<?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>IRCT2016101530309N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2016-12-31</date_registration>
      <primary_sponsor>Vice chancellor for research,  Isfahan University of Medical Sciences</primary_sponsor>
      <public_title>Comparison  of  the  effect of  Bisphosphonate  on  the  prevention  of  type 2  diabetes  among  Osteopenic  menopause  prediabetes  women and  Referred to Isfahan  Endocrine and  Metabolism  Research Center.</public_title>
      <acronym></acronym>
      <scientific_title>Comparison  of  the  effect of  Bisphosphonate  on  the  prevention  of  type 2  diabetes  among  Osteopenic  menopause  prediabetes  women and  Referred to Isfahan  Endocrine and Metabolism  Research Center.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2016-03-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/24126</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Prediabetes.</hc_freetext>
      <i_freetext>Intervention 1: Randomisation and blinding: Patients who are screened, signed the consent form, and fulfilled inclusion criteria and meet no exclusion criteria will be randomised using a sealed envelope to either 70 mg Alendronate   (trial group) or placebo (control group). The randomisation and preparation of sealed envelopes are performed by an independent party at the Hope Hospital. Randomisation will be performed using a computerised random number generator.  The research team is blinded to block size.  Measurements of, blood Glucose, sensitivity index and insulin resistance will be performed by a member of the research team who is blinded to the treatment allocation at the baseline and at the end of follow up. &#13;
 Control group: Thirty patients whom allocated to placebo group,  will be treated as trial group.  They will receive placebo tablet exactly the same size and colour of Alendronate tablet without substance with therapeutic effect.  Control group patients will also be asked to take one tablet once a week for 12 weeks in the morning while fasting with one glass of water and no lying down, at least, an hour after taking the tablet.  They will receive information on all potential side effects and how to cope with if any side effect happened. Intervention 2: Randomisation and blinding: Patients who are screened,  signed the consent form,  and fulfilled inclusion criteria and meet no exclusion criteria will be randomised using a sealed envelope to either 70 mg Alendronate (trial group) or placebo (control group).  The randomisation and preparation of sealed envelopes are performed by an independent party at the Hope Hospital.  Randomisation will be performed using a computerised random number generator.  The research team is blinded to block size. Measurements of,  blood Glucose,  sensitivity index and insulin resistance will be performed by a member of the research team who is blinded to the treatment allocation at the baseline and at the end of follow up. Trial group: Both trial and control group will be asked to take one Alendronate tablets is a bisphosphonate drug,  it is chemically related to inorganic pyrophosphate, the endogenous regulator of bone turnover,  once a week for 12 weeks in the morning while fasting with one glass of water and no lying down, at least, an hour after taking the tablet.  All patients will be given information on all potential side effects and how to cope with if any side effect happened.</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>Dr. Karimifard  Maryam</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.8, Khoram St, Jomhuri square, Isfahan</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip></zip>
        <telephone>+98 913 290 9538</telephone>
        <email>Karimifardmaryam6@GMAIL.COM</email>
        <affiliation>Isfahan  Endocrine and Metabolism Research Center,  Isfahan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr.Ashraf Aminalroaya</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.8, Khoram St, Jomhuri square, Isfahan</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip></zip>
        <telephone>+98 3109131175398</telephone>
        <email>Ashraf.Aminorroaya42@gmail.com</email>
        <affiliation>Isfahan Endocrine and Metabolism Research Center,  Isfahan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Inclusion and exclusion criteria&#13;
Inclusion criteria&#13;
Prediabetes and menopause female patients who are resistant to insulin at age between 45 to 60  will be included if fulfilling the following two criteria:&#13;
 Osteopenia based on bone density measured by DAX machine Hologic 2008  model;   Written consent by the patient to participate in the study obtained at the baseline&#13;
Exclusion criteria&#13;
Patients fulfilling any of the following criteria will be excluded from the study;  Failure to use vitamin of OTC or trace element;  Patients who do not like to continue with the study for any reason;  Patients who take drugs that affect metabolism of glucose;  The Osteoporotic  patient;  Patients with kidney failure problem.</inclusion_criteria>
      <agemin>45 years</agemin>
      <agemax>60 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>R73, N95, </hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Impaired glucose tolerance, Menopausal and other perimenopausal disorders, Postmenopausal osteoporosis</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Randomisation and blinding: Patients who are screened, signed the consent form, and fulfilled inclusion criteria and meet no exclusion criteria will be randomised using a sealed envelope to either 70 mg Alendronate   (trial group) or placebo (control group). The randomisation and preparation of sealed envelopes are performed by an independent party at the Hope Hospital. Randomisation will be performed using a computerised random number generator.  The research team is blinded to block size.  Measurements of, blood Glucose, sensitivity index and insulin resistance will be performed by a member of the research team who is blinded to the treatment allocation at the baseline and at the end of follow up. &#13;
 Control group: Thirty patients whom allocated to placebo group,  will be treated as trial group.  They will receive placebo tablet exactly the same size and colour of Alendronate tablet without substance with therapeutic effect.  Control group patients will also be asked to take one tablet once a week for 12 weeks in the morning while fasting with one glass of water and no lying down, at least, an hour after taking the tablet.  They will receive information on all potential side effects and how to cope with if any side effect happened.</i_keyword>
      <i_keyword>Randomisation and blinding: Patients who are screened,  signed the consent form,  and fulfilled inclusion criteria and meet no exclusion criteria will be randomised using a sealed envelope to either 70 mg Alendronate (trial group) or placebo (control group).  The randomisation and preparation of sealed envelopes are performed by an independent party at the Hope Hospital.  Randomisation will be performed using a computerised random number generator.  The research team is blinded to block size. Measurements of,  blood Glucose,  sensitivity index and insulin resistance will be performed by a member of the research team who is blinded to the treatment allocation at the baseline and at the end of follow up. Trial group: Both trial and control group will be asked to take one Alendronate tablets is a bisphosphonate drug,  it is chemically related to inorganic pyrophosphate, the endogenous regulator of bone turnover,  once a week for 12 weeks in the morning while fasting with one glass of water and no lying down, at least, an hour after taking the tablet.  All patients will be given information on all potential side effects and how to cope with if any side effect happened.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>25 OH  D3. Timepoint: Before and three months after the study. Method of measurement: Blood test.</prim_outcome>
      <prim_outcome>Plasma glucose, Insulin Sensitivity and Insulin Resistance, HbA1C. Timepoint: Before and three months after the study. Method of measurement: Blood test.</prim_outcome>
      <prim_outcome>Lipid Profile TG - Total Cholostrol LDL-HDL. Timepoint: Before and three months after the study. Method of measurement: Blood test.</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>Vice chancellor for research,  Isfahan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2016-06-09</approval_date>
        <contact_name>Ethics Committee Isfahan University of Medical Sciences</contact_name>
        <contact_address>No.4,  Hezar jarib St,  Isfahan Isfahan  Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
