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NCT04495816

COVID-19 Anosmia Study

Completed Phase 2 Results posted Last updated 23 October 2023
What this trial tests

Phase 2 trial testing Omega-3 Fatty Acid Supplement in Anosmia in 139 participants. Completed in 31 December 2021.

Timeline
15 July 2020
Primary endpoint
31 December 2021
31 December 2021

Quick facts

Lead sponsorIcahn School of Medicine at Mount Sinai
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment139
Start date15 July 2020
Primary completion31 December 2021
Estimated completion31 December 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Icahn School of Medicine at Mount Sinai

Who can join

18 and older, any sex, with Anosmia or Covid19. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Brief Smell Identification Test (BSIT) Primary · Week 0 and Week 6

Change in BSIT. Brief Smell Identification Test (BSIT) is a 12-item instrument, full range score from 0 to 12, higher score indicates better olfactory performances.

Baseline
GroupValue95% CI
Omega-36.77± 1.94
Placebo/Control7.20± 1.88
Week 6
GroupValue95% CI
Omega-37.89± 2.00
Placebo/Control7.88± 2.19
Change
GroupValue95% CI
Omega-31.12± 1.99
Placebo/Control0.68± 1.86
Change in Brief Smell Identification Test (BSIT) in Participants With Severe Olfactory Dysfunction Primary · Week 0 and Week 6

Mean change in BSIT in participants with severe olfactory dysfunction defined as BSIT ≤ 7. Brief Smell Identification Test (BSIT) is a 12-item instrument, full range score from 0 to 12, higher score indicates better olfactory performances.

GroupValue95% CI
Omega-32.30± 1.77
Placebo/Control1.63± 1.82
Change in Brief Smell Identification Test (BSIT) in Participants With Laboratory-Confirmed COVID-19 and Severe Olfactory Dysfunction Primary · Week 0 and Week 6

Mean change in BSIT in participants with laboratory-confirmed COVID-19. Brief Smell Identification Test (BSIT) is a 12-item instrument, full range score from 0 to 12, higher score indicates better olfactory performances.

GroupValue95% CI
Omega-31.18± 1.88
Placebo/Control0.61± 1.87
Modified Brief Questionnaire of Olfactory Dysfunction (mQOD-NS) Secondary · baseline, weeks 1, 2, 4 and 6 after softgel initiation

The modified Brief Questionnaire of Olfactory Dysfunction - Negative Statements (QOD-NS) survey is a 17-item instrument, each item graded on a scale from 0 to 3, with total scale range from 0 to 51. Higher score indicates better olfactory-specific quality of life (QOL).

baseline
GroupValue95% CI
Omega-312.29± 4.46
Placebo/Control13.73± 4.33
week 1
GroupValue95% CI
Omega-311.41± 4.42
Placebo/Control12.54± 4.83
week 2
GroupValue95% CI
Omega-311.46± 4.81
Placebo/Control12.76± 4.41
week 4
GroupValue95% CI
Omega-311.17± 5.15
Placebo/Control12.95± 4.67
week 6
GroupValue95% CI
Omega-311.19± 4.58
Placebo/Control12.33± 4.80
Sinonasal Outcomes Test (SNOT-22) Secondary · baseline, weeks 1, 2, 4 and 6 after softgel initiation

Sino-Nasal Outcome Test (SNOT-22) is a 22-item instrument, total scale range from 0 to 110, higher score indicates more severe QOL impact.

baseline
GroupValue95% CI
Omega-322.35± 13.23
Placebo/Control25.75± 12.43
week 1
GroupValue95% CI
Omega-321.23± 13.60
Placebo/Control24.54± 12.90
week 2
GroupValue95% CI
Omega-321.41± 14.33
Placebo/Control22.90± 12.58
week 4
GroupValue95% CI
Omega-320.79± 13.56
Placebo/Control23.47± 13.82
week 6
GroupValue95% CI
Omega-319.91± 13.05
Placebo/Control22.41± 13.58

Adverse events — posted to ClinicalTrials.gov

Time frame: 6 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Omega-3
Serious: 0/70 (0%)
Deaths: 0/70
Placebo/Control
Serious: 0/69 (0%)
Deaths: 0/69
Other adverse events (3 terms — click to expand)

ReactionSystemOmega-3Placebo/Control
worsening of gastroesophageal reflux symptomsGastrointestinal disorders
unable to swallow the capsulesGeneral disorders
Unrelated upcoming surgeryGeneral disorders

Data from ClinicalTrials.gov NCT04495816 adverse events section.

Sponsor's own description

To capture the natural history of COVID-19 associated olfactory dysfunction as measured by two patient reported outcome measures (SNOT-22, QOD-NS) and a 6-week BSIT with a comparison to an intervention arm receiving daily omega-3 supplements.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Dissecting lipid metabolism alterations in SARS-CoV-2.
    Casari I, Manfredi M, Metharom P, Falasca M. · · 2021 · cited 90× · PMID 33571544 · DOI 10.1016/j.plipres.2021.101092
  2. The roles of lipids in SARS-CoV-2 viral replication and the host immune response.
    Theken KN, Tang SY, Sengupta S, FitzGerald GA. · · 2021 · cited 59× · PMID 34599996 · DOI 10.1016/j.jlr.2021.100129
  3. Metabolic alterations upon SARS-CoV-2 infection and potential therapeutic targets against coronavirus infection.
    Chen P, Wu M, He Y, Jiang B, et al · · 2023 · cited 50× · PMID 37286535 · DOI 10.1038/s41392-023-01510-8
  4. Investigating Lipid-Modulating Agents for Prevention or Treatment of COVID-19: JACC State-of-the-Art Review.
    Talasaz AH, Sadeghipour P, Aghakouchakzadeh M, Dreyfus I, et al · · 2021 · cited 43× · PMID 34649702 · DOI 10.1016/j.jacc.2021.08.021
  5. Olfactory recovery following infection with COVID-19: A systematic review.
    Jafar A, Lasso A, Shorr R, Hutton B, et al · · 2021 · cited 34× · PMID 34752471 · DOI 10.1371/journal.pone.0259321
  6. Interventions for the prevention of persistent post-COVID-19 olfactory dysfunction.
    Webster KE, O'Byrne L, MacKeith S, Philpott C, et al · · 2021 · cited 22× · PMID 34291812 · DOI 10.1002/14651858.cd013877.pub2
  7. Interventions for the treatment of persistent post-COVID-19 olfactory dysfunction.
    O'Byrne L, Webster KE, MacKeith S, Philpott C, et al · · 2022 · cited 21× · PMID 36062970 · DOI 10.1002/14651858.cd013876.pub3
  8. Interventions for the treatment of persistent post-COVID-19 olfactory dysfunction.
    O'Byrne L, Webster KE, MacKeith S, Philpott C, et al · · 2021 · cited 21× · PMID 34291813 · DOI 10.1002/14651858.cd013876.pub2

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Other recruiting trials for Anosmia

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