<?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>IRCT20181226042136N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-08-31</date_registration>
      <primary_sponsor>Esfahan University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of the effect of mesotherapy in the treatment of hair loss</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effect of mesotherapy with a combination of biotin and dexpanthenol in the treatment of androgenetic alopecia in women</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-04-19</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>36</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/50577</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients are placed in random groups using Random Allocation software and Block Randomization method and all patients are unaware of their grouping, Blinding description: First, patients are randomly divided into two groups. Patients, researchers and, evaluators will not be aware of the treatment groups, Medications are given to patients without a name and specification. Information will be provided to surveyors in the form of questionnaires delivered to the evaluators. The data is given for analysis as encoded and unnamed groups and profiles to the information analyzer.</study_design>
      <phase>3</phase>
      <hc_freetext>female androgenetic alopecia.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In the case group, patients undergoing mesotherapy with microneedling with a solution of 20 mg of biotin + 500 mg of dexpanthenol per month plus topical minoxidil 2% twice a day. The duration of the treatment period is 16 weeks. The volume of the substance used in each injection session is 3 cc. After disinfecting the vortex, first microneedling will be done with a 12-needle microneedle needle with a depth of 1.5 cm. Then, the desired materials in each group will be applied on the microneedle site and the patient's head will be bandaged. Intervention 2: Control group: In the control group, normal saline is used as a placebo and patients also receive 2% topical minoxidil twice a day in addition to mesotherapy with normal saline microneedling. The duration of the treatment period is 16 weeks. The volume of the substance used in each injection session is 3 cc. After disinfecting the vortex, first microneedling will be done with a 12-needle microneedle needle with a depth of 1.5 cm. Then, the desired materials in each group will be applied on the microneedle site and the patient's head will be bandaged.</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:
The primary outcome data will be shared

When:
Start the access period is 6 months after publishing the results

To whom:
Academic researchers

Conditions:
The request can be made by e-mail to the corresponding author

Where to obtain:
It can be done by e-mail to z.ganjei@gmail.com

How to obtain:
Once the applicant has provided details of their ongoing project within one month from the time of application data will be available.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Zakiye Ganjei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>hezar jerib</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174673461</zip>
        <telephone>+98 31 3668 7270</telephone>
        <email>z.ganjei@gmail.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Zakiye Ganjei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hezar Jerib</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174673461</zip>
        <telephone>+98 31 3668 7270</telephone>
        <email>z.ganjei@gmail.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Having a female pattern hair loss
Do not use other hair loss treatments at the time of enrollment
Do not use temporary and permanent hair  dye and curl or straighten hair
Do not use aspirin, warfarin, steroids, oral retinoids, hormones or cytotoxic drugs
Absence of pregnancy and lactation
Absence of high androgenic blood levels, irregular periods, acne and hirsutism, thromboembolic events, low ferritin blood levels and impaired TSH</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>45 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Allergic reaction to the drug used
Failure to complete the course of treatment and failure to refer for follow-up, which results in a drawing on the case file or the patient
Local reactions such as abscesses, inflammation and cellulite at the injection site
The patient's decision not to participate in the study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>L64</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Androgenic alopecia</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 case group, patients undergoing mesotherapy with microneedling with a solution of 20 mg of biotin + 500 mg of dexpanthenol per month plus topical minoxidil 2% twice a day. The duration of the treatment period is 16 weeks. The volume of the substance used in each injection session is 3 cc. After disinfecting the vortex, first microneedling will be done with a 12-needle microneedle needle with a depth of 1.5 cm. Then, the desired materials in each group will be applied on the microneedle site and the patient's head will be bandaged.</i_keyword>
      <i_keyword>Control group: In the control group, normal saline is used as a placebo and patients also receive 2% topical minoxidil twice a day in addition to mesotherapy with normal saline microneedling. The duration of the treatment period is 16 weeks. The volume of the substance used in each injection session is 3 cc. After disinfecting the vortex, first microneedling will be done with a 12-needle microneedle needle with a depth of 1.5 cm. Then, the desired materials in each group will be applied on the microneedle site and the patient's head will be bandaged.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Appearance based on photography. Timepoint: Photographs will be taken first before the start of treatment and finally two weeks after the microneedling sessions. Method of measurement: By a dermatologist.</prim_outcome>
      <prim_outcome>Intensity based on Ludwig Griding. Timepoint: It is performed before treatment and at 18 weeks by a dermatologist who is unaware of the patient's grouping. Method of measurement: By a dermatologist.</prim_outcome>
      <prim_outcome>Number of hairs plucked in the hair pulling test. Timepoint: The number of hairs removed before treatment and after 18 weeks is counted and recorded. Method of measurement: In the hair pull test, about 20-30 hairs in the vortex area between the thumb and the other 4 fingers are gently pulled and pulled vertically.</prim_outcome>
      <prim_outcome>Patient opinion about density, thickness, hair loss and quality. Timepoint: before and after the treatment. Method of measurement: In the self-assessment of the patient, the result of the treatment is asked about increasing hair density, increasing hair thickness, hair loss rate and hair quality (color and transparency). Answers are considered as worsening 1-, without changing 0 and improving 1.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Complications. Timepoint: In each session. Method of measurement: Complications of treatment in each session, including headache, cramping, itching, ecchymosis, puffy eyes, increased hair growth in other parts of the body and changes in menstrual patterns, patients are asked and recorded.</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>2020-05-26</approval_date>
        <contact_name>Ethics committee of Isfahan University of Medical Sciences</contact_name>
        <contact_address>Hezar-Jerib Isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
