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Galon J, Pags F, Marincola FM, Angell HK, Thurin M, Lugli A, Zlobec I, Berger A, Bifulco C, Botti G, Tatangelo F, Britten CM, Kreiter S, Chouchane L, Delrio P, Arndt H, Asslaber M, Maio M, Masucci GV, Mihm M, Vidal-Vanaclocha F, Allison JP, Gnjatic S, Hakansson L, Huber C, Singh-Jasuja H, Ottensmeier C, Zwierzina H, Laghi L, Grizzi F, Ohashi PS, Shaw PA, Clarke BA, Wouters BG, Kawakami Y, Hazama S, Okuno K, Wang E, O'Donnell-Tormey J, Lagorce C, Pawelec G, Nishimura MI, Hawkins R, Lapointe R, Lundqvist A, Khleif SN, Ogino S, Gibbs P, Waring P, Sato N, Torigoe T, Itoh K, Patel PS, Shukla SN, Palmqvist R, Nagtegaal ID, Wang Y, D'Arrigo C, Kopetz S , Sinicrope FA , Trinchieri G, Gajewski TF, Ascierto PA, Fox BA

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Comorbidities present in pillar pain patients included hypertension (48%), hypothyroidism (30%), rheumatoid arthritis (26%), diabetes mellitus (22%), fibromyalgia (9%), and vitamin deficiencies (9%), with no cases of chronic kidney disease in this sample

This decision followed the German Federal Institute for Drugs and Medical Devices (BfArM) Long COVID expert group, which developed a symptom-specific evidence package rather than relying on a single class-wide claim