<?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>IRCT20200516047468N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-05-19</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>Investigation of the effect of intravenous vitamin C on definite patients with coronavirus pneumonia</public_title>
      <acronym>VCACS</acronym>
      <scientific_title>Interventional study of intravenous vitamin C in definitive patients with covid 19 and its effect on changes in lung CT scan and clinical and laboratory symptoms of patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-04-08</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/48176</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple individual randomization is used. Patients eligible to enter the study are randomly selected from a table of numbers and divided into control and intervention groups, Blinding description: In this study, patients with covid 19 who have the conditions to enter the study are first explained about the possible effects of vitamin C on their disease and consent is obtained to start the drug. The intravenous vitamin C is then injected into a group and the placebo is injected into the control group. Laboratory staff and radiologists who report CT scans of patients are unaware of the names of patients in the control group.</study_design>
      <phase>2-3</phase>
      <hc_freetext>COVID 19 PNEUMONIA.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In this group of patients, intravenous vitamin C is injected at a dose of 2 grams every 6 hours for five days. The manufacturer of this drug is Iran Daroupakhsh Company. Patients in the intervention group, in addition to intravenous vitamin C, are used diets of meropenem, vancomycin, azithromycin, and Kaletra. Interferon beta injections are also used in some critically ill patients. Intervention 2: Control group: In patients of this group, placebo is injected for five days. Patients in the control group, in addition to placebo, used the medicinal diets of meropenem, vancomycin, azithromycin, and Kaletra. Interferon beta injections are also used in some critically ill patients.</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 patient data can be shared after people have not been identified.

When:
Start access 3 months after printing the results

To whom:
Data can be provided to all individuals and institutions.

Conditions:
Individuals applying for data must have a valid ID card, the purpose of receiving the data must be explained and it must be guaranteed that the data will not be published.

Where to obtain:
To receive data, refer to the office of the Infectious Diseases Department of Labafinejad Hospital in Tehran. Address: Tehran, Pasdaran, 9th Bustan Street

How to obtain:
After the applicant comes in person with the required documents, the data will be provided to her after three days.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Hamideh Moradi Shahr Babak</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Unit 3, No. 4, Ebrahimi Alley, Shahid Madani St., Nezam Abad, Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1616663914</zip>
        <telephone>+98 34 3411 2418</telephone>
        <email>hamidehmoradi05@gmail.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Hamideh Moradi Shahr Babak</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Unit 3, No. 4, Ebrahimi Alley, Shahid Madani St., Nezam Abad, Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1616663914</zip>
        <telephone>+98 34 3411 2418</telephone>
        <email>hamidehmoradi05@gmail.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients who have a positive corona pcr test.
Patients over 18 years of age.
Oxygen saturation should be below 93%.
The patient's respiratory rate should be more than 30 per minute.
Lung involvement in chest or CT scans of the lungs is more than 50 percent.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Allergy to vitamin C
The patient's shortness of breath may be due to cardiac pulmonary edema
Be pregnant or breastfeeding
Have chronic kidney disease
Be in diabetic ketoacidosis
Have kidney stones</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>This code assigned to a disease diagnosis of COVID-19 confirmed by laboratory testing.</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 of patients, intravenous vitamin C is injected at a dose of 2 grams every 6 hours for five days. The manufacturer of this drug is Iran Daroupakhsh Company. Patients in the intervention group, in addition to intravenous vitamin C, are used diets of meropenem, vancomycin, azithromycin, and Kaletra. Interferon beta injections are also used in some critically ill patients.</i_keyword>
      <i_keyword>Control group: In patients of this group, placebo is injected for five days. Patients in the control group, in addition to placebo, used the medicinal diets of meropenem, vancomycin, azithromycin, and Kaletra. Interferon beta injections are also used in some critically ill patients.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The amount of lung involvement in a CT scan: According to the radiologist, the appearance of lung involvement and the percentage of lung involvement are measured. Timepoint: Five days after receiving vitamin C intravenously. Method of measurement: According to the radiologist, the appearance of lung involvement and the extent of lung involvement are scoring.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Oxygen saturation rate of patients. Timepoint: Five days after receiving vitamin C intravenously. Method of measurement: Using an pulse oxymeter.</sec_outcome>
      <sec_outcome>Respiratory rate of patients. Timepoint: Five days after receiving vitamin C intravenously. Method of measurement: Examination by a doctor.</sec_outcome>
      <sec_outcome>Serum CRP level. Timepoint: Five days after receiving vitamin C intravenously. Method of measurement: Report by Laboratory.</sec_outcome>
      <sec_outcome>Lymphopenia rate. Timepoint: Five days after receiving vitamin C intravenously. Method of measurement: Report by Laboratory.</sec_outcome>
      <sec_outcome>Mortality rate. Timepoint: At the end of the patient's hospitalization. Method of measurement: report by doctor.</sec_outcome>
      <sec_outcome>Duration of hospitalization. Timepoint: At the end of the patient's hospitalization. Method of measurement: Calculated by a physician.</sec_outcome>
      <sec_outcome>Intubation rate. Timepoint: At the end of the study. Method of measurement: Calculated by the analyzer.</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>2020-05-04</approval_date>
        <contact_name>Shahid Beheshti University of Medical Sciences</contact_name>
        <contact_address>Third Floor, Faculty of Medicine, Next to Taleghani Hospital, Evin, Shahid Chamran Highway Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
