<?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>IRCT20210513051279N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-06-27</date_registration>
      <primary_sponsor>Babol University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation the effect of ointment of pistacia Atlantica oil on primery knee osteoarthritis</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation the effect of ointment of pistacia Atlantica oil on primery knee osteoarthritis</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-07-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>92</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/56274</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization is done using random permutation blocks method.
The size of the blocks is 4. Drugs in two categories (drug and diclofenac) are made by the study pharmacist and sent to the study statistics specialist. The statistician encodes them and places them in blocks of 4 (containing 2 numbers from each group). Unlock the codes will be done after the end of the study. In case of side effects, the drug code will be unlocked, Blinding description: ointment of pistacia Atlantica and diclofenac gel in cans with a single shape, with a similar label, will be prepared by a pharmacist in the laboratory of medicinal plants of the School of persian Medicine in Babol. It is then coded and blocked by a statistician and delivered to the researcher. The only person who knows the nature of the cans is the pharmacist who makes the medicine.</study_design>
      <phase>3</phase>
      <hc_freetext>Primary osteoarthritis of the knee.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: To prepare the medicine, pistacia Atlantica oil, which is traditionally oiled, is standardized and applied as ointment and packaged after standardization and quality control, under the supervision of a traditional medicine pharmacist in the pharmacy laboratory of the Faculty of Persian Medicine. Patients who were randomly assigned to the intervention group after enrollment were given an ointment  containing  pistacia Atlantica oil to be applied topically around the knee three times a day for 4 weeks. Patients will be visited three times at the start of treatment, 4 weeks after starting treatment, and 4 weeks after stopping treatment, and will be evaluated for medication as well as possible side effects such as skin irritation and itching and allergy symptoms. And KOOS and VAS questionnaires will be completed. Intervention 2: Control group: Patients in this group are given topical diclofenac gel in a package similar to the drug to be used topically around the knee up to three times a day for 4 weeks. Patients will be visited three times at the start of treatment, 4 weeks after starting treatment, and 4 weeks after stopping treatment, and will be evaluated for medication as well as possible side effects such as skin irritation and itching and allergy symptoms. And KOOS and VAS questionnaires will be completed.</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:
Information about the main outcome can be shared.

When:
Access period starts 6 months after the results are published

To whom:
Researchers working in academic and scientific institutions

Conditions:
The conditions will be determined by the Faculty of Iranian Medicine of Babol University.

Where to obtain:
Fatemeh Azizi
E-mail: F.azizi@mubabol.ac.ir

How to obtain:
After receiving the e-mail from the researcher, the data request is reviewed by the Faculty of Iranian Medicine and the Vice Chancellor for Research and Technology, and if the requested information is approved, it will be provided to the individual.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Fatemeh Azizi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of persian Medicine, Babol University of Medical Sciences, Ganj Afrooz St., babol</address>
        <city>Babol</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۴۷۱۷۶-۴۷۷۴۵</zip>
        <telephone>+98 11 3219 4730</telephone>
        <email>F.azizi@mubabol.ac.ir</email>
        <affiliation>Babol University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Fatemeh Azizi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of persian Medicine, Babol University of Medical Sciences, Ganj Afrooz St., babol</address>
        <city>Babol</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۴۷۱۷۶-۴۷۷۴۵</zip>
        <telephone>+98 11 3219 4730</telephone>
        <email>F.azizi@mubabol.ac.ir</email>
        <affiliation>Babol University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>age between 50 to 80 years
osteoarthritis grade 1 to 3 according to Kellgren-Lawrence Classification of Osteoarthritis in X Ray
severity of pain 3 to 8 in VAS scale</inclusion_criteria>
      <agemin>50 years</agemin>
      <agemax>80 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Attend another clinical study in the last 6 months
Cognitive or mental disorder
Taking oral and injectable corticosteroids in the last two months
People who have a history of allergies to herbal medicines
Patients with acute arthritis, osteoarthritis secondary to rheumatic diseases such as RA and gout, infectious arthritis, metabolic arthritis, traumatic arthritis, uncontrolled diabetes, known case of heart, liver, cancer
Skin disease at the joint site
Joint replacement through surgery
Fiber myalgia, radiculopathy and neuropathy
Patients taking glucosamine, chondroitin sulfate and muscle relaxants at the same time</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>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: To prepare the medicine, pistacia Atlantica oil, which is traditionally oiled, is standardized and applied as ointment and packaged after standardization and quality control, under the supervision of a traditional medicine pharmacist in the pharmacy laboratory of the Faculty of Persian Medicine. Patients who were randomly assigned to the intervention group after enrollment were given an ointment  containing  pistacia Atlantica oil to be applied topically around the knee three times a day for 4 weeks. Patients will be visited three times at the start of treatment, 4 weeks after starting treatment, and 4 weeks after stopping treatment, and will be evaluated for medication as well as possible side effects such as skin irritation and itching and allergy symptoms. And KOOS and VAS questionnaires will be completed.</i_keyword>
      <i_keyword>Control group: Patients in this group are given topical diclofenac gel in a package similar to the drug to be used topically around the knee up to three times a day for 4 weeks. Patients will be visited three times at the start of treatment, 4 weeks after starting treatment, and 4 weeks after stopping treatment, and will be evaluated for medication as well as possible side effects such as skin irritation and itching and allergy symptoms. And KOOS and VAS questionnaires will be completed.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Joint pain score in VAS questionnaire. Timepoint: At the beginning of the study (before the intervention) and 4 weeks after the start of treatment and 4 weeks after the end of treatment. Method of measurement: VAS questionnaire score.</prim_outcome>
      <prim_outcome>Joint pain score in KOOS questionnaire. Timepoint: At the beginning of the study (before the intervention) and 4 weeks after the start of treatment and 4 weeks after the end of treatment. Method of measurement: KOOS questionnaire score.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Joint symptoms score in the KOOS questionnaire. Timepoint: At the beginning of the study (before the intervention) and 4 weeks after the start of treatment and 4 weeks after the end of treatment. Method of measurement: Score in the KOOS questionnaire.</sec_outcome>
      <sec_outcome>Activity of daily live score in the KOOS questionnaire. Timepoint: At the beginning of the study (before the intervention) and 4 weeks after the start of treatment and 4 weeks after the end of treatment. Method of measurement: Score in the KOOS questionnaire.</sec_outcome>
      <sec_outcome>Sport. Timepoint: At the beginning of the study (before the intervention) and 4 weeks after the start of treatment and 4 weeks after the end of treatment. Method of measurement: Score in the KOOS questionnaire.</sec_outcome>
      <sec_outcome>Quality of life. Timepoint: At the beginning of the study (before the intervention) and 4 weeks after the start of treatment and 4 weeks after the end of treatment. Method of measurement: Score in the KOOS questionnaire.</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>Babol University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-04-30</approval_date>
        <contact_name>Ethics Committee  of Babol University of Medical Sciences</contact_name>
        <contact_address>University Research Ethics Committee, Babol University of Medical Sciences, Ganj Afrooz Square, babol Babol Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
