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. 2021 Jul 22;2021(7):CD013877. doi: 10.1002/14651858.CD013877.pub2

NCT04528329.

Study name Anosmia and/or ageusia and early corticosteroid use
Methods Randomised controlled trial
Participants Adult participants with mild to moderate severity COVID‐19
Inclusion
  • Diagnosis of COVID‐19

  • ≥ 18 years of age

  • Mild to moderate severity


Exclusion 
  • Diabetes 

  • Contraindication to dexamethasone 

  • Mental disability 


Planned sample size: 300 participants 
Interventions Intervention: "Early dexamethasone use as early as confirmation of inflammation" 
Comparator: "Late dexamethasone use as soon as deterioration"
Outcomes Outcomes of interest in the review:
Primary outcomes:
Presence of normal olfactory function
  • Time to recovery from anosmia (no further details provided)


Serious adverse effects 
  • Not reported


Change in sense of smell
  • Not reported


Secondary outcomes:
Prevalence of parosmia
  • Not reported


Change in sense of taste
  • Time to recovery from ageusia (no further details provided)


Disease‐related quality of life
  • Not reported


Other adverse effects (including nosebleeds/bloody discharge)
  • Not reported


Other outcomes reported by the study:
  • Time to recovery (1 to 6 weeks), no further details provided 

Starting date 30 August 2020
Contact information Emad R Issak
Email: dr.emad.r.h.issak@gmail.com
Notes Estimated study completion date: 15 December 2020 
Trial registered in Egypt 
Uncertainty over future inclusion in the review:
It is not clear from the description provided whether participants will all have olfactory dysfunction at baseline and, if so, whether they will have ≤ 4 weeks of olfactory dysfunction. We are awaiting confirmation from the study authors.