Dysfunction of Olfaction After COVID-19 Infection: Morphological and Histomolecular Investigation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorUniversitaire Ziekenhuizen KU Leuven

About this trial

Investigation of the mechanisms of persistent SARS-CoV-2 associated olfactory dysfunction (OD) in patients with well-documented olfactory function. The investigators plan to collect olfactory cleft biopsies and cytobrushes in COVID-19 patients and controls.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Olfactory Dysfunction group: Presence of evident OD (Parosmia, Threshold-Discrimination-Identification (TDI)-score ≤24, Subjective abnormal quantitative olfactory function; measured by a visual analogue score (VAS) of smell impairment ≥5/10

Control group: No OD (TDI-score >30.5.)

Disqualifiers

Presence of concomitant nasal mucosal pathology that might affect olfactory function or bias the study investigations

Use of anticoagulation therapy

Allergy to local anesthetics

Trial design

Design model

Parallel

Treatments tested in this trial

  • Biopsy and Cytobrush

    Procedure/Surgery

    Collection of olfactory cleft biopsies and cytobrushes

Treatment groups

240 Participants
are divided into 2 treatment groups
Group A: ControlOther 1 intervention
Group B: Olfactory DysfunctionOther 1 intervention

Trial outcomes

Primary outcomes

1

Analysis of olfactory cleft biopsies

Morphological and histomolecular differences between OD and control patients * Evaluating tissue pathology: * Metaplasia * hypertrophy * aberrant scar formation * apoptosis * presence of inflammatory cells \[H\&E, CD68 and CD3 stainings, RNAscope\] * Presence of SARS-CoV-2 RNA * Percentage of OSNs versus sustentacular cells; maturation of OSNs

Time frame
From enrollment of 1 patient until analyzed, 1 month
2

Analysis of olfactory cytobrushes

Morphological and histomolecular differences between OD and control patients * Evaluating tissue pathology: * Metaplasia * hypertrophy * aberrant scar formation * apoptosis * presence of inflammatory cells \[H\&E, CD68 and CD3 stainings, RNAscope\] * Presence of SARS-CoV-2 RNA * In the olfactory epithelium: percentage of OSNs versus sustentacular cells; maturation of OSNs

Time frame
From enrollment of 1 patient until analyzed, 1 month

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Universitaire Ziekenhuizen KU Leuven

Lead sponsor

University Hospital, Geneva

Collaborator

Max Planck Research Unit for Neurogenetics

Collaborator

University Hospital Carl Gustav Carus

Collaborator

University of Zurich

Collaborator