<?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>IRCT20190807044470N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-11-27</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of the effect of edible traditional product” Dawa-e-balgham” on the pain of knee osteoarthritis</public_title>
      <acronym>اوستئوآرتریت زانو Knee osteoarthritis  (KOA</acronym>
      <scientific_title>Evaluation of the effect of edible traditional product” Dawa-e-balgham” on the pain of knee osteoarthritis patients with functional dyspepsia compared to the control group: randomized double-blind clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-12-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>100</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/42976</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients will be divided into two groups based on the problem of concurrent dyspepsia as strata after entering the study.Then, randomization is performed for each group using the permuted block randomization method, with patients  block size of four. We use https://www.sealedenvelope.com to create a random sequence, Blinding description: The patients, drug deliverers, clinical caregivers, data collectors and outcome assessors are blind  in study.</study_design>
      <phase>3</phase>
      <hc_freetext>Condition 1: Knee osteoarthritis. Condition 2: Functional dyspepsia.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: patients who receive oral capsule ( 500 mg) of Dawa-Balgham containing Nigella sativa L.,Trachyspermum ammi,  zataria multiflora and mastic (gum) after each meal 3 times a day for 8 weeks and if needed, acetaminophen tablets can take up to 1 gram every 6 hours.Then patients will be followed for 8 weeks for treatment outcomes. Patients will not be allowed to use acetaminophen during the follow-up period. The duration of the study is 16 weeks. Intervention 2: Control group: the patients who receive placebo containing 125 mili gram toast powder after each meal 3 times a day for 8 weeks and if needed, acetaminophen tablets can take up to 1 gram every 6 hours.Then patients will be followed for 8 weeks for treatment outcomes. Patients will not be allowed to use acetaminophen during the follow-up period. The duration of the study is 16 weeks.</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:
Information about the main outcome of this study will be
shared through the article.

When:
The start of the access period will be 6 month after the
results are printed.

To whom:
Researchers working in academia and academics and
industry professionals

Conditions:
For further studies in the treatment of knee osteoarthritis based on our study protocol

Where to obtain:
Fariba Hadi: hadiyari1000@gmail.com

How to obtain:
Written request by email one month after publication of the article

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Fariba Hadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Iranian Medicine, No. 27, North Supervisor Street, West Taleghani Ave.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>141663361</zip>
        <telephone>009888974535</telephone>
        <email>hadiyari1000@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Fatemeh Nejatbakhsh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Iranian Medicine, No. 27, North Supervisor Street, West Taleghani Ave.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>141663361</zip>
        <telephone>+98 21 8897 4535</telephone>
        <email>Nejatbakhsh@tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Knee pain at least one for most days of the prior month, in addition to at least 5 of the following 6:
Crepitus on active joint motion
Morning stiffness less than 30 minutes’ duration
Bony enlargement of the knee on examination
Bony tenderness of the knee on examination
No palpable warmth.
Age older than 50 years
Average pain on the Visual Analogue Scale ( VAS ) ≥30 out of 100 mm.</inclusion_criteria>
      <agemin>50 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>History of knee  surgery
Knee pain related to rheumatological disease or other conditions such as infectious diseases
Pregnancy and breast feeding
Presence of inflammatory rheumatic diseases
Being treated with any of the  complementary medicine the prior 3 month
Self management of pain by sedatives and anti inflammatory drugs
Using of corticostereoid less than last 5 weeks ago
Intra-articular depo corticostereoid injection in less than 3 last months.
Intra articular hyaloronate injection in less than past 6 months
Arthroscopy in past one years
history of Significant knee trauma in less than  past 6 months
Contraindication for paracetamol using
history of severe cardiac,renal and liver disease
Anticoagulant drugs using
Worrying in heat and dryness</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M17</hc_code>
      <hc_code>K30</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Osteoarthritis of knee</hc_keyword>
      <hc_keyword>Functional dyspepsia</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1: patients who receive oral capsule ( 500 mg) of Dawa-Balgham containing Nigella sativa L.,Trachyspermum ammi,  zataria multiflora and mastic (gum) after each meal 3 times a day for 8 weeks and if needed, acetaminophen tablets can take up to 1 gram every 6 hours.Then patients will be followed for 8 weeks for treatment outcomes. Patients will not be allowed to use acetaminophen during the follow-up period. The duration of the study is 16 weeks.</i_keyword>
      <i_keyword>Control group: the patients who receive placebo containing 125 mili gram toast powder after each meal 3 times a day for 8 weeks and if needed, acetaminophen tablets can take up to 1 gram every 6 hours.Then patients will be followed for 8 weeks for treatment outcomes. Patients will not be allowed to use acetaminophen during the follow-up period. The duration of the study is 16 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain severity score on the  visual analogue scale. Timepoint: At baseline (before baseline) and 14 days later (at the end of Wash out period) and at week 4, 8, 12, 16 after administration of prophylactic capsules. Method of measurement: Visual analogue Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Functional dyspepsia severity score. Timepoint: At baseline (before baseline) and 14 days later (at the end of Wash out period) and at week 4, 8, 12, 16 after administration of prophylactic capsules. Method of measurement: the Leeds Dyspepsia Questionnaire (LDQ).</sec_outcome>
      <sec_outcome>Quality of life score. Timepoint: At baseline (before baseline) and 14 days later (at the end of Wash out period) and at week 4, 8, 12, 16 after administration of prophylactic. Method of measurement: Knee injury and Osteoarthritis Outcome Score (KOOS).</sec_outcome>
      <sec_outcome>Diagnose of functional dyspepsia score. Timepoint: At baseline (before baseline). Method of measurement: Rome III questionnaire.</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>2019-10-06</approval_date>
        <contact_name>Iran National Committee for Ethics in Biomedical Research</contact_name>
        <contact_address>Floor 13, Block A, Ministry of Health &amp; Medical Education Headquarters, Between Zarafashan &amp; South Falamak, Qods Town, Tehran, Iran. Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
