NCT01853371

Brief Summary

This research proposal is submitted to fulfill the requirement of the PHD degree of Community Medicine Saudi Board at the Joint Program of Family and Community Medicine in Jeddah, Saudi Arabia. Background: Cupping is an ancient treatment remedy that has been used for many centuries in many parts of the world. In the Middle East, Wet cupping "Hijama" is still a popular treatment because of its religious background. Despite of that, it still has little scientific evidence that proves its efficacy. Many hijama healers claim that they have observed dramatic improvement in Blood pressure control of hypertension patients. Not many studies support that. This study should help to prove or disprove this hypothesis. Objectives:

  • To determine the efficacy of wet cupping on blood pressure among high blood pressure patients.
  • To assess the incidence of wet cupping side effects in the intervention group. Methods: The study design is a randomised controlled trial. There will be an intervention group of high blood pressure patients who will perform hijama in addition to their usual management, and a control group of high blood pressure patients who will receive their usual anti-hypertension management only. There will be 4 weeks follow up period. After that, data entry, analysis and interpretation will take place. Hypothesis: Wet cupping has an effect on blood pressure in adult hypertension patients

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for not_applicable hypertension

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 7, 2013

Completed
8 days until next milestone

First Posted

Study publicly available on registry

May 15, 2013

Completed
17 days until next milestone

Study Start

First participant enrolled

June 1, 2013

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2013

Completed
7 months until next milestone

Results Posted

Study results publicly available

June 12, 2014

Completed
Last Updated

December 11, 2014

Status Verified

November 1, 2014

Enrollment Period

5 months

First QC Date

May 7, 2013

Results QC Date

May 11, 2014

Last Update Submit

November 24, 2014

Conditions

Outcome Measures

Primary Outcomes (2)

  • Systolic Blood Pressure After 4 Weeks

    1 month

  • Diastolic Blood Pressure After 4 Weeks

    1 month

Secondary Outcomes (1)

  • Incidence of Wet Cupping Side Effects in Intervention Group

    1 month

Study Arms (2)

Wet cupping and conventional treatment

EXPERIMENTAL

Wet cupping: Will be administered through 3 sessions, with 4 weeks interval between each session and the other. Conventional treatment: Is the usual anti-HTN treatment taken by the patients at the King Abdulaziz university hospital outpatient department.

Procedure: Wet cuppingOther: Conventional treatment

Conventional treatment

ACTIVE COMPARATOR

Conventional treatment: Is the usual anti-HTN treatment taken by the patients at the King Abdulaziz university hospital outpatient department.

Other: Conventional treatment

Interventions

Wet cuppingPROCEDURE

Wet cupping is the process of using a vacuum at different points on the body in order to gather the blood in that area. Then apply few superficial incisions (small, light scratches using a razor) on those areas, followed by repeating the vacuum on the same areas in order to remove 'harmful' blood which lies just beneath the surface of the skin. In this study, the wet cupping procedure was not done on certain days of the lunar month.

Also known as: Hijama
Wet cupping and conventional treatment

According to Saudi Hypertension management guidelines, hypertension patients may require life style modification alone , especially for newly diagnosed cases, or my require life style modification and drug treatment. This will be decided by the treating team in the hospital.

Also known as: Anti-hypertension management
Conventional treatmentWet cupping and conventional treatment

Eligibility Criteria

Age19 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • High BP at the time of the study (SBP 140 mmHg or more and/or DBP 90mmHg or more). For patients with DM, high BP is defined as SBP 130 mmHg or more and/or DBP 85mmHg or more.
  • Age between 19 and 65 years old.
  • Males and females

You may not qualify if:

  • Grade III Hypertension (SBP 180 mmHg or more and/or DBP 110 BP or more).
  • Patients with very high added risk,according to the Saudi Hypertension management guidelines. By excluding the patient who have associated clinical conditions which are: cerebrovascular disease, heart disease, renal disease, peripheral vascular disease and advanced retinopathy.
  • Patients with secondary hypertension.
  • Pregnant women.
  • If the patient performed dry cupping, wet cupping or acupuncture during the past 6 months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

King Abdulaziz University Hospital

Jeddah, Western Region, 21589, Saudi Arabia

Location

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Results Point of Contact

Title
Dr. Nouran Aleyeidi
Organization
Ministry of Health

Study Officials

  • Nouran A Aleyeidi, Resident Community Medicine

    Ministry of Health

    PRINCIPAL INVESTIGATOR
  • Khaled Aseri, Consultant Community Medicine

    National Guard Health Affairs, King Abdulaziz Medical City

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Community Medicine PHD Candidate

Study Record Dates

First Submitted

May 7, 2013

First Posted

May 15, 2013

Study Start

June 1, 2013

Primary Completion

November 1, 2013

Last Updated

December 11, 2014

Results First Posted

June 12, 2014

Record last verified: 2014-11

Locations