Using Enhanced External Counterpulsation to Treat Long COVID Fatigue

Enhanced External Counterpulsation (EECP/ECPT) to Treat Long-COVID-19 Fatigue - a Randomized Controlled Trial

Not applicable Interventional Sheba Medical Center · NCT05668039

This study is testing if a special treatment called Enhanced External Counterpulsation can help people with long COVID feel less tired and improve their overall quality of life.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment32 (estimated)
Ages18 Years and up
SexAll
SponsorSheba Medical Center Government
Locations1 site (Ramat Gan)
Trial IDNCT05668039 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to evaluate the effectiveness of Enhanced External Counterpulsation (EECP) in alleviating fatigue in patients suffering from long COVID-19. Participants, who are recovering from acute COVID-19 and experiencing significant fatigue, will be randomly assigned to receive either EECP treatment or a sham procedure over 15 sessions within five weeks. The study will assess improvements in fatigue scores, quality of life, and physical endurance through various tests and questionnaires. The trial is designed to be double-blind to ensure unbiased results.

Who should consider this trial

Good fit: Ideal candidates are individuals recovering from acute COVID-19, 3-12 months post-infection, with a PROMIS-Fatigue score greater than 50.

Not a fit: Patients with severe cardiovascular conditions or other significant health issues that contraindicate EECP will not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could significantly reduce fatigue and improve the quality of life for patients suffering from long COVID.

How similar studies have performed: While the use of EECP for long COVID is a novel approach, similar studies have shown promise in treating other conditions related to fatigue and cardiovascular health.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients recovering from PCR or lateral flow testing proven acute COVID-19
* 3-12 months following the acute infection
* Suffering from fatigue with a PROMIS-SF-7a T-score of \> 50

Exclusion Criteria:

* Acute decompensated heart failure
* Recent myocardial infarction within the last 3 months
* Unstable angina pectoris
* Severe hypertension \> 180/110 mm Hg
* Coagulopathy with international normalized ratio of prothrombin time \> 2.0
* Moderate to severe aortic regurgitation
* Abdominal aortic aneurysm (\>5 mm) or dissection
* Arrhythmias that may interfere with triggering of EECP system (uncontrolled atrial fibrillation, flutter and very frequent premature ventricular contractions)
* Heart rate of \<35 or \>125 beats per minute
* Any surgical intervention within 6 weeks before EECP
* Recent cardiac catheterization (1-2 weeks) or arterial femoral puncture
* Severe peripheral arterial disease
* Severe venous disease (thrombophlebitis, prior or current deep vein thrombosis or pulmonary embolism)
* Severe chronic obstructive pulmonary disease
* Pregnancy or women of childbearing age who do not have a negative pregnancy test

Where this trial is running

Ramat Gan

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Post-Acute COVID-19 Syndromelong COVIDEnhanced eXternal counterpulsation
Last reviewed 2026-06-13 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.