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Mobia Medical Announces Publication of Two-Year Data from VNS-REHAB Trial Demonstrating Durable and Continued Stroke Recovery with Vivistim® Paired VNS™ Therapy

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Mobia Medical (Nasdaq: MOBI) reported two-year follow-up results from the pivotal VNS-REHAB trial of its Vivistim® Paired VNS™ Therapy, now published in Neurology. Among 49 chronic ischemic stroke survivors, 76% achieved a clinically meaningful response on the Fugl-Meyer Assessment of Upper Extremity impairment (FMA-UE) and/or the Wolf Motor Function Test (WMFT).

Participants showed an average FMA-UE improvement of +7.5 points from baseline (exceeding the ≥6-point MCID) and an average WMFT improvement of +0.63 (above the ≥0.4-point MCID). These gains were accompanied by statistically significant, clinically meaningful improvements in activities of daily living, hand and arm use, and stroke-specific quality of life. Three-year follow-up data from 16 participants suggest benefits can be durable long term, and some patients improved further between years one and two. No long-term serious therapy- or stimulation-related adverse events were reported through two years.

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Positive

  • 76% of 49 participants met clinically meaningful response on FMA-UE and/or WMFT at two years
  • Mean FMA-UE change of +7.5 points at two years, above ≥6-point MCID
  • Mean WMFT change of +0.63 at two years, above ≥0.4-point MCID
  • Three-year outcome data available for 16 participants indicating maintained benefits
  • No long-term serious therapy- or stimulation-related adverse events reported through two years
  • Multicenter, triple-blinded, sham-controlled randomized trial (n=108) supporting FDA PMA in 2021

Negative

  • Two-year follow-up outcomes reported for 49 participants, fewer than the original 108-patient cohort
  • Three-year durability data currently limited to 16 participants

News Market Reaction – MOBI

+2.16%
5 alerts
+2.16% Session close to close
+13.7% Peak in 23 hr 36 min
$405.31M Market Cap
0.7x Rel. Volume

In the Jul 15 session, MOBI gained 2.16%, reflecting a moderate positive market reaction. Argus tracked a peak move of +13.7% during that session. Our momentum scanner triggered 5 alerts that day, indicating moderate trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

Taken against platform data, this Neurology publication lands with a backdrop of low reported short ...
Analysis

Taken against platform data, this Neurology publication lands with a backdrop of low reported short interest and recent net insider buying of over 300,000 shares in 90 days. That positioning suggests limited short-squeeze fuel but a degree of internal confidence as the evidence base for Vivistim expands. The prior reimbursement update saw shares weaken, so investors may watch whether this more clearly clinical milestone changes how the market treats subsequent adoption, reimbursement decisions, and any capital-raising needs.

Key Figures

Two-year follow-up participants: 49 participants Responder rate: 76% of participants FMA-UE improvement: +7.5 points +5 more
8 metrics
Two-year follow-up participants 49 participants VNS-REHAB pivotal trial two-year Neurology publication
Responder rate 76% of participants Clinically meaningful response on FMA-UE and/or WMFT at two years
FMA-UE improvement +7.5 points Average change from baseline at two years; MCID ≥6 points
FMA-UE MCID ≥6 points Minimum clinically important difference threshold
WMFT improvement +0.63 Average change from baseline at two years; MCID ≥0.4
WMFT MCID ≥0.4 points Minimum clinically important difference threshold
Pivotal trial size 108 participants VNS-REHAB multicenter randomized controlled trial
Three-year follow-up subset 16 participants Subset with reported positive three-year outcomes

Historical Context

1 past event · Latest: Jul 02 (Positive)
Pattern 1 events
Date Event Sentiment 24h Move Catalyst
Jul 02 Reimbursement update Positive -2.9% CMS proposed maintaining Vivistim procedure payment in New Technology APC 1580.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

The last recorded news event with supportive reimbursement details was followed by a negative price reaction, hinting at a tendency to sell into positive headlines.

Key Terms

fugl-meyer assessment of upper extremity, wolf motor function test, minimum clinically important difference, stroke impact scale, +2 more
6 terms
fugl-meyer assessment of upper extremity medical
"Clinically meaningful response on the Fugl-Meyer Assessment of Upper Extremity impairment"
A standardized clinical scale that measures arm and hand function after neurological injury, most commonly stroke, by scoring movement, reflexes, sensation, coordination and joint control. Think of it as a report card for upper‑limb recovery: higher scores mean better function. It matters to investors because it is widely used as an objective outcome in drug, device and rehabilitation trials and can influence regulatory decisions, trial success and market value.
wolf motor function test medical
"and/or the Wolf Motor Function Test (WMFT) in 76% of participants"
A standardized clinical assessment that measures upper limb motor ability after neurological injury, especially stroke, by timing and scoring a series of arm and hand tasks such as lifting, reaching, and grasping. It matters to investors because it is often used as an objective endpoint in rehabilitation device, drug, and therapy trials and in clinical practice reports, so its results can influence trial outcomes, regulatory decisions, and market acceptance of treatments.
minimum clinically important difference medical
"Average improvement of +7.5 points from baseline on the FMA-UE, exceeding the minimum clinically important difference"
Minimum clinically important difference (MCID) is the smallest change in a medical measurement or symptom that patients perceive as meaningful or that would lead a clinician to consider a change in care. Think of it like the smallest noticeable improvement on a pain scale that matters to a person; for investors it matters because whether a drug or device meets the MCID affects trial success, regulatory interpretation, market acceptance, and potential commercial value.
stroke impact scale medical
"Activities of Daily Living subscale of the Stroke Impact Scale; SIS-ADL"
A patient-reported questionnaire that measures how a stroke affects a person's abilities and quality of life across domains such as strength, thinking, emotion, communication and daily activities. It functions like a multi-area scorecard used in clinical studies to quantify changes in a survivor's functioning; those scores help regulators, clinicians and investors assess whether a treatment, device or program produces meaningful real-world benefits.
motor activity log medical
"Amount of use and quality of movement... (Motor Activity Log; MAL)"
A motor activity log is a standardized questionnaire used in clinical research and rehabilitation that asks patients to report how much and how well they use an affected limb during everyday tasks, producing numerical scores for both amount and quality of use. It matters to investors because it often serves as a trial endpoint or real-world functional measure for therapies and devices treating neurological or musculoskeletal conditions, affecting clinical success, regulatory decisions, and market uptake—like a customer-use score for patient function.
premarket approval regulatory
"pivotal results were published in The Lancet and supported FDA Premarket Approval of the Vivistim System"
Premarket approval is the formal regulatory clearance required before certain medical devices can be sold, based on detailed evidence that the product is safe and effective. For investors, it’s a major milestone because receiving approval typically clears the way for commercial sales and reduces regulatory uncertainty, while failure or delays can block revenue and raise the risk profile; think of it like a safety certificate needed before a new car model can be sold.

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Findings published in Neurology® show improvements in upper-limb motor function, activities of daily living, and quality of life were sustained for at least two years

AUSTIN, Texas, July 14, 2026 (GLOBE NEWSWIRE) -- Mobia Medical, Inc. (Nasdaq: MOBI), a commercial-stage medical device company redefining stroke recovery for survivors living with life-altering motor impairments, today announced the publication of two-year follow-up data from the VNS-REHAB study in Neurology®, the official peer-reviewed journal of the American Academy of Neurology. The findings demonstrate that statistically significant and clinically meaningful improvements in upper-limb motor impairment and function, ability to perform activities of daily living, and quality of life were sustained for at least two years following completion of in-clinic Vivistim® Paired VNS™ Therapy. With its publication, this data now represents some of the most comprehensive longitudinal evidence to date for any intervention approved for chronic ischemic stroke recovery.

The two-year follow-up data, published in Neurology, reports outcomes from 49 participants in the VNS-REHAB pivotal trial, demonstrating a high responder rate and substantial improvements in impairment and function including:

  • Clinically meaningful response on the Fugl-Meyer Assessment of Upper Extremity impairment (FMA-UE) and/or the Wolf Motor Function Test (WMFT) in 76% of participants
  • Average improvement of +7.5 points from baseline on the FMA-UE, exceeding the minimum clinically important difference (MCID) of ≥6 points
  • Average improvement of +0.63 from baseline on the WMFT, exceeding the MCID of ≥0.4 points

Importantly, these upper-limb motor improvements also translated into impactful real-world changes in the daily lives of stroke survivors. Participants demonstrated statistically significant and clinically meaningful improvements across multiple patient-reported measures of activity, participation, and quality of life, including:

  • Ability to perform activities of daily living, such as bathing and dressing (Activities of Daily Living subscale of the Stroke Impact Scale; SIS-ADL)
  • Perceived ease of performing daily activities with the affected hand and arm, such as carrying heavy objects or tying shoelaces (Hand subscale of the Stroke Impact Scale; SIS-Hand)
  • Amount of use and quality of movement of the affected hand and arm when performing activities of daily living, such as brushing teeth or typing (Motor Activity Log; MAL)
  • Overall stroke-specific quality of life, such as mood, self-care, social participation and family roles (Stroke-Specific Quality of Life Scale; SS-QOL)

The study also captures positive three-year outcomes from 16 participants, providing further supporting evidence that the benefits are durable and maintained long-term. Additionally, a subset of the 49 total participants experienced further improvement in scores between years one and two, suggesting that recovery may continue over time with ongoing self-directed Vivistim Therapy.

“What distinguishes Vivistim Therapy from conventional rehabilitation is the ability to actively drive neuroplasticity and enable lasting changes. These two-year outcomes reinforce that the benefits are sustained over a long period of time and, for many individuals, they can continue to accrue. For stroke survivors who have spent years living with impairments, these results open new possibilities for continued recovery, greater independence, improved function, and a better quality of life, even years after their stroke,” said Teresa Jacobson Kimberley, PT, Ph.D., FAPTA, FASNR, a lead researcher on the study and Director of the Brain Recovery Lab at the MGH Institute of Health Professions.

In addition to data from patients enrolled in the VNS-REHAB trial, clinicians have observed similar long-term results in some of their earliest commercially treated patients. Dr. Christopher Kellner, a cerebrovascular neurosurgeon and Director of the Cerebrovascular Center at the Mount Sinai Health System in New York City noted, “The two-year outcomes published in Neurology are consistent with what I am observing with my own patients since the launch of our Vivistim Program in 2023. Beyond the measurable improvements in upper-limb motor function, patient-reported gains in daily living and quality of life are particularly meaningful. The formal publication of these findings further validates the durability of our observed in-clinic results and, I believe, will help expand access to this technology for more stroke survivors who could benefit.”

Taken together, these findings add to a growing body of evidence that Vivistim Therapy delivers meaningful recovery and durable results across multiple dimensions and are reflective of Mobia Medical’s commitment to generating broad-based clinical evidence to support expanded adoption.

“Publication of these two-year outcomes in Neurology represents an important milestone in the continued development of our clinical evidence base for Vivistim Therapy. At the heart of the data are real people who are regaining function, independence, and quality of life, and that is what drives everything we do,” said Richard Foust, President and CEO of Mobia Medical. “We believe the consistency and durability of our clinical outcomes will continue to strengthen awareness and adoption of Vivistim Therapy by key stakeholders and advance our mission to expand access for the millions of chronic stroke survivors who deserve a better path forward.”

The VNS-REHAB trial was a multicenter, triple-blinded, sham-controlled randomized controlled trial (n=108 participants) evaluating the safety and efficacy of Vivistim Paired VNS Therapy in chronic ischemic stroke survivors with moderate to severe upper extremity impairment. The pivotal results were published in The Lancet and supported FDA Premarket Approval of the Vivistim System in 2021. One-year follow-up data, published in Stroke in 2025, confirmed improvements were maintained at 12 months and the two-year data, now published in Neurology, further extend these findings. No long-term serious adverse events related to the therapy or stimulation were reported through two years of follow-up.

To learn more about the Vivistim® Paired VNS™ System, visit Vivistim.com/about. Click here to review the safety information.

References

Kimberley, Theresa J., Vora, Isha, Cramer, Steven C., Wolf, Steven L., Dawson, Jesse. (2026). Two-Year Retention of Benefits after Paired Vagus Nerve Stimulation in Stroke: Follow-Up of the VNS-REHAB Randomized Clinical Trial. Neurology, 107:e218298. doi:10.1212/WNL.0000000000218298

About Mobia Medical, Inc.

Mobia Medical, Inc. is a commercial-stage medical device company redefining stroke recovery for survivors living with life-altering motor impairments. The Company’s Vivistim® Paired VNS™ System is the first and only clinically validated, FDA-approved implantable solution designed to improve upper limb function in chronic ischemic stroke survivors with moderate to severe upper extremity impairments. Therapy with the Vivistim® Paired VNS™ System combines targeted vagus nerve stimulation with functional movement to promote neuroplasticity and drive meaningful improvements in motor function. Mobia Medical is mobilizing patients, providers, and care partners to establish a better way forward in stroke care.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that involve substantial risks and uncertainties. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including statements regarding the extent to which clinical benefits observed in the VNS-REHAB study may persist or continue to accrue beyond the periods studied or in other patients, the potential for continued or additional patient improvement over time with ongoing self-directed Vivistim Therapy, the number of chronic stroke survivors who may benefit from the Vivistim System, the effect of the published results and Mobia Medical’s clinical evidence on awareness and adoption of Vivistim Therapy by providers and payors and on patient access, and Mobia Medical’s plans to continue developing its clinical evidence base and expand access to Vivistim Therapy. Forward-looking statements can be identified by terms such as “anticipate,” “believe,” “contemplate,” “continue,” “could,” “estimate,” “expect,” “goal,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “suggest,” “target,” “vision,” “will,” “would,” or similar expressions and the negatives of those terms. Mobia Medical cannot assure you that the forward-looking statements in this press release will prove to be accurate. Information in this press release may also include statements relating to past performance, which should not be regarded as a reliable indicator of future performance. Forward-looking statements are based on current expectations and assumptions together with projections of the future, which are inherently uncertain, and involve risks and uncertainties that could cause actual results to differ materially and adversely from those expressed or implied. These risks and uncertainties include, among others, those discussed under the captions “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere in Mobia Medical’s filings with the U.S. Securities and Exchange Commission. These statements speak only as of the date of this press release, and Mobia Medical undertakes no obligation to update or revise any forward-looking statements except as required under applicable law. Mobia Medical may not actually achieve the plans, intentions, or expectations disclosed in its forward-looking statements, and you should not place undue reliance on these forward-looking statements. The clinical results described in this press release are based on a limited number of participants and a limited duration of follow-up and may not be predictive of long-term outcomes or results in broader patient populations.

Investor Relations Contact
Louisa Smith
Gilmartin Group, LLC
investors@mobia.com

Media Inquiries Contact
Terri Clevenger
tclevenger@waterhousebrands.com


FAQ

What did Mobia Medical (MOBI) report from the two-year VNS-REHAB Vivistim trial in July 2026?

Mobia Medical reported that two-year VNS-REHAB data showed sustained, clinically meaningful upper-limb motor gains and quality-of-life improvements. According to Mobia Medical, 76% of 49 participants met response criteria on FMA-UE and/or WMFT, with average changes exceeding established minimum clinically important differences.

How effective is Vivistim Paired VNS Therapy for stroke recovery based on the VNS-REHAB two-year data?

Vivistim Therapy showed meaningful and durable motor recovery over two years in chronic stroke survivors. According to Mobia Medical, participants improved by an average of 7.5 FMA-UE points and 0.63 WMFT units, both above clinically important thresholds, with 76% classified as responders.

Did Mobia Medical (MOBI) report any long-term safety concerns for Vivistim in the two-year VNS-REHAB follow-up?

No long-term serious adverse events related to Vivistim therapy or stimulation were reported through two years. According to Mobia Medical, the multicenter, triple-blinded, sham-controlled VNS-REHAB trial found the therapy remained safe in chronic ischemic stroke survivors during extended follow-up.

Do Vivistim stroke recovery benefits last beyond one year according to the VNS-REHAB study?

Yes, benefits were maintained and sometimes increased beyond one year in VNS-REHAB participants. According to Mobia Medical, two-year data showed sustained gains, and a subset of patients improved between years one and two, with additional three-year outcomes reported for 16 participants.

How large was the VNS-REHAB trial that supported Vivistim approval and the new Neurology publication?

The pivotal VNS-REHAB trial enrolled 108 chronic ischemic stroke survivors with upper extremity impairment. According to Mobia Medical, the rigorous multicenter, triple-blinded, sham-controlled design supported FDA Premarket Approval in 2021 and underpins the newly published two-year and three-year follow-up data.

What functional and quality-of-life measures improved with Vivistim Therapy in the two-year VNS-REHAB results?

Participants showed better daily function, limb use, and stroke-specific quality of life after Vivistim Therapy. According to Mobia Medical, improvements were seen on SIS-ADL, SIS-Hand, Motor Activity Log, and Stroke-Specific Quality of Life Scale, reflecting gains in independence and participation.