<?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>IRCT20170530034232N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-10-01</date_registration>
      <primary_sponsor>Vice-Chancellor For Research and Technology of Guilan University of Medical Sciences</primary_sponsor>
      <public_title>Outcomes of Warfarin and Rivaroxaban (Xalerban) consumption in patients with Atrial fibrillation</public_title>
      <acronym></acronym>
      <scientific_title>Comparing the outcomes of Warfarin consumption compared to Rivaroxaban (Xalerban) in patients with Atrial fibrillation</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-10-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>330</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/42299</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: According to the gradual referral of patients to Dr. Heshmat educational and remedial hospital in Rasht, if they meet the inclusion criteria, randomization is planned to be performed using quadruple-block random allocation method in two groups, group A (Warfarin users) and group B (Xalerban users). According to the sample size, the numbers of these blocks are 83, which were selected by lottery at the beginning of the study, stored in a sealed envelope at Healthy Heart Research Center. After the approval of the research plan and starting the study, the selected blocks will be read out daily by a person who is not involved in the study, according to the patient referrals. Then patients will received the drugs based on block’s permutation.</study_design>
      <phase>4</phase>
      <hc_freetext>Atrial fibrillation.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: After random allocation, 165 patients with atrial fibrillation will take one tablet of Rivaroxaban (Xalerban) 20 mg orally,  produced by Abidi pharmaceutical company between meal daily for 6 month. Intervention 2: Control group: After random allocation, 165 patients with atrial fibrillation will take Warfarin produced by Orion corporation pharmaceutical company. The drug dosage will be determined by the physician according to the condition of each patient.</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:
The SPSS file contains all demographic information (age, sex and body mass index), liver's enzyme information and coagulation tests, and side effects of anticoagulants including: skin complications (ecchymosis and hematoma), gastrointestinal complications (constipation, diarrhea, abdominal pain and nausea). Neurological complications (headache and dizziness), fever, fatigue, edema, pain and muscle spasm, risk of bleeding, TIA and CVA

When:
6 month after the results are published, the access period will be start.

To whom:
Researchers working in academic and scientific institutions.

Conditions:
To obtain new results, researchers will be permitted to use further analysis and the data in the future researches.

Where to obtain:
Healthy Heart Research Center, Dr Heshmat heart hospital, Mosalla Square, Rasht, Guilan, Iran
Phone number: 
00981333664282
P.O.Box:
41939-55588

How to obtain:
A written request with sufficient detail should be sent to the postal address.After receiving the request, the scientific correspondence author will be responsive within one week.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Jalal Kheirkhah</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Healthy Heart Research Center, Heshmat Heart Hospital, Mosalla square, Rasht</address>
        <city>Rasht</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>41939-55588</zip>
        <telephone>+98 13 3366 4282</telephone>
        <email>kheirkhah_jalal@yahoo.com</email>
        <affiliation>Healthy Heart Research Center of Guilan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Jalal Kheirkhah</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Healthy Heart Research Center, Heshmat heart hospital, Mosalla square, Rasht</address>
        <city>Rasht</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>41939-55588</zip>
        <telephone>+98 13 3366 4282</telephone>
        <email>kheirkhah_jalal@yahoo.com</email>
        <affiliation>Healthy Heart Research Center of Guilan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Being over 50 years old
Patients with Atrial fibrillation
CHAD2S2 Vasc Score more than 1</inclusion_criteria>
      <agemin>50 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patient's dissatisfaction with the study
Wolff Parkinson White Syndrome
Allergic to any of the drugs Rivaroxaban (Xalerban) and warfarin
Abnormal Creatinine level
Thrombocytopenia</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>I48.2</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Chronic atrial fibrillation</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: After random allocation, 165 patients with atrial fibrillation will take one tablet of Rivaroxaban (Xalerban) 20 mg orally,  produced by Abidi pharmaceutical company between meal daily for 6 month.</i_keyword>
      <i_keyword>Control group: After random allocation, 165 patients with atrial fibrillation will take Warfarin produced by Orion corporation pharmaceutical company. The drug dosage will be determined by the physician according to the condition of each patient.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Bleeding. Timepoint: All patients will be followed up by researchers every 15 days in the first month and then every month for 6 month. Method of measurement: Measurement of coagulation factors and hemoglobin level by blood test.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Changes in liver's enzymes. Timepoint: All patients will be followed up by researchers every 15 days in the first month and then every month for 6 month. Method of measurement: Measurement of liver's enzymes (SGOT, SGPT) by blood test.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name>Dr. Abidi Pharmaceutical Company</sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Vice-Chancellor For Research and Technology of Guilan University of Medical Sciences</source_name>
      <source_name>Dr. Abidi Pharmaceutical Company</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-09-07</approval_date>
        <contact_name>Ethics committee of Guilan University of Medical Sciences</contact_name>
        <contact_address>Vice-Chancellor For Research and Technology of Guilan University of Medical Sciences, infront of 17 Shahrivar hospital, Shahid Siadati street, Namjoo street, Rasht Rasht Guilan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
