30min daily for 3-7 days) plus standard care, or identical sham ultrasound plus standard care. A four-party double-blind design (subjects, operators, assessors, analysts) will be implemented. The study will run from May 1, 2026 to April 1, 2027 at 6 centers in China.

Participants will:

  1. Complete pre-surgery screening and baseline assessments (PSQI, 12h ECG/sleep monitoring, residual blood sample collection)
  2. Receive daily assigned ultrasound intervention for 3-7 consecutive days post-surgery
  3. Undergo 72h continuous ECG monitoring post-surgery, and repeat assessments at 3-7 days
  4. Have all adverse events and arrhythmias recorded throughout the study
  5. May withdraw voluntarily at any time without affecting routine medical care
Being tested
Low-intensity focused ultrasound (LIFU) targeting the left stellate ganglion, Sham low-intensity focused ultrasound targeting the left stellate ganglion
Keywords
Low-Intensity Focused Ultrasound, Cardiovascular Diseases, Stellate Ganglion, Autonomic Nervous Function, Sleep Quality
Medical subject headings
Atrial Fibrillation, Cardiovascular Diseases, Sleep Initiation and Maintenance Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Low-intensity focused ultrasound (LIFU) targeting the left stellate ganglionDevice

    The experimental group receives active low-intensity focused ultrasound (LIFU) treatment: the ultrasound probe is placed on the skin surface corresponding to the left stellate ganglion and fixed with a mechanical arm, with parameters set as power 2.0W, frequency 1MHz, duty cycle 50%, 30 minutes per session, once daily for 3-7 consecutive days. All enrolled subjects receive standard perioperative cardiovascular care simultaneously throughout the study period.

  • Sham low-intensity focused ultrasound targeting the left stellate ganglionDevice

    The control group receives sham low-intensity focused ultrasound intervention: the ultrasound probe is placed on the skin surface corresponding to the left stellate ganglion and fixed with a mechanical arm, with the same instrument appearance, operation process, parameter setting display (power 2.0W, frequency 1MHz, duty cycle 50%), duration (30 minutes per session, once daily for 3-7 consecutive days) and subject experience as the experimental group, but no actual ultrasound energy is output. All enrolled subjects receive standard perioperative cardiovascular care simultaneously throughout the study period.

Study groups in NCT07595068
Study groupRoleWhat they receive
Low-Intensity Focused Ultrasound (LIFU) Intervention ArmExperimentalSubjects in this arm will receive low-intensity focused ultrasound (LIFU) intervention on the left stellate ganglion. Ultrasound parameters: power 2.0 W, frequency 1 MHz, 50% duty cycle, 30 minutes per session, once daily for 3-7 consecutive days. All subjects will receive guideline-concordant standard perioperative cardiovascular care, including surgery and indicated medications.
Receives: Device: Low-intensity focused ultrasound (LIFU) targeting the left stellate ganglion
Sham Ultrasound Control Arm (Placebo)Placebo comparatorSubjects in this arm will receive sham ultrasound intervention with identical operational procedures, device appearance, and parameter settings (no actual energy output) as the intervention arm. Sessions are once daily for 3-7 consecutive days. All subjects will receive the same guideline-concordant standard perioperative cardiovascular care as the intervention arm.
Receives: Device: Sham low-intensity focused ultrasound targeting the left stellate ganglion

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. SDNN

    Standard deviation of all normal-to-normal intervals measured by wearable Holter monitor; Unit: ms; Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  2. Total sleep duration

    Total sleep time measured by wearable sleep monitor; Unit: hours; Measurement device: Wearable sleep monitor.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  3. SDANN

    Standard deviation of the averages of NN intervals in all 5-minute segments; Unit: ms; Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  4. SDNN Index

    Mean of the standard deviations of all NN intervals for all 5-minute segments; Unit: ms; Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  5. RMSSD

    Root mean square of successive differences between normal heartbeats; Unit: ms; Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  6. pNN50

    Percentage of successive NN intervals that differ by more than 50 ms; Unit: %; Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  7. LF power

    Low frequency power of heart rate variability; Unit: ms²; Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  8. HF power

    High frequency power of heart rate variability; Unit: ms²; Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  9. TP

    Total power of heart rate variability; Unit: ms²; Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  10. LF/HF ratio

    Ratio of low frequency to high frequency power; Unit: ratio; Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  11. Wakefulness percentage

    Percentage of time awake during sleep period; Unit: %; Measurement device: Wearable sleep monitor.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  12. Insomnia percentage

    Percentage of time with insomnia symptoms during sleep period; Unit: %; Measurement device: Wearable sleep monitor.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  13. REM sleep percentage

    Percentage of rapid eye movement sleep during total sleep time; Unit: %; Measurement device: Wearable sleep monitor.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  14. N1 sleep stage percentage

    Percentage of N1 sleep stage during total sleep time; Unit: %; Measurement device: Wearable sleep monitor.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  15. N2 and N3 sleep stages percentage

    Combined percentage of N2 and N3 sleep stages during total sleep time; Unit: %; Measurement device: Wearable sleep monitor.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  16. Sleep efficiency

    Ratio of total sleep time to time in bed; Unit: %; Measurement device: Wearable sleep monitor.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

Secondary outcomes (9)
  1. IL-1β level

    Serum IL-1β concentration; Unit: pg/mL.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  2. Norepinephrine (NE) level

    Serum norepinephrine concentration; Unit: pg/mL.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  3. Brain-derived neurotrophic factor (BDNF) level

    Serum brain-derived neurotrophic factor concentration; Unit: pg/mL.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  4. Pittsburgh Sleep Quality Index (PSQI) score

    Subjective sleep quality assessed using the Pittsburgh Sleep Quality Index questionnaire; Unit: Score on a 0-21 scale, where higher scores indicate worse sleep quality; Method of Measurement: Self-administered questionnaire.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  5. Number of atrial arrhythmias

    Measurement: count of atrial arrhythmia episodes. Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  6. Duration of atrial arrhythmias

    Measurement: Duration of atrial arrhythmia episodes. Measurement device: wearable Holter monitors.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  7. TNF-α level

    Serum TNF-α concentration; Unit: pg/mL.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  8. Neuropeptide Y (NPY) level

    Serum neuropeptide Y concentration; Unit: pg/mL.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

  9. Melatonin level

    Serum melatonin concentration; Unit: pg/mL.

    Measured: Pre-operative 24 hours and Post-operative 72 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 May 2026
  2. Study start20 May 2026
  3. Primary completion1 Apr 2027 (estimated)
  4. Study completion1 Apr 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07595068
Sponsor's protocol ID
WDRY2026-K085
Other IDs
82570593
Acronym
US-REST
Status last verified
Apr 2026
First submitted
28 Apr 2026
Last updated
21 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Due to considerations for protecting participant privacy, undetermined data ownership, or the absence of a detailed data-sharing policy.

Questions about this trial

What is this clinical trial studying?

A study testing Low-intensity focused ultrasound (LIFU) targeting the left stellate ganglion in people with Atrial Fibrillation (AF) and Cardiovascular Diseases, run by Renmin Hospital of Wuhan University at 7 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 21 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Songyun Wang, MD (+86 13871262107, wsy7982@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

SDNN (time frame: Pre-operative 24 hours and Post-operative 72 hours). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Aug 2026.

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