Why Long COVID makes people feel physically tired

Neural Mechanisms of Fatigue in Post-Acute Sequela of SARS-CoV-2

NIH-funded research Hugo W. Moser Res Inst Kennedy Krieger · NIH-11241094

This project looks at whether people with Long COVID have leakier blood vessels in the brain that make physical effort feel harder.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionHugo W. Moser Res Inst Kennedy Krieger NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11241094 on NIH RePORTER

What this research studies

If you join, researchers will compare people with ongoing fatigue after COVID to people without COVID using brain scans, blood tests, and effort-based computer tasks. They'll measure signs of blood-brain barrier leakiness and brain activity while you do tasks that require physical effort. The team will combine the brain images, blood measures, and behavior using computer models to understand how biological changes might make effort feel more tiring. The work aims to connect measurable brain changes to the everyday experience of fatigue in Long COVID.

Who could benefit from this research

Good fit: Adults who had COVID-19 and still experience ongoing physical fatigue after the acute illness would be ideal candidates.

Not a fit: People without a history of COVID, those without ongoing fatigue, or individuals who cannot undergo MRI scans (for example due to implanted metal or severe claustrophobia) are unlikely to benefit directly from participation.

Why it matters

Potential benefit: If successful, this work could explain why Long COVID causes fatigue and point to new targets for treatments or tests.

How similar studies have performed: Related research has linked neuroinflammation and blood-brain barrier problems to fatigue in other neurological conditions, but applying these approaches specifically to Long COVID is relatively new.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.