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. 2022 Sep 5;2022(9):CD013877. doi: 10.1002/14651858.CD013877.pub3

NCT04530409.

Study name Timing of corticosteroids in COVID‐19
Methods Randomised controlled trial
Participants Adult participants with mild or moderate COVID‐19
Included 
  • Any case with COVID‐19 more than or equal to 18 years

  • Mild and moderate severity


Excluded
  • Any contraindication to steroids

  • Mental disability


Planned sample size: 450 patients
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
  • Not reported


Disease‐related quality of life
  • Not reported


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


Other outcomes reported by the study:
Primary:
  • Percentage of cases that will need hospitalisation

  • Percentage of cases that deteriorate to acute respiratory distress syndrome 


Secondary:
  • Percentage of cases with increased d‐dimer 

  • Time to recovery of diarrhoea

  • Percentage reduction in CRP 

  • Percentage reduction in LDH 

  • Percentage reduction in ALT 

  • Percentage reduction in ferritin

  • Time to recovery of lymphopenia

  • Time to recovery of cough

  • Time to recovery of fever

  • Time to recovery of myalgia

  • Time to recovery of dyspnoea

Starting date 26 August 2020
Contact information Emad R Issak
Email: dr.emad.r.h.issak@gmail.com
Notes Estimated study completion date: 1 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.