<?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>IRCT20200919048757N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-10-18</date_registration>
      <primary_sponsor>Yazd University of Medical Sciences</primary_sponsor>
      <public_title>effects of chromium picolinate in metabolic syndrome</public_title>
      <acronym></acronym>
      <scientific_title>Effects of Chromium Picolinate on  Glycemic Index,Lipid Profile ،Gene Expression of Inflammatory Biomarkers and DNA damage in Metabolic Syndrome Patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-11-10</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>48</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/51038</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: In the first stage, from registered information of people in the Sisakht cityAdult Cohort Center,all eligible persons will be listed and numbered .Then,48 patients will be randomly selected using  Random Numbers Generator software. In the next step, based on  above mentioned software as a random sequencing tool, patients will be divided into two intervention groups A ( intervention) and B ( placebo), Blinding description: Patients participating in the study, laboratory technician , statistical analyst and researcher will not be aware from patient grouping until the end of the study and only a trusted health expert who has no involvement in the 
process of study will be informed. The tablets received by both groups will be the same in terms of color, smell and appearance . The label of the boxes containing the  tablets will be removed and only will be marked with a special code  .</study_design>
      <phase>3</phase>
      <hc_freetext>metabolic syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group:daily intake of 400µg of trivalent chromium picolinate tablets (21 st CENTURY, US company)   for 12 weeks. Intervention 2: Control group: daily intake of matched   placebo tablet made by Barij Essential Oil Company for 12 weeks.</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:
data related to anthropometric and biochemical data and the extent of their changes

When:
6 months after the publication of the main article

To whom:
Researchers working in academic and scientific institutions andworking in industry

Conditions:
Statistical analysis is allowed provided the source of the data is mentioned and with the permission of the authors of the article

Where to obtain:
behrooz ebrahimzadeh koor(Yasuj University of medical sciences)
hasan mozaffari (Yazd University of medical sciences)

How to obtain:
email and postal letter

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Behrooz Ebrahimzadehkoor</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahid Motahhari Blvd,Jehad Keshavarzi Sq, Yasouj University of medical sciences</address>
        <city>Yasouj</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7591741417</zip>
        <telephone>009833346074</telephone>
        <email>ebrahimzadeh1358@gmail.com</email>
        <affiliation>Yasouj University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Behrooz Ebrahimzadeh koor</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shohadaye  Gomnam Blvd, Jehad Keshavarzi Sq,  Yasuj University of Medical Sciences</address>
        <city>Yasouj</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7591741417</zip>
        <telephone>+98 74 3334 6074</telephone>
        <email>ebrahimzadeh1358@gmail.com</email>
        <affiliation>Yasouj University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Metabolic syndrome characterized by"at least three of the five conditions:                                       - waist circumference ≥94 cm                                     - systolic blood pressure and diastolic greater than or equal to 130 and 85 mm Hg respectively or  blood pressure lowering medication use                   - Fasting Blood Sugar≥ 100 mg / dl or hypoglycemic drugs use                                                                     - Blood triglycerides ≥150 mg / dl or lipid-lowering drugs use                                                                                - HDL&lt;50mg/dl  in women and less than 40 mg/ dl in Men"</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>take any multivitamins or dietary supplements or medications
Pregnancy or lactation
uncontrolled hypertension or hyperglycemia
chronic obstructive pulmonary disease
heart arrhythmias
stroke
any other disease that requires medical treatment</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E88.81</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Metabolic syndrome</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group:daily intake of 400µg of trivalent chromium picolinate tablets (21 st CENTURY, US company)   for 12 weeks</i_keyword>
      <i_keyword>Control group: daily intake of matched   placebo tablet made by Barij Essential Oil Company for 12 weeks</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Glycemic Index(Fasting Blood Sugar, Glycosylated Hemoglobin). Timepoint: Beginning of the study and at the end of the study (end of the fourth month). Method of measurement: enzymatic colorimetric method.</prim_outcome>
      <prim_outcome>Lipid Profile(TG, TC, LDL ,HDL). Timepoint: Beginning of the study and at the end of the study (end of the fourth month). Method of measurement: enzymatic colorimetric method.</prim_outcome>
      <prim_outcome>DNA damage(hydroxy-deoxyguanosine). Timepoint: Beginning of the study and at the end of the study (end of the fourth month). Method of measurement: Enzyme Linked Immunosorbent Assay (ELISA).</prim_outcome>
      <prim_outcome>Interleukin-1. Timepoint: Beginning of the study and at the end of the study (end of the fourth month). Method of measurement: Enzyme Linked Immunosorbent Assay (ELISA).</prim_outcome>
      <prim_outcome>Interleukin-6. Timepoint: Beginning of the study and at the end of the study (end of the fourth month). Method of measurement: Enzyme Linked Immunosorbent Assay (ELISA).</prim_outcome>
      <prim_outcome>Tumor Necrosing Factor-α. Timepoint: Beginning of the study and at the end of the study (end of the fourth month). Method of measurement: Enzyme Linked Immunosorbent Assay (ELISA).</prim_outcome>
      <prim_outcome>Gene Expression of Inflammatory Biomarkers  (Tumor Necrosing Factor-α). Timepoint: Beginning of the study and at the end of the study (end of the fourth month). Method of measurement: reverse transcription polymerase chain (RT-PCR).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Weight. Timepoint: The beginning of the study and the end of the fourth month. Method of measurement: standard scale.</sec_outcome>
      <sec_outcome>Waist circumference. Timepoint: The beginning of the study and the end of the fourth month. Method of measurement: non-stretching tape.</sec_outcome>
      <sec_outcome>Blood pressure. Timepoint: The beginning of the study and the end of the fourth month. Method of measurement: Blood pressure monitor.</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>Yazd University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-09-09</approval_date>
        <contact_name>institutional research ethics committe of school of public health-Shahid sdoughi university of medic</contact_name>
        <contact_address>N.887, Shohadaye Gomnam Blvd, Alem Sq. Pardis oloompezeshki- school of public health Yazd Yazd Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
