<?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>IRCT20110428006322N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-10-17</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>probiotic on oral aphtus ulcers</public_title>
      <acronym>RAS or recurrent aphtus stomatitis</acronym>
      <scientific_title>Evaluation of therapeutic effect of pro biotic medication on oral recurrent aphtus ulcers</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-07-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/39651</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: clustered block randomization  ,To ensure that exactly the same number of participants were placed in the intervention and control groups at regular intervals but at equal intervals, we considered the size of each block as 10 individuals. For example, one type of treatment or intervention will be occurred to the first block and the other intervention or treatment to the second block and again the same cycle until the last block. In this study we have 3 to blocks that include 10 individuals, Blinding description: In this study, patients and assessors or examiners are not aware of the type of treatment provided. The patient receives treatment from the beginning, which is unclear whether the treatment is new or the standard treatment (on the other hand) and the examiner does not need to know what medicine the patient has used, it only records the information.</study_design>
      <phase>2-3</phase>
      <hc_freetext>oral recurrent aphtus ulcer.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Treatment with probiotic product or probiotic products from Lactobacillus routeri is administered in a gel-sol form, which patients put in the mouth on the lesion and should not swallow the drug. The drug is formulated in the Biotechnology and Pharmacotechnics department of Shiraz Pharmacy School and is not a mass production or drug owned by a particular pharmaceutical company. The product should be applied 3 times daily to the oral lesion for at least 2-3 minutes for 10 days. The product is based on the drug protocols and approved drug standards at the School of Pharmacy and its route of manufacture is part of the process of this study. The content of this drug is merely a probiotic product, and the drug is in the form of a gel-sol form, a relatively diluted state that makes it easier for the patient to use the drug. Use of probiotic products in the pharmaceutical process Considering that they are used in many nutritional supplement products and offer immune-enhancing or immune-enhancing roles, they are considered safe products in most pharmaceutical supplements. Intervention 2: Control group: receive standard analgesic treatment for treatment (  Standard compound oral mouthwash with analgesic effect) , For the control group patients receive conventional topical analgesics, including Diphenhydramine syrup + Aluminum Mg suspension (both manufactured by  Iran Pakhsh Pharmacopoeia Iran) with a ratio of one to one, and a similar container is given to the intervention group. The drug is prescribed 3 times a day for 10 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:
In this study, due to the confidentiality of the individual data of the participants, only the executive protocol, data analysis method, and general plan information are shared in the article.

When:
starting 6 months after publication

To whom:
this only available for people working in academic institutions

Conditions:
only for research propose

Where to obtain:
email address

How to obtain:
Send an email to the planner and contact person to receive the required information. In the absence of the problem, the information required will be less than 2 weeks

Comments:
no</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mostafa Rezaee</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ghasr-e-Dasht St., Corner of Mehr St., Shiraz Dental School</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1587871956</zip>
        <telephone>+98 71 3628 9917</telephone>
        <email>rezaim@sums.ac.ir</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mostafa Rezaee</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ghasr-e-Dasht St., Corner of Mehr St., Shiraz Dental School</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1587871956</zip>
        <telephone>+98 71 3628 9917</telephone>
        <email>rezaim@sums.ac.ir</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>patients with oral aphtus ulcers between 15 -80 years old.
patients with oral aphtus ulcers without any systemic medication during last 6 months.
patients with one to three oral aphtus ulcers in their mouths
Patients with oral lesions that do not have a day off at the beginning of the lesion (the lesion is on the first day of appearance)
Patients with oral lesions that do not have a history of rheumatologic disease, GI disease, renal disease, and iron deficiency anemia.</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with oral aphtus lesions that have had a lesion more than one day.
pregnant patients
Patients with diffuse oral lesions and more than 3 concurrent lesions
Patients who do not have the opportunity to travel for frequent or repeated examinations.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K12</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Stomatitis and related lesions</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: Treatment with probiotic product or probiotic products from Lactobacillus routeri is administered in a gel-sol form, which patients put in the mouth on the lesion and should not swallow the drug. The drug is formulated in the Biotechnology and Pharmacotechnics department of Shiraz Pharmacy School and is not a mass production or drug owned by a particular pharmaceutical company. The product should be applied 3 times daily to the oral lesion for at least 2-3 minutes for 10 days. The product is based on the drug protocols and approved drug standards at the School of Pharmacy and its route of manufacture is part of the process of this study. The content of this drug is merely a probiotic product, and the drug is in the form of a gel-sol form, a relatively diluted state that makes it easier for the patient to use the drug. Use of probiotic products in the pharmaceutical process Considering that they are used in many nutritional supplement products and offer immune-enhancing or immune-enhancing roles, they are considered safe products in most pharmaceutical supplements.</i_keyword>
      <i_keyword>Control group: receive standard analgesic treatment for treatment (  Standard compound oral mouthwash with analgesic effect) , For the control group patients receive conventional topical analgesics, including Diphenhydramine syrup + Aluminum Mg suspension (both manufactured by  Iran Pakhsh Pharmacopoeia Iran) with a ratio of one to one, and a similar container is given to the intervention group. The drug is prescribed 3 times a day for 10 days.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The size of the lesions in millimeters. Timepoint: determination at 1,3,5 and 7 days. Method of measurement: size determination by ruler.</prim_outcome>
      <prim_outcome>Severity of burning and pain based on visual analogue score (VAS) (score between 0-10). Timepoint: determination at 1,3,5 and 7 days. Method of measurement: Evaluation by VAS method and numerical expression of pain and burning intensity.</prim_outcome>
      <prim_outcome>Duration of recovery in terms of number of days. Timepoint: daily check for seven days. Method of measurement: Improvement of clinical symptoms, absence of oral lesions and complete relief of burning and pain.</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>Shiraz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-09-08</approval_date>
        <contact_name>Ethics committee of Shiraz  University of Medical Sciences</contact_name>
        <contact_address>Ghasr-e-Dasht St., Corner of Mehr St., Shiraz Dental School Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
