<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20201111049349N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-11-10</date_registration>
      <primary_sponsor>Shahed University</primary_sponsor>
      <public_title>Effect of dry cupping therapy and galbanum oil in treatment of coronavirus patients</public_title>
      <acronym></acronym>
      <scientific_title>Evaluating the effect of topical combination galbanum oil and dry cupping therapy to alleviate COVID-19 patients symptoms</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-11-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/52471</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Samples will be randomly assigned to four blocks using Random Allocation Software. Blocking and allocation sequences for concealment will be done by the non-involved researcher (Allocation Concealment). The sample allocation ratio will be Allocation 1:1 and will be divided into two groups of receiving cupping and control group (Assignment). Then based on blocks and allocation sequences cupping therapy will be given to patients. This is an open-label study and blinding will not happen.</study_design>
      <phase>3</phase>
      <hc_freetext>Coronavirus infection.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The group which receive cupping therapy with galbanum oil application  and standard medicines.                     Preparation of medicine:To prepare galbanum essential oil, galbanum gum is prepared from a suitable type of reputable herbal market and then, after the approval of a botanist, the voucher number is received from the herbarium of Faculty of Pharmacy, University of Tehran. Then, to prepare its essential oil, 200 g galbanum is poured into a balloon. Then, using water distillation method (hydrodistillation) and Clevenger apparatus, essential oil is extracted for 4 hours and the oil percentage is calculated (V/W). The water residue is removed by anhydrous sodium sulfate and the achieved oil is stored in a dark container in a refrigerator at 4-5°C prior to use in formulation or in hexane or petroleum ether solvent for essential oil components analysis by GC /MS.The achieved galbanum essential oil was then mixed with Almond violet oil (10%) ( Tuba Green Gold Company) with the ratio of 5:95 and stir to make homogeneous formulation. Intervention 2: Control group: The control group will be received only the prescribed medications for the treatment of COVID-19 according to the protocol of the Ministry of Health.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
Only part of the data, such as information about the main outcome or the like, can be shared.

When:
After publishing the article

To whom:
The results will be available to researchers working in academic and scientific institutions

Conditions:
After the publication of the article for further and supplementary studies and clinical and therapeutic applications

Where to obtain:
Responsible for public accountability

How to obtain:
Communicate with the public accountant

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Fateme Seydi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>1nd floor, No 43, East Shahid Hajisadghi Avenue,Dardasht Avenue ,Narma</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1651813911</zip>
        <telephone>+98 21 7793 8493</telephone>
        <email>fateme.seydi1444@gmail.com</email>
        <affiliation>Shahed University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Maryam Iranzad Asl</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Tehran-Qom Highway Opposite side of Imam Khomeini Holy Shrine Tehran, Shahed University, Department of traditional medicine</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>33191​18651</zip>
        <telephone>+98 21 5121 4055</telephone>
        <email>m_iranzadasl@yahoo.com</email>
        <affiliation>Shahed University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Positive PCR ‎test
From 18 to 80 years old (male and female)
Clinical criteria for hospitalization (fever ≥ 38 °C- sever cough or shortness of breath or blood oxygen saturation≤ 93% or respiratory Rate ≥24 breaths/minute or positive CPR
Completion of the informed consent form by the patient or his/her companions</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>80 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Pregnancy or breastfeeding
intubation
Existence of any history of allergies and skin allergies to the consumption of any of the components of the herbal product
Hearth failure
renal failure
Receive chemotherapy
vertebral fracture or herniated disc
Open wound at the site of cupping
Inability and unwillingness of the patient to fill out a personal consent form to enter the study
Coagulation disease
Immune Deficiency Disease</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>B34.2</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Coronavirus infection, unspecified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The group which receive cupping therapy with galbanum oil application  and standard medicines.                     Preparation of medicine:To prepare galbanum essential oil, galbanum gum is prepared from a suitable type of reputable herbal market and then, after the approval of a botanist, the voucher number is received from the herbarium of Faculty of Pharmacy, University of Tehran. Then, to prepare its essential oil, 200 g galbanum is poured into a balloon. Then, using water distillation method (hydrodistillation) and Clevenger apparatus, essential oil is extracted for 4 hours and the oil percentage is calculated (V/W). The water residue is removed by anhydrous sodium sulfate and the achieved oil is stored in a dark container in a refrigerator at 4-5°C prior to use in formulation or in hexane or petroleum ether solvent for essential oil components analysis by GC /MS.The achieved galbanum essential oil was then mixed with Almond violet oil (10%) ( Tuba Green Gold Company) with the ratio of 5:95 and stir to make homogeneous formulation.</i_keyword>
      <i_keyword>Control group: The control group will be received only the prescribed medications for the treatment of COVID-19 according to the protocol of the Ministry of Health.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Percentage of blood oxygen saturation. Timepoint: Before the intervention and days 1,2,3,4,5 after the intervention. Method of measurement: Pulse oximeter device.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Sevierty of cough. Timepoint: Before the intervention and days 1,2,3,4,5 after the intervention. Method of measurement: CTCAE version 5 (Common Terminology Criteriafor Adverse Events Version 5.0).</sec_outcome>
      <sec_outcome>Severe need for oxygen therapy. Timepoint: Before the intervention and days 1,2,3,4,5 after the intervention. Method of measurement: CTCAE version 5.</sec_outcome>
      <sec_outcome>Sevierty of dyspnea. Timepoint: Before the intervention and days 1,2,3,4,5 after the intervention. Method of measurement: CTCAE version 5.</sec_outcome>
      <sec_outcome>Sevierty of Chest pain (non-cardiac). Timepoint: Before the intervention and days 1,2,3,4,5 after the intervention. Method of measurement: CTCAE version 5.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Shahed University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-10-27</approval_date>
        <contact_name>Ethics Committee of Shahed University</contact_name>
        <contact_address>Tehran-Qom Highway, Opposite side of Imam Khomeini Holy Shrine, Tehran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
