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GMJ News > GMJ Briefs > First Randomised Trial Finds Immunoadsorption Ineffective for Long COVID

First Randomised Trial Finds Immunoadsorption Ineffective for Long COVID

GMJ
Last updated: 07/07/2026 16:43
By
Prof. Giorgi Pkhakadze
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Medical illustration showing blood filtration equipment used in immunoadsorption therapy trial
A randomised controlled trial found immunoadsorption therapy provides no significant benefit for long COVID patients. The German study tested blood filtration treatment against sham procedures in 60 participants. — Photo by Miguel Á. Padriñán on Pexels (Pexels License)
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1 min read|145 words

A landmark randomised controlled trial published in The Lancet Regional Health – Europe has delivered sobering news for patients and clinicians seeking immunoadsorption therapy as a treatment for post-COVID syndrome. The German multicentre study, involving 60 adults with persistent COVID-19 symptoms, employed a rigorous crossover design in which participants received both active immunoadsorption treatment and sham procedures in random order.

The results were unambiguous: immunoadsorption provided no significant reduction in symptom burden compared to sham treatment. The therapy, which works by filtering blood to remove antibodies and immune complexes, was theorised to address autoimmune mechanisms potentially underlying long COVID. However, this first rigorous trial challenges that therapeutic rationale and has important implications for clinical treatment protocols.

These findings highlight the critical importance of evidence-based approaches in managing post-COVID syndrome and underscore the need for continued research into effective interventions. Read the full article on GMJ Newsroom.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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