Hyperbaric oxygen for long COVID cognitive and fatigue symptoms
Official title: Hyperbaric Oxygen Therapy for Post-COVID-19 Syndrome: a Prospective, Randomized, Double Blind Study.
Run by Assaf-Harofeh Medical Center · NCT04647656 · Data updated 2026-11-12
This trial will try hyperbaric oxygen therapy versus a sham treatment to see if it helps adults with long COVID who still have thinking problems, memory issues, fatigue, or other lingering symptoms at least three months after infection.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 91 (estimated) |
| Sponsor | Assaf-Harofeh Medical Center Government |
| Locations | 1 site (Tsrifin) |
| Status | Recruiting |
| Started | June 1, 2023 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | April 21, 2026 |
| Trial ID | NCT04647656 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with a confirmed prior COVID-19 infection who have ongoing cognitive problems that affect quality of life for at least three months and who can attend repeated in-person HBOT sessions are the intended participants.
✕Probably not a fit
Individuals with prior traumatic brain injury or other non-COVID brain disease, active cancer, active substance use or smoking, chest or ear conditions that prevent pressure changes, inability to undergo awake MRI, or who cannot attend repeated visits are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with persistent cognitive decline and other post-COVID symptoms for at least three months will be enrolled and receive either hyperbaric oxygen therapy (HBOT) or a sham procedure. Participants undergo multiple in-person HBOT or sham sessions and are followed with cognitive tests, symptom questionnaires, and brain MRI when possible. Key exclusion criteria include prior HBOT, traumatic brain injury or other non-COVID brain pathology, active malignancy, active smoking, and chest or ear conditions incompatible with pressure changes. The trial is conducted at Assaf-Harofeh Medical Center and requires attending scheduled clinic visits for treatment and assessments.
Why it matters
Potential benefit: If successful, HBOT could improve cognitive function, reduce fatigue, and help restore quality of life for people with long COVID.
How similar studies have gone: Some small case series and pilot reports suggest HBOT may improve cognitive and other symptoms after COVID-19 or brain injury, but robust randomized evidence is still limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age above 18 years 2. Reported post COVID-19 cognitive deterioration that effect quality of life and persist at least 3 months after confirmed infection. 3. Subject willing and able to read, understand and sign an informed consent Exclusion Criteria: 1. Inability to attend scheduled clinic visits and/or comply with the study protocol 2. History of traumatic brain injury (TBI) or any other non COVID brain pathology 3. Active malignancy 4. Substance use at baseline 5. Severe or unstable physical disorders or major cognitive deficits at baseline 6. HBOT for any reason prior to study enrolment 7. Chest pathology incompatible with pressure changes (including moderate to severe asthma) 8. Ear or Sinus pathology incompatible with pressure changes 9. An inability to perform an awake brain MRI 10. Active smoking
Where it's running
-
Assaf-Harofeh medical center
Tsrifin, Israel Recruiting
Study contacts
- Principal investigator: Shai a Efrati, MD — Asaf-Harofhe MC
- Study coordinator: Shani Zilberman-Itskovich, Dr.
- Email: shani.zilberman@mail.huji.ac.il
- Phone: 97289979383
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.