<?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>IRCT20150902023864N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-02-28</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>Effect of Ibuprofen Nanoemulsion Gel on Knee Osteoporosis pain</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of the therapeutic effect of 5% ibuprofen nanoemulsion gel and commercial ibuprofen gel on knee osteoarthritis pain</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-02-19</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>124</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/52942</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be performed by means of a computer randomization system based on fragmented, balanced randomization. In this method to increase the probability of equal numbers of people in both groups, blocks in the form of: AABB-ABAB-ABBA-BBAA-BABA-BAAB are defined as A containing commercial ibuprofen gel and B nanoemulsion gel containing ibuprofen.From 0 to 5 randomizations will be done using digitally randomized codes. 
The sequence is constructed in such a way that, with 31 sample volumes, 124 (4⨉31 ) codes will be selected for participants using Excel.
Group A: Commercial ibuprofen gel, Group B: Ibuprofen nanoemulsion gel
Block sizes: 4
Actual list length: 124
In order to concealment the randomization, the container containing the formulation will be the same in terms of shape, only a code will be written on each package so that the prescriber or the patient will be completely unaware of the contents of the container, Blinding description: Commercial ibuprofen gel will be included in similar packages of nanoemulsion gel containing ibuprofen. The randomized code will be written on the medicine package. However, due to the difference in the smell of these two drugs, we try to prevent patients from being able to compare drugs by conducting separate patient interviews. Based on the random number written on the prescription of the patient, pharmacy officials are asked to deliver the medicine to the patients. The researcher will not know which patient was taking which medication. Also, the treating physician will not be aware of the patient's medication. The patient is requested to deliver the used medicine container to the hospital pharmacy at the next visit and to receive the same number from the pharmacy at the next visit. During the second visit of patients, empty containers of medicines will be collected from the pharmacy every day and stored in a special comedy. The statistical data analyzer will not be able to distinguish between the information obtained from the patients of both groups and the information will be completely blinded to their service.</study_design>
      <phase>3</phase>
      <hc_freetext>Knee osteoarthritis.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: Nanoemulsion gel containing 5% ibuprofen; Patients are treated with this formulation for 4 weeks and three times a day in the size of a fingertip (equivalent to 100 mg), which has already been prepared and animal studies have been performed. Intervention 2: Intervention group 2: commercial ibuprofen 5% gel; Patients are treated with a commercial gel available in the pharmacy in the size of a fingertip three times a day, for 4 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:
All data potentially can be shared after making participants unidentifiable

When:
Nearly in a year

To whom:
All people

Conditions:
There is no condition

Where to obtain:
They can email to the researcher

How to obtain:
We do our best to deliver the data in a month

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Fariba Esmaeili</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 87, Third floor, Building No.2, School of Advanced Technologies in Medicine, Italia street, Keshavarz boulevard</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417755469</zip>
        <telephone>+98 21 4305 2000</telephone>
        <email>fesmaeili2010@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Fariba Esmaeili</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 87, Third floor, Building No.2, School of Advanced Technologies in Medicine, Italia street, Keshavarz boulevard</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417755469</zip>
        <telephone>+98 21 4305 2000</telephone>
        <email>fesmaeili2010@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Unilateral or bilateral knee osteoarthritis with radiographic evidence according to American College of Rheumatology criteria  and the International Osteoarthritis Research Society which is diagnosed through physical examination by the physician
Having mild to moderate knee osteoarthritis pain
Written informed consent to participate in the study</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>80 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Very severe knee pain
Recent lower limb injury or surgery such as repair and joint replacement
Inflammatory arthritis
Metabolic bone disease
Fracture and/or dislocation of knee
History of an open wound in the affected knee
History of adverse reactions to NSAIDs
Diabetes and Lupus disease
Corticosteroid injection into the knee within 30 days of intervention
Multiple sclerosis (MS)
The dermatologic disorder which affected the surrounding skin of the knees
Uncontrolled heart failure
High blood pressure
Chronic renal failure
Respiratory diseases
Cancer
History of alcohol or drug abuse
History of neurological disorders affecting sensory, motor or cognitive function</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M17</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Osteoarthritis of knee</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1: Nanoemulsion gel containing 5% ibuprofen; Patients are treated with this formulation for 4 weeks and three times a day in the size of a fingertip (equivalent to 100 mg), which has already been prepared and animal studies have been performed.</i_keyword>
      <i_keyword>Intervention group 2: commercial ibuprofen 5% gel; Patients are treated with a commercial gel available in the pharmacy in the size of a fingertip three times a day, for 4 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain score based on visual analogue scale and Western Ontario and McMaster Universities Osteoarthritis Index questionnaire. Timepoint: Patients are assessed prior to enrollment and, then, 2 and 4 weeks subsequent to the intervention for knee pain. Method of measurement: Visual analogue scale on a 10 cm scale  and Western Ontario and McMaster Universities Osteoarthritis Index questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Skin irritation. Timepoint: 24-48 hours in initial use, then two-and four-week visits. Method of measurement: Questions are asked by phone during the first 24-48 hours, so any skin problems are requested and checked by the doctor during each visit.</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>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-01-27</approval_date>
        <contact_name>Ethics committee of Tehran University of Medical Sciences</contact_name>
        <contact_address>Keshavarz Boulevard, Tehran, Iran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
