70 Participants Needed

Smell Training for Loss of Smell After COVID-19

(OTTODC19 Trial)

JA
FC
Overseen ByFrank Cloutier, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Université du Québec à Trois-Rivières
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines smell training as a method to assist individuals who lost their sense of smell after COVID-19. Participants will smell different scents twice daily for 12 weeks to determine if it improves their ability to smell. Two groups will participate: one will use scents like rose and eucalyptus, while the other will use scents like coffee and lemon. This trial may suit someone who had COVID-19, continues to have difficulty smelling, and understands French. As an unphased trial, it offers a unique opportunity to contribute to research that could help others regain their sense of smell.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this olfactory training is safe for treating loss of smell after COVID-19?

Research has shown that smell training is a safe method for people who have lost their sense of smell after COVID-19. Studies have found that participants generally handle this approach easily, with no serious side effects reported. The training involves sniffing specific scents, such as rose or coffee, for a short time each day.

In one study, participants who engaged in smell training noticed improvements in their sense of smell without significant negative effects. The process is non-invasive, meaning it doesn't involve surgery or medication, making it a low-risk option for those seeking to regain their sense of smell after COVID-19.12345

Why are researchers excited about this trial?

Researchers are excited about smell training for loss of smell after COVID-19 because it offers a non-invasive, natural approach that could potentially help the brain relearn how to recognize odors. Unlike current treatments that may include medications or simply waiting for the sense of smell to return on its own, this method actively engages patients in regular sensory exercises. By using specific scents like eucalyptol or coffee aroma, the training aims to stimulate different olfactory pathways, potentially speeding up recovery. This approach is unique because it leverages the brain's plasticity, offering a hands-on solution that empowers patients to take an active role in their healing process.

What evidence suggests that this trial's smell training treatments could be effective for loss of smell after COVID-19?

Research shows that smell training can help people regain their sense of smell after losing it due to COVID-19. In this trial, participants will join one of two chemosensory training groups. One group will use scents such as eucalyptol, phenyl ethanol, orange, and eugenol, while the other will use coffee aroma, cheese aroma, strawberries, and limon. One study found that using different scents during training can speed up recovery. Another study discovered that combining smell training with visual cues helped people regain their sense of smell. However, traditional smell training alone might not work for everyone with COVID-19-related smell loss, as noted in one study. Overall, smell training might help, but results can vary.25678

Who Is on the Research Team?

JA

Johannes A Frasnelli, PhD

Principal Investigator

Université du Québec à Trois-Rivières

Are You a Good Fit for This Trial?

This trial is for individuals who had COVID-19 and are now experiencing persistent smell disorders. Participants must be able to give informed consent, understand French, and have internet access with an email.

Inclusion Criteria

I tested positive for COVID-19 and still can't smell properly.
Willing and able to provide written informed consent
Have an internet connection and a working email address
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Initial Meeting

Participants undergo initial olfactory evaluation and receive training instructions

1 day
1 visit (in-person)

Treatment

Participants perform olfactory training with assigned scents for 12 weeks

12 weeks
Self-administered, daily

Final Meeting

Participants undergo final olfactory evaluation after 12 weeks of treatment

1 day
1 visit (in-person)

Follow-up

Participants are monitored for changes in olfactory function post-treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Smell training
Trial Overview The study tests olfactory training (smell training) over 12 weeks using two sets of scents to improve the sense of smell after COVID-19. One group uses rose, orange, clove, eucalyptus; another uses cheese, coffee, strawberries, lemon.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Chemosensory training group 2Experimental Treatment1 Intervention
Group II: Chemosensory training group 1Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Université du Québec à Trois-Rivières

Lead Sponsor

Trials
48
Recruited
4,500+

Published Research Related to This Trial

In a clinical trial involving 185 patients with post-COVID-19 olfactory dysfunction, those treated with the anti-inflammatory supplement PEA-LUT alongside olfactory training showed significantly greater improvements in their sense of smell compared to those who received placebo with olfactory training.
The intervention group had a recovery rate of 92%, while only 42% of the control group improved, indicating that PEA-LUT effectively enhances the benefits of olfactory training in restoring olfactory function.
Ultramicronized Palmitoylethanolamide and Luteolin Supplement Combined with Olfactory Training to Treat Post-COVID-19 Olfactory Impairment: A Multi-Center Double-Blinded Randomized Placebo- Controlled Clinical Trial.Di Stadio, A., D'Ascanio, L., Vaira, LA., et al.[2023]
Olfactory training significantly improved the sense of smell in patients with olfactory dysfunction after COVID-19, with a strong effect size (SMD = 1.0830) indicating that training was effective in enhancing olfactory scores.
Patients who underwent olfactory training during the acute phase of dysfunction (less than 30 days after onset) experienced greater improvements compared to those with chronic dysfunction, suggesting that earlier intervention may lead to better outcomes.
The Efficacy of Olfactory Training as a Treatment for Olfactory Disorders Caused by Coronavirus Disease-2019: A Systematic Review and Meta-Analysis.Hwang, SH., Kim, SW., Basurrah, MA., et al.[2023]
Olfactory dysfunction (OD) in COVID-19 is linked to damage in sustentacular cells that have ACE-2 receptors, which may lead to prolonged anosmia and increase the risk of neurodegenerative disorders.
Olfactory training (OT) has been shown to be an effective treatment for OD, promoting neural rearrangement and functional connectivity without significant adverse effects, making it a recommended intervention for patients with COVID-induced anosmia.
Olfactory training for olfactory dysfunction in COVID-19: A promising mitigation amidst looming neurocognitive sequelae of the pandemic.Ojha, P., Dixit, A.[2022]

Citations

Intensive Olfactory Training in Post-COVID-19 PatientsThis study aimed to assess whether olfactory training performance can be optimized using more fragrances over a shorter period of time in patients with ...
Efficacy of Olfactive Training on Loss of Smell and Taste ...The purpose of this study is to evaluate efficiency of two months of olfactive training on olfactory and taste loss secondary to covid-19. We ...
Efficacy of Combined Visual-Olfactory Training With Patient ...This randomized clinical trial assesses the efficacy of bimodal visual-olfactory training and patient-preferred scents vs unimodal olfactory training and ...
The effectiveness of olfactory training for chronic ...The authors suggest that PEA-LUT with olfactory training resulted in greater recovery of smell than olfactory training alone. Also, the ...
Effect of Olfactory Training in COVID‐19 Related ...This study found that 12 weeks of classical olfactory training is not effective in the treatment of COVID-19 induced olfactory dysfunction.
Protocol for olfactory training in persisting COVID-19 ...Trial design and safety measurements. The SMELL study is a monocentric trial assessing OT in individuals with persisting COVID-19-associated OD.
Olfactory Dysfunction After SARS-CoV-2 Infection in the ...This cohort study examines the presence, severity, and patterns of olfactory dysfunction in US adults with and without prior SARS-CoV-2 ...
Treatment of COVID-19 Associated Olfactory DysfunctionEfficacy and safety of oral corticosteroids and olfactory training in the management of COVID-19-related loss of smell. Eur Arch ...
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