<?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>IRCT20101211005362N24</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-06-06</date_registration>
      <primary_sponsor>Esfahan University of Medical Sciences</primary_sponsor>
      <public_title>effect of remifentanil in general anesthesia</public_title>
      <acronym></acronym>
      <scientific_title>Specify the effect of intranasal and intravenous remifentanil on hemodynamic changes after induction and tracheal intubation and comparing with control group</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-03-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>180</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/48290</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Factorial, Purpose: Treatment, Randomization description: How to randomize in this study is done by simple randomization method using random allocation software which is an individual randomization unit and random sequencing using this software and based on the order provided to patients. For allocation concealment, the sequentially numbered ,sealed ,opaque envelopes  or SNOSE method was used, Blinding description: The first person divides by simple non-random method /  random allocation software into three groups with a total of 60 people.The second person in the treatment  encodes 3 groups of intranasal and intravenous drugs and the same amount of normal saline volume. The other person also collects the information of each group without knowing the study group.Data analysis is also performed without the knowledge of the groups.</study_design>
      <phase>3</phase>
      <hc_freetext>Hemodynamic changes after induction of anesthesia.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The first intervention group consisted of 60 recipients receiving 0.5 micrograms intravenous  remifentanyl. Intervention 2: Intervention group: The second group includes 60 recipients of  nasal Remifentanyl  in the amount of 4 micrograms per kilogram. Intervention 3: Control group: Includes 60 people receiving the same amount of saline with intervention groups.</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:
After completing the study, all the documents can be shared after identifying the participants in the study.

When:
The time period for accessing the study data is December 30, 2020

To whom:
Data and other study documents will be available only to researchers working in academic and scientific institutions

Conditions:
Other researchers of research centers are provided with a letter of introduction from a reputable center and mention the goals ahead and the type of targeted analysis , if appropriate, information and study data can be reached.

Where to obtain:
By presenting a valid letter of introduction based on the priority of scientific study organizations and referring to Dr. Mohammad Reza Safavi to the address of Isfahan Al-Zahra Hospital Boulevard and e-mail address: safavi@med.mui.ac.ir

How to obtain:
After submitting the request to the responsible person in charge of the study, if it is approved by the research deputy of Isfahan University of Medical Sciences and the approval of the anesthesia department, the research documents will be provided to the person.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohammadreza Safavi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan</address>
        <city>Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8614736441</zip>
        <telephone>+98 31 1273 2659</telephone>
        <email>safavi@med.mui.ac.ir</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mohammadreza Safavi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan</address>
        <city>Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8614736441</zip>
        <telephone>+98 31 1273 2659</telephone>
        <email>safavi@med.mui.ac.ir</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patient with ASA1.2
Patient  between 18 to 65 years old
Patients who need General anesthesia and larengoscopy and tracheal intubation</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients under 18 or older than 65 years old
Addicted patients
Patients who have allergy to the drug noticed in this study
Patient with ASA3.4</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The first intervention group consisted of 60 recipients receiving 0.5 micrograms intravenous  remifentanyl</i_keyword>
      <i_keyword>Intervention group: The second group includes 60 recipients of  nasal Remifentanyl  in the amount of 4 micrograms per kilogram</i_keyword>
      <i_keyword>Control group: Includes 60 people receiving the same amount of saline with intervention groups</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Mean systolic and diastolic blood pressure and mean arterial blood pressure. Timepoint: Basic time (just before the intervention) 1-3 minutes after anesthesia just before laryngoscopy and 1-3-5-10 minutes after laryngoscopy. Method of measurement: Non-invasive manometer.</prim_outcome>
      <prim_outcome>Heart rate. Timepoint: At baseline (before the intervention) 1 to 3 minutes after anesthesia just before laryngoscopy and at 1-3-5-10 minutes after laryngoscopy. Method of measurement: electro cardiogaraph.</prim_outcome>
      <prim_outcome>Average of satisfaction score. Timepoint: after surgery. Method of measurement: Visual Analogue Scale.</prim_outcome>
      <prim_outcome>Average of O2 saturation. Timepoint: Basic time (before the intervention) 1 to 3 minutes after anesthesia just before laryngoscopy and 1-3-5-10 minutes after laryngoscopy. Method of measurement: pulse oxymeter.</prim_outcome>
      <prim_outcome>Capnography. Timepoint: Basic time (before the intervention) 1 to 3 minutes after anesthesia just before laryngoscopy and 1-3-5-10 minutes after laryngoscopy. Method of measurement: capnograph.</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>Esfahan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-05-17</approval_date>
        <contact_name>Ethics committee of isfahan University of Medical Sciences</contact_name>
        <contact_address>Hezar Jerib Ave.Isfahan  University of Medical Sciences isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
