Therapeutic apheresis
Plasmapheresis with in-house GEMMA technology and direct medical supervision.
Explore therapeutic apheresis
Clinical data, precision technology, plasmapheresis and cellular medicine in the service of health that is more preventive, more personalized and more intelligent.
Cumbayá · Quito — EC/ The only center in Latin America with in-house apheresis technology.EST. 2024 — Nº 001 / 001
Our clinical practice
Advanced medicine. Individual care.
Four connected areas. One methodology: clinical assessment, a personalized protocol and follow-up.
Regenerative medicine
Cell therapy, exosomes and peptides within individualized protocols.
Explore regenerative medicineAdvanced diagnostics
Medical history and biomarkers to guide each therapeutic decision.
Explore advanced diagnosticsClinical longevity
Preventive assessment, precision medicine and clinical response monitoring.
Explore clinical longevityIndications, available evidence and regulatory status are reviewed with each patient. Individual results may vary.
All protocolsIn-house technology · International expertise
The science behind every decision.
NexusMed brings clinical practice and technology development together with Apheresis Technology. GEMMA is part of this therapeutic apheresis expertise.
Explore GEMMA technology
- years of experience
- 40+
- in therapeutic apheresis
- clinical centers
- 850+
- Apheresis Technology · 10+ countries
- scientific papers
- 360+
- Prof. Valery Voinov
- patents and inventions
- 25
- in apheresis technology
- languages of care
- 6
- ES · EN · RU · FR · IT · DE
Medical team
Clinical experience. International perspective.
Medical Director
Dr. Gerardo G. Zumbana L.
Postgraduate training at Pavlov University. Apheresis Technology co-founder and plasmapheresis author.
Medical background
Specialist in therapeutic apheresis. Postgraduate training at Pavlov First Saint Petersburg State Medical University. Co-founder of Apheresis Technology. Author of the first book on plasmapheresis published in Latin America. 25+ years of specialized clinical practice.
Gynecology
Dr. Irina Podaneva
Trained at Pavlov University. Gynecology, hormonal health and ISUOG membership.
Medical background
Gynecologist trained at Akademik Pavlov State Medical University, Russia. Member of the International Society of Ultrasound in Obstetrics and Gynecology. Specialist in female hormonal health, climacteric and fertility.
International Coordination · New York
Dr. Kristina Zumbana
Clinical coordination from New York. Training at PUCE, Grenoble Alpes and EPFL.
Medical background
Coordinates care for international patients from New York. Medical training at PUCE, with studies at Université Grenoble Alpes and École Polytechnique Fédérale de Lausanne. Speaks five languages.
Scientific authority
Prof. Valery Alexandrovich Voinov
Professor and Head of the Therapeutic Apheresis Department at Pavlov University, Saint Petersburg. Author of 360+ scientific papers and 25 inventions and patents.
Scientific background
International scientific participation
From clinical practice to scientific exchange.
Dr. Gerardo Zumbana · Regene Global & ISSCA. Plasma exchange and plasmapheresis in regenerative medicine and longevity.
Preventive medicine and longevity
Measure first. Intervene with precision.
80+ biomarkers, clinical assessment and follow-up. A longevity approach connecting diagnostics, plasmapheresis and regenerative medicine.
Explore longevityComplementary IV therapies
Intravenous formulations under medical indication, as part of an individualized plan.
View IV therapiesClinical information
A closer look at your care.
Clinical indications, care pathways and explanations from the medical team.
Clinical conditions and indications
Clinical Conditions
Clinical areas where our protocols carry the strongest evidence.
NexusMed focuses its practice on conditions where the combination of therapeutic plasmapheresis, cell therapy and regenerative medicine has documented clinical support. We don't treat everything. We treat where we can generate measurable impact.
01 · Clinical area
Autoimmune diseases
Therapeutic plasmapheresis physically removes the pathological antibodies that attack healthy tissue. Recognized by ASFA as a first-line treatment for multiple autoimmune conditions.
Conditions we treat
- Systemic lupus erythematosus
- Rheumatoid arthritis
- Systemic vasculitis
- Scleroderma
- Antiphospholipid syndrome
- Behçet's disease
- Other immune-mediated conditions
02 · Clinical area
Neurological diseases
Several autoimmune neurological conditions carry an ASFA category I indication for plasmapheresis. Our protocols are designed to remove the autoantibodies responsible for neurological damage.
Conditions we treat
- Guillain-Barré syndrome
- Myasthenia gravis
- Multiple sclerosis (selected forms)
- Chronic inflammatory demyelinating polyneuropathy
- Autoimmune encephalitis
- Neuromyelitis optica
03 · Clinical area
Liver diseases
Apheresis with liver-support systems is indicated in conditions where detoxification function is compromised. Our technology allows us to act directly on the circulating compounds the liver cannot process, in coordination with the patient's treating hepatologist.
Clinical conditions treated
- Acute liver failure
- Decompensated chronic liver failure
- Hepatic encephalopathy
- Refractory familial hypercholesterolemia
- Severe hypertriglyceridemia
- Hepatorenal syndromes
- Advanced non-alcoholic steatohepatitis
04 · Clinical area
Advanced rheumatology
Therapeutic apheresis and regenerative protocols are indicated for patients with rheumatologic disease refractory to biologic therapies, immunomodulators or conventional immunosuppressive regimens.
Clinical conditions treated
- Severe or refractory rheumatoid arthritis
- Ankylosing spondylitis
- Sjögren's syndrome
- Polymyalgia rheumatica
- Fibromyalgia with systemic inflammatory component
- Mixed connective tissue disease
- Other chronic rheumatologic diseases
05 · Clinical area
Complementary oncology support
Our practice in oncology is strictly complementary. We do not replace chemotherapy, radiotherapy or hematologic regimens. We always work in coordination with the patient's treating oncologist.
Support procedures
- Apheresis for specific complications
- Immune support during chemotherapy
- Coordinated management of side effects
- Post-treatment regenerative protocols
- Clinical support for quality of life
06 · Clinical area
Cardiovascular and metabolic health
Selective apheresis can directly remove pathological lipoproteins when conventional medication fails to reach clinical targets. We also apply regenerative protocols in selected patients.
Conditions we treat
- Familial hypercholesterolemia
- Severe hypertriglyceridemia
- Advanced atherosclerosis
- Elevated cardiovascular risk
- Integrated metabolic optimization
07 · Clinical area
Longevity and preventive medicine
For patients without active disease seeking long-term health optimization. A comprehensive program with expanded biomarkers, biological age, genetic analysis and personalized regenerative protocols.
Areas of optimization
- Silent chronic inflammation
- Metabolic health
- Hormonal balance
- Immune function
- Preventive cardiovascular health
- Cognitive optimization
08 · Clinical area
Gynecology and female hormonal health
Led by Dr. Irina Podaneva. A specialized practice with an integrative approach, combining clinical gynecology with the regenerative-medicine principles that define the center.
Areas of practice
- Climacteric and menopause
- Hormonal evaluation and management
- Reproductive health
- Preventive gynecology
- Female longevity programs
- Comprehensive sexual health
Every clinical indication is evaluated individually. The suitability of any protocol is determined during the initial consultation with one of our specialist physicians, taking into account medical history, complementary studies and the patient's goals.
Therapeutic protocols and preventive care
Clinical Programs
Two distinct clinical paths.
NexusMed's clinical practice is structured into two categories of care based on each patient's therapeutic goal.
01 · Clinical path
Therapeutic protocols.
For patients with an active clinical diagnosis of autoimmune, neurological, liver, rheumatologic or oncologic disease who require specialized intervention.
- Clinical evaluation with a specialist physician
- Review of medical history and complementary studies
- Design of an individualized therapeutic protocol
- Execution under direct medical supervision
- Coordination with the patient's treating medical team
- Clinical follow-up with biomarkers
Duration varies according to condition and clinical response.
View therapeutic protocols02 · Clinical path
Preventive medicine and longevity.
For patients without active disease seeking advanced clinical optimization and precision medicine. Three tiers available.
Initial
Evaluation Consultation
Current clinical status and diagnostic plan.
60 to 90 minutes
Comprehensive
In-Depth Diagnostics
Expanded biomarker panel and therapeutic plan.
One to two visits within a week
Executive
Longevity Program
Comprehensive optimization with twelve-month follow-up.
Annual program with quarterly reassessment
Videos: GEMMA, lipid profile and a patient story
GEMMA technology
Dr. Cristina Zumbana explains the GEMMA platform.
Medical explainer
Plasmapheresis, triglycerides and cholesterol.
Patient story
A patient shares his care experience.
Patient and referring physician experiences
International patients
Your medical team, before and after your journey.
Care in Quito, coordinated from New York with Dr. Kristina Zumbana. Medical history review, treatment planning and remote follow-up in six languages.
Information for international patients
What is therapeutic apheresis and how does it differ from other treatments?
Therapeutic apheresis is a medical procedure that separates blood components to selectively remove one of them — usually plasma with its pathological contents — and return the rest to the patient. It is an established medical procedure, distinct from dialysis (which removes waste in patients with kidney failure) and from intravenous therapies (which add substances). It has well-established clinical indications in autoimmune, neurological and other diseases.
Do you guarantee clinical results?
No. No serious medical center guarantees results, since the response to any treatment depends on individual patient variables. We share with the patient the available clinical evidence, the expected outcomes based on the medical literature, and the known limitations of each procedure.
Are the regenerative therapies you offer approved?
Regulatory status varies by procedure and country. Therapeutic apheresis is an internationally established medical procedure. Cell therapy and other regenerative medicine interventions have different regulatory frameworks depending on the country. We discuss the applicable regulatory framework for each procedure with every patient before treatment begins.
Do you replace conventional medical treatments?
It depends on the clinical case. In some cases, our procedures are the primary indication (for example, plasmapheresis in Guillain-Barré syndrome). In oncology, our practice is strictly complementary to the patient's primary cancer treatment and always coordinated with the treating oncology team.
What is the first consultation like?
The first consultation lasts 60 to 90 minutes. It includes a complete review of the medical history, physical exam, discussion of clinical goals and definition of the diagnostic plan. For international patients, it can be done virtually before travel.
How long do the effects of a treatment last?
The duration and magnitude of the clinical response varies depending on the condition, individual patient characteristics and adherence to follow-up recommendations. This is discussed in detail when building the treatment plan.
Do you work with international insurance?
We coordinate with some international medical insurers. Specific coverage depends on each policy. To verify coverage, we recommend checking before booking the initial consultation.
How do I request the first consultation?
Through the form on this website, by email at nexusmedclinic@gmail.com or by phone. The clinical coordination team responds within one business day at the latest.
Visit NexusMed
- Address
- Cumbayá, Quito, Ecuador
- Hours
- Monday to Friday: 8:00 am – 6:00 pm
- Saturdays: 9:00 am – 2:00 pm
- Sundays: closed
- Phone numbers
- +593 99 232 5886
- +593 96 280 3109
- nexusmedclinic@gmail.com
- International coordination by our medical team
- nexusmedint@gmail.com