<?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>IRCT20100223003408N6</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-02-09</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>Randomized clinical trial</public_title>
      <acronym></acronym>
      <scientific_title>Randomized clinical trial effect of diet therapy and nutrition education on clinical indicators, malnutrition, depression and quality of life in chronic kidney disease patients referred to Motahari clinic and Faghihi Hospital of Shiraz in 1398</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-06-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>120</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/45108</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Block randomization, Individual, Random allocation software, 11 randomization sequence in permuted blocks of size 4 In this study, the allocation of people to the two groups was done using permutational block method. In this method, T represents the person who receives the intervention, and C represents the person who is in the control group. Considering the quadruple block; we achieved TTCC , TCCT , CTTC , TCCT , CCTT , TCCT , TCTC , TCCT , CCTT , TCTC and TTCC . Then, using the randomization software and sealed envelopes we allocate each one to a patient respectively.</study_design>
      <phase>3</phase>
      <hc_freetext>chronic kidney disease.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group:direct education based on chronpoic kidney disease diet .the intervention is carried through education aid such as powerpoint(and CKD diet,nutrition counseling,diet tip s,exchange list) through 1-2hours sessions twice in 6 month.indirect education has been done by booklet.   and also especial type of diet according to pre dialysis based on blood sample ,weight and hight and patients followed.educational and diet therapy in case done during 24-week. Intervention 2: Control group: this group are educated about routin nutrition and diet during 24_ week by nephrologist.</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 further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Maryam Ekramzade</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Razi Blvd.</address>
        <city>shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>71536-75541</zip>
        <telephone>+98 71 3725 1001</telephone>
        <email>m_ekramzade@yahoo.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Maryam Ekramzade</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Razi Blvd.</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>71536-75541</zip>
        <telephone>+98 71 3725 1001</telephone>
        <email>m_ekramzade@yahoo.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>The dosage of medications taken during the past six months did not change during the study
Willing to participate in the study and have written consent
GFR between 15 and 60
Adults between 18-65 years</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Has malignancy
AIDS
, acute or inflammatory infection
, diabetes patient
, cancer patients
, decompensated HF patient,
renal transplant recipients
, dialysis patients
, Alzheimer's patients
, patients Cognitive problems,
patients with mental illness
, pregnant patients or those who plan to be pregnant during the study period
, the patient's death during the study
, the patient's unwillingness to participate and participate in training sessions
, the participant with motor impairment (weakness) Musculoskeletal),
treatment regimen over the past month
, loss of inclusion criteria
decline GFR</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>N18.3</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Chronic kidney disease, stage 3 (moderate)</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Lifestyle</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group:direct education based on chronpoic kidney disease diet .the intervention is carried through education aid such as powerpoint(and CKD diet,nutrition counseling,diet tip s,exchange list) through 1-2hours sessions twice in 6 month.indirect education has been done by booklet.   and also especial type of diet according to pre dialysis based on blood sample ,weight and hight and patients followed.educational and diet therapy in case done during 24-week</i_keyword>
      <i_keyword>Control group: this group are educated about routin nutrition and diet during 24_ week by nephrologist</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>EGFR. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: formula.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>BUN. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Autoanalyser.</sec_outcome>
      <sec_outcome>Cratinine. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Autoanalyser.</sec_outcome>
      <sec_outcome>Albumin. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Autoanalyser.</sec_outcome>
      <sec_outcome>Calcium. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Autoanalyser.</sec_outcome>
      <sec_outcome>Sodium. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Autoanalyser.</sec_outcome>
      <sec_outcome>Phosphor. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Autoanalyser.</sec_outcome>
      <sec_outcome>Potasium. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Autoanalyser.</sec_outcome>
      <sec_outcome>Hemoglobin. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Autoanalyser.</sec_outcome>
      <sec_outcome>Uric acid. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Autoanalyser.</sec_outcome>
      <sec_outcome>Hematocrit. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Autoanalyser.</sec_outcome>
      <sec_outcome>Weight. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: scale.</sec_outcome>
      <sec_outcome>BMI. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: Formula.</sec_outcome>
      <sec_outcome>Subjective global assessment. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: questionnaire.</sec_outcome>
      <sec_outcome>Quality of Life. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: questionnaire.</sec_outcome>
      <sec_outcome>Depression. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: questionnaire.</sec_outcome>
      <sec_outcome>Parathyroid hormone. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: autoanalyser.</sec_outcome>
      <sec_outcome>Feritin. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition training. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Vitamin D. Timepoint: At the beginning of the study (before the intervention) and six months after the start of treatment and nutrition. Method of measurement: ELISA.</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>2019-06-22</approval_date>
        <contact_name>Ethics committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>Zand street Shiraz University of Medical Sciences shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
