<?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>IRCT20200518047497N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-06-06</date_registration>
      <primary_sponsor>Zahravi Pharmaceutical Company</primary_sponsor>
      <public_title>Effect of Dinvl on improving of clinical and paraclinical symptoms in patients with COVID-19</public_title>
      <acronym></acronym>
      <scientific_title>Effect of Dinvl medicinal herb  on improving of clinical and paraclinical symptoms in patients with COVID-19 :A Randomized Controlled Trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-06-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>80</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/48644</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will be allocated to trial groups (intervention and placebo groups) randomly using Random Allocation Software (RAS) trough random block sizes of 4 and 6 with an allocation ratio of 1:1. Patients will receive a sealed containers of Dinvl sublingual tablets 399 ± 5 mg containing 43.5 mg of herbal powder or placebo made by Zahravi Pharmaceutical Company of Tabriz. Two sublingual tablets will be taken every 6 hour for 7 days (a total of 56 tablets for each person) not simultaneously with other any medications. Random sequencing allocation will be produced by the person who has not to participate in the research. Containers will be numbered from 1 to 80 according to the sequence generated. Both groups will receive routine treatments, Blinding description: This study is a randomized controlled triple-blind clinical trial. This means that patient, researcher, safety and data monitoring committee, clinical caregiver and statistical analyst will be blind to the received medication. Each person will be given a opaque matte container of  medicine containing herbal tablets of Dinolol or placebo in the identical shape, weight, smell and color.</study_design>
      <phase>3</phase>
      <hc_freetext>COVID-19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In the intervention group, participants will receive Dinvl    sublingual tablets 399±5 mg containing 43.5 mg of herbal powder made by Zahravi Pharmaceutical Company in Tabriz which will be taken every 6 hours for 7 days (a total of 56 tablets per person) not at the same time with other drugs. Both groups will receive routine treatments. Intervention 2: Control group: The control group will receive a placebo, resembled the Dinvl tablets with the same prescription. Both groups will receive routine treatments.</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:
Effect of Dinvl medicinal herb on improving of clinical and paraclinical symptoms in patients with COVID-19 :A Randomized Controlled Trial

When:
End of august

To whom:
healthcare professional- َacademic members of universities

Conditions:
An official request from the organization

Where to obtain:
Tabriz University of Medical Sciences

How to obtain:
Request to Vice-Chancellor for Research and Technology Affairs

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Javad Ahmadian Heris</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Sheshgelan., Tabriz., East Azerbaijan Province</address>
        <city>Tabriz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>5136735886</zip>
        <telephone>+98 41 3526 2280</telephone>
        <email>ahmadianj@tbzmed.ac.ir</email>
        <affiliation>Tabriz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Javad Ahmadian Heris</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Sheshgelan., Tabriz., East Azerbaijan Province</address>
        <city>Tabriz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>5136735886</zip>
        <telephone>+98 41 3526 2280</telephone>
        <email>ahmadianj@tbzmed.ac.ir</email>
        <affiliation>Tabriz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>COVID-19 patients aged 15 years and older who newly admitted  (first day of hospitalization)
Having definite COVID-19 disease
Obtaining informed consent  to participate in the trial
Non-participation in another clinical trial  simultaneously</inclusion_criteria>
      <agemin>15 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Epilepsy
Having liver or renal failure according to the patient's statement,  physician examination or based on creatinine, SGOT, SGPT, LDH tests.
Immunodeficiency (treated with Corticosteroids over 12.5 mg / d Prednisolone for more than two weeks, chemotherapy, malignancies, organ transplants, HIV patients, other viral diseases.
Having other infectious diseases according to the diagnosis of the physician and the information of medical record.
Pregnancy (according to the patient's statement and examination by a physician).
Breastfeeding (according to the patient's statement).</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.01</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Novel Cronavirus Disease (COVID-19)</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 the intervention group, participants will receive Dinvl    sublingual tablets 399±5 mg containing 43.5 mg of herbal powder made by Zahravi Pharmaceutical Company in Tabriz which will be taken every 6 hours for 7 days (a total of 56 tablets per person) not at the same time with other drugs. Both groups will receive routine treatments.</i_keyword>
      <i_keyword>Control group: The control group will receive a placebo, resembled the Dinvl tablets with the same prescription. Both groups will receive routine treatments.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Respiratory Rate. Timepoint: Daily. Method of measurement: Observation.</prim_outcome>
      <prim_outcome>Oxygen saturation (SpO2). Timepoint: Daily. Method of measurement: Pulse Oximeter.</prim_outcome>
      <prim_outcome>Serum White Blood Cell count. Timepoint: Before- 14 days after intervention. Method of measurement: Laboratory cell counter.</prim_outcome>
      <prim_outcome>Serum CRP level. Timepoint: Before- 14 days after intervention. Method of measurement: Biochemical method.</prim_outcome>
      <prim_outcome>ESR (Erythrocyte Sedimentation Rate). Timepoint: Before- 14 days after intervention. Method of measurement: Checking the sedimentation rate of erythrocytes in a special tube within one hour.</prim_outcome>
      <prim_outcome>Number of hospitalization days. Timepoint: After intervention. Method of measurement: Questionnaire.</prim_outcome>
      <prim_outcome>Mortality. Timepoint: Daily. Method of measurement: Questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>The time of absence of dry Cough. Timepoint: Daily. Method of measurement: ِDaily symptom recording questionnaire.</sec_outcome>
      <sec_outcome>The time of absence of trembling. Timepoint: Daily. Method of measurement: Daily symptom recording questionnaire.</sec_outcome>
      <sec_outcome>The time of absence of sore throat. Timepoint: Daily. Method of measurement: Daily symptom recording questionnaire.</sec_outcome>
      <sec_outcome>The time of absence of dry Cough. Timepoint: Daily. Method of measurement: Daily symptom recording questionnaire.</sec_outcome>
      <sec_outcome>The time of absence of difficulty in breathing or shortness of breath. Timepoint: Daily. Method of measurement: Daily symptom recording questionnaire.</sec_outcome>
      <sec_outcome>The time of absence of temperature equal to or grater than 37.8 C. Timepoint: Daily. Method of measurement: Daily symptom recording questionnaire.</sec_outcome>
      <sec_outcome>Body temperature. Timepoint: Daily. Method of measurement: Thermometer.</sec_outcome>
      <sec_outcome>Side effects. Timepoint: Daily. Method of measurement: Side effects checklist.</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>Zahravi Pharmaceutical Company</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-05-10</approval_date>
        <contact_name>Ethics Committee of Tabriz University of Medical Sciences</contact_name>
        <contact_address>No 2 Central Building, Tabriz University of Medical Sciences, University Street, Tabriz Tabriz East Azarbaijan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
