<?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>IRCT2012081110557N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2012-10-02</date_registration>
      <primary_sponsor>Vice Chancellor of Research, School of Medicine</primary_sponsor>
      <public_title>The efficacy of atorvastatin in treatment of Lupus</public_title>
      <acronym></acronym>
      <scientific_title>Comparison the efficacy of atorvastatin with placebo on disease activity in patients with systemic lupus erythematosus</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2012-01-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>90</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/11045</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Other design features: In this study- from the SLE patients who fulfill the American college of Rhueumatology criteria for SLE and visited in rheumatology clinic (Alzahra Hospital, Isfahan University of Medical Sciences)- ninety patients will be recruit by convenience sampling. After that, they will be divided into intervention and control groups by using random number table.&#13;
The atorvastatin and placebo will be taken from Sobhan Darou Co. and  have similar package which label by A or B. The physicians who give them to the patients do not know which of them is atorvastatin or placebo, as well as who analyze the data.</study_design>
      <phase>2</phase>
      <hc_freetext>Systemic Lupus Erythematosus.</hc_freetext>
      <i_freetext>Intervention 1: Atorvastatin (20 mg/day) for 3 months. Intervention 2: Placebo (20mg/day) for 3 months.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary> Aim: Statins have shown therapeutic efficacy on autoimmune diseases&lt;br /&gt;&#13;
such as rheumatoid arthritis and multiple sclerosis. In the current study,we aimed to evaluate the effects of atorvastatin on systemic lupus erythematosus (SLE) disease activity. Methods: In this double-blind randomized clinical trial, 90 patients with SLE were consented and randomized to receive atorvastatin, 20 mg/day or placebo for three&lt;br /&gt;&#13;
months. The primary outcome was change in SLE disease activity index&lt;br /&gt;&#13;
(SLEDAI). Lipids, ESR, and CRP were assessed as secondary&lt;br /&gt;&#13;
endpoints. Analysis was done by ‘Intention to Treat’ (ITT) and ‘Treatment Completed Analysis’ (TCA). Results: Demographic features, baseline characteristics and distribution of medications of the two groups were not significantly different. Seven patients were lost to follow-up in each group. Mean SLEDAI score at baseline in both groups was 3 ± 0.5. By CTA and ITT, mean SLEDAI scores decreased to 1.7 ± 0.4 and 2.6 ± 0.5, respectively, in the atorvastatin group and 3 ± 0.4 and 3 ± 0.5 in the control group, respectively. In both conditions, the difference between the two groups after intervention was significant (P</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>Dr.Alimohammad Fatemi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Department of Internal Medicine-Isfahan University of Medical Sciences-Hezarjarib St</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174675731</zip>
        <telephone>+98 31 1669 5414</telephone>
        <email>a_fatemi@med.mui.ac.ir</email>
        <affiliation>Isfahan University of Medical Sciences and Health Services</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr.Alimohammad Fatemi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Department of Internal Medicine- Isfahan University of Medical Sciences-Hezarjarib St</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174675731</zip>
        <telephone>+98 31 1669 5414</telephone>
        <email>a_fatemi@med.mui.ac.ir</email>
        <affiliation>Isfahan University of Medical Sciences and Health Services</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Inclusion Criteria: 1- Diagnosis of systemic lupus Erythematosus according to American college of rheumatology criteria, 2- No allergy to atorvastatin, 3- No cyclophosphamide use in last three months, 4- No current use of prednisolone (≥0.5mg/kg/day) or equivalent dose from other corticosteroids, 5- No current use of cyclosporine, 6- Serum  creatinine &lt; 2mg/dl, 7- ALT&lt; 2 x normal, 8- Negative pregnancy test for female patients, 9- No history of hepatitis 10- No history of myositis&#13;
&#13;
Exclusion Criteria: 1- Missing of the patients (do not come back for follow up, discontinue the medication), 2- Irregular drug intake, 3- Intolerance to atorvastatin, 4- Need to cyclophosphamide during the study, 5- Need to prednisolone ( ≥0.5mg/kg/day) or equivalent dose from other corticosteroids during the study, 6- Need to Cysclosporine during the study, 7- Rising of ALT &gt; 2x normal, 8- Unexplained myalgia during the study</inclusion_criteria>
      <agemin>16 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M32</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Systemic Lupus Erythematosus</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Atorvastatin (20 mg/day) for 3 months</i_keyword>
      <i_keyword>Placebo (20mg/day) for 3 months</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>SLEDAI-2K. Timepoint: Before and three months after intervention. Method of measurement: SLEDAI-2K checklist.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Anti-ds DNA. Timepoint: before and three months after intervention. Method of measurement: ELISA method.</sec_outcome>
      <sec_outcome>C3. Timepoint: before and three months after intervention. Method of measurement: ELISA method.</sec_outcome>
      <sec_outcome>C4. Timepoint: before and three months after intervention. Method of measurement: ELISA method.</sec_outcome>
      <sec_outcome>CH50. Timepoint: before and three months after intervention. Method of measurement: Measurement of hemolytic activity of complement.</sec_outcome>
      <sec_outcome>Serum Creatinine. Timepoint: before and three months after intervention. Method of measurement: autoanalyzer.</sec_outcome>
      <sec_outcome>Alanine amino transferase. Timepoint: before and three months after intervention. Method of measurement: autoanalyzer.</sec_outcome>
      <sec_outcome>Urine protein. Timepoint: before and three months after intervention. Method of measurement: Measurement of 24- hour urine protein.</sec_outcome>
      <sec_outcome>Erythrocyte Sedimentation Rate. Timepoint: before and three months after intervention. Method of measurement: Westergreen method.</sec_outcome>
      <sec_outcome>C reactive protein. Timepoint: before and three months after intervention. Method of measurement: ELISA method.</sec_outcome>
      <sec_outcome>CBS. Timepoint: before and three months after intervention. Method of measurement: blood counting machine.</sec_outcome>
      <sec_outcome>Triglyceride. Timepoint: before and three months after intervention. Method of measurement: Calorimetry.</sec_outcome>
      <sec_outcome>Total Cholesterol. Timepoint: before and three months after intervention. Method of measurement: Calorimetry.</sec_outcome>
      <sec_outcome>HDL. Timepoint: before and three months after intervention. Method of measurement: Calorimetry.</sec_outcome>
      <sec_outcome>LDL. Timepoint: before and three months after intervention. Method of measurement: Calorimetry.</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>Vice Chancellor of Research, School of Medicine</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2011-11-09</approval_date>
        <contact_name>Ethics committee of Isfahan University of Medical Sciences</contact_name>
        <contact_address>Hezarjarib St Isfahan  Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
