<?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>IRCT2012071410279N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2012-10-19</date_registration>
      <primary_sponsor>Health Ministry Drug and Pharmacy General Management</primary_sponsor>
      <public_title>Outcome of Saccharomyces boulardii prophlaxis on necrotizing enterocolitis</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of prophylaxis effect of Saccharomyces boulardii on necrotizing enterocolitis with placebo on very low birth weight infants</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2010-10-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>208</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/10741</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Other design features: Patients were assigned randomly to the study or control group by the principal investigator. Randomization was performed by using sequential numbers generated at the computer center. Feeding nurse who was not involved in the care of the infants added Saccharomyces boulardii to the feeding. She gave the feeding without label to the nurse who was responsible from the infant’s care. The first investigator who randomized patients and ordered supplementation to the feeding nurse gave just only the patients name to the second investigator for follow-up. Therefore, the only personnel who knew the infants’ group assignments were the first investigator and the feeding nurse, who were not involved in the care of the study infants.</study_design>
      <phase>3</phase>
      <hc_freetext>Necrotizing eneterocolitis, neonatal sepsis.</hc_freetext>
      <i_freetext>Intervention 1: The study group received Saccharomyces boulardii (Reflor®, Biocodex, France, 50 mg/kg per dose twice daily) which were added to breast milk or formula until discharge. Intervention 2: The control group received placebo (distilled water; 1 cc per dose twice daily) which were added to breast milk or formula until discharge.</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></results_IPD_plan>
      <results_IPD_description></results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Guner Karatekin</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Neonatal intensive care unit-1</address>
        <city>Zeynep Kamil Mahallesi, Dr.Burhanettin Üstünel Sokak, No:3-4</city>
        <country1>Turkey</country1>
        <zip>34668</zip>
        <telephone>0090 216 391 06 80</telephone>
        <email>gunerkaratekin@yahoo.com</email>
        <affiliation>Zeynep Kamil Maternity and Children Education and Training Hospital</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Fahri Ovali</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Zeynep Kamil Mahallesi, Dr.Burhanettin Üstünel Sokak, No:3-4</address>
        <city>Istanbul</city>
        <country1>Turkey</country1>
        <zip>34668</zip>
        <telephone>0090 216 391 06 80</telephone>
        <email>fovali@yahoo.com</email>
        <affiliation>Zeynep Kamil Maternity and Children Education and Training Hospital</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Turkey</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Inclusion criteria: Very low birth weight infants (gestational age: ≤32 weeks; birth weight: ≤1500 g) who survived to feed enterally (minimum age: first postnatal day, maximum age: 1 week).&#13;
Exclusion criteria: Infants who had severe asphyxia (stage III), major congenital anomalies, those who had been fasted for more than 3 weeks, died within the first postnatal 14 days and infants who used antifungal therapy were excluded.</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>1 year</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>P77, P36</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Necrotizing enterocolitis of fetus and newborn, bacterial sepsis of newborn</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>The study group received Saccharomyces boulardii (Reflor®, Biocodex, France, 50 mg/kg per dose twice daily) which were added to breast milk or formula until discharge.</i_keyword>
      <i_keyword>The control group received placebo (distilled water; 1 cc per dose twice daily) which were added to breast milk or formula until discharge.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Sepsis. Timepoint: Starts at the same time with the intervention. Method of measurement: Patients' medical records.</prim_outcome>
      <prim_outcome>Necrotizing enterocolitis. Timepoint: Starts at the same time with the intervention. Method of measurement: Patients' medical records.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Length of hospitalization. Timepoint: Starts at the same time with the intervention. Method of measurement: Patients' medical records.</sec_outcome>
      <sec_outcome>Time to reach full enteral feeding. Timepoint: Starts at the same time with the intervention. Method of measurement: Patients medical records.</sec_outcome>
      <sec_outcome>Mortality until hospital discharge. Timepoint: Starts at the same time with the intervention. Method of measurement: Patients' medical records.</sec_outcome>
      <sec_outcome>Weight gain per week. Timepoint: Starts on the 7th day of intervention. Method of measurement: Patients' medical records.</sec_outcome>
      <sec_outcome>Neurocognitive development. Timepoint: 18 months corrected age. Method of measurement: Bayley test.</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>Health Ministry Drug and Pharmacy General Management</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2010-09-23</approval_date>
        <contact_name>Health Ministry Drug and Pharmacy General Management</contact_name>
        <contact_address>Söğütözü Mahallesi 2176. Sokak No:5 ANKARA Çankaya Turkey</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
