<?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>IRCT20200927048849N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-03-17</date_registration>
      <primary_sponsor>Isfahan university</primary_sponsor>
      <public_title>Effect of hyperimmune bovine milk &amp; colostrum in the healing process of COVID-19 patients</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of the Effectiveness of COVID-19 specific antibody in hyper-immune bovine milk &amp; colostrum with ordinary bovine milk &amp; colostrum on reducing the need for hospitalization and improving clinical symptoms of patients with COVID-19 that are taken care of in home.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-03-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>600</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/52429</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients list with positive PCR is received through health center daily and numbered. Participants of the study are divided in two groups Using a simple randomization method using a table of random numbers and according to the entry and exit criteria. Such that the patients with even number are given hyperimmune milk and patients with odd number are given ordinary milk, Blinding description: Referral patients to clinic with COVID-19 diagnosis by positive PCR from Nazopharynx are divided in two groups using a simple randomization method using a table of random numbers. Milks have two types hyperimmune and ordinary that are named as A and B on the top but their packaging are quite the same. One group is given milk A (ordinary or placebo) and the other group is given milk B or hyperimmune milk. The doctor, patient and distributor are not informed of the milks differences.</study_design>
      <phase>3</phase>
      <hc_freetext>Covid-19 viral pneumonia.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Referred COVID-19 patients to clinic of Alzahra hospital after explaining the study and obtaining consent the will be given twice a day, morning and evening 150 cc of vaccined cow's milk by COVID-19 virus antigen (hyperimmune milk). Intervention 2: Control group: Referred Covid-19 patients to clinic of Alzahra hospital in Isfahan after explaining the study and obtaining consent form will be given twice a day, morning and evening 150 cc of ordinary bovine milk (placebo milk).</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 There is no more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Hassan Niliahmadabadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 5 apartment unit, Parmisa building, alley No. 5, Mehrabad avenue, Mehrabad neighbourhood</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8158913488</zip>
        <telephone>+98 31 3261 6334</telephone>
        <email>nili@shirazu.ac.ir</email>
        <affiliation>Virus research center of Isfahan university</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Hassan Niliahmadabadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 5 apartment unit, Parmisa building, alley No. 5, Mehrabad avenue, Mehrabad neighbourhood</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8198887141</zip>
        <telephone>+98 31 3261 6334</telephone>
        <email>nili@shirazu.ac.ir</email>
        <affiliation>Virus research center of isfahan university</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Infected patients of COVID-19 based on positive Polymerase Chain Reaction test
Lack of hospitalization indication based on country protocol
O2 Saturation more than 93% on the first visit
Respiratory rate more than 24 on the first visit
Age more than 18 years old
Filling and signing of consent form
A maximum of 10 days have elapsed since the onset of disease symptoms</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with immunodeficiency based on biography
Lactose intolerance based on biography
Uncontrollable vomiting
Using antiviral drugs
Pregnancy
Failure to fill out the consent form
Receiving immunosuppressive drugs</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J12.81</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Pneumonia due to SARS-associated coronavirus</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: Referred COVID-19 patients to clinic of Alzahra hospital after explaining the study and obtaining consent the will be given twice a day, morning and evening 150 cc of vaccined cow's milk by COVID-19 virus antigen (hyperimmune milk)..</i_keyword>
      <i_keyword>Control group: Referred Covid-19 patients to clinic of Alzahra hospital in Isfahan after explaining the study and obtaining consent form will be given twice a day, morning and evening 150 cc of ordinary bovine milk (placebo milk).</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Need of Hospitalization during the next 14 days. Timepoint: 14 days after using the milk. Method of measurement: By phone call.</prim_outcome>
      <prim_outcome>Need to go to the emergency room during 14 days. Timepoint: 14 days after using the milk. Method of measurement: By phone call.</prim_outcome>
      <prim_outcome>No fever and appearance of it. Timepoint: In days of 3, 5, 7, 10 and 14 after beginning the treatment. Method of measurement: By phone call.</prim_outcome>
      <prim_outcome>No cough and appearance of it. Timepoint: In days of 3, 5, 7, 10 and 14 after beginning the treatment. Method of measurement: By phone call.</prim_outcome>
      <prim_outcome>No shortness of breath and appearance of it. Timepoint: In days of 3, 5, 7, 10, 14 after beginning the treatment. Method of measurement: By phone call.</prim_outcome>
      <prim_outcome>No muscular pain and appearance of it. Timepoint: In days of 3, 5, 7, 10, 14 after beginning the treatment. Method of measurement: By phone call.</prim_outcome>
      <prim_outcome>Mortality rate during 28 days after beginning of the disease. Timepoint: 28 days after beginning of disease. Method of measurement: By phone call.</prim_outcome>
      <prim_outcome>ICU need during 28 days after beginning the disease. Timepoint: 28 days after beginning of disease. Method of measurement: By phone call.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name>Zeitoon Isfahan Vaccine Innovators Company</sponsor_name>
      <sponsor_name>Biotechnology Investment Support Fund</sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Isfahan Oil Refinery</source_name>
      <source_name>Zeitoon Isfahan Vaccine Innovators Company</source_name>
      <source_name>Biotechnology Investment Support Fund</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-02-21</approval_date>
        <contact_name>Ethics committee of Isfahan University of Medical Sciences</contact_name>
        <contact_address>Deputy of research and technology, Building No. 4, Isfahan University of Medical Sciences, Hezar Jerib Ave., Azadi Sq. Isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
