# Treating stress and anxiety in individuals with alcohol use disorder (AUD) using a combination of TRPV-1 channel and C-tactile fiber activation with measurement of oxytocin and cortisol levels

> **NIH NIH R43** · SOOVU LABS INC · 2024 · $385,000

## Abstract

Abstract
Alcohol Use Disorder (AUD) affects 29.5 million people in the United States, and about 70% of those seeking AUD
treatment suffer a relapse in the first year. Stress and anxiety can trigger a relapse. There are no medications approved
for treating these flares and behavioral approaches are limited. Soovu Labs is developing wearable medical device to
treat anxiety and stress by stimulation of peripheral C-Tactile (CT) fibers and thermally sensitive TRPV-1 channels. Phase
I will determine the “best” stimulation paraments for these targets and then perform a proof of concept study. Phase II
will create and test a novel wearable device that stimulates two separate neurological pathways for use in treating
symptoms of anxiety and stress in those with AUD. That device will be modeled after our commercial pain relief device,
the Soovu Pain Relief Device.
CT fibers are found in the skin of most mammals and project to the insular cortex. Stimulation of CT fibers by light touch
causes a release of oxytocin and is associated with feelings of comfort and wellbeing. Peripheral TRPV-1 channels are
important in pain transmission and modulation of the stress response likely through the central release of oxytocin and
are stimulated by heat. In Phase 1 we will test stimulation of TRPV1 channels and CT fibers in human subjects to
correlate the lab findings with subjective human responses and test whether stimulation of CT fibers and TRPV-1
channels reduce anxiety and stress in subjects who suffer from AUD.
Aim 1 and 2. We will define the optimal parameters for CT fiber stimulation for force, temperature, and body location.
We will perform similar testing for peripheral thermal stimulation (TRPV-1) using our commercially available heating
pods. Parameters tested will include the optimal body location, number of heating pods (2-4) and temperature of pods.
In Aim 3 we will simultaneously apply both CT fiber and thermal stimulation in a proof of concept study. The
experimental group will receive active CT fiber and thermal stimulation and the control group non-physiologic placebo
stimulation. Subjects with a history of AUD will be randomized into control versus experimental groups and undergo
stress using a validated mental calculation stressors. Stress, cravings, and anxiety will be measured using standardized
assessments, and we will measure salivary oxytocin and cortisol levels, potentially biomarkers.
Phase 2 overview: Phase II will create and test a new wearable medical device that reduces stress and anxiety by direct
stimulation of the peripheral nervous system. The new device will be controlled by the user via a phone app with
support functions delivered via the app in a manner similar to the current one used by Soovu’s pain relief device. The
new device will be the first to offer a rapid onset nondrug intervention to treat stress and anxiety for those with AUD.

## Key facts

- **NIH application ID:** 10917870
- **Project number:** 1R43AA031638-01
- **Recipient organization:** SOOVU LABS INC
- **Principal Investigator:** Charles Chabal
- **Activity code:** R43 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $385,000
- **Award type:** 1
- **Project period:** 2024-08-01 → 2025-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10917870

## Citation

> US National Institutes of Health, RePORTER application 10917870, Treating stress and anxiety in individuals with alcohol use disorder (AUD) using a combination of TRPV-1 channel and C-tactile fiber activation with measurement of oxytocin and cortisol levels (1R43AA031638-01). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10917870. Licensed CC0.

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