<?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>IRCT20231030059905N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-01-21</date_registration>
      <primary_sponsor>Bojnourd University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the effect of peppermint essential oil inhalation on improving lung function in patients with asthma</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of inhalation and nebulization of peppermint plant essence on improving lung function in patients with asthma referred to a medical clinic</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-12-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>48</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/73517</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: The division is done based on block randomization. Eligible patients will be randomly assigned using permuted blocked randomization (1:1) with a block size of 4 into two groups: an intervention group receiving inhalation (nebulizer) of peppermint plant essential oil and a placebo group. The order of blocks will also be randomized. According to the permuted blocked randomization scheme of the study, the whole randomization list will be created before a single patient is enrolled. Then, the prepared list will be numbered from the beginning of the list. The assignment of numbers to the study groups will be kept confidential and not shared with the research team. Therefore, with this numbering, the research team involved in the intervention process will be blinded to the allocated treatment. These numbers will be also included in the pockets of inhalation (nebulizer) of peppermint plant essential oil and its placebo. Upon randomization into the trial, patients will receive the next sequential assignment based on the randomization list, Blinding description: The researchers will try to blind the medical team involved in the entire interventional process for the allocated treatment. However, as the essential oil has its special odor, the blinding will not be perfect. This will be mentioned in the limitations of the relevant paper.
Eligible patients will be randomly assigned using permuted blocked randomization (1:1) with a block size of 4 into two groups: an intervention group receiving inhalation (nebulizer) of peppermint plant essential oil and a placebo group. The order of blocks will also be randomized. According to the permuted blocked randomization scheme of the study, the whole randomization list will be created before a single patient is enrolled. Then, the prepared list will be numbered from the beginning of the list. The assignment of numbers to the study groups will be kept confidential and not shared with the research team. Therefore, with this numbering, the research team involved in the intervention process will be blinded to the allocated treatment. These numbers will be also included in the pockets of inhalation (nebulizer) of peppermint plant essential oil and its placebo. Upon randomization into the trial, patients will receive the next sequential assignment based on the randomization list.</study_design>
      <phase>3</phase>
      <hc_freetext>Asthma disease, patients with grade 2 and 3 asthma.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: women and men with grade 2 and 3 asthma diagnosed by a specialist doctor. Age range from 18 to 65 years. Without allergic symptoms and acute respiratory disease. People did not use anti-asthma drugs 6 hours before spirometry, and these patients were given 1.4 ml of peppermint essence (mint solution and ethanol). After 15 to 30 minutes of peppermint essential oil nebulization, FEV1 to FVC level is again measured and recorded. Intervention 2: Control group: women and men with grade 2 and 3 asthma diagnosed by a specialist doctor. Age range from 18 to 65 years. No allergic symptoms and acute respiratory disease. This group will receive placebo (ethanol and distilled water) and according to the block randomization system, other cases that were done in the intervention group will also be done on this group.</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:
Demographic information form, informed consent, evaluations before and after the study and clinical trial, trial results, analysis table are shared at the end of the study.

When:
Access 6 months after printing the results

To whom:
Qualified researchers

Conditions:
Just to monitor and also help in scientific promotion . After getting approval from the first author and the project consultant

Where to obtain:
First author and project consultant

How to obtain:
Getting written approval from the first author and the person in charge and consultant of the project

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr Ali Haghbin</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Dolat Blvd., Central Building of North Khorasan University of Medical Sciences, Bojnoord</address>
        <city>Bojnourd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>74877-94149</zip>
        <telephone>+98 58 3151 0000</telephone>
        <email>INFO@NKUMS.AC.IR</email>
        <affiliation>Bojnourd University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr Ali Haghbin</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Dolat Blvd., Central Building of North Khorasan University of Medical Sciences, Bojnoord</address>
        <city>Bojnourd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>74877-94149</zip>
        <telephone>+98 58 3151 0000</telephone>
        <email>INFO@NKUMS.AC.IR</email>
        <affiliation>Bojnourd University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with level 2 or 3 asthma who have visited the clinic and have no acute respiratory problems</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Measuring sensitivity to mint (one of the exit criteria): by taking a history of the symptoms of an allergic reaction to mint (itching, hives, shortness of breath).
Lack of personal satisfaction
Lack of bronchodilator-responsive asthma
High grades of asthma with clinical symptoms such as chronic and severe shortness of breath</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J45</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Asthma</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: women and men with grade 2 and 3 asthma diagnosed by a specialist doctor. Age range from 18 to 65 years. Without allergic symptoms and acute respiratory disease. People did not use anti-asthma drugs 6 hours before spirometry, and these patients were given 1.4 ml of peppermint essence (mint solution and ethanol). After 15 to 30 minutes of peppermint essential oil nebulization, FEV1 to FVC level is again measured and recorded.</i_keyword>
      <i_keyword>Control group: women and men with grade 2 and 3 asthma diagnosed by a specialist doctor. Age range from 18 to 65 years. No allergic symptoms and acute respiratory disease. This group will receive placebo (ethanol and distilled water) and according to the block randomization system, other cases that were done in the intervention group will also be done on this group.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The amount of air that leaves the lungs during the first second of forced exhalation(FEV1). Timepoint: Measurement of variables in both control and control groups, before the start of the study, half an hour after inhaling the essential oil. Method of measurement: Spirometry, feNO test, demographic information is completed by questionnaire.</prim_outcome>
      <prim_outcome>FVC. Timepoint: Measurement of variables in both control and control groups, before the start of the study, half an hour after inhaling the essential oil. Method of measurement: Spirometry.</prim_outcome>
      <prim_outcome>The ratio of FEV1 to FVC. Timepoint: Measurement of variables in both control and control groups, before the start of the study, half an hour after inhaling the essential oil. Method of measurement: Spirometry.</prim_outcome>
      <prim_outcome>The amount of peppermint essential oil. Timepoint: Measurement of variables in both control and control groups, before the start of the study, half an hour after inhaling the essential oil. Method of measurement: ml.</prim_outcome>
      <prim_outcome>ِِِِِDemographic information. Timepoint: Before starting the study. Method of measurement: Examining patients' files and asking the patient or his companion.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Improve lung function. Timepoint: Immediately 15 to 30 minutes after inhalation. Method of measurement: FVC , FVC, The ratio of FEV1 to FVC.</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>Bojnourd University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-11-19</approval_date>
        <contact_name>Research Ethics Committees of North Khorasan University of Medical Sciences</contact_name>
        <contact_address>Bojnourd , chamran str , chamran36 Bojnourd North Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
