<?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>IRCT20100111003043N12</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2018-07-16</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>"Effect of L-Carnitine on transplanted liver function"</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effects of L-carnitine on liver function after liver transplantation</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-06-28</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>80</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/31258</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: Patients are randomized to L-Carnitine or placebo group by block randomization in sealed envelops. Allocation will be concealed up to the end of data analysis, Blinding description: L-Carnitine and placebo will be provided the same in shape and package. Patients,  their physicians  and nurses and statistician are blinded to the patients  group; however, main investigator who assess the trial's outcome is not blinded.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Liver transplantation.</hc_freetext>
      <i_freetext>Intervention 1: L-Carnitine syrup 500 mg per 5 cc, 500 mg twice a day from the time of entry to the transplant waiting list up to the day of liver transplantation will be used. Intervention 2: Placebo syrup, 5 cc twice a day from the time of entry to the transplant waiting list up to the day of liver transplantation will be used.</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:
Data related to main outcomes of the study will be shared of deidentified IPD as SPSS file.

When:
Data will become available three months after publishing the related article. Data will be available for one year.

To whom:
Data will be available for people working in academic institution.

Conditions:
An agreement deal between Liver Transplantation research Center of Tehran University of Medical Sciences and people/institution who want to have access to data is needed.

Where to obtain:
The applicant should contact with Professor Simin Dashti-Khavidaki to get these documents or  data files. The contact details of Simin Dashti-Khavidaki is:
E-mail: dashtis@sina.tums.ac.ir
Tel/FAx: 0098 21 66954709

How to obtain:
Applicant request will be assessed in the meeting of Liver Transplantation Research Center of Tehran University of Medical Sciences and data will be provided for him/her within 2 months after application acceptance and agreement deal signing.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Behrooz Khajeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, 16 Azar St., Enqelab Sq.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۴۱۷۶۱۴۴۱۱</zip>
        <telephone>+98 21 6695 4709</telephone>
        <email>b_khajeh@razi.tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Simin Dashti-Khavidaki</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Pharmacy, 16Azar St., Enqelab Sq.,</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۴۱۷۶۱۴۴۱۱</zip>
        <telephone>+98 21 6695 4709</telephone>
        <email>dashtis@sina.tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>All patients over 14 years old with liver  cirrhosis  who are candidate for the first liver transplantation on the liver transplant list of Imam Khomeini Hospital Complex
Patient's consent to enter the study</inclusion_criteria>
      <agemin>14 years</agemin>
      <agemax>70 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Children under the age of 14 years who are candidate for liver transplantation
Patients candidate for liver re-transplantation
Patients who are candidate for liver transplant due to acute liver failure
Patients undergoing simultaneous multiple  organ transplantations (simultaneous liver-kidney transplantation, simultaneous liver-pancreas-kidney transplantation)
Patients undergoing split liver transplantation from living donors or deceased donors
Pregnant or lactating women
History of allergy to L-Carnitine
Patients with a history of seizure
Patients with postoperative unstable conditions such as fever, sepsis, and shock,  Cardiac instability (ACS/MI), gastrointestinal bleeding, long-term need for vasopressor (norepinephrine at doses greater than 0.5 μg/kg/min)</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>T86</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Complications of transplanted organs and tissue</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>L-Carnitine syrup 500 mg per 5 cc, 500 mg twice a day from the time of entry to the transplant waiting list up to the day of liver transplantation will be used.</i_keyword>
      <i_keyword>Placebo syrup, 5 cc twice a day from the time of entry to the transplant waiting list up to the day of liver transplantation will be used.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Evaluation of the occurrence of primary graft non-function after liver transplantation. Timepoint: Daily within first week after liver transplantation. Method of measurement: Laboratory evaluation of liver function tests including international normalized ratio, serum aminotransferases, serum  bilirubin, lactate concentration, blood glucose, venous or arterial blood pH.</prim_outcome>
      <prim_outcome>Evaluation of the occurrence of initial graft poor function after liver transplantation. Timepoint: Daily within first week after liver transplantation. Method of measurement: Laboratory evaluation of liver function tests including international normalized ratio, serum aminotransferases, serum  bilirubin, lactate concentration, blood glucose, venous or arterial blood pH.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Evaluation of occurrence of kidney function after liver transplantation. Timepoint: Daily within first week after liver transplantation. Method of measurement: Urinary output measurement and laboratory assessment of serum creatinine concentration.</sec_outcome>
      <sec_outcome>Evaluating length of ICU stay. Timepoint: Daily from ICU admission to ICU discharge. Method of measurement: Counting the days of ICU stay.</sec_outcome>
      <sec_outcome>Evaluating length of hospital stay. Timepoint: Daily from transplant surgery to hospital discharge. Method of measurement: Counting the days of hospital stay.</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>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-06-10</approval_date>
        <contact_name>Ethics committee of Tehran University of Medical Sciences</contact_name>
        <contact_address>Tehran University of Medical Sciences, 16 Azar st, Enghelab st, Tehran, Iran. Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
