Corticosteroid Nasal Spray in COVID-19 Anosmia

NCT ID: NCT04484493

Last Updated: 2020-11-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-08

Study Completion Date

2020-11-03

Brief Summary

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The aim of this study is to evaluate the role of the topical corticosteroids nasal spray (mometasone furoate nasal spray) in improving anosmia in patients recovered from COVID-19 infection.

Detailed Description

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This study willbe submitted on patients who recently recovered from proven COVID-19 infection and complaining of anosmia or hyposmia.The proven COVID-19 infection will be relied on a positive real-time reverse transcription polymerase chain reaction (rRT-PCR) with samples obtained by a nasopharyngeal swab. The recovery is defined as 2 consecutives negative (rRT-PCR) samples.

Complete medical history will be taken, and essential clinical assessment with appropriate protective measures will be performed in all patients.The patients in the study will be randomly divided into two groups: - Group I: -who will receive topical corticosteroid nasal spray (mometasone furoate nasal spray) beside olfactory training Group II: -who will not receive topical corticosteroid nasal spray but only olfactory training.

As regards the assessment of smell,the patient will assess his smell sensation using familiar substances with distinctive odor. A jar of coffee, a branch of mint and garlic are some used substances. The patient will report the degree of anosmia subjectively with score on a scale from 0 to 10.The assessment of smell will be done initially after recovery/discharge, after 1 week, 2 weeks and after 3 weeks for all patients. The duration of smell loss will be recorded from the onset of anosmia till full recovery of the sensation.

Conditions

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Covid19 Anosmia

Keywords

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covid19 anosmia mometasone nasal spray

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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mometasone nasal spray

Patients will receive topical corticosteroid nasal spray (mometasone furoate nasal spray) in appropriate dose of 2 puff in each nostril (100 µg once daily) beside olfactory training.

Group Type EXPERIMENTAL

mometasone furoate nasal spray

Intervention Type DRUG

dose of 2 puff in each nostril (100 µg once daily each nostril).

control

Patients will not receive topical corticosteroid nasal spray but only olfactory training.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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mometasone furoate nasal spray

dose of 2 puff in each nostril (100 µg once daily each nostril).

Intervention Type DRUG

Other Intervention Names

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steroid nasal spray

Eligibility Criteria

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Inclusion Criteria

* adults 18 yrs or older patients
* confirmed case (+ve PCR),
* recovered/discharged (2 -ve PCR),
* suffered from sudden recent anosmia or hyposmia

Exclusion Criteria

* patients already on nasal steroid
* with previous chronic rhinological pathologies,
* patients on systemic steroid for previous systemic disease,
* anosmia improved before COVID19 recovery,
* pregnancy
* patients who will not complete the follow up period.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Benha University

OTHER

Sponsor Role lead

Responsible Party

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Abdelrahman Ahmed Abdelalim

MD lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Abdelrahman A Abdelalim, MD

Role: PRINCIPAL_INVESTIGATOR

Benha University

Rasha A Elsayed, MD

Role: STUDY_CHAIR

Benha University

Mona A Elawady, MD

Role: STUDY_CHAIR

Benha University

Abdelhakim F Ghallab, MD

Role: STUDY_CHAIR

Benha University

Ayman A Mohamady, MD

Role: STUDY_CHAIR

Benha University

Locations

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Benha University Hospital, Faculty of Medicine

Banhā, Qalyubia Governorate, Egypt

Site Status

Countries

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Egypt

References

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Heilmann S, Just T, Goktas O, Hauswald B, Huttenbrink KB, Hummel T. [Effects of systemic or topical administration of corticosteroids and vitamin B in patients with olfactory loss]. Laryngorhinootologie. 2004 Nov;83(11):729-34. doi: 10.1055/s-2004-825676. German.

Reference Type BACKGROUND
PMID: 15538662 (View on PubMed)

Hura N, Xie DX, Choby GW, Schlosser RJ, Orlov CP, Seal SM, Rowan NR. Treatment of post-viral olfactory dysfunction: an evidence-based review with recommendations. Int Forum Allergy Rhinol. 2020 Sep;10(9):1065-1086. doi: 10.1002/alr.22624. Epub 2020 Jun 25.

Reference Type BACKGROUND
PMID: 32567798 (View on PubMed)

Webster KE, O'Byrne L, MacKeith S, Philpott C, Hopkins C, Burton MJ. Interventions for the prevention of persistent post-COVID-19 olfactory dysfunction. Cochrane Database Syst Rev. 2022 Sep 5;9(9):CD013877. doi: 10.1002/14651858.CD013877.pub3.

Reference Type DERIVED
PMID: 36063364 (View on PubMed)

Abdelalim AA, Mohamady AA, Elsayed RA, Elawady MA, Ghallab AF. Corticosteroid nasal spray for recovery of smell sensation in COVID-19 patients: A randomized controlled trial. Am J Otolaryngol. 2021 Mar-Apr;42(2):102884. doi: 10.1016/j.amjoto.2020.102884. Epub 2021 Jan 4.

Reference Type DERIVED
PMID: 33429174 (View on PubMed)

Other Identifiers

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RC 4-7-2020

Identifier Type: -

Identifier Source: org_study_id