Trial Outcomes & Findings for Directed Topical Drug Delivery for Treatment for PASC Hyposmia (NCT NCT05970731)

NCT ID: NCT05970731

Last Updated: 2026-03-19

Results Overview

The SIT has a score range of 0 to 40, where a higher score reflects better olfactory function. MCID is defined at a 4 point increase.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

Baseline, 1 month, 3 months

Results posted on

2026-03-19

Participant Flow

Participants were recruited from an academic center otolaryngology clinic.

One participant was found to be ineligible prior to arm assignment.

Participant milestones

Participant milestones
Measure
Beclomethasone
84 mcg of Beclomethasone administered twice in each nostril via a microsponge (Day 1 and Day 14) Beclomethasone: 84 mcg of Beclomethasone administered topically on an intranasal microsponge, placed in the olfactory cleft using a nasal endoscope, on day 1 and repeated on day 14. Microsponge: Drug delivery using chitosan-based biocompatible microsponge
Placebo
Placebo (0.9% sodium chloride) administered twice in each nostril via a microsponge (Day 1 and Day 14) Placebo: Placebo (0.9% sodium chloride) administered topically on an intranasal microsponge, placed in the olfactory cleft using a nasal endoscope, on day 1 and repeated on day 14. Microsponge: Drug delivery using chitosan-based biocompatible microsponge
Overall Study
STARTED
7
8
Overall Study
COMPLETED
6
7
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Beclomethasone
84 mcg of Beclomethasone administered twice in each nostril via a microsponge (Day 1 and Day 14) Beclomethasone: 84 mcg of Beclomethasone administered topically on an intranasal microsponge, placed in the olfactory cleft using a nasal endoscope, on day 1 and repeated on day 14. Microsponge: Drug delivery using chitosan-based biocompatible microsponge
Placebo
Placebo (0.9% sodium chloride) administered twice in each nostril via a microsponge (Day 1 and Day 14) Placebo: Placebo (0.9% sodium chloride) administered topically on an intranasal microsponge, placed in the olfactory cleft using a nasal endoscope, on day 1 and repeated on day 14. Microsponge: Drug delivery using chitosan-based biocompatible microsponge
Overall Study
Baseline SIT (Smell Identification Test) High
1
0
Overall Study
COVID infection
0
1

Baseline Characteristics

Directed Topical Drug Delivery for Treatment for PASC Hyposmia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Beclomethasone
n=7 Participants
84 mcg of Beclomethasone administered twice in each nostril via a microsponge (Day 1 and Day 14) Beclomethasone: 84 mcg of Beclomethasone administered topically on an intranasal microsponge, placed in the olfactory cleft using a nasal endoscope, on day 1 and repeated on day 14. Microsponge: Drug delivery using chitosan-based biocompatible microsponge
Placebo
n=8 Participants
Placebo (0.9% sodium chloride) administered twice in each nostril via a microsponge (Day 1 and Day 14) Placebo: Placebo (0.9% sodium chloride) administered topically on an intranasal microsponge, placed in the olfactory cleft using a nasal endoscope, on day 1 and repeated on day 14. Microsponge: Drug delivery using chitosan-based biocompatible microsponge
Total
n=15 Participants
Total of all reporting groups
Age, Continuous
53.3 years
STANDARD_DEVIATION 21.8 • n=110 Participants
56.0 years
STANDARD_DEVIATION 17.5 • n=114 Participants
54.7 years
STANDARD_DEVIATION 19.6 • n=224 Participants
Sex: Female, Male
Female
4 Participants
n=110 Participants
6 Participants
n=114 Participants
10 Participants
n=224 Participants
Sex: Female, Male
Male
3 Participants
n=110 Participants
2 Participants
n=114 Participants
5 Participants
n=224 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=110 Participants
0 Participants
n=114 Participants
0 Participants
n=224 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=110 Participants
8 Participants
n=114 Participants
15 Participants
n=224 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=110 Participants
0 Participants
n=114 Participants
0 Participants
n=224 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=110 Participants
0 Participants
n=114 Participants
0 Participants
n=224 Participants
Race (NIH/OMB)
Asian
0 Participants
n=110 Participants
0 Participants
n=114 Participants
0 Participants
n=224 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=110 Participants
0 Participants
n=114 Participants
0 Participants
n=224 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=110 Participants
0 Participants
n=114 Participants
2 Participants
n=224 Participants
Race (NIH/OMB)
White
4 Participants
n=110 Participants
3 Participants
n=114 Participants
7 Participants
n=224 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=110 Participants
0 Participants
n=114 Participants
0 Participants
n=224 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=110 Participants
5 Participants
n=114 Participants
6 Participants
n=224 Participants
Region of Enrollment
United States
7 Participants
n=110 Participants
8 Participants
n=114 Participants
15 Participants
n=224 Participants

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Population: Participants with data collected at both timepoints used for analysis.

The SIT has a score range of 0 to 40, where a higher score reflects better olfactory function. MCID is defined at a 4 point increase.

Outcome measures

Outcome measures
Measure
Beclomethasone
n=6 Participants
84 mcg of Beclomethasone administered twice in each nostril via a microsponge (Day 1 and Day 14) Beclomethasone: 84 mcg of Beclomethasone administered topically on an intranasal microsponge, placed in the olfactory cleft using a nasal endoscope, on day 1 and repeated on day 14. Microsponge: Drug delivery using chitosan-based biocompatible microsponge
Placebo
n=7 Participants
Placebo (0.9% sodium chloride) administered twice in each nostril via a microsponge (Day 1 and Day 14) Placebo: Placebo (0.9% sodium chloride) administered topically on an intranasal microsponge, placed in the olfactory cleft using a nasal endoscope, on day 1 and repeated on day 14. Microsponge: Drug delivery using chitosan-based biocompatible microsponge
Percentage of Participants Achieving MCID (Minimal Clinically Important Difference) on the Smell Identification Test (SIT)
Baseline to 1 month
66.70 percentage of participants
28.57 percentage of participants
Percentage of Participants Achieving MCID (Minimal Clinically Important Difference) on the Smell Identification Test (SIT)
Baseline to 3 months
66.70 percentage of participants
42.86 percentage of participants

SECONDARY outcome

Timeframe: Baseline, 1 month, 3 months

Population: Participants with data collected at both timepoints used for analysis.

The QOD consists of 17 statements which patients report on a scale of 0 to 3. These scores are summed for a total score range of 0 to 51, where a higher score reflects better olfactory-specific QOL. The change from baseline to 3 months is reported.

Outcome measures

Outcome measures
Measure
Beclomethasone
n=6 Participants
84 mcg of Beclomethasone administered twice in each nostril via a microsponge (Day 1 and Day 14) Beclomethasone: 84 mcg of Beclomethasone administered topically on an intranasal microsponge, placed in the olfactory cleft using a nasal endoscope, on day 1 and repeated on day 14. Microsponge: Drug delivery using chitosan-based biocompatible microsponge
Placebo
n=7 Participants
Placebo (0.9% sodium chloride) administered twice in each nostril via a microsponge (Day 1 and Day 14) Placebo: Placebo (0.9% sodium chloride) administered topically on an intranasal microsponge, placed in the olfactory cleft using a nasal endoscope, on day 1 and repeated on day 14. Microsponge: Drug delivery using chitosan-based biocompatible microsponge
Change in Olfactory Quality of Life (QOL) Measured by the Questionnaire on Olfactory Disorders (QOD)
6.17 score on a scale
Interval 1.7 to 14.04
2.66 score on a scale
Interval -0.96 to 4.38

Adverse Events

Beclomethasone

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Bradley J. Goldstein, M.D., Ph.D.

Duke University

Phone: 919-684-3834

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place