Trial Outcomes & Findings for Stellate Ganglion Block for COVID-19-Induced Olfactory Dysfunction (NCT NCT05445921)

NCT ID: NCT05445921

Last Updated: 2023-11-07

Results Overview

Participants will be asked about their change in olfactory dysfunction on a 7-point Likert scale from much better to much worse.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

20 participants

Primary outcome timeframe

5-10 days post SGB #1 and 1 month

Results posted on

2023-11-07

Participant Flow

Participant milestones

Participant milestones
Measure
Stellate Ganglion Block
The ultrasound guided stellate ganglion blocks will be performed by a pain management specialist with extensive experience performing these blocks. The first SGB at the initial visit will be performed on the right side, and the second SGB will be on the left side 5-10 days after the first SGB, given that the patient tolerated the first SGB. Stellate Ganglion Block: The stellate ganglion will be identified using ultrasound guidance, and after a test does of 1% lidocaine, 1% mepivacaine will be injected near the stellate ganglion.
Overall Study
STARTED
20
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Stellate Ganglion Block for COVID-19-Induced Olfactory Dysfunction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stellate Ganglion Block
n=20 Participants
The ultrasound guided stellate ganglion blocks will be performed by a pain management specialist with extensive experience performing these blocks. The first SGB at the initial visit will be performed on the right side, and the second SGB will be on the left side 5-10 days after the first SGB, given that the patient tolerated the first SGB. Stellate Ganglion Block: The stellate ganglion will be identified using ultrasound guidance, and after a test does of 1% lidocaine, 1% mepivacaine will be injected near the stellate ganglion.
Age, Continuous
46 years
STANDARD_DEVIATION 11 • n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 5-10 days post SGB #1 and 1 month

Participants will be asked about their change in olfactory dysfunction on a 7-point Likert scale from much better to much worse.

Outcome measures

Outcome measures
Measure
Stellate Ganglion Block
n=20 Participants
The ultrasound guided stellate ganglion blocks will be performed by a pain management specialist with extensive experience performing these blocks. The first SGB at the initial visit will be performed on the right side, and the second SGB will be on the left side 5-10 days after the first SGB, given that the patient tolerated the first SGB. Stellate Ganglion Block: The stellate ganglion will be identified using ultrasound guidance, and after a test does of 1% lidocaine, 1% mepivacaine will be injected near the stellate ganglion.
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Loss at 1 Week · About the Same
12 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Loss at 1 Week · Slightly Better
8 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Loss at 1 Week · Moderately Better
0 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Distortion at 1 Week · Moderately Better
0 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Distortion at 1 Week · Much Better
0 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Distortion at 1 Month · About the Same
11 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Loss at 1 Week · Slightly Better
4 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Loss at 1 Week · Moderately Better
1 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Loss at 1 Week · Much Better
0 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Distortion at 1 Week · Slightly Better
6 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Distortion at 1 Week · Moderately Better
1 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Distortion at 1 Week · Much Better
0 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Loss at 1 Week · Much Better
0 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Loss at 1 Month · About the Same
10 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Loss at 1 Month · Slightly Better
6 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Loss at 1 Month · Moderately Better
3 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Loss at 1 Month · Much Better
1 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Distortion at 1 Week · About the Same
11 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Distortion at 1 Week · Slightly Better
9 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Distortion at 1 Month · Slightly Better
6 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Distortion at 1 Month · Moderately Better
2 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Smell Distortion at 1 Month · Much Better
1 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Loss at 1 Week · About the Same
15 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Loss at 1 Month · About the Same
14 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Loss at 1 Month · Slightly Better
3 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Loss at 1 Month · Moderately Better
2 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Loss at 1 Month · Much Better
1 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Distortion at 1 Week · About the Same
13 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Distortion at 1 Month · About the Same
12 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Distortion at 1 Month · Slightly Better
5 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Distortion at 1 Month · Moderately Better
2 Participants
Clinical Global Impression - Improvement (CGI-I) Score
CGI-I for Taste Distortion at 1 Month · Much Better
1 Participants

SECONDARY outcome

Timeframe: baseline, 5-10 days, and 1 month

Participants will complete the 40-item scratch and sniff UPSIT and mean change will be assessed. The UPSIT has a minimum score of 0 and maximum score of 40 with lower scores indicating a greater degree of impairment. An UPSIT score of \>33 for men and \>34 for women is considered normosmic, and the minimal clinically important difference is a change of 4 points.

Outcome measures

Outcome measures
Measure
Stellate Ganglion Block
n=20 Participants
The ultrasound guided stellate ganglion blocks will be performed by a pain management specialist with extensive experience performing these blocks. The first SGB at the initial visit will be performed on the right side, and the second SGB will be on the left side 5-10 days after the first SGB, given that the patient tolerated the first SGB. Stellate Ganglion Block: The stellate ganglion will be identified using ultrasound guidance, and after a test does of 1% lidocaine, 1% mepivacaine will be injected near the stellate ganglion.
University of Pennsylvania Smell Identification Test (UPSIT)
UPSIT at Baseline
16.5 units on a scale
Interval 4.0 to 32.0
University of Pennsylvania Smell Identification Test (UPSIT)
UPSIT at 1 Week
21 units on a scale
Interval 10.0 to 31.0
University of Pennsylvania Smell Identification Test (UPSIT)
UPSIT at 1 Month
22.5 units on a scale
Interval 10.0 to 35.0

SECONDARY outcome

Timeframe: baseline, 5-10 days post SGB #1, and 1 month

Participants will be asked to complete the ODOR, which is a patient-reported outcome measure assessing physical problems, functional limitations, and emotional consequences of olfactory dysfunction. The ODOR has a minimum score of 0 and a maximum score of 112 with higher scores indicating a greater degree of impairment and limitation. The minimal clinically important difference is a change of 15 points.

Outcome measures

Outcome measures
Measure
Stellate Ganglion Block
n=20 Participants
The ultrasound guided stellate ganglion blocks will be performed by a pain management specialist with extensive experience performing these blocks. The first SGB at the initial visit will be performed on the right side, and the second SGB will be on the left side 5-10 days after the first SGB, given that the patient tolerated the first SGB. Stellate Ganglion Block: The stellate ganglion will be identified using ultrasound guidance, and after a test does of 1% lidocaine, 1% mepivacaine will be injected near the stellate ganglion.
Olfactory Dysfunction Outcomes Rating (ODOR)
ODOR at 1 Week
57 score on a scale
Interval 13.0 to 82.0
Olfactory Dysfunction Outcomes Rating (ODOR)
ODOR at Baseline
62 score on a scale
Interval 16.0 to 85.0
Olfactory Dysfunction Outcomes Rating (ODOR)
ODOR at 1 Month
50.5 score on a scale
Interval 2.0 to 75.0

SECONDARY outcome

Timeframe: baseline, 5-10 days, and 1 month

Participants will be asked about the severity of their olfactory dysfunction (and gustatory dysfunction) on a 5-point Likert scale from no smell loss to severe smell loss.

Outcome measures

Outcome measures
Measure
Stellate Ganglion Block
n=20 Participants
The ultrasound guided stellate ganglion blocks will be performed by a pain management specialist with extensive experience performing these blocks. The first SGB at the initial visit will be performed on the right side, and the second SGB will be on the left side 5-10 days after the first SGB, given that the patient tolerated the first SGB. Stellate Ganglion Block: The stellate ganglion will be identified using ultrasound guidance, and after a test does of 1% lidocaine, 1% mepivacaine will be injected near the stellate ganglion.
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at Baseline · Very Mild Problem
1 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at Baseline · Mild Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at Baseline · Moderate Problem
5 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at 1 Week · Mild Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at 1 Week · Moderate Problem
8 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at 1 Month · No Problem
3 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at 1 Month · Very Mild Problem
1 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at Baseline · Severe Problem
11 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at 1 Week · No Problem
0 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at 1 Week · Very Mild Problem
4 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at 1 Week · Mild Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at 1 Week · Moderate Problem
5 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at 1 Week · Severe Problem
9 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at 1 Month · No Problem
0 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at 1 Month · Very Mild Problem
5 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at 1 Month · Severe Problem
6 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at Baseline · No Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at Baseline · No Problem
0 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at Baseline · Severe Problem
12 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at 1 Week · No Problem
0 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at 1 Week · Very Mild Problem
3 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at 1 Week · Severe Problem
7 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at 1 Month · No Problem
0 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at 1 Month · Very Mild Problem
5 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at 1 Month · Mild Problem
1 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at 1 Month · Moderate Problem
9 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Loss at 1 Month · Severe Problem
5 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at Baseline · No Problem
1 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at Baseline · Very Mild Problem
1 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at Baseline · Mild Problem
1 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at Baseline · Moderate Problem
5 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at Baseline · Severe Problem
12 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at 1 Week · No Problem
1 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at 1 Week · Very Mild Problem
1 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at 1 Week · Mild Problem
4 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at 1 Week · Moderate Problem
4 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at 1 Week · Severe Problem
10 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at 1 Month · Mild Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at 1 Month · Moderate Problem
5 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Smell Distortion at 1 Month · Severe Problem
9 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at Baseline · No Problem
0 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at Baseline · Very Mild Problem
3 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at Baseline · Mild Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at Baseline · Moderate Problem
4 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at 1 Month · Mild Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Loss at 1 Month · Moderate Problem
7 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at Baseline · Very Mild Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at Baseline · Mild Problem
1 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at Baseline · Moderate Problem
3 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at Baseline · Severe Problem
12 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at 1 Week · No Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at 1 Week · Very Mild Problem
3 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at 1 Week · Mild Problem
1 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at 1 Week · Moderate Problem
5 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at 1 Week · Severe Problem
9 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at 1 Month · No Problem
3 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at 1 Month · Very Mild Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at 1 Month · Mild Problem
2 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at 1 Month · Moderate Problem
6 Participants
Clinical Global Impression - Severity (CGI-S) Score
CGI-S for Taste Distortion at 1 Month · Severe Problem
7 Participants

Adverse Events

Stellate Ganglion Block

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Stellate Ganglion Block
n=20 participants at risk
The ultrasound guided stellate ganglion blocks will be performed by a pain management specialist with extensive experience performing these blocks. The first SGB at the initial visit will be performed on the right side, and the second SGB will be on the left side 5-10 days after the first SGB, given that the patient tolerated the first SGB. Stellate Ganglion Block: The stellate ganglion will be identified using ultrasound guidance, and after a test does of 1% lidocaine, 1% mepivacaine will be injected near the stellate ganglion.
Nervous system disorders
Horner syndrome
100.0%
20/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
Nervous system disorders
Hoarseness
45.0%
9/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
Nervous system disorders
Globus
35.0%
7/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
Cardiac disorders
Brief lightheadedness
25.0%
5/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
Nervous system disorders
Numbness of the face
20.0%
4/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
Respiratory, thoracic and mediastinal disorders
Mild shortness of breath
20.0%
4/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Nasal congestion
15.0%
3/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Pain at the injection site
15.0%
3/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Fatigue
15.0%
3/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Cough
5.0%
1/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
Nervous system disorders
Weakness of the arm
5.0%
1/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Weakness of the neck/back
5.0%
1/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Tightness of the back
5.0%
1/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Arm heaviness
5.0%
1/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Bruising of the injection site
5.0%
1/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Chest heaviness
5.0%
1/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Headache
5.0%
1/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Palpitations
5.0%
1/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.
General disorders
Tightness of the shoulder
5.0%
1/20 • 5 weeks
Adverse events were reported per injection. Since all participants received two injections, there were a total of 40 possible reported events for each particular adverse event.

Additional Information

Dr. Andrew Peterson, Resident Physician

Washington University School of Medicine, Dept. of Otolaryngology - Head and Neck Surgery

Phone: 314-362-5626

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place