Anosmia
Conditions
Keywords
Loss of Smell, Olfaction, Hyposmia
Brief summary
The purpose of this research study is to evaluate the use of NAC in the treatment of anosmia (a loss of the sense of smell). This drug is already approved by the Food and Drug Administration (FDA) for oral or pulmonary (lung) inhaled use for other medical conditions. However, there is research evidence that the medication may promote nerve recovery (help nerves work better after they are damaged). Since anosmia involves nerve problems, we believe the nasal spray may help treat anosmia. The medication has been in use for many years for other conditions, without safety problems.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* adults at least 18 years of age with documented microsmia or anosmia by University of Pennsylvania Smell Identification Test. * patients must have no evidence of active sinonasal disease by nasal endoscopy or CT or MRI * negative CT or MRI
Exclusion criteria
* adults unable to consent * individuals who are not yet adults (infants, children, teenagers) * pregnant women, prisoners, employees or subordinates, * patients with known sensitivity to NAC or severe asthma * patients with sinus or central disease on CT or MRI imaging.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the Smell Identification Test score | Baseline and three months after completion of treatment | Sense of smell is measured using the Smell Identification Test (a standardized 40-item forced choice self administered microencapsulated odor scratch-and-sniff style test ) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Sino-Nasal Outcome Test (SNOT-20) score | Baseline and three months after completion of treatment | Validated quality of life assessment tool for nasal and sinus disease patients |
Countries
United States