<?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>IRCT20190312043025N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-01-20</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>The Efficacy of Jalinous tablet compared with Placebo on adult functional constipation</public_title>
      <acronym></acronym>
      <scientific_title>The Efficacy of Habb-e Jalinous and Psyllium compared with Placebo and Psyllium on adult functional constipation: A double blinded clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-01-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>126</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/44130</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients eligible for inclusion criteria, by using balanced the block randomization with Excel computer software, will randomly be divided into two groups: A: Jalinous tablet and Psyllium sachet, B: Placebo tablet and Psyllium sachet, Blinding description: Drugs will be packaged in two groups (A and B) by a person whom won't participate in study. Patients, physicians and all person that participate in collecting data would be blinded. After analysis, the contents of the package will be announced.</study_design>
      <phase>3</phase>
      <hc_freetext>Functional Constipation.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: every morning when fasting, patients using a 10 gram Psyllium granule sachet; manufactured by Dineh company with registration code 6911052432012790 witch made from Plantago Psyllium seed; in a glass of water, and take two Jalinous tablet (Habbe - Rahat), licensed to administer natural, traditional and complementary products No.s-0212-92, containing: mastic, Aloe Vera, Rose, Indian Jalap, with warm water before bed. Intervention 2: Control group: Patients, take a 10 gram Psyllium granule sachet; manufactured by Dineh company with registration code 6911052432012790 witch made from Plantago Psyllium seed; in a glass of water, every fasting morning, and take two Placebo tablets containing starch powder with warm water before bed.</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 There is no more data</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Barimani Shahdis</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shiraz University of Medical Science, Imam Hossein Square, Zand street</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7134814336</zip>
        <telephone>+98 71 3234 5145</telephone>
        <email>sbarimani@sums.ac.ir</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Barimani Shahdis</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shiraz University of Medical Science, Imam Hussein Square, Zand Street</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7134814336</zip>
        <telephone>+98 71 3234 5145</telephone>
        <email>sbarimani@sums.ac.ir</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>18 to 50 years old
Ability to understand, speak and answer the questions
Qualified for ROME IV functional constipation
Confirmed functional constipation diagnosis by gastrointestinal specialist
Non-pregnancy and lactation
Complete the consent form</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>50 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>New disease that may lead to hospitalization or new medications
Use other laxatives when studying more than 2 times a week
Drug Addiction
Alarm signs (rectal bleeding, fever, loss of appetite, weight loss, ...)
Incidence of severe side effect of the study drug
The patient's unwillingness to continue participating in the study for any reason
No regular drug use (more than 7 days)
Have a history of allergy to aloe Vera, rose, Indian Jalap and mastic
Recent use of antacid, anticholinergic, anti Parkinson, anti psychotic and tricyclic antidepressants, anticonvulsants, antidepressants, diuretics and calcium blockers, iron products, opioids, calcium, prophylaxis Contains progesterone
Previous history of any abdominal and gastrointestinal surgery</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K59.00</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Constipation, unspecified</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: every morning when fasting, patients using a 10 gram Psyllium granule sachet; manufactured by Dineh company with registration code 6911052432012790 witch made from Plantago Psyllium seed; in a glass of water, and take two Jalinous tablet (Habbe - Rahat), licensed to administer natural, traditional and complementary products No.s-0212-92, containing: mastic, Aloe Vera, Rose, Indian Jalap, with warm water before bed.</i_keyword>
      <i_keyword>Control group: Patients, take a 10 gram Psyllium granule sachet; manufactured by Dineh company with registration code 6911052432012790 witch made from Plantago Psyllium seed; in a glass of water, every fasting morning, and take two Placebo tablets containing starch powder with warm water before bed.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Changes in frequency of defecation. Timepoint: Before intervention and after 14 and 28 days of treatment. Method of measurement: Symptoms of constipation will be assessed using an investigator generated questionnaire based on the Rome IV criteria and ODS questioner.We will evaluate the frequency of defecation as per week.</prim_outcome>
      <prim_outcome>Changes in incomplete defecation and evacuation. Timepoint: Before intervention and after 14 and 28 days of treatment. Method of measurement: Symptoms of constipation will be assessed using an investigator generated questionnaire based on the Rome IV criteria and ODS questioner. We will evaluate the percent of incomplete defecation from 0-100 (never to always).</prim_outcome>
      <prim_outcome>Changes in straining. Timepoint: Before intervention and after 14 and 28 days of treatment. Method of measurement: Symptoms of constipation will be assessed using an investigator generated questionnaire based on the Rome IV criteria and ODS questioner. We will evaluate the percent of straining from 0-100 (never to always).</prim_outcome>
      <prim_outcome>Changes in using of manual maneuver. Timepoint: Before intervention and after 14 and 28 days of study. Method of measurement: Symptoms of constipation will be assessed using an investigator generated questionnaire based on the Rome IV criteria and ODS questioner. We will evaluate the percent of manual maneuver from 0-100 (never to always).</prim_outcome>
      <prim_outcome>Changes of hard stool. Timepoint: Before intervention and after 14 and 28 days of study. Method of measurement: Symptoms of constipation will be assessed using an investigator generated questionnaire based on the Rome IV criteria and ODS questioner. We will evaluate the percent of hard stool from 0-100 (never to always).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Changes in stool consistency. Timepoint: According to Bristol stool scale, at baseline, week 2 and 4. Method of measurement: The Bristol stool scale will be used to specify the stool forms: types 1 and 2 considered as hard, 3 and 4 as normal and 5 to 7 as loose stool. Overall improvement in each symptoms will be assessed and categorized as complete or partial improvement, same and worse.</sec_outcome>
      <sec_outcome>Overall self-reported improvement in symptoms after treatment. Timepoint: At the end of intervention. Method of measurement: After  intervention based on patients attitude, Using the options of: deterioration, unchanged, partial recovery and complete recovery.</sec_outcome>
      <sec_outcome>Side effects. Timepoint: At the end of week 2 and 4. Method of measurement: Using the check lists.</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>2019-01-21</approval_date>
        <contact_name>Ethics committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>Shiraz University of Medical Science, Imam Hussein Square, Zand street Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
