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Trial registered on ANZCTR
Registration number
ACTRN12620000575932
Ethics application status
Approved
Date submitted
13/05/2020
Date registered
18/05/2020
Date last updated
18/05/2020
Date data sharing statement initially provided
18/05/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
Prevalence of the loss of smell in patients with COVID-19: The SMELLY Study
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Scientific title
Loss of SMELL as an earlY marker in patients with COVID-19
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Secondary ID [1]
301227
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Nil
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Universal Trial Number (UTN)
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Trial acronym
SMELLY
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Olfactory dysfunction
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COVID-19
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Condition category
Condition code
Infection
315494
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0
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Other infectious diseases
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
To determine the prevalence of olfactory dysfunction in patients with COVID-19 using the validated University of Pennsylvania Smell Identification Test (UPSIT).
The UPSIT test is delivered to the participant's residence(or place of isolation) with a request to self-administer the test as per instructions on the kit. A 15 min telephone visit with a study team member will occur on the same day.
The 15 min telephone visit will consist of asking questions regarding medical history, current symptoms, and the results of the UPSIT test.
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Intervention code [1]
317531
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Early Detection / Screening
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Comparator / control treatment
Controls; subjects at least 18 yrs of age with a negative NAT (nucleic acid test) [nasopharyngeal or oropharyngeal swabs, faeces] for SARS-CoV2.
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Control group
Active
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Outcomes
Primary outcome [1]
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Prevalence of UPSIT score <26 (anosmia or severe hyposmia) in cases
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Assessment method [1]
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Timepoint [1]
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The UPSIT test for each participant is assessed at a single visit. The study outcomes will be measured 6 months post-first patient recruited., when the study is expected to be completed.
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Secondary outcome [1]
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Comparison of mean UPSIT scores in cases versus controls to determine average olfactory loss in COVID-19.
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Assessment method [1]
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Timepoint [1]
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The comparison between mean UPSIT scores of COVID-19 positive patients and controls will be measured 6 months post-first patient recruited, when the study is expected to be completed.
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Eligibility
Key inclusion criteria
Cases: patients with positive NAT (nucleic acid test) [nasopharyngeal or oropharyngeal swabs, faeces] for SARS-CoV2 and
(a) Aged 18 yrs and over
(b) in self-isolation and being monitored by the RNSH Virtual Hospital, or
(c) inpatient at RNSH with mild-moderate illness
Controls; subjects aged 18yrs and over with a negative NAT
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
(a) Patients admitted to ICU
(b) Patients who have had recent ENT surgery
(c) Patients on intra-nasal medications
(d) Patients with impaired cognition/dementia
(e) Patients with neurodegenerative diseases known to cause impaired olfaction
(f) Pregnant women
(g) Subjects aged less than 18 yrs
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Case control
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Timing
Prospective
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Statistical methods / analysis
(1) Primary outcome: prevalence of study subjects with UPSIT score of <26 (anosmia or severe hyposmia)
(2) Secondary outcomes:
(a) Comparison of mean UPSIT scores between cases and controls (t-test)
(b) Correlation of UPSIT scores with demographics of patients with COVID-19 (age, gender, weight, smoking history, co-morbidities)
(c) Correlation of UPSIT scores with stage of COVID-19 diagnosis (early, mid, late, recovered)
(d) Identification of those odour groups from UPSIT most sensitive to the diagnosis of COVID-19
(e) Development of a rapid screening test using the most sensitive odours to the diagnosis of COVID-19, accounting for demographic variables and stage of infection, for use in the general population.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
3/05/2020
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Date of last participant enrolment
Anticipated
31/08/2020
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Actual
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Date of last data collection
Anticipated
31/08/2020
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Actual
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Sample size
Target
100
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Accrual to date
4
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Royal North Shore Hospital - St Leonards
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Recruitment postcode(s) [1]
30226
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2065 - St Leonards
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Department of Endocrinology, Royal North Shore Hospital
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Address [1]
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Reserve Rd.,
St Leonards NSW 2065
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal North Shore Hospital
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Address
Reserve Rd.,
St Leonards NSW 2065
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
306086
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Country [1]
306086
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern Sydney Local Health District Human Research Ethics Committee
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Ethics committee address [1]
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C/-NSLHD Research Office Kolling Institute Reserve Rd., St Leonards NSW 2065
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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22/04/2020
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Approval date [1]
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24/04/2020
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Ethics approval number [1]
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2020/ETH00878
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Summary
Brief summary
Olfactory dysfunction has emerged as a strong predictor of COVID-19, but data so far are based upon self-reported measures. We hypothesize that direct objective assessment of olfaction using a validated test kit will be even more highly sensitive to diagnosis of COVID-19, and that a screening test can therefore be developed for use in the general population to identify subjects who require self-isolation until COVID-19 can be excluded on nasal swab testing. For such a population-level point-of-care screening test, the most important attributes are sensitivity, safety, ease of use and reliability. Our hypothesis is that normal olfaction (normosmia) using a highly sensitive odour test will reliably exclude COVID-19, and subjects with anosmia will be referred for additional testing (nasopharyngeal swab etc) to diagnose COVID-19. Such a strategy will be ideal in the next phase of Australia’s response to COVID-19, i.e. in track-and-trace identification.
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Trial website
N/A
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Trial related presentations / publications
N/A
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Roderick Clifton-Bligh
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Address
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Department of Endocrinology, Diabetes, and Metabolism
Royal North Shore Hospital
Sr Leonards NSW 2065
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Country
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Australia
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Phone
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+61 2 9463 1680
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Fax
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+61 2 9463 1046
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Email
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[email protected]
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Contact person for public queries
Name
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Liza Nery
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Address
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Department of Endocrinology, Diabetes, and Metabolism
Royal North Shore Hospital
Sr Leonards NSW 2065
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Country
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Australia
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Phone
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+61 2 9463 1864
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Fax
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+61 2 9463 1046
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Email
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[email protected]
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Contact person for scientific queries
Name
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Roderick Clifton-Bligh
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Address
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Department of Endocrinology, Diabetes, and Metabolism
Royal North Shore Hospital
Sr Leonards NSW 2065
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Country
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Australia
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Phone
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+61 2 9463 1680
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Fax
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+61 2 9463 1046
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All of the individual participant data collected during the trial, after de-identification.
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When will data be available (start and end dates)?
Immediately following publication, no end date
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Available to whom?
Case-by-case basis at the discretion of Principal Investigator
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Available for what types of analyses?
To achieve the aims in the approved proposal or for IPD meta-analyses
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How or where can data be obtained?
Access subject to approvals by Principal Investigator:
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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