<?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>IRCT20081004001292N5</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-01-22</date_registration>
      <primary_sponsor>Tabriz University of Medical Sciences</primary_sponsor>
      <public_title>The effect of of black seed oil on knee osteoarthritis</public_title>
      <acronym></acronym>
      <scientific_title>The effect of oral administration and topical application of black seed oil (Nigella Sativa) on pain, function and serum indices of inflammation and oxidative stress in patients with knee osteoarthritis</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-10-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>45</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/33351</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will be allocated randomly using random blocking method using blocks 8 and 12 and RASS software and 1: 1: 1 allocation ratio to three groups: (1) oral nigella sativa oil, (2) topical nigella sativa oil, 3) placebo, Blinding description: To randomize a random number table and block randomization method will be use. In this method, eligible patients are divided into blocks of 15 patients.The members of the first group are given supplemental edible therapy with black seed oil and topical placebo oil. The second group uses the black seed oil as topical and edible placebo oil, and the third group or the control group receive placebo edible oil as well as topical placebo oil.</study_design>
      <phase>2</phase>
      <hc_freetext>Knee osteoarthritis.</hc_freetext>
      <i_freetext>Intervention 1: First intervention group: Edible Nigella Sativa oil manufactured by Barij essence's pharmaceutical company, 2.5 ml twice a day in addition topical placebo oil containing paraffin manufactured by Farabi's pharmaceutical company, which is in shape, smell and other appearance characteristics quite similar to the Nigella Sativa oil, topically twice a day for 45 days. Intervention 2: Second intervention group: Topical Nigella Sativa oil manufactured by Barij essence's pharmaceutical company, twice a day in addition edible placebo oil containing paraffin manufactured by Farabi's pharmaceutical company, which is in shape, taste, smell and other appearance characteristics quite similar to the Nigella Sativa oil, 2.5 ml twice a day for 45 days. Intervention 3: Control group:  Edible placebo oil containing paraffin manufactured by Farabi's pharmaceutical company,which is in shape, taste, smell and other appearance characteristics quite similar to the Nigella Sativa oil, 2.5 ml twice a day in addition topical placebo oil containing paraffin manufactured by Farabi's pharmaceutical company, which is in shape, smell and other appearance characteristics quite similar to the Nigella Sativa oil, topically twice a day for 45 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>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is No more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Neda Dolatkhah</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Golgasht Str., Azadi Ave.</address>
        <city>Tabriz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>5166614756</zip>
        <telephone>+98 41 3336 1928</telephone>
        <email>dolatkhahn@tbzmed.ac.ir</email>
        <affiliation>Tabriz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Neda Dolatkhah</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Golgasht Str., Azadi Ave.</address>
        <city>Tabriz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>5166614756</zip>
        <telephone>+98 41 3336 1928</telephone>
        <email>dolatkhahn@tbzmed.ac.ir</email>
        <affiliation>Tabriz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Moderate knee osteoarthritis</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Rheumatologic disorder such as rheumatoid arthritis
History of knee joint surgery
History of lower limb bone fracture which encounter knee joint surface
Severe knee osteoarthritis
Neuropathic or sensory disorders
Cutaneous disorder at knee area</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M19.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other specified arthrosis</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>First intervention group: Edible Nigella Sativa oil manufactured by Barij essence's pharmaceutical company, 2.5 ml twice a day in addition topical placebo oil containing paraffin manufactured by Farabi's pharmaceutical company, which is in shape, smell and other appearance characteristics quite similar to the Nigella Sativa oil, topically twice a day for 45 days.</i_keyword>
      <i_keyword>Second intervention group: Topical Nigella Sativa oil manufactured by Barij essence's pharmaceutical company, twice a day in addition edible placebo oil containing paraffin manufactured by Farabi's pharmaceutical company, which is in shape, taste, smell and other appearance characteristics quite similar to the Nigella Sativa oil, 2.5 ml twice a day for 45 days.</i_keyword>
      <i_keyword>Control group:  Edible placebo oil containing paraffin manufactured by Farabi's pharmaceutical company,which is in shape, taste, smell and other appearance characteristics quite similar to the Nigella Sativa oil, 2.5 ml twice a day in addition topical placebo oil containing paraffin manufactured by Farabi's pharmaceutical company, which is in shape, smell and other appearance characteristics quite similar to the Nigella Sativa oil, topically twice a day for 45 days.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain severity. Timepoint: Evaluating the pain scale at the beginning of the study (before intervention) and six weeks after the intervention began. Method of measurement: Visual Analogue Scale.</prim_outcome>
      <prim_outcome>Osteoarthritis index. Timepoint: Evaluating activity at the beginning of the study (before intervention) and six weeks after the intervention began. Method of measurement: The Western Ontario and McMaster Universities Osteoarthritis Index questionnaire.</prim_outcome>
      <prim_outcome>Mobility. Timepoint: Evaluating mobility at the beginning of the study and six weeks after the intervention began. Method of measurement: Time up and go test.</prim_outcome>
      <prim_outcome>Serum inflammatory  high-sensitivity C-reactive protein index. Timepoint: Measuring serum level of C-reactive protein inflammatory factor at the beginning of the study and six weeks after the intervention began. Method of measurement: Biochemical assay.</prim_outcome>
      <prim_outcome>Serum stress oxidative index. Timepoint: Measuring serum level of total antioxidant capacity and 3,4-Methylene​dioxy​amphetamine at the beginning of the study and six weeks after the intervention began. Method of measurement: Biochemical assay.</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>Tabriz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2017-03-01</approval_date>
        <contact_name>Regional Ethics Committee of Tabriz University of Medical Sciences</contact_name>
        <contact_address>Vice Chancellor for research, Tabriz University of Medical Sciences, Golgasht Str. Tabriz East Azarbaijan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
