<?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>IRCT20191130045548N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-07-28</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of therapeutic effects of a pomegranate preparation in  patients with hepatic cirrhosis</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of therapeutic effects of a Panica granatum preparation in  patients with hepatic cirrhosis using a randomized clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-09-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>70</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/43825</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: The method of randomization is as block randomization and randomization unit is block (4-units block). The randomization tool and random sequence generation are done using random number table and through http://www.randomization.com. We have two groups in our study (indicated as A and B letters). Therefore, for random blocks, 6 modes of moving them are possible and the below formula is used. Also, the method of allocation concealment is equentially numbered, sealed, opaque envelopes.
6 modes=2.4*3=![2-4]*[(2*1)!2]/(4*3*2*1*)!4, Blinding description: The blinding is as double in this study. For proper blinding, the drug (in our study, the herbal preparation from pomegranate) and placebo will be exactly the same in color, size, and odor, and other than the pharmacist, none of the participants and researchers will be aware of them until the end of the study.</study_design>
      <phase>2</phase>
      <hc_freetext>liver cirrhosis.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In this group, an herbal preparation of pomegranate at 20 mg/kg body weight, is orally given twice in a day for 2 months to the patients with liver cirrhosis. This study is done as double blind with 70 patients who randomly assigned in two groups (35 patients in each) and other than the pharmacist, none of the participants and researchers will be aware of the administrated drug and placebo until the end of the study. Therefore, 35 patients with cirrhosis is given the drug, randomly. A number of blood tests including AST, ALT, ALP, Albumin, creatinine, bilirubin, international normalized ratio for pro thrombintime (INR), for MELD factor (Model for End-Stage Liver Disease) calculation as well as also clinical investigations for presence of ascites and hepatic encephalopathy are done before and after the intervention for this intervention group. Intervention 2: Control group: In this group, a preparation without pomegranate (placebo)  which is exactly the same in color, size, and odor with the drug is orally given  twice in a day for 2 months to the patients with liver cirrhosis. This study is done as double blind with 70 patients who randomly assigned in two groups (35 patients in each) and other than the pharmacist, none of the participants and researchers will be aware of the administrated drug and placebo until the end of the study. Therefore, 35 patients with cirrhosis is given the placebo, randomly. A number of blood tests including AST, ALT, ALP, Albumin, creatinine, bilirubin, international normalized ratio for pro thrombintime (INR), for MELD factor (Model for End-Stage Liver Disease) calculation as well as also clinical investigations for presence of ascites and hepatic encephalopathy are done before and after the intervention for this intervention group.</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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is There is no more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Arezoo  Rajabian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Vakilabad st., Faculty of Medicine, Mashhad University of Medical Sciences</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177948564</zip>
        <telephone>0098 38828265</telephone>
        <email>rajabianar@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Arezoo Rajabian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Vakilabad st., Faculty of Medicine, Mashhad University of Medical Sciences</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177948564</zip>
        <telephone>+98 51 3882 8265</telephone>
        <email>rajabianar@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with hepatic cirrhosis</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>70 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Non-cirrhotic patients
Cirrhotic patients who have progressed to liver transplantation</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K74.69</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other cirrhosis of liver</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: In this group, an herbal preparation of pomegranate at 20 mg/kg body weight, is orally given twice in a day for 2 months to the patients with liver cirrhosis. This study is done as double blind with 70 patients who randomly assigned in two groups (35 patients in each) and other than the pharmacist, none of the participants and researchers will be aware of the administrated drug and placebo until the end of the study. Therefore, 35 patients with cirrhosis is given the drug, randomly. A number of blood tests including AST, ALT, ALP, Albumin, creatinine, bilirubin, international normalized ratio for pro thrombintime (INR), for MELD factor (Model for End-Stage Liver Disease) calculation as well as also clinical investigations for presence of ascites and hepatic encephalopathy are done before and after the intervention for this intervention group.</i_keyword>
      <i_keyword>Control group: In this group, a preparation without pomegranate (placebo)  which is exactly the same in color, size, and odor with the drug is orally given  twice in a day for 2 months to the patients with liver cirrhosis. This study is done as double blind with 70 patients who randomly assigned in two groups (35 patients in each) and other than the pharmacist, none of the participants and researchers will be aware of the administrated drug and placebo until the end of the study. Therefore, 35 patients with cirrhosis is given the placebo, randomly. A number of blood tests including AST, ALT, ALP, Albumin, creatinine, bilirubin, international normalized ratio for pro thrombintime (INR), for MELD factor (Model for End-Stage Liver Disease) calculation as well as also clinical investigations for presence of ascites and hepatic encephalopathy are done before and after the intervention for this intervention group</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Model for End-Stage Liver Disease (MELD) score. Timepoint: The beginning of the study (or before administration of pomegranate preparation) and two months after (two months after administration of the preparation). Method of measurement: ALT (Alanin Transaminase), AST (Aspartate Aminotransferase), ALP ( Alkaline Phosphatase), INR ( International Normalized Ratio), Albumin, creatinine, bilirubin, also clinical investigations for presence of ascites and hepatic encephalopathy  and calculation of MELD score Model for End-Stage Liver Disease.</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>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-06-28</approval_date>
        <contact_name>Ethics committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>Vakilabad Blvd., َAzadi St., Mashhad Town Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
