Evidence map›Paper›PMID 41555643›Full record

Trial reportChemical senses2026

The APOLLO trial: a proof-of-concept study for vitamin A nasal drops in COVID-19-related postinfectious olfactory dysfunction.

Zhu Hui Yeap, Rashed Sobhan, Sara L Bengtsson, Saber Sami, Allan B Clark, Ramesh Vishwakarma, James Boardman, Juliet High, Gabija Klyvyte, Mehmet Ergisi and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Chemical senses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. The Norfolk Smell and Taste Clinic Experience-A Decade of Olfactory and Gustatory Dysfunction.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Zhu Hui YeapRhinology & Olfactology Research Group, Norwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID 0000-0003-4353-1277
Rashed SobhanSir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0003-4972-2744
Sara L BengtssonSchool of Psychology, University of East Anglia, Norwich, United Kingdom.ORCID 0000-0003-0887-7344
Saber SamiNorwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID 0000-0001-5345-0388
Allan B ClarkNorwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID 0000-0003-2965-8941
Ramesh VishwakarmaNorwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID 0000-0003-2458-2802
James BoardmanSmellTaste (Registered Charity), Bicester, United Kingdom.
Juliet HighNorwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID 0000-0003-2555-2349
Gabija KlyvyteNorwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID 0009-0004-4513-7489
Mehmet ErgisiNorwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID 0000-0002-2953-313X
Thomas HummelInterdisciplinary Center "Smell and Taste", Department of Otorhinolaryngology, Technical University of Dresden, Dresden, Germany.ORCID 0000-0001-9713-0183
Carl M PhilpottRhinology & Olfactology Research Group, Norwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID 0000-0002-1125-3236

Funding

National Institute for Health and Care Research (NIHR) NIHR201978
6 · The paper itself

Abstract

Postinfectious olfactory dysfunction (PIOD) is common in COVID-19 patients. This 2-arm double-blinded randomized controlled trial (RCT) aimed to establish proof-of-concept for vitamin A versus placebo as a treatment modality for patients with PIOD. This study compared 9,000 IU daily self-administered vitamin A intranasal drops versus peanut oil drops over 12 wk in COVID-19 patients with PIOD. Outcome measures included: olfactory bulb volume (OBV), olfactory sulcus depth, cerebral functional MRI blood oxygen level dependent (BOLD) signal, Sniffin' Sticks TDI score, SSParoT, olfactory disorder questionnaire (ODQ) score, and brain-derived neurotropic factor (BDNF) levels were collected from participants at baseline and after trial intervention at 12 wk. Fifty-seven PIOD were recruited in the trial and allocated to vitamin A or placebo arm at a 2:1 ratio. After withdrawals and exclusions, 30 participants in the vitamin A arm and 15 in the placebo arm were analyzed. There was no significant difference in the change in OBV between both groups. Aside from an improvement in the quality-of-life component of ODQ questionnaire scores (P = 0.01), there were no significant differences in any of the other secondary outcome measures. This proof-of-concept trial has demonstrated no significant effect of intranasal vitamin A on olfactory function in COVID-19 PIOD patients. Further work is required to identify other therapeutic agents in the management of PIOD or evaluate a different PIOD cohort with non-COVID etiology.

Indexed as

COVID-19Olfaction DisordersVitamin AAdministration, IntranasalAdultAgedDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProof of Concept StudySARS-CoV-2Vitamin ACOVID-19intranasal vitamin AMRI of cerebral olfactory unitsolfactory dysfunctionpost-COVID smell disorderpostinfectious olfactory dysfunction

Identifiers

PMID41555643
PMCPMC13016870

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.