Treatment of Postviral Olfactory Dysfunction
2 other identifiers
interventional
120
1 country
1
Brief Summary
A decreased sense of smell (hyposmia) is often caused by viral infections, such as COVID-19. Today, the only recommended treatment for hyposmia is olfactory training, a time consuming method with limitations in terms of both compliance and effect. The aim of this study is therefore to evaluate, as well as optimize, a new treatment method for olfactory loss. Hyposmic participants will be recruited and randomized into two different treatment conditions. One group will do regular olfactory training and the other will do passive olfactory training with scented nose plugs. The training will be conducted in the home of the individual monday through friday for two consecutive months. Subjective and objectvie measures of olfactory problems will be assessed before and after treatment, as well as subjective measures related to quality of live and genereal wellbeing.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Oct 2023
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 17, 2023
CompletedFirst Submitted
Initial submission to the registry
November 8, 2023
CompletedFirst Posted
Study publicly available on registry
November 21, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 21, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2025
CompletedSeptember 3, 2025
August 1, 2025
8 months
November 8, 2023
August 26, 2025
Conditions
Outcome Measures
Primary Outcomes (9)
Objective olfactory function
Does the use of scented nose plugs increase the effect of olfactory training on objective olfactory function compared to regular olfactory training? For this outcome, we will use the standardized Sniffin' Sticks test to assess olfactory function.
2 months
Subjective symptoms and social/emotional consequences
Does the use of scented nose plugs increase the effect of olfactory training on subjective symptoms and social/emotional consequences compared to regular olfactory training? For this outcome, we will use the Sino-Nasal Outcome Test (SNOT).
2 months
Subjective health
Does the use of scented nose plugs increase the effect of olfactory training on subjective health compared to regular olfactory training? For this outcome, we will use the Self-Rated Health 5 measure and SF-36.
2 months
Subjective olfactory function
Does the use of scented nose plugs increase the effect of olfactory training on subjective olfactory function compared to regular olfactory training? For this outcome, we will use the Self-Reported Mini Olfactory Questionnaire.
2 months
Subjective degree of suffering from olfactory impairment
Does the use of scented nose plugs increase the effect of olfactory training on subjective degree of suffering from olfactory impairment compared to regular olfactory training? For this outcome, we will use the Questionnaire of Olfactory Disorders - Negative Statements.
2 months
Subjective parosmia
Does the use of scented nose plugs increase the effect of olfactory training on subjective parosmia compared to regular olfactory training? For this outcome, we will use the Landis parosmia questionnaire.
2 months
Subjective depressive symptoms
Does the use of scented nose plugs increase the effect of olfactory training on depressive symptoms compared to regular olfactory training? For this outcome, we will use the Beck Depression Inventory (BDI).
2 months
Subjective general wellbeing
Does the use of scented nose plugs increase the effect of olfactory training on depressive symptoms compared to regular olfactory training? For this outcome, we will use the General Well Being Schedule.
2 months
Compliance
Does the use of scented nose plugs increase the compliance of olfactory training compared to regular olfactory training? For this outcome, we will use questions asking the participants about their experience during the olfactory training, specifically targeting their compliance, such as how often they actually completed the olfactory training and how often they forgot to.
2 months
Study Arms (2)
Olfactory training with nose plugs
EXPERIMENTALParticipants will complete olfactory training with scented nose plugs.
Olfactory training with household odors
ACTIVE COMPARATORParticipants will complete olfactory training with odors found in their household.
Interventions
Participants will complete olfactory training with scented nose plugs.
Participants will complete olfactory training with regular odors found in their home.
Eligibility Criteria
You may qualify if:
- years old
- Physically and cognitively capable of participating in the study
- Having appropriate olfactory screening test scores (hyposmic)
You may not qualify if:
- Anosmics
- Individuals with other diagnoses that could affect the study results
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Karolinska Institutetlead
- Region Skanecollaborator
Study Sites (1)
Karolinska Institutet
Solna, Stockholm County, 17177, Sweden
Related Publications (1)
Winter AL, Henecke S, Thunell E, Swartz M, Martinsen J, Sahlstrand Johnson P, Lundstrom JN. Olfactory training using nasal inserts is more effective due to increased adherence. Rhinology. 2025 Aug 1;63(4):477-485. doi: 10.4193/Rhin24.369.
PMID: 40278843BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Johan N Lundstrom
Karolinska Institutet
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
November 8, 2023
First Posted
November 21, 2023
Study Start
October 17, 2023
Primary Completion
June 21, 2024
Study Completion
July 1, 2025
Last Updated
September 3, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will not share