Olfactory Dysfunction in Aging Adults

NCT07660887 — Not yet recruiting, 500 participants, Medical University of South Carolina

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RegistryNCT07660887
StatusNot yet recruiting
Study typeObservational
Enrollment500 (Estimated)
SponsorMedical University of South Carolina (Other); collaborators: National Institute on Deafness and Other Communication Disorders (NIDCD)
ConditionsOlfactory Dysfunction
InterventionsClinical and Biomarker Assessments (Other)
Datesstart 2027-04-01 (estimated), primary completion 2032-04-30 (estimated), completion 2032-04-30 (estimated), first posted 2026-06-22, last updated 2026-06-22
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Olfactory Dysfunction All trials of Clinical and Biomarker Assessments

-Summary

This prospective longitudinal cohort study will enroll adults aged 50 years and older to characterize olfactory dysfunction in aging. Participants will undergo comprehensive olfactory testing, cognitive assessment, biomarker collection, and imaging to identify clinically relevant phenotypes based on anatomic site of dysfunction. The study will also evaluate the impact of olfactory dysfunction on quality of life and identify baseline factors associated with changes in olfactory function over time.

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+Detailed description

Olfactory dysfunction is common in older adults and is associated with impaired quality of life and increased mortality, yet underlying mechanisms and clinically relevant classifications remain poorly defined. Prior studies have relied on limited screening methods and have not adequately characterized the anatomic sites or mechanisms contributing to olfactory loss.

This prospective longitudinal cohort study will enroll adults aged 50 years and older to comprehensively evaluate olfactory function and its determinants. Participants will undergo psychophysical olfactory testing using Sniffin' Sticks (threshold, discrimination, and identification), cognitive assessment, nasal endoscopy, and olfactory mucus collection for biomarker analysis. A subset of participants will also undergo magnetic resonance imaging to assess peripheral and central olfactory structures.

The primary objective is to establish clinically relevant phenotypes of olfactory dysfunction based on olfactory testing and cognitive function, corresponding to peripheral, sensorineural, or central mechanisms. Secondary objectives are to determine the impact of olfactory dysfunction on quality of life, depression, social isolation, and nutrition using validated patient-reported outcome measures, and to identify baseline factors that predict longitudinal changes in olfactory function.

Participants will be followed annually with repeat olfactory testing and outcome assessments to evaluate changes over time and identify predictors of olfactory decline. This study aims to improve understanding of olfactory dysfunction in aging and provide a foundation for future diagnostic and therapeutic strategies.

+Arms and interventions

ArmTypeInterventionsDescription
Older Adults With and Without Olfactory DysfunctionOther: Clinical and Biomarker AssessmentsAdults aged 50 years and older enrolled in a prospective cohort study assessing olfactory function, cognition, biomarkers, and quality of life, with annual follow-up. Participants will be classified post hoc into olfactory phenotypes based on testing results.
  • Clinical and Biomarker Assessments (Other): Participants undergo olfactory testing (Sniffin' Sticks), cognitive assessment, nasal endoscopy, olfactory mucus collection, MRI imaging (subset), and patient-reported outcome measures to evaluate olfactory function, biomarkers, and health outcomes over time.

+Outcome measures

Primary outcomes

  • Olfactory Function [Baseline]: Olfactory Threshold, Discrimination, and Identification (TDI scores) using Sniffin' Sticks.

Secondary outcomes

  • Change in Olfactory Function Over Time [Year 1 and year 2]: Longitudinal assessment of changes in olfactory function to identify decline over time.. Change in TDI scores (threshold, discrimination, identification)
  • Patient-Reported Outcomes [Baseline, Year 1 and year 2]: Patient-reported measure assessing quality of life using QOD questionnaire.

+Eligibility

Sex: All, ages: 50 Years to any, accepts healthy volunteers

Inclusion Criteria:

* Age: 50 years or older
* Ability to follow instructions and understand consent process in English
* Adequate visual, auditory, or motor functioning to complete items in the test battery or availability of assistance or assist devices to complete tasks

Exclusion Criteria:

\- Vulnerable populations including prisoners or institutionalized individuals

+Locations (1)

FacilityCityCountryStatus
MUSCCharleston, South CarolinaUnited States

+Publications

  • Soler ZM, Gregoski MJ, Kohli P, LaPointe KA, Schlosser RJ. Development and validation of the four-item Concise Aging adults Smell Test to screen for olfactory dysfunction in older adults. Int Forum Allergy Rhinol. 2025 Mar;15(3):250-257. doi: 10.1002/alr.23476. Epub 2024 Oct 27. PMID 39462307

+Funding

NIH grants: R01DC019078