<?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>IRCT20200303046677N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-05-05</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>Effect of Ayarij-e-Faiqra on functional constipation</public_title>
      <acronym></acronym>
      <scientific_title>Effect of Ayarij-e-Faiqra on functional constipation in adults referring to Clinic</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2014-04-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>80</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/47325</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: patients eligible for randomization to one of two drug or placebo groups, according to a randomization table generated by computer excel software. The prescribing physician, assistant, and patient will not be aware of any capsules content, and the capsules code will be written to the file (double-blind). Randomization Unit: Individual Randomization Tool:  randomization table, Blinding description: The capsules code will be written to the file. The Prescribing physician, assistant, and patient will not be aware of any capsules content. (Double-blind).</study_design>
      <phase>3</phase>
      <hc_freetext>functional constipation.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Ayarij-e-Faiqra. AF was prepared according to the “Qarabadin Kabir” textbook. prepared under the supervision of the professors of pharmacy of the Faculty of Traditional Medicine by identifying single drugs, quality control of medicinal plants, processing, and preparation of formulation and microbial control based on the latest available standards. It was a combination of Cinnamomum zeylanicum bark, Pistacia lentiscus oleo gum resin, Cinnamomum cassia bark, Asarum europaeum rhizome, Commiphora opobalsamum fruit and wood, and Nardostachys jatamansi rhizome, Crocus sativus stigma and Aloe vera juice (1:1:1:1:1:1:1:0.14:7.14). All the components were powdered, sieved and mixed, then packed in 500 mg hard gelatin capsules. The daily dose of the drug was 1-2 capsules, half an hour before bedtime with warm water and the duration of intervention was three months. At first, each patient consumed one capsule every night, and if he/she had not enough bowel movements, the dose increased to two capsules/day. In the situation of intolerant of constipation, the patient could use a laxative, which was a tablet (C-lax) containing senna leaf. Intervention 2: Control group: placebo. The placebo was prepared from corn starch in the same color and size capsules. The daily dose of the placebo was 1-2 capsules, half an hour before bedtime with warm water and the duration of intervention was three months.</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 information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Rasool Choopani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.8, Valiasr Ave., Shams Ali</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1516745811</zip>
        <telephone>+98 21 8877 3521</telephone>
        <email>rchoopani@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Rasool Choopani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.8, Valiasr Ave., Shams Ali</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1516745811</zip>
        <telephone>+98 21 8877 3521</telephone>
        <email>rchoopani@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>The ability to participate in the whole study
Absence of significant behavioral disorders
Speech in understandable language
Completion of the consent form and having at least six months of history of constipation according to Rome III criteria.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>50 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Sensitivity to herbal medicines
Diagnosis of obstructive constipation by a gastroenterologist based on history or colon transit
Consumption drugs that cause constipation in the recent month (anticholinergic drugs, tricyclic antidepressants, calcium channel blockers, anti-Parkinson's drugs, sympathomimetics, antipsychotics, diuretics, iron supplements, anti-inflammatory drugs, hormonal drugs)
Abuse narcotics, stimulants, cannabis, alcohol and pseudo pirates
Illnesses affecting constipation
Warning signs (rectal bleeding, weight loss or anemia)
Unpredictable complications were leading to intolerance to the drug or placebo such as idiosyncratic disease
Secondary constipation to diseases, and medications
Gastrointestinal complications that impede the continuation of the study
Unwilling to continue the study and lack of cooperation.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K59.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Constipation</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: Ayarij-e-Faiqra. AF was prepared according to the “Qarabadin Kabir” textbook. prepared under the supervision of the professors of pharmacy of the Faculty of Traditional Medicine by identifying single drugs, quality control of medicinal plants, processing, and preparation of formulation and microbial control based on the latest available standards. It was a combination of Cinnamomum zeylanicum bark, Pistacia lentiscus oleo gum resin, Cinnamomum cassia bark, Asarum europaeum rhizome, Commiphora opobalsamum fruit and wood, and Nardostachys jatamansi rhizome, Crocus sativus stigma and Aloe vera juice (1:1:1:1:1:1:1:0.14:7.14). All the components were powdered, sieved and mixed, then packed in 500 mg hard gelatin capsules. The daily dose of the drug was 1-2 capsules, half an hour before bedtime with warm water and the duration of intervention was three months. At first, each patient consumed one capsule every night, and if he/she had not enough bowel movements, the dose increased to two capsules/day. In the situation of intolerant of constipation, the patient could use a laxative, which was a tablet (C-lax) containing senna leaf.</i_keyword>
      <i_keyword>Control group: placebo. The placebo was prepared from corn starch in the same color and size capsules. The daily dose of the placebo was 1-2 capsules, half an hour before bedtime with warm water and the duration of intervention was three months</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Straining during at least 25% of defecations. Timepoint: The end of 1, 2, 3 months, and three months after the end of the intervention. Method of measurement: A questionnaire filled out by the researcher using the interview method.</prim_outcome>
      <prim_outcome>Lumpy or hard stools in at least 25% of defecations. Timepoint: The end of 1, 2, 3 months, and three months after the end of the intervention. Method of measurement: A questionnaire filled out by the researcher using the interview method.</prim_outcome>
      <prim_outcome>The sensation of incomplete evacuation for at least 25% of defecations. Timepoint: The end of 1, 2, 3 months, and three months after the end of the intervention. Method of measurement: A questionnaire filled out by the researcher using the interview method.</prim_outcome>
      <prim_outcome>Sensation of anorectal obstruction/blockage for at least 25% of defecations. Timepoint: The end of 1, 2, 3 months, and three months after the end of the intervention. Method of measurement: A questionnaire filled out by the researcher using the interview method.</prim_outcome>
      <prim_outcome>Manual maneuvers to facilitate at least 25% of defecations (e.g., digital evacuation, support of the pelvic floor). Timepoint: The end of 1, 2, 3 months, and three months after the end of the intervention. Method of measurement: A questionnaire filled out by the researcher using the interview method.</prim_outcome>
      <prim_outcome>Fewer than three defecations per week. Timepoint: The end of 1, 2, 3 months, and three months after the end of the intervention. Method of measurement: A questionnaire filled out by the researcher using the interview method.</prim_outcome>
      <prim_outcome>Loose stools are rarely present without the use of laxatives. Timepoint: The end of 1, 2, 3 months, and three months after the end of the intervention. Method of measurement: A questionnaire filled out by the researcher using the interview method.</prim_outcome>
      <prim_outcome>Patient satisfaction. Timepoint: The end of 1, 2, 3 months, and three months after the end of the intervention. Method of measurement: Using the visual analogue scale questionnaire, ten scores were filled in by the researcher using the interview method.</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>Shahid Beheshti University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2014-03-11</approval_date>
        <contact_name>the Medical Ethics Committee of Shahid Beheshti University of Medical Sciences</contact_name>
        <contact_address>7th Floor, Bldg No.2 SBUMS, Arabi Ave, Daneshjoo Blvd, Velenjak, Tehran, Iran. tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
