A pilot randomized controlled trial of major ozone autohemotherapy for patients with post-acute sequelae of COVID-19

He Y, Liu X, Zha S, et al. International Immunopharmacology, 2024.

View the abstract on PubMed

Study type
Randomized controlled trial
People studied
73 people
Population
Patients with post-acute sequelae of COVID-19
Published
2024, International Immunopharmacology
Identifiers
PMID 39018686, DOI 10.1016/j.intimp.2024.112673
Group
Ozone therapy more broadly

What the authors reported

In a pilot RCT, 35 patients given major ozone autohemotherapy plus conventional therapy had a higher symptom-score response rate (71%) than 38 given conventional therapy alone (45%), with better walk distance and lung function measures.

What limits this result

The authors describe it as a pilot needing validation; tests major autohemotherapy, not EBO2, and the abstract does not describe blinding of outcome assessment.

Other ozone methods, such as major autohemotherapy, that clinics cite in support of EBO2. A result for one method does not transfer automatically to another. One study rarely settles a medical question; our guides weigh each paper against the rest of the evidence.

How the study was done

Design
Prospective, randomized, controlled clinical trialThis prospective, randomized, controlled clinical trial assessed the therapeutic effects of major ozone autohemotherapy (O3-MAH)
Setting
Department of Respiratory and Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, PR China
Read from
Read from the abstract only; where this page says nothing about an item, the abstract does not report it. Read on September 28, 2026.

Source: Abstract on PubMed

Study arms

Each group as the paper describes it.
GroupParticipantsWhat they received
O3-MAH plus conventional therapy35Major ozone autohemotherapy (O3-MAH) plus conventional therapy
Conventional therapy alone38Conventional therapy alone

Source: Abstract on PubMed

What it measured

Response, defined as a 50 % or greater reduction in symptom score
O3-MAH plus conventional therapy: 25 of 35 patients (71 %); conventional treatment alone: 17/38 patients (45 %); P = 0.0325
Symptom scores, tidal volume, predicted 6MWD, coagulation and inflammatory indicators
Significant improvements in the O3-MAH group compared with the conventional treatment group: symptom scores P = 0.0478, tidal volume P = 0.0374, predicted 6MWD P = 0.0032; coagulation and inflammatory indicators also noted (no P value in the abstract)
Change within each group after the interventions
Both groups improved in various parameters; efficacy was greater in the O3-MAH group than the conventional treatment group
Response by baseline CRP level
O3-MAH was more likely to be effective in patients with elevated CRP levels
Cellular immunity
O3-MAH markedly improved cellular immunity, and the improvement became more pronounced with extended treatment duration

Source: Abstract on PubMed

Funding and conflicts

Funder listed on Europe PMC: National Natural Science Foundation of China

Source: Abstract on Europe PMC

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