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Disease-Modifying Extracellular Vesicle Therapies for
Atrial Fibrillation

Atrial fibrillation is a progressive disease driven in part by inflammation and fibrotic remodeling of the atria. Current therapies control rhythm or rate but do not directly target this underlying substrate. Rhythm Biotherapeutics is developing heart-derived extracellular vesicle (EV) therapies designed to suppress atrial inflammation, limit fibrosis, and prevent atrial fibrillation. 

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Rhythm Biotherapeutics is developing a new class of heart-derived extracellular vesicle therapeutics for atrial fibrillation.

Our lead program, RBEX-101, is being developed to prevent postoperative atrial fibrillation following cardiac surgery. Published studies in rodent and large-animal models demonstrate marked reductions in atrial fibrillation, inflammation, and fibrosis, supported by mechanistic studies in primary human atrial cells.

RBEX-101 is now advancing through IND-enabling development toward first-in-human clinical testing planned for 2027.

Latest News, Presentations & Papers

PRESENTATION

Chantal Martin Invited to Present at GEIVEX 2026
Invited presentation: “A Path to a Phase-1 Ready EV Manufacturing Process.”

October 7, 2026 | GEIVEX 2026, Bilbao, Spain

PRESENTATION

Rhythm Biotherapeutics Research Featured at the 2026 Gordon Research Conference on Extracellular Vesicles
New data presented on systemic EV delivery and thermoresponsive hydrogel-based atrial delivery.

PAPER

"Human atrial extracellular vesicles suppress NLRP3 inflammasome activation and profibrotic signaling in a patient-specific iPSC model of postoperative atrial fibrillation"

March 30, 2026, Theranostics

PRESENTATION

"Biodistribution, Safety and Efficacy of Extracellular Vesicle-based Prevention of Atrial Fibrillation in Murine and Porcine Models of Sterile Pericarditis"

PRESENTATION

“Human extracellular vesicles prevent inflammation and fibrosis in a human model of postoperative atrial fibrillation”

November 10, 2024, Houston, Texas, at the American Association of Extracellular Vesicles AAEV2024 conference

PAPER

“RNA and the emerging potential of bio-inspired molecules in cardiovascular disease therapies”

June 13, 2024, European Heart Journal

PAPER

“Inactivation of the NLRP3 inflammasome mediates exosome-based prevention of atrial fibrillation”

January 1, 2024, Theranostics

NEWS

Rhythm Biotherapeutics Selected as an HRX Live 2026 Pitch Competition Semi-Finalist

September 2026, HRX Live 2026

PAPER

GMP-Grade Heart-Derived EVs Prevent Postoperative AF in a Porcine Model

PRESENTATION

Darryl Davis is honoured to present "Native EVs for Therapy" at the University of Virginia's "Tiny Packages with Big Impact" EV Workshop

February 7, 2026, University of Virginia

NEWS

"Capital BioVentures Announces Inaugural Cohort for Ottawa Biotech Accelerator Program"

December 3, 2024, BioSpace 

PRESENTATION

“Extracellular Vesicle Therapy for Atrial Fibrillation” and “Arrhythmias in a Model of Chronic Inflammation”

September 26, 2024, Sydney Australia, at the Asia Pacific Heart Rhythm Society 2024 conference

PAPER

“Atrial Fibrosis and Inflammation in Postoperative Atrial Fibrillation: Comparative Effects of Amiodarone, Colchicine, or Exosomes”

PAPER

“Prevention of atrial fibrillation after open-chest surgery with extracellular vesicle therapy”

June 29, 2023, JCI Insight

PRESENTATION

Darryl Davis Delivers Bruce McManus Lecture at UBC
“From Cardiac Repair to Rhythm Control: Developing Extracellular Vesicle Therapies for Atrial Fibrillation”

PRESENTATION

Systemic EV Therapy for Ambulatory and Post-Ablation Atrial Fibrillation

NEWS

Darryl Davis is honoured to co-chair the 2025 conference of the American Association of Extracellular Vesicles in Salt Lake City, UT

November 20, 2025, AAEV2025

NEWS

“Finding its rhythm: Startup seeks $4M in funding for trailblazing atrial fibrillation treatment”

November 15, 2024, Ottawa Business Journal

PRESENTATION

“Exosome-Based Prevention of Postoperative Atrial Fibrillation”

June 15th, 2024, in Taiyuan China, at the International Forum on Cardiovascular Disease, Stem Cells and Tissue Engineering

PAPER

“Exploring Patient Viewpoints to Optimize Implementation of a Biological Therapy for Atrial Fibrillation Prevention”

April 16, 2024, CJC Open

PAPER

“Extracellular vesicle microRNA and protein cargo profiling in three clinical-grade stem cell products reveals key functional pathways”

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Contact Us

H3214 40 Ruskin St.

Ottawa, Ontario K1Y 4W7 Canada

+1-613-696-7298

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