<?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>IRCT20200927048849N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-01-06</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 hyperimmune bovine milk &amp; colostrum with ordinary bovine milk &amp; colostrum in improving clinical symptoms and laboratory parameters and outcomes of patients with COVID-19 admitted to Hospital</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-11-27</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/52537</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Current study is a double blinded randomized clinical trial. Randomization will be done as simple randomization by using random number table. Hospitalized patients of Alzahra hospital of Isfahan with COVID-19 diagnosis will be divided in two groups by using of random number table. After explaining the study and obtaining consent intervention group will be given daily 100 cc of milk of vaccinated cow with antigen of COVID-19 virus as an evening meal. After explaining the study and obtaining consent control group will be given 100 cc of unvaccinated cow's milk. Milk packs are named as Milk A  and Milk B . The doctor, patient and distributor of milk do not know about the quality of the milks. Only the factory that pasteurizes is informed of the quality of milks and in the factory milk packs are labeled as A or B, Blinding description: Patients will be divided in two groups by using of random number table. After explaining the study and obtaining consent of patients intervention group will be given 100 cc of hyper immune milk daily as an evening meal. Control group will be given 100 cc of ordinary milk after explaining the study and obtaining consent. Milk packs are named as Milk A and Milk B. The doctor, patient and distributor of milk are not informed of the quality of the milks.</study_design>
      <phase>2-3</phase>
      <hc_freetext>COVID-19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Intervention group: Noncritical hospitalized COVID- 19 infected patients. After explaining the study and obtaining consent form the intervention group will be given 100 cc of hyperimmune milk as an evening meal. Intervention 2: Control group: Noncritical hospitalized COVID- 19 infected patients. After explaining the study and obtaining consent the control group will be given 100 cc of ordinary milk as an evening meal.</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:
Results of the processed data would be available

When:
One year after termination of the project.

To whom:
Researchers and related authorities in health system on the bases of official request.

Conditions:
In order to obtain required permission for production of the product.

Where to obtain:
Written letter to researcher should be send and then after evaluation, proper decision will be made

How to obtain:
Name and family name: Hassan Nili Ahmadabadi
Email: hassanili@yahoo.com

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Somayeh Sadeghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 4 apartment unit, Parmisa building, alley No. 5, Mehrabad avenue, Mehrabad neighbourhood</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8158913489</zip>
        <telephone>+98 31 3261 6331</telephone>
        <email>S.sadeghi117917@gmail.com</email>
        <affiliation>Esfahan University of Medical Sciences</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 PCR or HRCT result compatible with disease
Hospitalization of patient in hospital
With oxygen via nasal cannula
93%≤O2 Sat
Age &gt;18years old
Filling and signing of consent form
Allowing the patient to consume food orally</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with immunodeficiency based on biography
Patients with Lactose intolerance based on biography
Uncontrollable vomit</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>COVID-19, virus identified</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: Intervention group: Noncritical hospitalized COVID- 19 infected patients. After explaining the study and obtaining consent form the intervention group will be given 100 cc of hyperimmune milk as an evening meal.</i_keyword>
      <i_keyword>Control group: Noncritical hospitalized COVID- 19 infected patients. After explaining the study and obtaining consent the control group will be given 100 cc of ordinary milk as an evening meal.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Hospital mortality rate. Timepoint: Daily from intervention. Method of measurement: Physician approval.</prim_outcome>
      <prim_outcome>Mortality rate during 28 days after the beginning of disease. Timepoint: Daily from intervention. Method of measurement: Physician approval during admission and via tell contact after discharge.</prim_outcome>
      <prim_outcome>Admission rate of patient in ICU (based on hospital protocols). Timepoint: Daily from intervention. Method of measurement: Refer to the patient's file.</prim_outcome>
      <prim_outcome>Days that patient needs to be hospitalized. Timepoint: Daily from intervention. Method of measurement: Refer to the patient's file.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>O2 Saturation. Timepoint: Measuring in the first day and days  3 and 5 or in the day of discharge. Method of measurement: Pulseoximetry.</sec_outcome>
      <sec_outcome>Improvement rate of clinical symptoms such as dyspnea and fever. Timepoint: Measuring in the first day and days of 3 and 5 or in the day of discharge. Method of measurement: Data gathering sheet.</sec_outcome>
      <sec_outcome>Erythrocytes sedimentation rate. Timepoint: Measuring in the first day and days of 3 and 5 or in the day of discharge. Method of measurement: Blood test via wester green method.</sec_outcome>
      <sec_outcome>C-Reactive protein. Timepoint: Measuring in the first day and days of 3 and 5 or in the day of discharge. Method of measurement: Blood test.</sec_outcome>
      <sec_outcome>Lymphocytopenia. Timepoint: Measuring in the first day and days of 3 and 5 or in the day of discharge. Method of measurement: Blood test (CBC/Diff).</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name>Isfahan Science and Technology town</sponsor_name>
      <sponsor_name>Zeitoon Isfahan Vaccine Innovators Company</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>Isfahan Science and Technology town</source_name>
      <source_name>Zeitoon Isfahan Vaccine Innovators Company</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-11-06</approval_date>
        <contact_name>Ethics committee of Isfahan University of Medical Sciences</contact_name>
        <contact_address>Hezar Jerib Street Isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
