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NCT05421221

Olfactory Training in COVID-19 Associated Loss of Smell

Completed NA Last updated 23 April 2025
What this trial tests

NA trial testing Sniffin' sticks Duftquartett in COVID-19 in 70 participants. Completed in 31 December 2024.

Timeline
10 August 2022
Primary endpoint
31 December 2024
31 December 2024

Quick facts

Lead sponsorMedical University Innsbruck
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment70
Start date10 August 2022
Primary completion31 December 2024
Estimated completion31 December 2024
Sites1 location across Austria

Drugs / interventions tested

Conditions studied

Sponsor

Medical University Innsbruck

Who can join

18 and older, any sex, with COVID-19 or Hyposmia. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Olfactory dysfunction (OD) like hyposmia or anosmia has been realized as a common symptom or even cardinal sign of the disease and can be persisting after recovering. There are two different hypotheses on the pathogenesis of OD in past COVID-19: The central hypothesis, which speculates on neurotrophic abilities on olfactory receptors in the neuroepithelium, and the peripheral hypothesis, which speculates on damage of the sensory olfactory epithelium. Potential treatment strategies aim for the unique neural plasticity of the olfactory system and its potential for recovery. Clinical studies and case reports have shown a promising effect of olfactory training (OT) by frequent sniffing and/or exposure to odors 2-4 times a day for several weeks. The main objective of the study is to assess the effects of olfactory training in patients with COVID-19 related OD on: 1. objective olfactory testing with the Sniffin' sticks test (identification and discrimination), 2. subjective OD and its impact on the daily life, 3. other clinical scales and questionnaires referring to OD-related mood and quality of life, 4. gender differences in COVID-19 related OD. Approach / methods OT will be performed twice a day with a 4-odor training set for 12 weeks. Effects of OT on COVID-19 related OD will be measured with objective and subjective efficacy variables. The sense of smell is an important function for social relationships and is therefore a challenging clinical problem with few proven therapeutic options. With this new approach, we want to investigate a possible simple treatment for an impedimental symptom of COVID-19, but also learn more about the pathomechanism of post-infectious OD. To our knowledge, this will be the first study comparing patients with COVID-19 associated OD with and without OT in clinical outcomes.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Protocol for olfactory training in persisting COVID-19-associated loss of smell (SMELL): a monocentric randomised controlled trial conducted in Innsbruck.
    De Cleene N, Jagusch F, Schmutzhard J, Gottfried T, et al · · 2025 · cited 1× · PMID 40436445 · DOI 10.1136/bmjopen-2024-094027

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