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

NCT04764981.

Study name Olfactory training for olfactory dysfunction after coronavirus disease ‐ 19 (COVID‐19)
Methods Two‐arm, unblinded, single‐centre, parallel‐group RCT with 3 months duration of treatment and follow‐up
NB trial registry states double‐blinded, but no intervention used in comparator group, therefore must be unblinded to participants
Participants Individuals with persistent olfactory dysfunction following COVID‐19; duration of dysfunction unclear
Inclusion criteria:
  • Confirmed diagnosis of COVID‐19 by real time polymerase chain‐reaction for SARS‐CoV‐2 or serological tests for SARS‐CoV‐2 antigens

  • Olfactory dysfunction confirmed by Connecticut Chemosensory Clinical Research Test (CCCRC‐T)


Exclusion criteria:
  • Smokers

  • Individuals with diagnosed rhinitis

  • Individuals with diagnosed neurological diseases

  • Individuals undergoing brain surgery

  • Previous history of hyposmia and/or anosmia

  • Pregnancy

  • Allergy to any of the substances present in the olfactory test kit

  • Individuals who are undergoing another treatment for olfactory dysfunction


Estimated sample size: 300 participants (additional 50 healthy controls will be recruited for a separate study arm)
Interventions Intervention group:
Olfactory training: 4 odours (rose, eucalyptus, lemon and cloves), twice daily training for 30 seconds per odour for a total of 3 months
Control group:
No intervention
Outcomes Outcomes of interest in the review:
Primary outcomes:
Presence of normal sense of smell
  • CCCRT olfactory test will be used to assess olfactory function, and classify individuals as having normosmia


Serious adverse effects
  • Not reported


Change in sense of smell
  • CCCRT olfactory test will be used to assess olfactory function. An olfactory function score (0 = worst score, 7 = best score) will also be assessed. It is unclear whether these will be reported as dichotomous or continuous outcomes.


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:
  • MRI of the olfactory bulb

Starting date May 2021
Contact information Alna Carolina Mendes Parahnos, no contact details provided
Notes Registered in Brazil 
Estimated study completion date 1 May 2024
It is unclear if participants will have had symptoms for < 4 weeks at baseline, therefore this study may not be suitable for inclusion in this review. Further details will be obtained when the trial is published.