<?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>IRCT20150919024080N16</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-08-25</date_registration>
      <primary_sponsor>Khoram-Abad University of Medical Sciences</primary_sponsor>
      <public_title>The effect of rosemary on cognitive and pulmonary function and daily activity</public_title>
      <acronym></acronym>
      <scientific_title>The effect of hydroalcoholic rosemary extract on cognitive function، pulmonary function and physical activity daily of living of patients with chronic obstructive pulmonary disease</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-08-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>80</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/49366</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: After baseline evaluations such as pulmonary function assessment tests by a pulmonary specialist،patients are included in the study according to inclusion and exclusion criteria.Then ،they will be randomly divided into two treatment  and control groups. Randomisation is done using a random number table، stratification by age (in the two age groups below A-50 and B-50 years and older )and disease classes 1،2 and 3 are based on GOLD criteria and patients will be divided into two groups based on 4 or 6 blocks, Blinding description: The capsules will be encoded by the individual as coders in two envelopes A and B.Patients will not be aware of the code allocation to the capsule envelope.Also،the researcher who provides the capsules to the clinic and the data analyst will not be aware of contents of the envelope and the  allocation of patients to the treatment and placebo groups.</study_design>
      <phase>3</phase>
      <hc_freetext>COPD.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In this group،60 capsules of rosemary extract with a dose of 500 mg twice at 7 to 9 in the morning and maintaining a distance of 12 hours،again at 19 to 21 at night،one to two hours before breakfast or dinner and they will be consumed by patients with a glass of water.this drug is prepared by Goldaro Pharmaceutical Company located in Isfahan and is weighed and packaged in a sterile environment inside 500 mg capsules by the expert of Khorman Daru Khorramabad Company. Intervention 2: Control group:  In this group،60 capsules of Placebo (containing corn flour) with a dose of 500 mg twice at 7 to 9 in the morning and maintaining a distance of 12 hours،again at 19 to 21 at night،one to two hours before breakfast or dinner and they will be consumed by patients with a glass of water.the placebo is prepared and weighed by Khoraman Daroo Company.</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 No more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Arash momeni safarabadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Khorramabad-Razi Square-Alley Arasteh One</address>
        <city>Khorramabad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6816864716</zip>
        <telephone>+98 66 3255 5012</telephone>
        <email>arashmomeni1373@gmail.com</email>
        <affiliation>Khoram-Abad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mohammad Gholami</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>km 5 Road of Khorram Abad - Boroujerd - opposite to the Kahrizak village- Integrated Lorestan Medica</address>
        <city>Khorammabad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6814993165</zip>
        <telephone>+98 912 509 1279</telephone>
        <email>gholami.m@lums.ac.ir</email>
        <affiliation>Khoram-Abad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age between 40 and 80 years
The ratio of FEV1 to FVC is less than 0.7 exhalation pressure volume per second (FEV1)،less than 70% of reference value and increase in FEV1 less than 10% after inhalation of beta-two agonists
Detection of COPD based on grade one to three gold criteria approved by spirometry and physician
Patients with mild to moderate cognitive impairment based on MMSE test with a minimum score of 23
Have a history of smoking at least ten packs of cigarettes a year
At least one year has passed since the diagnosis of COPD in the patient
Do not take any herbal medicine supplements effective in improving cognitive function and lung function and daily activity (such as Ginseng،Thyme،Nigella sativa،Chamomile،etc)from two months ago
No alcohol،hookah and drugs
Do not take antioxidants as a supplement during the last three months(vitamin E،Omega3،α-tocopherol،etc)</inclusion_criteria>
      <agemin>40 years</agemin>
      <agemax>80 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Lack of motivation of the patient to continue cooperation
Hospitalization during the study
Neurological disease،cancer،acute infection and known mental disorders(anxiety،depression and delirium)
Patient deterioration،unstable hemodynamic status،life threatening arrhythmias
Participate in other pulmonary rehabilitation programs or meditation and yoga
Do not take the capsules for two consecutive days
Demonstrate sensitivity to capsules
If the patient needs to take drugs that affect cognitive or pulmonary function or the amount of daily activity (such as muscle relaxants،etc)during the study،in addition to the main treatment drugs،excluded from the study
Patients receiving vasodilators include organic nitrates and people with pulmonary ،hypertension،obstructive sleep apnea،malignancies،gastrointestinal abnormalities،recent surgery،severe endocrine disease،kidney disease،liver disease،inflammatory and infectious disease،and musculoskeletal disease active that causes impairment in exercise and respiratory capacity</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J44</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>other chronic obstructive pulmonary disease</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: In this group،60 capsules of rosemary extract with a dose of 500 mg twice at 7 to 9 in the morning and maintaining a distance of 12 hours،again at 19 to 21 at night،one to two hours before breakfast or dinner and they will be consumed by patients with a glass of water.this drug is prepared by Goldaro Pharmaceutical Company located in Isfahan and is weighed and packaged in a sterile environment inside 500 mg capsules by the expert of Khorman Daru Khorramabad Company.</i_keyword>
      <i_keyword>Control group:  In this group،60 capsules of Placebo (containing corn flour) with a dose of 500 mg twice at 7 to 9 in the morning and maintaining a distance of 12 hours،again at 19 to 21 at night،one to two hours before breakfast or dinner and they will be consumed by patients with a glass of water.the placebo is prepared and weighed by Khoraman Daroo Company.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Cognitive function. Timepoint: Before starting treatment and one week after completing the 60 day treatment period. Method of measurement: Montreal Cognitive Dysfunction Questionnaire.</prim_outcome>
      <prim_outcome>Pulmonary function. Timepoint: Before starting treatment and one week after completing the 60 day treatment period. Method of measurement: Spirometry device.</prim_outcome>
      <prim_outcome>Activity daily of living. Timepoint: Before starting treatment and one week after completing the 60 day treatment period. Method of measurement: Lawton and London Questionnaire.</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>Khorramabad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-05-09</approval_date>
        <contact_name>Ethics Committee of Lorestan University of Medical Sciences</contact_name>
        <contact_address>km 5 Road of Khorram Abad - Boroujerd - opposite to the Kahrizak village- Integrated Lorestan Medical Sciences Khoramabad, Lorestan, Iran Khorammabad Lorestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
