<?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>IRCT20180622040186N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2018-06-26</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>The effect of Golnar Capsule (Punica Grantum) in treatment of  Abnormal Uterine Bleeding</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of a Capsule of Golnar  in Dysfunctional Uterine Bleeding and Comparison with Tranexamic acid</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-07-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>80</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/32084</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Allocation of patients to study groups is done using random block method.
Samples were randomly divided into two intervention and control groups based on the random sequence generated by the statistic counselor, Blinding description: The tested drug (Gelnar product) and the control drug (Transxamic Acid) are identical in terms of appearance and packaging, only through the proprietary A and B codes assigned by a person outside the research group on the box of medication labels are differentiated. The patient and pharmacist prescribing expert are not aware of the concept of codes. Study outcomes of the study are also known by the researcher who are unaware of the grouping and are blind to the groups and type of medication.
During each cycle, the herbal drug is used from the first day of the cycle to the end of the cycle (ie, the patient takes the drug for 3 consecutive months). But the control drug is only used from the beginning of the cycle for 5 days per cycle. For blinding in each group, each patient receives two packets of medicine with codes A1, A2 or B1 and B2. A1 and B1 codes are used from the first day of the cycle for up to 5 days, and codes A2 and B2 are used from the sixth Day cycle to the end of the cycle. In the Gelnar Group, all of 1 and 2 are  medicines and in the control group, the numbers of 1 are 1 tranexamic acid and the 2nds are placebo.</study_design>
      <phase>3</phase>
      <hc_freetext>DUB.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Persian medicine capsule based on Persian Golnar 500 mg every 8 hours, from the beginning of the menstrual period to the end of the cycle. Intervention 2: Control group: Tranexamic Acid Capsule, 500 mg every 8 hours from the first day of menstruation for up to 5 days.</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:
Expression of the procedure and drug used and treatment results

When:
Six months after completing the results analysis

To whom:
Data will be available to researchers working in academic and academic institutions

Conditions:
Analysis on the data with the permission of the investigating officer is preventable.

Where to obtain:
E-mail, Dr. Somayeh Eshaghee Ashtiany

How to obtain:
Six months after data analysis

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Somayeh Es.haghee Ashtiany</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 28; Zahra Ave; Niroo Daryaee Ave; Resalat Squ</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1676996913</zip>
        <telephone>+98 21 7719 1254</telephone>
        <email>s-eshaghee@razi.tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr Marzieh Vahid Dastjerdi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Office of Hospital Head, Arash Hospital, Next to Police Station 126, Baghdarnia St.; South Rashid St.; The Second Square of Tehranpars,Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1653915981</zip>
        <telephone>+98 21 7788 3283</telephone>
        <email>mdastgerdi@razi.tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Women from 18 years old to 50 years old
Normal  Pap smear
Regular Menstruation Bleeding
Endometrial thickness  is less than 10 mm
Severe Menstruation (According to PBAC: Score&gt;100, 80 cc) or Prolonged Menstruation (More than 7 Days )
Normal Gynecological Examination</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>50 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Pregnancy, Plan to become pregnant in the next three months
Coagulation Disorders, Systemic Diseases such as Hepatic, Renal, Thyroid, Diabetes and Chronic Inflamatory diseases
FSH And LH  Disorders
Hemoglobin less than 10
Endometrial Disorder, Hyperplasy, Cervical, Uterine and Ovary Cancers
Leiomyom and subcutaneous or internal  fibroids greater than 4 cm
Endometriosis
Known Hemoglobinopathy
Treatment with Hormonal drugs, Anti-Fibrinolytics and IUD
Patients with Hypertension
Patients with severe menstrual bleeding without diseases disorders</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>N92.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Excessive and frequent menstruation with irregular cycle</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>Intervention group: Persian medicine capsule based on Persian Golnar 500 mg every 8 hours, from the beginning of the menstrual period to the end of the cycle</i_keyword>
      <i_keyword>Control group: Tranexamic Acid Capsule, 500 mg every 8 hours from the first day of menstruation for up to 5 days</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Menstrual bleeding score. Timepoint: One month before and one, two and three months after the intervention. Method of measurement: Pictorial Blood Loss Assessment Chart.</prim_outcome>
      <prim_outcome>Quality of Life. Timepoint: One month before the intervention and 3 months after the intervention. Method of measurement: Aberdeen Menorrhagia Questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Age. Timepoint: The beginning of the entry. Method of measurement: Question from sample.</sec_outcome>
      <sec_outcome>The numbers of menstruation days. Timepoint: The number of bleeding days in 3 cycles of menstruation. Method of measurement: Day.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name>Tehran University of Medical Sciences</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_name>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-05-18</approval_date>
        <contact_name>Ethics Committee of Tehran University of Medical Sciences</contact_name>
        <contact_address>No. 28, Zahra Ave., Niroo Daryaee Ave; Resalat Sq Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
