<?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>IRCT20200101045976N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-02-06</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>Evaluating the Effect  of  Wet Cupping on quality of life in the Patients with   Chronic Obstructive Pulmonary Disease</public_title>
      <acronym>COPD (Chronic Obstructive Pulmonary Disease)</acronym>
      <scientific_title>Evaluating the Effect  of  Wet Cupping on health-related quality of life in the Patients with  Moderate Chronic Obstructive Pulmonary Disease</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-02-17</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>56</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/44866</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: In this study, after calculating the final sample size of the study, random chains are generated on the basis of simple random series using quadratic random blocks for both intervention and control groups. For the generated random chain, a corresponding code will be generated for each sequence. This code contains two letters of the alphabet and one number. Anonymous codes will be posted on the forms before the study begins. During the study, patients were divided into two groups according to the order of entry of patients and randomization sheets (merely including anonymous codes). Patients in the intervention group will receive wet cupping in addition to routine treatment. Patients in the control group will receive only routine treatment.</study_design>
      <phase>4</phase>
      <hc_freetext>Chronic obstructive pulmonary disease.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Wet cupping( between the two scapulas ) [ Wet-cupping  will be performed by a physician  on one of the days of 17, 19 and 21 lunar months. Intervention will done only once. Wet-cupping treatment procedure will last about 10 min and will be conducted in three steps. ) + Standard treatment [ Symbicort spray 320 mcg one puff every 12 hours(Symbicort  contains a combination of budesonide 320 mcg and formoterol 9mcg ), manufacturing Company: AstraZeneca Duration of use:One Month  and Atrovent spray one puff every 8 hours( Atrovent Inhaler 20 mcg/dose )  manufacturing Company: BOEHRINGER INGELHEIM Duration of use:One Month  or Pulmicort spray 200 one  puff  every 12 hours( Each metered dose contains 200 micrograms of budesonide )  manufacturing Company: AstraZeneca Duration of use:One Month   and Foradil spray one puff every 12 hours ( each capsule contains 12 micrograms formoterol  )  manufacturing Company: Novartis duration of use:one month and Thiotropium spray one  puff every morning ( each capsule contains: Thiotropium 18 mcg )  manufacturing Company: BOEHRINGER INGELHEIM duration of use:one month ]. Intervention 2: Control group:  Standard   treatment [ Symbicort spray 320 mcg one puff every 12 hours(Symbicort  contains a combination of budesonide 320 mcg and formoterol 9mcg ), manufacturing Company: AstraZeneca Duration of use:One Month  and Atrovent spray one puff every 8 hours( Atrovent Inhaler 20 mcg/dose )  manufacturing Company: BOEHRINGER INGELHEIM Duration of use:One Month  or Pulmicort spray 200 one  puff  every 12 hours( Each metered dose contains 200 micrograms of budesonide )  manufacturing Company: AstraZeneca Duration of use:One Month   and Foradil spray one puff every 12 hours ( each capsule contains 12 micrograms formoterol  )  manufacturing Company: Novartis duration of use:one month and Thiotropium spray one  puff every morning ( each capsule contains: Thiotropium 18 mcg )  manufacturing Company: BOEHRINGER INGELHEIM duration of use:one month ].</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:
Publishing results in form of a PhD thesis and an article indexing in ISI

When:
after PhD thesis defence

To whom:
Public

Conditions:
for research reasons

Where to obtain:
Shahid Beheshti University of Medical Sciences

How to obtain:
approving by responsible officer

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Roya Baniamerian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.8 Shams Alley, Vali-e-Asr Street</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1516745811</zip>
        <telephone>+98 21 8877 3521</telephone>
        <email>rbaniamerian@yahoo.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Roya Baniamerian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.8 Shams Alley, Vali-e-Asr Street</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1516745811</zip>
        <telephone>+98 21 8877 3521</telephone>
        <email>dr-baniamerian@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with moderate COPD diagnosed by lung specialty
From 30 years old to 60 years old
Individual willingness and satisfaction to enter the study
stable clinical condition
The same type of medication used</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with a history of anemia
Patients with a history of coagulopathy
History of treatment with wet cupping in the last 1 month
Lactation
Pregnancy
Patients with severe COPD and need hospitalization
Patients with underlying diseases such  Cystic fibrosis, bronchopulmonary dysplasia, heart failure, bronchotracheomalacia, bronchiectasis, pulmonary embolism, and sarcoidosis
Patients taking drugs such as aspirin, beta-blocker and non-steroidal anti-inflammatory drugs (NSAIDs)</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J44.9</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Chronic obstructive pulmonary disease, unspecified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Wet cupping( between the two scapulas ) [ Wet-cupping  will be performed by a physician  on one of the days of 17, 19 and 21 lunar months. Intervention will done only once. Wet-cupping treatment procedure will last about 10 min and will be conducted in three steps. ) + Standard treatment [ Symbicort spray 320 mcg one puff every 12 hours(Symbicort  contains a combination of budesonide 320 mcg and formoterol 9mcg ), manufacturing Company: AstraZeneca Duration of use:One Month  and Atrovent spray one puff every 8 hours( Atrovent Inhaler 20 mcg/dose )  manufacturing Company: BOEHRINGER INGELHEIM Duration of use:One Month  or Pulmicort spray 200 one  puff  every 12 hours( Each metered dose contains 200 micrograms of budesonide )  manufacturing Company: AstraZeneca Duration of use:One Month   and Foradil spray one puff every 12 hours ( each capsule contains 12 micrograms formoterol  )  manufacturing Company: Novartis duration of use:one month and Thiotropium spray one  puff every morning ( each capsule contains: Thiotropium 18 mcg )  manufacturing Company: BOEHRINGER INGELHEIM duration of use:one month ]</i_keyword>
      <i_keyword>Control group:  Standard   treatment [ Symbicort spray 320 mcg one puff every 12 hours(Symbicort  contains a combination of budesonide 320 mcg and formoterol 9mcg ), manufacturing Company: AstraZeneca Duration of use:One Month  and Atrovent spray one puff every 8 hours( Atrovent Inhaler 20 mcg/dose )  manufacturing Company: BOEHRINGER INGELHEIM Duration of use:One Month  or Pulmicort spray 200 one  puff  every 12 hours( Each metered dose contains 200 micrograms of budesonide )  manufacturing Company: AstraZeneca Duration of use:One Month   and Foradil spray one puff every 12 hours ( each capsule contains 12 micrograms formoterol  )  manufacturing Company: Novartis duration of use:one month and Thiotropium spray one  puff every morning ( each capsule contains: Thiotropium 18 mcg )  manufacturing Company: BOEHRINGER INGELHEIM duration of use:one month ]</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Evaluation of quality of life of patients. Timepoint: The time of study inclusion and one and three weeks later. Method of measurement: COPD Assessment Test (CAT) Questionnair.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></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>Shahid Beheshti University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-12-31</approval_date>
        <contact_name>Ethics Committee of Shahid Beheshti University of Medical Sciences</contact_name>
        <contact_address>Shahid Beheshti University of Medical Sciences, Tehran, Iran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
