Evidence map›Paper›PMID 36969241›Full record

ReviewFrontiers in immunology2023

Therapeutic trials for long COVID-19: A call to action from the interventions taskforce of the RECOVER initiative.

Hector Bonilla, Michael J Peluso, Kathleen Rodgers, Judith A Aberg, Thomas F Patterson, Robert Tamburro, Lawrence Baizer, Jason D Goldman, Nadine Rouphael, Amelia Deitchman and 15 more

Open access · goldFull text readReview
In one paragraph

Review in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
18.9field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Long COVID disability burden in US adults.Communications medicine · 2026
    Article
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Article
  13. Article
  14. Bridging Gaps in Long COVID Therapy: A Review.Current medicinal chemistry · 2026
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Observational
  20. Review
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

25 authors at 19 institutions in 1 country.

Hector BonillaDepartment of Medicine and Infectious Diseases, Stanford University, Palo Alto, CA, United States.
Michael J PelusoDepartment of Medicine and Infectious Diseases, University of California, San Francisco, San Francisco, CA, United States.
Kathleen RodgersCenter for Innovations in Brain Science, University of Arizona, Tucson, AZ, United States.
Judith A AbergDepartment of Medicine, Infectious Diseases, Icahn School of Medicine at Mount Sinai, Chief, Division of Infectious Disease, New York, NY, United States.
Thomas F PattersonDepartment of Medicine, Infectious Diseases, The University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.
Robert TamburroDivision of Intramural Research, National Institute of Health, Bethesda, MD, United States.
Lawrence BaizerNational Heart Lung and Blood Institute, Division of Lung Diseases, National Institutes of Health, Bethesda, MD, United States.
Jason D GoldmanDepartment of Medicine, Organ Transplant and Liver Center, Swedish Medical Center, Seattle, WA, United States.
Nadine RouphaelDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, United States.
Amelia DeitchmanDepartment of Clinical Pharmacy, University of California, San Francisco, San Francisco, CA, United States.
Jeffrey FineDepartment of Rehabilitation Medicine at New York University (NYU) Grossman School of Medicine, Physical Medicine and Rehabilitation Service, New York University (NYU), New York University Medical Center, New York, NY, United States.
Paul FonteloApplied Clinical Informatics Branch, National Library of Medicine, National Institutes of Health, Bethesda, MD, United States.
Arthur Y KimDepartment of Medicine at Harvard Medical School, Division of Infectious Disease, Boston, MA, United States.
Gwendolyn ShawResearch Triangle Institute (RTI), International, Durham, NC, United States.
Jeran StratfordResearch Triangle Institute (RTI), International, Durham, NC, United States.
Patricia CegerResearch Triangle Institute (RTI), International, Durham, NC, United States.
Maged M CostantineDepartment of Obstetrics and Gynecology, The Ohio State University, Columbus, OH, United States.
Liza FisherLong COVID Families, Houston, TX, United States.
Lisa O'BrienUtah Covid-19 Long Haulers, Salt Lake City, UT, United States.
Christine MaughanUtah Covid-19 Long Haulers, Salt Lake City, UT, United States.
John G QuigleyDepartment of Medicine, University of Illinois at Chicago, Chicago, IL, United States.
Vilma GabbayDepartment of Medicine, Albert Einstein College of Medicine, New York, NY, United States.
Sindhu MohandasDepartment of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
David WilliamsDepartment of Medicine, University of Michigan, Ann Arbor, MI, United States.
Grace A McComseyDepartment of Pediatrics and Medicine, Case Western Reserve University, Cleveland, OH, United States.
RTI International · USUniversity of California, San Francisco · USAlbert Einstein College of Medicine · USArizona Science Center · USCase Western Reserve University · USEmory University · USHarvard University · USIcahn School of Medicine at Mount Sinai · USNational Institutes of Health · USNew York University · USOffice of Extramural Research · USStanford University · USSwedish Medical Center · USThe Ohio State University · USThe University of Texas Health Science Center at San Antonio · USUnited States National Library of Medicine · USUniversity of Illinois Chicago · USUniversity of Michigan · USUniversity of Southern California · US

Funding

OTA-21-015A Post-Acute Sequelae of SARS-CoV-2 Infection Initiative: NYU Langone Health Clinical Science Core, Data Resource Core, and PASC Biorepository CoreOT2HL161847 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON, HORWITZ, LEORA · 2021 to 2025
$651.0M
Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Characterizing the virologic and immunologic signatures of HIV exceptional controlK23AI157875 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PELUSO, MICHAEL JOSEPH · 2021 to 2025
$927k
NCATS NIH HHS UM1 TR004528NHLBI NIH HHS OT2 HL161847NIAID NIH HHS K23 AI157875NIAID NIH HHS L30 AI147159
6 · The paper itself

Abstract

Although most individuals recover from acute SARS-CoV-2 infection, a significant number continue to suffer from Post-Acute Sequelae of SARS-CoV-2 (PASC), including the unexplained symptoms that are frequently referred to as long COVID, which could last for weeks, months, or even years after the acute phase of illness. The National Institutes of Health is currently funding large multi-center research programs as part of its Researching COVID to Enhance Recover (RECOVER) initiative to understand why some individuals do not recover fully from COVID-19. Several ongoing pathobiology studies have provided clues to potential mechanisms contributing to this condition. These include persistence of SARS-CoV-2 antigen and/or genetic material, immune dysregulation, reactivation of other latent viral infections, microvascular dysfunction, and gut dysbiosis, among others. Although our understanding of the causes of long COVID remains incomplete, these early pathophysiologic studies suggest biological pathways that could be targeted in therapeutic trials that aim to ameliorate symptoms. Repurposed medicines and novel therapeutics deserve formal testing in clinical trial settings prior to adoption. While we endorse clinical trials, especially those that prioritize inclusion of the diverse populations most affected by COVID-19 and long COVID, we discourage off-label experimentation in uncontrolled and/or unsupervised settings. Here, we review ongoing, planned, and potential future therapeutic interventions for long COVID based on the current understanding of the pathobiological processes underlying this condition. We focus on clinical, pharmacological, and feasibility data, with the goal of informing future interventional research studies.

Indexed as

COVID-19Virus DiseasesHumansMotivationPost-Acute COVID-19 SyndromeSARS-CoV-2United Statesclinical trialslong COVIDlong haulerspost-acute sequela of SARS-CoV-2 (PASC)recoverSARS- CoV-2treatment

Identifiers

PMID36969241
PMCPMC10034329
OpenAlexW4323667909

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read47
identifiers read27
Read underepoch 390

Registered trials

None linked

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 Socratic graph.