<?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>IRCT20200416047104N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-04-23</date_registration>
      <primary_sponsor>Shahre-kord University of Medical Sciences</primary_sponsor>
      <public_title>Effect of pomegranate tea on symptom relief of COVID-19 patients</public_title>
      <acronym></acronym>
      <scientific_title>The effect of pomegranate tea on symptom relief of COVID-19 patients: a double-blind randomized clinical trial study</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-04-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>66</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/47251</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients were randomly assigned to study by randomized class blocking according to the respiratory support groups they received (no need for respiratory support, respiratory support with low oxygen flow, respiratory support with high oxygen flow, respiratory support with oxygen storage, non-invasive ventilation) In four-person blocks, they are assigned to groups A and B and randomly using the software. Patient allocation will be blinded and clinical researchers will not be aware of the individual intervention group, Blinding description: In this study, all participants in the study, physicians and nurses responsible for collecting patients' clinical and laboratory data, were unaware of the intervention (placebo or drug) that each person received; placebo by oral and flavoring similar to the drug. Participants in the study and nurses are unaware of the presence of pomegranate extract. All medications will be coded by a pharmacognosy specialist, and randomization will be performed by the same person as described in the relevant section, and none of the colleagues in charge of tracking patients will know about even the groups of patients.</study_design>
      <phase>N/A</phase>
      <hc_freetext>COVID-19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group:  Participants in the intervention group receive 4 times a day (after each meal and before bedtime) and 10 ccs of pomegranate syrup for 21 days each time, in addition to standard treatment. Pomegranate tea is prepared by dilution 10 ccs of pomegranate syrup in 50 to 100 cc of warm boiled water and kept in the mouth for a while before swallowing. Intervention 2: Control group: In addition to standard treatment, the control group receives a placebo in completely similar conditions. The placebo will be produced in terms of taste and color similar to the original drug and will be used in completely similar conditions.</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:
All potential data can be shared after blinding

When:
Six mounts after publishing

To whom:
Researchers working in academic institutions

Conditions:
For research purposes and meta-analysis studies

Where to obtain:
Dr. Zahra lorigooini, Medical Plants Research Center, School of Medicine, Shahrekord University of Medical Sciences, Rahmatieh

How to obtain:
Official letter to the researchers

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Zahra Lorigooini</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Medical Plants Research Center, School of Medicine, Shahrekord University of Medical Sciences, Rahmatieh</address>
        <city>Shahrekord</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8813833435</zip>
        <telephone>+98 38 3334 6722</telephone>
        <email>zahralorigooini@gmail.com</email>
        <affiliation>Shahre-kord University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Fereidoun Rahmani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hajar Hospital, Parastar Street</address>
        <city>Shahrekord</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8816854633</zip>
        <telephone>+98 38 3225 2416</telephone>
        <email>frahmani@skums.ac.ir</email>
        <affiliation>Shahre-kord University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Positive diagnostic specimen on RT-PCR
Men or non-pregnant women over 18 years of age
Significant involvement in pulmonary CT scan with pneumonia diagnosis
Oxygen saturation (Sao2) of blood less than or equal to 93% in room air
Respiratory rate above 24 per minute</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Taking medications: (Amitriptyline, Codeine, Desipramine, Flecainide, Fluoxetine, Ondansetron, Tramadol)
Pregnancy and lactation</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>COVID-19, virus identified</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:  Participants in the intervention group receive 4 times a day (after each meal and before bedtime) and 10 ccs of pomegranate syrup for 21 days each time, in addition to standard treatment. Pomegranate tea is prepared by dilution 10 ccs of pomegranate syrup in 50 to 100 cc of warm boiled water and kept in the mouth for a while before swallowing.</i_keyword>
      <i_keyword>Control group: In addition to standard treatment, the control group receives a placebo in completely similar conditions. The placebo will be produced in terms of taste and color similar to the original drug and will be used in completely similar conditions.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Time to clinical improvement. Timepoint: Every day after randomization. Method of measurement: Patients' medical records.</prim_outcome>
      <prim_outcome>Time to clinical deterioration. Timepoint: Every day after randomization. Method of measurement: Patients' medical records.</prim_outcome>
      <prim_outcome>Duration of Hospitalization. Timepoint: Every day after randomization. Method of measurement: Patients' medical records.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Mortality. Timepoint: 21th day after randomization. Method of measurement: Patients' medical records.</sec_outcome>
      <sec_outcome>Clinical improvement in first 7 days of intervention. Timepoint: 7th day after randomization. Method of measurement: Patients' medical records.</sec_outcome>
      <sec_outcome>Fever. Timepoint: Every day after randomization. Method of measurement: Thermometer.</sec_outcome>
      <sec_outcome>Respiratory rate. Timepoint: Every day after randomization. Method of measurement: Clinical observation and examination.</sec_outcome>
      <sec_outcome>Oxygen saturation. Timepoint: Every day after randomization. Method of measurement: Pulse Oximeter.</sec_outcome>
      <sec_outcome>Systolic blood pressure. Timepoint: Every day after randomization. Method of measurement: Clinical observation and examination.</sec_outcome>
      <sec_outcome>Duration of respiratory support. Timepoint: Every day after randomization. Method of measurement: Patients' medical records.</sec_outcome>
      <sec_outcome>Cough. Timepoint: Every day after randomization. Method of measurement: Clinical observation and history taking.</sec_outcome>
      <sec_outcome>Dyspnea. Timepoint: Every day after randomization. Method of measurement: Clinical observation and history taking.</sec_outcome>
      <sec_outcome>Fatigue. Timepoint: Every day after randomization. Method of measurement: Clinical observation and history taking.</sec_outcome>
      <sec_outcome>Myalgia. Timepoint: Every day after randomization. Method of measurement: Clinical observation and history taking.</sec_outcome>
      <sec_outcome>Headache. Timepoint: Every day after randomization. Method of measurement: Clinical observation and history taking.</sec_outcome>
      <sec_outcome>Sore throat. Timepoint: Every day after randomization. Method of measurement: Clinical observation and history taking.</sec_outcome>
      <sec_outcome>Chills. Timepoint: Every day after randomization. Method of measurement: Clinical observation and history taking.</sec_outcome>
      <sec_outcome>Gastrointestinal adverse events. Timepoint: Every day after randomization. Method of measurement: Clinical observation and history taking.</sec_outcome>
      <sec_outcome>Thirsty. Timepoint: Every day after randomization. Method of measurement: Clinical observation and history taking.</sec_outcome>
      <sec_outcome>Duration of respiratory support. Timepoint: Every day after randomization. Method of measurement: Patients' medical records.</sec_outcome>
      <sec_outcome>Transmission to ICU. Timepoint: Every day after randomization. Method of measurement: Patients' medical records.</sec_outcome>
      <sec_outcome>SARS-CoV-2 test result. Timepoint: 21th day after randomization. Method of measurement: RT-PCR.</sec_outcome>
      <sec_outcome>Blood cell count. Timepoint: Two days in between after randomization. Method of measurement: The complete blood count (CBC).</sec_outcome>
      <sec_outcome>CRP level. Timepoint: Two days in between after randomization. Method of measurement: Blood test.</sec_outcome>
      <sec_outcome>Serum creatinine. Timepoint: Two days in between after randomization. Method of measurement: Blood test.</sec_outcome>
      <sec_outcome>Lactate dehydrogenase. Timepoint: Two days in between after randomization. Method of measurement: Blood test.</sec_outcome>
      <sec_outcome>Ferritin. Timepoint: Two days in between after randomization. Method of measurement: Blood test.</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>Shahre-kord University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-04-12</approval_date>
        <contact_name>Ethics committee of Shahrekord University of Medical Sciences</contact_name>
        <contact_address>Shahrekord University of Medical Sciences, Kashani Blvd Shahrekord Chahar-Mahal-va-Bakhtiari Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
