5-Aminolevulinic Acid Phosphate as an Immune System Enhancer Along with Vaccination Against SARS-CoV-2 Virus Infection: An Open-Label, Randomized Pilot Study.

Publication date: Jun 13, 2025

Previous studies have shown that 5-aminolevulinic acid phosphate together with sodium ferrous citrate, which is marketed as a food supplement, appears to be an important metabolic regulator in depleted T cell metabolism. Therefore, it was hypothesized that its administration in subjects vaccinated against COVID-19 could enhance their immune system. Therefore, the aim of our proof-of-concept study was to determine the safety (by adverse events monitoring) and the tolerability (by subject questionnaires) and to investigate immune-boosting properties (by Immunoglobulins) in which 200 subjects were randomized in a ratio of 1:1 within 2 arms. In the intervention arm, the study product was administered together with the vaccines Covishield or Covaxin, and up to 21 days thereafter with a 150 mg daily dose, whereas in the control arm, the subjects were vaccinated only. No safety issues were detected, and the evaluation of the subject questionnaires showed no limitation of the well-being, which confirms the excellent tolerability of 5-aminolevulinic acid phosphate with sodium ferrous citrate. Moreover, the ‘Change in Immunoglobulin G levels’, although statistically insignificant, showed strong signals of its immune supportive potential. However, further studies are recommended to verify the results.

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Concepts Keywords
Basel 5-ALA
Daily 5-aminolevulinic acid
Ferrous COVID-19
Pilot IgG
Vaccinated immune booster
SARS-CoV-2
vaccine

Semantics

Type Source Name
drug DRUGBANK Aminolevulinic acid
drug DRUGBANK Phosphate ion
pathway REACTOME Immune System
disease MESH Virus Infection
disease IDO cell
pathway REACTOME Metabolism
disease MESH COVID-19
disease IDO intervention
drug DRUGBANK Coenzyme M
drug DRUGBANK Alpha-Linolenic Acid
disease MESH emergency
disease MESH infection
drug DRUGBANK Adenosine
disease MESH melanoma
pathway KEGG Melanoma
disease MESH Classical Swine Fever
drug DRUGBANK Cysteamine
disease IDO site
disease IDO history
drug DRUGBANK Aspartame
drug DRUGBANK Oxygen

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