The Evidence
Behind TPE.

We believe patients should be able to review the science for themselves. This page brings together the most important studies, clinical context, and research summaries on Therapeutic Plasma Exchange.

The AMBER Study.

A 347-person clinical trial of plasma exchange and cognitive decline.

AMBAR studied plasma exchange with albumin replacement in people with mild-to-moderate Alzheimer’s disease. Researchers followed participants for 14 months and compared plasma exchange with a placebo procedure.

Patients who received plasma exchange declined more slowly than those in the placebo group.

Boada et al., Alzheimer’s & Dementia, 2020.

52%

61%

Key Research.

Our picks of the most impactful studies on plasma exchange to date. TPE is an established medical procedure used clinically for decades. These studies explore its emerging role in cognitive health and healthy aging.

AMBAR Study

One of the most important human studies of plasma exchange and cognition.

AMBAR Brain-Imaging Follow-Up

Additional AMBAR findings that used brain imaging in mild-to-moderate Alzheimer’s disease.

Measuring Biological Age

How researchers measure biological age — useful context when weighing interventions like TPE.

Turning Back the Clock on Aging

How plasma exchange may influence the processes connected to biological aging.

TPE Aging & Disease Review

Gives broader context for how TPE may relate to aging, inflammation, and disease.

Inflammation & Longevity

How reducing a key inflammatory signal, IL-11, may support a longer, healthier life.

What else are researchers studying?

Cognitive Health

Studies like AMBAR explore whether plasma exchange may affect cognitive and functional decline.

Inflammation

Researchers are studying how TPE may affect inflammatory proteins and other substances carried in plasma.

Biological Aging

Some studies are looking at whether TPE may influence biomarkers associated with biological age.

Age-Related Function

Because plasma circulates throughout the body, researchers are studying whether changing plasma may affect more than one system.

Dr. Roizen on why TPE matters.

Browse the full research archive.

The archive includes peer-reviewed studies, clinical papers, reviews, and emerging research related to plasma exchange, albumin replacement, cognitive decline, inflammation, biological aging, and age-related dysfunction.

If you’re new to the science, we recommend starting with the key research above. If you’re ready to go deeper, browse the full archive.

Have questions about the research — or whether TPE fits your goals?

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