<?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>IRCT20200818048444N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-12-31</date_registration>
      <primary_sponsor>Tabriz University of Medical Sciences</primary_sponsor>
      <public_title>The Effect of Bromhexine Hydrochloride on Clinical Outcomes of Patients with COVID-19 disease</public_title>
      <acronym>BH8MGIRINT</acronym>
      <scientific_title>The Effect of Bromhexine Hydrochloride versus Placebo on Clinical Outcomes of Patients with COVID-19 disease: a Randomized Controlled Trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-11-14</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>400</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/53165</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: 1:1 randomization, centralized web-based randomization  and according to the entry and exit criteria, through random allocation by  balanced block method, individuals are divided into two groups of control and experimental. Using Random Sequence Generator, groups are created and people are placed in one of these two groups based on the reference sequence, Blinding description: This study is a two-way blind study. In this study, the subject and the researcher are both unaware of the drug used by individuals. The placebo and the main drug are placed in similar boxes with specific codes and are delivered to the patient by a third party. Medication information will not be visible to the therapist.</study_design>
      <phase>3</phase>
      <hc_freetext>COVID19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Bromhexine 8 mg every 8 hourly P O produced by Tolidaru. Intervention 2: Control group:  Placebo as tablets that has been made similar to bromhexine and provided by the same drug company, Tolidaru,  producing the bromhexine hydrochloride administered every 8 hourly  p o for 16 days.</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 can potentially be shared after unidentified  the individuals.

When:
Second quarter of  2021

To whom:
َAccess to data will be allowed for all researchers after submitting an access request and confirming it

Conditions:
In order to use the data, researchers must first identify and send the required items and data upon request, after which the data will be delivered.

Where to obtain:
By email dr.ansarin@gmail.com or postal code: 5142954481

How to obtain:
The researcher must state his request in a letter. Upon agreeing to his request, the data will be emailed to him in Excel or Spss.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Khalil Ansarin</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Daneshghah Avenue, Pashmineh Building, Tuberculosis and Lung Disease Research Center</address>
        <city>Tabriz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>5142954481</zip>
        <telephone>+98 41 3337 8093</telephone>
        <email>dr.ansarin@gmail.com</email>
        <affiliation>Tabriz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Khalil Ansarin</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Daneshghah Ave, Pashmineh Building, Tuberculosis and Lung Disease Research Center</address>
        <city>Tabriz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>5142954481</zip>
        <telephone>+98 41 3337 8093</telephone>
        <email>Dr.ansarin@gmail.com</email>
        <affiliation>Tabriz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>I-New laboratory confirmed diagnosis of SARS-CoV-2 via reverse transcriptase polymerase chain reaction as per the World Health Organization protocol, by nucleic acid based isothermal amplification, or by antigen testing OR                                               II- Clinical suspicion of COVID-19 disease and acute onset (less than 10 days) and of AT LEAST ONE of the following conditions:•	Loss of smell or taste•	                                                             Cough or shortness of breath / dyspnea•	                               Fever (body temperature &gt; 38.5°)•                                              PLUS                                                                                         Findings on chest-X ray or computer tomography suggestive of COVID-19 OR                                                                                                                                  III- Clinical suspicion of COVID-19 disease and acute onset (less than 10 days) of AT LEAST TWO of the following conditions:         •	Chills or rigor                                                                                •	Conjunctivitis                                                                                •	Sore throat                                                                                    •	Gastrointestinal symptoms                                                         •	Headaches                                                                                    •	Fatigue or malaise                                                                        •	Aches or pain                                                                        PLUS                                                                                         Findings on chest-X ray or computer tomography suggestive of COVID-19
18 years and older
Informed consent from the patient (or legally authorized substitute decision maker).</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>The exclusion criteria are:                                                                           1)	Admitted to the intensive care unit at the time of screening; 2)	Imminent initiation or treatment with invasive mechanical ventilation at the time of screening;                                                              3)	Imminent death according to the judgement of the most responsible physician;                                                                       4)	Receiving palliative care;                                                                         5)	Known history of severe liver or kidney dysfunction;                                                                6)	On treatment with Bromhexine hydrochloride at the time of screening;                                                                                           7)	Known allergy to bromhexine hydrochloride;                                         8)	Pregnancy or breastfeeding (including baby to breast, bottle feeding mother's expressed breast milk);                                        9)	Previous enrollment in this trial (Enrollment in another clinical trial does not preclude enrollment in this trial )</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>COVID19</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: Bromhexine 8 mg every 8 hourly P O produced by Tolidaru.</i_keyword>
      <i_keyword>Control group:  Placebo as tablets that has been made similar to bromhexine and provided by the same drug company, Tolidaru,  producing the bromhexine hydrochloride administered every 8 hourly  p o for 16 days</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Survival. Timepoint: 28 days after start of the treatment. Method of measurement: Follow up from hospital files and phone F/U in subjects who discharged earlier.</prim_outcome>
      <prim_outcome>Levels of CRP, LDH, Troponin, Ferritin. Timepoint: Day 1 and 28 days after treatment. Method of measurement: Standard laboratory hematology and biochemistry tests.</prim_outcome>
      <prim_outcome>NLR (Neutrophil to Lymphocyte Ratio) and D-Dimer. Timepoint: Day 1 and 28 days after treatment. Method of measurement: Standard laboratory hematology and biochemistry tests.</prim_outcome>
      <prim_outcome>ICU transfer rate. Timepoint: 28 days after start of the treatment. Method of measurement: Follow up from hospital files and phone F/U in subjects who discharged earlier.</prim_outcome>
      <prim_outcome>Intubation and Mechanical Ventilation. Timepoint: 28 days after start of the treatment. Method of measurement: Follow up from hospital files and phone F/U in subjects who discharged earlier.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></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>Health Vice-Chancellor of Ministry of Health and Medical Education (MOHME)</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-12-21</approval_date>
        <contact_name>Regional Committee for Research Ethics(Human Subject Studies(91000001))</contact_name>
        <contact_address>Third Floor / Tabriz University of Medical Sciences, Central Building No. 2/Golgasht St. Tabriz East Azarbaijan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
