Evidence map›Paper›PMID 39994269›Full record

Trial reportNature communications2025

Plasma exchange therapy for the post COVID-19 condition: a phase II, double-blind, placebo-controlled, randomized trial.

Sergio España-Cueto, Cora Loste, Gemma Lladós, Cristina López, José Ramón Santos, Gemma Dulsat, Anna García, João Carmezim, Julia Carabia, Águeda Ancochea and 21 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05445674 (Plasma Exchange Therapy for Post- COVID-19 Condition), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05445674 phase2completednot on this map

Plasma Exchange Therapy for Post- COVID-19 Condition: A Pilot, Randomized Double-Blind Study

TypeinterventionalSponsorFundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la CienciaRan2022 to 2023Enrolled50ConditionsPost-COVID19 ConditionArmsPlasma Exchange Procedure, Sham Plasma Exchange Procedure
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Elevated blood viscosity is associated with dysautonomia in long COVID symptoms.American heart journal plus : cardiology research and practice · 2026
    Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Sergio España-CuetoDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.ORCID http://orcid.org/0000-0002-3026-132X
Cora LosteDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Gemma LladósDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Cristina LópezDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
José Ramón SantosDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Gemma DulsatDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Anna GarcíaDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
João CarmezimBiostatistics Support and Research Unit, Germans Trias i Pujol Research Institute and Hospital (IGTP), Barcelona, Spain.
Julia CarabiaDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Águeda AncocheaBanc de sang i teixits, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Carla Fernández-PrendresLaboratory Medicine Department, Laboratori Clinic Metropolitana Nord, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Cristian Morales-IndianoLaboratory Medicine Department, Laboratori Clinic Metropolitana Nord, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Bibiana QuirantUniversitat Autònoma de Barcelona, Bellaterra, Spain.
Eva Martínez-CáceresUniversitat Autònoma de Barcelona, Bellaterra, Spain.
Anna SanchezBanc de sang i teixits, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Ivonne Graciela ParragaBanc de sang i teixits, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.ORCID http://orcid.org/0009-0007-1492-7463
Anna ChamorroDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Alba San JoséDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Elena AbadDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Jose A Muñoz-MorenoDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Anna PratsDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Carmina R FumazDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Roser Coll-FernándezRed Española de Investigación en Covid Persistente (REICOP), Madrid, Spain.
Carla EstanyDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Pamela TorranoDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Jordi PuigDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.
Bonaventura ClotetDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.ORCID http://orcid.org/0000-0003-3232-4598
Cristian TebéBiostatistics Support and Research Unit, Germans Trias i Pujol Research Institute and Hospital (IGTP), Barcelona, Spain.
Marta MassanellaRed Española de Investigación en Covid Persistente (REICOP), Madrid, Spain.ORCID http://orcid.org/0000-0002-3326-151X
Roger ParedesDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain.ORCID http://orcid.org/0000-0002-6553-691X
Lourdes MateuDepartment of infectious diseases, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Fundació Lluita contra les infeccions, Badalona, Spain. lmateu@lluita.org.ORCID http://orcid.org/0000-0001-7223-7611

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The post-COVID-19 condition (PCC) is a highly debilitating and persistent postinfectious syndrome that affects millions of people worldwide and has no effective treatment. Therapeutic plasma exchange (TPE) has the potential to improve the PCC by clearing the peripheral soluble pro-inflammatory immune milieu derived from acute or persistent SARS-CoV-2 infection. In a phase II, double-blind, placebo-controlled, randomized trial, fifty subjects with PCC were randomly assigned (1:1) to receive six sessions of either TPE or a sham plasma exchange and were followed for 90 days (ClinicalTrials.gov registration: NCT05445674). The primary endpoint was safety; secondary endpoints included functional status, symptomology, quality of life, neurocognitive symptoms, and peripheral biochemistry, hematology, coagulation and inflammation parameters. Both study arms had a similarly favorable safety profile. There were no diferences between groups in any of the efficacy parameters evaluated. Whereas TPE is safe, it did not lead to any discernible improvement of the PCC in this clinical trial.

Indexed as

COVID-19Plasma ExchangeAdultAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedQuality of LifeSARS-CoV-2Treatment Outcome

Identifiers

PMID39994269
PMCPMC11850642

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.