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RecruitingNCT06954636OLFGBMUpdated Aug 24, 2026

Prognostic Potential of Olfactory Function in Glioblastoma: a Prospective Observational Study

An observational study in Glioblastoma Multiforme, Adult, Glioblastoma or Gliosarcoma and Glioblastoma, Adult, sponsored by Sied Kebir. Recruiting at 2 sites in Germany. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by Sied Kebir · Observational

From the registry’s dates

  • Started May 2023; still recruiting 3 years 6 months later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
128
Ages
18 Years and older
Sex
All
01

Study summary

The study aims to investigate the prognostic significance of olfactory function in patients with glioblastoma. We are examining olfactory function at various points during therapy and correlating the results with survival data. In addition, neurocognitive tests will be carried out to correlate the results of olfactory function with the patient's cognitive abilities. Investigations into the quality of life and psychological condition of the patients are also performed. In addition to the cohort of glioblastoma patients, there is a control cohort without tumor disease in which the olfactory testing is also carried out in order to have a comparison.

Read the detailed description

Background: Olfactory impairment is frequent in glioblastoma and is associated with poor overall survival. However, earlier studies were limited by confounding of important predictive factors and the lack of long-term olfactory assessments to evaluate treatment-related neurotoxicity.

Aim: To determine whether olfactory function is an independent prognostic marker for survival, quality of life and neurocognitive outcome in glioblastoma.

Design: Prospective, multicenter cohort study with 64 glioblastoma patients and 64 comparable controls without tumor disease. Patients were stratified by baseline olfactory status, extent of resection, radiologic involvement of olfactory regions,O6-methylguanine DNA methyltransferase (MGMT) promoter methylation, age, and Karnofsky performance status.

Methods: Olfactory function will be serially assessed from diagnosis to treatment using Sniffin' Sticks (identification and threshold tests). Psychosocial assessments, neurocognitive testing and quality of life assessments will be performed at intervals. Coronal T2- and T1-weighted MRI scans will be evaluated independently by blinded neuroradiologists to identify olfactory involvement.

Next-generation sequencing will be used to investigate molecular correlates of hyposmia. As part of a parallel translational study, blood samples will be taken to analyze extracellular vesicles.

Olfactory testing:

In the identification test, 12 sniffin sticks are presented, which the patient has to name using a selection card with four terms each. Both nostrils are tested individually at each visit during the identification test. A correct answer scores one point. A maximum of 12 points is possible.

The threshold test consists of 16 dilution levels. Each level contains one sniffin stick with odor and two blanks. All three sniffin sticks of a dilution level are presented to the patient one after the other with eyes closed. The patient must indicate which of the three sticks contains an odor. Depending on whether the patient gives the correct answer, the three sniffin sticks in the next higher or next lower level are presented next. A maximum of 16 points is possible.

02

Conditions studied

  • Glioblastoma Multiforme, Adult
  • Glioblastoma or Gliosarcoma
  • Glioblastoma, Adult

Keywords

  • olfactory dysfunction
  • threshold test
  • identification test
  • glioblastoma
  • prognosis
  • observational study
  • olfactory function
  • neurocognition
  • quality of life
03

In context

Glioblastoma

2,132 studies on the registry are indexed under Glioblastoma; 464 are open to participants now.

This study's planned enrollment of 128 is above the median of 60 across 208 observational studies indexed under Glioblastoma.

Browse Glioblastoma studies →

Lead sponsor

Sied Kebir is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Newly-diagnosed glioblastoma

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • At least 18 years of age
  • Newly-diagnosed glioblastoma (IDH wild-type)
  • Never received prior chemotherapy
  • Never received radiotherapy to the head or neck before
  • ≥ 70
  • No history of severe head or brain trauma requiring ICU admission or classified as Glasgow Coma Scale grade 3
  • No respiratory infection at the time of inclusion
  • No significant aphasia

Exclusion criteria

Exclusion Criteria:

  • Presence of Neurodegenerative diseases (e.g. Parkinson's disease, Alzheimer's disease, Huntington's disease, Korsakoff's syndrome, Pick's disease, Shy-Drager syndrome)
  • History of invasive tumors or surgery in the head or neck area, except for surgeries for non-invasive skin tumors (e.g. basal cell carcinomas)
  • Permanent olfactory impairment following infections (e.g., influenza, coronavirus)
  • Conditions that, in the examiner's judgment, could interfere with the participant's study compliance (e.g., schizophrenia)
  • Language barriers likely to interfere with participation or comprehension of study procedures.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
128 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Newly-diagnosed glioblastoma cohort

    Diagnostic Test: olfactory testing (threshold and identification test)

  • Control cohort

    Control group of patients with non-tumourous (neurological) diseases not primarily associated with an olfactory dysfunction

    Diagnostic Test: olfactory testing (threshold and identification test)

Interventions

  • Diagnostic testolfactory testing (threshold and identification test)

    In the identification test, 12 sniffin sticks are presented, which the patient has to name using a selection card with four terms each. Both nostrils are tested individually at each visit during the identification test. A correct answer scores one point. A maximum of 12 points is possible. The threshold test consists of 16 dilution levels. Each level contains one sniffin stick with odor and two blanks. All three sniffin sticks of a dilution level are presented to the patient one after the other with eyes closed. The patient must indicate which of the three sticks contains an odor. Depending on whether the patient gives the correct answer, the three sniffin sticks in the next higher or next lower level are presented next. A maximum of 16 points is possible.

06

What researchers measure

Primary outcomes

  1. Overall survival

    Overall survival in relation to olfactory function

    Time frame: From tumor diagnosis to death (usually 6 to 24 months)

Secondary outcomes

  1. Progression free survival

    Progression free survival in relation to olfactory function

    Time frame: From date of first surgery until the date of first progression (MRI)

  2. Neurocognition

    Neurocognition in relation to olfactory function The following tests are used for neurocognition testing: * Immediate and delayed story recall from the Rivermead Behavioural Memory Test * Number span (forward and backward) and block span (forward and backward) from the Wechsler Memory Scale * Phonemic word fluency from the Regensburg Word Fluency Test (phonemic) * Trail Making Test A and B

    Time frame: From enrollment to 2 years after the end of radiotherapy

  3. Quality of Life (QoL)

    Quality of Life in relation to olfactory function The following questionnaires are used to assess quality of life: * EORTC QLQ-C30 (Version 3.0; Part A with 28 questions on a Likert scale, 28 to 112 points, Higher score means lower quality of life; Part B with 2 questions on a Likert scale, 2 to 14 points, Lower score means lower quality of life ) * EORTC QLQ-BN20 (20 questions on a Likert scale; 20 to 80 points; Higher score means lower quality of life)

    Time frame: From enrollment to 2 years after the end of radiotherapy

  4. Psychological condition

    Psychological well-being in relation to olfactory function The following psychiatric questionnaires are used: * Patient Health Questionnaire-8 (PHQ-8): 8 questions on a Likert scale, score 0 to 24, higher score indicate more depression * Generalized Anxiety Disorder 7 (GAD-7): 7 questions on a Likert scale, score 0 to 21, higher score indicate more anxiety * National Comprehensive Cancer Network (NCCN) Distress Thermometer: Score 1 to 10, higher score indicate more distress

    Time frame: From enrollment to 2 years after the end of radiotherapy

07

Study locations

2 of 2 sites recruiting
08

References and documents

Publications

  • Hummel T, Sekinger B, Wolf SR, Pauli E, Kobal G. 'Sniffin' sticks': olfactory performance assessed by the combined testing of odor identification, odor discrimination and olfactory threshold. Chem Senses. 1997 Feb;22(1):39-52. doi: 10.1093/chemse/22.1.39. PubMed 9056084 ↗
  • Hummel T, Konnerth CG, Rosenheim K, Kobal G. Screening of olfactory function with a four-minute odor identification test: reliability, normative data, and investigations in patients with olfactory loss. Ann Otol Rhinol Laryngol. 2001 Oct;110(10):976-81. doi: 10.1177/000348940111001015. PubMed 11642433 ↗
  • Kebir S, Hattingen E, Niessen M, Rauschenbach L, Fimmers R, Hummel T, Schafer N, Lazaridis L, Kleinschnitz C, Herrlinger U, Scheffler B, Glas M. Olfactory function as an independent prognostic factor in glioblastoma. Neurology. 2020 Feb 4;94(5):e529-e537. doi: 10.1212/WNL.0000000000008744. Epub 2019 Dec 12. PubMed 31831598 ↗
  • Walker IM, Fullard ME, Morley JF, Duda JE. Olfaction as an early marker of Parkinson's disease and Alzheimer's disease. Handb Clin Neurol. 2021;182:317-329. doi: 10.1016/B978-0-12-819973-2.00030-7. PubMed 34266602 ↗
  • Oster C, Matyar A, Schmidt T, Hummel T, Hattingen E, Jokisch M, Jokisch D, Grieger J, Cappello G, Kizina K, Lazaridis L, Ahmadipour Y, Rauschenbach L, Stuschke M, Pottgen C, Guberina N, Tertel T, Giebel B, Dreizner GL, Barbato F, Skoda EM, Scheffler B, Muther M, Herrmann K, Kleinschnitz C, Sure U, Deuschl C, Glas M, Kebir S. Decoding glioblastoma survival: unraveling the prognostic potential of olfactory function in a prospective observational study. Neurol Res Pract. 2025 Jul 24;7(1):51. doi: 10.1186/s42466-025-00410-2. PubMed 40708059 ↗

Individual participant data

Plan to share: Yes — Clinical Data from the other study centers will be transferred pseudonymously to the study headquarters in Essen. Only pseudonymized data is also used for accompanying scientific projects.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06954636
Lead sponsor
Sied Kebir
Collaborators
Münster University Hospital, Germany
Responsible party
Sied Kebir (PD Dr. med., Head of Clinical Neuro-Oncology, University Hospital, Essen) — Sponsor-investigator
First posted
May 1, 2025
Start date
May 3, 2023
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
Aug 24, 2026

Study contacts

Christoph Oster, Dr. med.
Contact
christoph.oster@uk-essen.de
+49201-723-82598
Sied Kebir, PD Dr. med.
Contact
sied.kebir@uk-essen.de
+49201-723-83133

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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