History
# Registration date Revision Id
2 2023-02-13, 1401/11/24 255908
1 2022-07-23, 1401/05/01 234269
Changes made to previous revision
This is the first revision

Protocol summary

Study aim
Evaluation the effect of jujube and lemon balm extract accompanying anxiety symptoms and respiratory symptoms in patients with chronic obstructive pulmonary disease
Design
Clinical trial with a control group, with parallel groups, double-blind, randomized, phase 3 on 60 patients. Randomization with a table of random numbers and Random Allocation Software.
Settings and conduct
60 patients with chronic obstructive pulmonary disease referred to Imam Reza Hospital's lung clinic, treated with standard drugs, with anxiety without the need for drug treatment, were selected.In the intervention group, 750 mg capsules containing hydroalcoholic extract of jujube and lemon balm are added to the treatment regimen twice a day for 6 weeks; In the control group, capsules containing Avicel are added. First, the level of anxiety will be checked with hospital anxiety questionnaire (HADS) and Spielberger (STAI), respiratory status with physical tests and breathing questionnaire. Questionnaires and tests will be repeated in the 3rd and 6th week. The quality of life questionnaire will be done at the beginning and end of the study.The study is double-blind (researcher and patients) and patients are divided into intervention and control groups by randomization.
Participants/Inclusion and exclusion criteria
Inclusion criteria: People aged 40 to 70 years with confirmed COPD without known anxiety disorder, who have a score of 8 and above based on the HADS questionnaire؛ exclusion criteria: pregnancy and breastfeeding severe anxiety requiring classical treatment Known anxiety or mood disorder requiring psychiatric treatment
Intervention groups
Intervention group:Adding jujube and lemonbalm extract in the form of 750 mg capsules twice a day for 6 weeks to medicines. Control group: adding a placebo capsule (Avisel) for 6 weeks.
Main outcome variables
Anxiety, respiratory symptoms (cough, shortness of breath, sputum)

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20220628055302N1
Registration date: 2022-07-23, 1401/05/01
Registration timing: prospective

Last update: 2022-07-23, 1401/05/01
Update count: 1
Registration date
2022-07-23, 1401/05/01
Registrant information
Name
samane mousapour
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 51 3725 3373
Email address
mousapours981@mums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-10-01, 1401/07/09
Expected recruitment end date
2023-10-01, 1402/07/09
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation the effect of jujube and lemon balm extract accompanying anxiety symptoms and respiratory symptoms in patients with chronic obstructive pulmonary disease (COPD)
Public title
Evaluation the effect of jujube and lemon balm extracts in patients with chronic obstructive pulmonary disease
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
People aged 40 to 70 with COPD, whose disease has been confirmed by a lung specialist COPD patients who did not have a known anxiety disorder and were not under standard psychiatric treatment, but had a score of 8 or higher based on the HADS questionnaire People who are satisfied with traditional treatment
Exclusion criteria:
Pregnancy and breastfeeding A history of severe anxiety that requires classical medical treatment People who are under the supervision of a psychiatrist or take psychiatric medication due to a known anxiety or mood disorder People who have severe anxiety in the screening tests will be referred to a psychiatrist for diagnostic evaluation and standard treatment Suffering from other medical diseases including hypothyroidism
Age
From 40 years old to 70 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
  • Investigator
  • Outcome assessor
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Randomized
Randomization description
Patients are randomly divided into Intervention and control groups in blocked randomization model by using the random numbers table and Random Allocation Software. 16 blocks of 4 will be produced and the sequence produced by the design statistician will be placed in opaque sealed envelopes and numbered, respectively.
Blinding (investigator's opinion)
Double blinded
Blinding description
Participants, researcher and outcome assessor are unaware of the individuals assigned to the intervention and control group. Clinical supervisor and sample allocator to the groups are aware of the control and intervention group.The drug used in both intervention and control groups will be similar in terms of shape and appearance.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
The Ethics Committee of Mashhad University of Medical Sciences
Street address
Mashhad Univercity Of Medical Sciences, University StreetThe Ethics Committee of Mashhad University of Medical Sciences
City
Mashhad
Province
Razavi Khorasan
Postal code
13944-91388
Approval date
2022-06-11, 1401/03/21
Ethics committee reference number
IR.MUMS.REC.1401.076

Health conditions studied

1

Description of health condition studied
Chronic Obstructive Pulmonary Disease
ICD-10 code
j44.9
ICD-10 code description
Chronic obstructive pulmonary disease, unspecified

Primary outcomes

1

Description
Anxiety score in HADS anxiety subscale questionnaire
Timepoint
At the beginning of the study (before the intervention) and the 3rd and 6th week
Method of measurement
HADS anxiety subscale questionnaire

2

Description
Anxiety score in Spielberger's Clear and Hidden Anxiety Questionnaire (STAI)
Timepoint
At the beginning of the study (before the intervention) and the 3rd and 6th week
Method of measurement
Spielberger state anxiety questionnaire

3

Description
CAT score
Timepoint
At the beginning of the study (before the intervention) and the 3rd and 6th week
Method of measurement
CAT test

Secondary outcomes

1

Description
distance traveled in the 6MWT
Timepoint
At the beginning of the study (before the intervention) and the 3rd and 6th
Method of measurement
6-minute walk test (6MWT)

2

Description
Number of times sitting and getting up in the chair
Timepoint
At the beginning of the study (before the intervention) and the 3rd and 6th
Method of measurement
1-min sit-to-stand test (STST)

3

Description
Blood oxygen saturation (SaO2)
Timepoint
At the beginning and end of each round of the (STST) and (6MWT)
Method of measurement
Pulse oximeter device

4

Description
Pulse rate
Timepoint
At the beginning and end of each round of the (STST) and (6MWT)
Method of measurement
Pulse oximeter device

5

Description
Quality of Life score on WHO Quality of Life Questionnaire (Bref-WHOQol)
Timepoint
Before and after intervention
Method of measurement
WHO Quality of Life Questionnaire

Intervention groups

1

Description
Intervention group: Hydroalcoholic extract of jujube and lemonbalm in the form of capsules 750 mg twice a day for 6 weeks
Category
Treatment - Drugs

2

Description
Control group: placebo(Avisel) capsule for 6 weeks
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Lung Clinic of Imam Reza Hospital
Full name of responsible person
Mahnaz Mozdurian Mahdi Abad
Street address
Imam Reza Hospital, Imam Reza Square, Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
91766-99199
Phone
+98 51 3840 0001
Email
Mozdorianmh@mums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Dr.Majid Ghayour Mobarhan
Street address
University Street - Gharshi Building of Mashhad University of Medical Sciences - Vice Chancellor for Research and Technology
City
Mashhad
Province
Razavi Khorasan
Postal code
13944-91388
Phone
+98 51 3841 2081
Email
vcresearch@mums.ac.ir
Web page address
http://v-research.mums.ac.ir
Grant name
Grant code / Reference number
4001898
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Mashhad University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Samane Mousapoor
Position
resident
Latest degree
Medical doctor
Other areas of specialty/work
Traditional Medicine
Street address
Azadi Square, east door of the university campus, Faculty of Iranian and Complementary Medicine, Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
9177899191
Phone
+98 51 3884 8931
Email
mousapours981@mums.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Dr.Roshanak Salari
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
Azadi square, university campus, School of Persian and complementary medicine
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948564
Phone
+98 51 3884 8930
Email
SalariR@mums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Samane Mousapoor
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Traditional Medicine
Street address
Mashhad Faculty of Iranian and Complementary Medicine, University Campus, East Door, Azadi Square, Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
9177899191
Phone
+98 51 3884 8931
Email
Mousapours981@mums.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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