<?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>IRCT20170929036482N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2018-10-24</date_registration>
      <primary_sponsor>Traditional Medicine school of Tehran University</primary_sponsor>
      <public_title>The effectiveness of a topical form of Cassia fistula L. on Constipation</public_title>
      <acronym></acronym>
      <scientific_title>The effectiveness of a topical preparation of Cassia fistula L. on navel for the treatment of functional constipation</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2016-04-02</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>150</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/27258</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Crossover, Purpose: Treatment, Other design features: no, Randomization description: Patients were randomly divided into two groups by Permuted Block randomization. The number of blocks was 2, 4, and 6. Then, with the random numbers generated by the computer, the arrangement of the blocks was determined, and the blocks were sorted in the order in which the two drugs were placed. Based on the arrangement, the two groups of drugs were each written in one sheet and placed in the same envelope with a three-digit code on it. After identifying the conditions of entry into the study, the physician referred the patient to the person who provided the envelopes, and the person submitted the envelope to the patient without knowing the contents of the envelope by inserting a three digit number on the patient's envelope. Then he opened the envelope pharmacy technician and, according to the inscription in the envelope marked A and B, provided the patient with the drugs named by the same name and no other information on the drug label. In this study, the doctor was unaware of the patient's position in the drug groups, the secretary and the pharmacist and the patient himself were unaware. At the end of the study, the three-digit code, patient group and results of the three stages (before the study, the second week, the fourth week) were delivered to the statistical adviser and the results were obtained, Blinding description: Drug and placebo are delivered in 2 separate packages A and B, to the person in charge of delivery of the medication, and they do not have any information on the content. The physician and researcher who is the same person does not know what medicine they received. Statistics analyze and compare the two groups on the basis of the data without knowing the drug type of each group. Just the fourth person who has delivered the medication to the person in charge of delivery of the medication knows drug and placebo group.</study_design>
      <phase>3</phase>
      <hc_freetext>Functional Constipation.</hc_freetext>
      <i_freetext>Intervention 1: Patients were divided into two groups A and B. During the first two weeks, group A received Cassia fistula or placebo. Subsequently in one weeks, they did not receive any medication (washout time) up to a week. Then, for 2 weeks, group A received another drug (cassia fistula or placebo). The patients apply the drug and placebo to the navel, six times at day and each time six gram. Intervention 2: Patients were divided into two groups A and B. During the first two weeks, group A received Cassia fistula or placebo. Subsequently in one weeks, they did not receive any medication (washout time) up to a week. Then, for 2 weeks, group A received another drug (cassia fistula or placebo). The patients apply the drug and placebo to the navel, six times at day and each time six gram.</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>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
Demographic information and biographies and examinations to enter the study - Questionnaires at 3 times mentioned - Statistical methods

When:
Since the beginning of 2018 March

To whom:
All Researchers in all disciplines

Conditions:
There is no condition

Where to obtain:
Email: herbal_med777@yahoo.com

How to obtain:
Documents will be submitted to the applicant for a maximum of 1 month.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohsen Keshavarz</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ahmadiye Clinic, Traditional Medicine school, Felestin Square</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1416663361</zip>
        <telephone>+98 21 8899 3656</telephone>
        <email>herbal_med777@yahoo.com</email>
        <affiliation>Tehran University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mohsen Keshavarz</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Traditional Medicine school of Tehran University</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1668753961</zip>
        <telephone>+98 21 8899 3656</telephone>
        <email>herbal_med777@yahoo.com</email>
        <affiliation>Traditional Medicine school of Tehran University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age between 18 to 50 years
Confirmation of functional constipation diagnosis based on Rome III criteria</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>50 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Pregnancy, , , , , , , ,
Lactating women
History of abdominal surgery
Gastrointestinal bleeding
Psychosis
Recent surgery
Serious Heart or Liver diseases or Endocrine disorders (Diabetes, Thyroid dysfunction)
Cancer
Anemia</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K59.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Constipation</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>Patients were divided into two groups A and B. During the first two weeks, group A received Cassia fistula or placebo. Subsequently in one weeks, they did not receive any medication (washout time) up to a week. Then, for 2 weeks, group A received another drug (cassia fistula or placebo). The patients apply the drug and placebo to the navel, six times at day and each time six gram.</i_keyword>
      <i_keyword>Patients were divided into two groups A and B. During the first two weeks, group A received Cassia fistula or placebo. Subsequently in one weeks, they did not receive any medication (washout time) up to a week. Then, for 2 weeks, group A received another drug (cassia fistula or placebo). The patients apply the drug and placebo to the navel, six times at day and each time six gram.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Frequency of defecation per week. Timepoint: Before the study, end of week 2, end of week 4. Method of measurement: A questionnaire based on Rome III criteria.</prim_outcome>
      <prim_outcome>Frequency of hard stool. Timepoint: Before the study, end of week 2, end of week 4. Method of measurement: A questionnaire based on Rome III criteria.</prim_outcome>
      <prim_outcome>Frequency of straining during defecation. Timepoint: Before the study, end of week 2, end of week 4. Method of measurement: A questionnaire based on Rome III criteria.</prim_outcome>
      <prim_outcome>Frequency of sensation  of incomplate evacuation. Timepoint: Before the study, end of week 2, end of week 4. Method of measurement: A questionnaire based on Rome III criteria.</prim_outcome>
      <prim_outcome>Frequency of sensation of anorectal blockage. Timepoint: Before the study, end of week 2, end of week 4. Method of measurement: A questionnaire based on Rome III criteria.</prim_outcome>
      <prim_outcome>Frequency of manual maneuvers to facilitate defecation. Timepoint: Before the study, end of week 2, end of week 4. Method of measurement: A questionnaire based on Rome III criteria.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Skin complication at the site of topical use. Timepoint: Before study, end of week 2, end of week 4. Method of measurement: A questionnaire.</sec_outcome>
      <sec_outcome>Any possible complications. Timepoint: Before study, end of week 2, end of week 4. Method of measurement: A questionnaire.</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>Traditional Medicine school of Tehran University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2016-04-02</approval_date>
        <contact_name>Tehran University of Medical Sciences</contact_name>
        <contact_address>Tehran University of Medical Sciences, Enghelab square Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
