Asthma Clinical Trial
Official title:
Potential Benefits of Black Seed Oil Supplementation on Asthma Inflammation and Outcomes
In the Arabic and Islamic culture, Black Seed (Nigella sativa) is a well-known food
supplement and herbal product. Traditionally, it is used as a food spice and it has wide
range of medical claims that originate from different historical backgrounds. Today in the
era of Evidence-based medicine, it is hard to accept those traditional medical claims of
medicinal plants without valid scientific experiments. Yet, it is important to rational the
uses of these herbal product based on clinical evidence.
Asthma is a common chronic disorder of the airways, characterized by variable reversible and
recurring symptoms related to airflow obstruction, bronchial hyper-responsiveness, and
underlying inflammation. In Saudi Arabia, Asthma is considered one of the leading chronic
diseases affecting more than 2 million Saudi citizens. The global Asthma Report 2014
considered Asthma as an epidemic disease probably affecting about 334 million people
worldwide and becoming a global health priority.
This project investigates the use of herbal products to enhance asthma control in Saudi
Arabia. In this context, Black Seed is one of the common herbal products used traditionally
for asthma in the Saudi region. Black seed is a common unconventional therapy used among 10%
of Asthmatic patients in King Abdulaziz Medical city, Riyadh. In fact, there are some
pre-clinical evidence and preliminary clinical studies support the usefulness of Black seed
in Asthma and its underlying causes
| Status | Recruiting |
| Enrollment | 100 |
| Est. completion date | December 2015 |
| Est. primary completion date | December 2015 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 18 Years to 65 Years |
| Eligibility |
Inclusion Criteria: - Adult male/female (age 18-65 years), - Partial and Uncontrolled asthmatic patient based on GINA guidelines (ACT score 5-20) - No severe asthma exacerbation in the last 4 weeks - Able to obtain consent Exclusion Criteria: - Patients with serious co-morbid conditions such as; cancer, renal, hepatic, cardio-vascular, gastrointestinal diseases, mental health conditions and respiratory disorder such as TB and COPD. - Smoking history - Pregnant women - Currently taking any form of Black seed. - Known history of hypersensitivity to Black seed. - Taking medications that may interact with Black seed supplement: Anticoagulant/Antiplatelet, Antidiabetic, Antihypertensive, CNS depressants, and Immunosuppressant drugs |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
| Country | Name | City | State |
|---|---|---|---|
| Saudi Arabia | King Abdulaziz University Hospital | Jeddah |
| Lead Sponsor | Collaborator |
|---|---|
| University College, London | King Abdulaziz University |
Saudi Arabia,
Al Moamary MS. Unconventional therapy use among asthma patients in a tertiary care center in Riyadh, Saudi Arabia. Ann Thorac Med. 2008 Apr;3(2):48-51. doi: 10.4103/1817-1737.39636. — View Citation
Al-Moamary MS, Alhaider SA, Al-Hajjaj MS, Al-Ghobain MO, Idrees MM, Zeitouni MO, Al-Harbi AS, Al Dabbagh MM, Al-Matar H, Alorainy HS. The Saudi initiative for asthma - 2012 update: Guidelines for the diagnosis and management of asthma in adults and children. Ann Thorac Med. 2012 Oct;7(4):175-204. doi: 10.4103/1817-1737.102166. — View Citation
Boskabady MH, Javan H, Sajady M, Rakhshandeh H. The possible prophylactic effect of Nigella sativa seed extract in asthmatic patients. Fundam Clin Pharmacol. 2007 Oct;21(5):559-66. Erratum in: Fundam Clin Pharmacol. 2008 Feb;22(1):105. — View Citation
Lebling, R., & Pepperdine, D. (2006). Natural Remedies of Arabia (p. 223). Stacey Intl.
Salama, R. (2010). Clinical and Therapeutic Trials of Nigella Sativa. TAF Preventive Medicine Bulletin, 9(5), 513-522.
Salem ML. Immunomodulatory and therapeutic properties of the Nigella sativa L. seed. Int Immunopharmacol. 2005 Dec;5(13-14):1749-70. Epub 2005 Jul 1. Review. — View Citation
Singh BB, Khorsan R, Vinjamury SP, Der-Martirosian C, Kizhakkeveettil A, Anderson TM. Herbal treatments of asthma: a systematic review. J Asthma. 2007 Nov;44(9):685-98. Review. — View Citation
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Asthma Control Test (ACT) | 4 weeks | No | |
| Primary | Lung function test (FEV1) | 4 weeks | No | |
| Secondary | Serum inflammatory biomarkers | IL4, IL5, IL8, IL6, IL9, IL10, IL13, TNFa, TGFa, TGFb, IFN-g, INF-a, INF-b | 4 weeks | No |
| Secondary | Serum ECP (Eosinophil Cationic Protein) | 4 weeks | No | |
| Secondary | Total Immunoglobulins levels | IgG, IgA, IgM, IgE | 4 weeks | No |
| Secondary | Allergen-specific IgE | 4 weeks | No | |
| Secondary | Complete blood count (CBC) | 4 weeks | No |
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