<?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>IRCT20210421051030N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-08-13</date_registration>
      <primary_sponsor>Alborz University of Medical Science</primary_sponsor>
      <public_title>Evaluation of the effects of solution made with flax seed oil in the treatment of rhinosinusitis</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effects of topical application of micro emulsion prepared with Flax seed oil carrier of lipophilic active ingredients in the treatment of inflammatory disorders of rhino sinus cavity</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-08-14</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>99</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/56524</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Not randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Factorial, Purpose: Treatment, Other design features: Since the present study includes confounding variables including age, sex and anatomical anomalies, Covariate Adaptive Randomization (CAR) sampling method will be used to distribute and randomly assign patients with different confounders to intervention and control groups. In this method, after placing the first, second and third samples in each of the groups, the researcher places the next samples in the study groups based on the designed table, including three columns of confounder type factor and three rows of control and intervention groups. also adaptive (distribution) means distribution based on the type and number of distorters, which is done with the help of the above method, Blinding description: the researcher In order to blind the research for the patients and the treating physician,  has prepared both samples of the drug and placebo in the same form so that they are not aware of the type of drug and placebo treatment. Sprays containing flaxseed oil micro emulsion and spray containing normal isotonic saline (placebo) in similar pumped bottles were marked with A and B marks, respectively. Also, oral antibiotic-antihistamine tablets and placebo tablets with A and B marks were placed in similar cans, respectively. The project clinical assistant then delivers the sprays and tablets, pre-marked A and B, based on the group that the patient has been categorized by sampling method. Also, the collected data with the same abbreviations A and B are delivered to the analyzer to be realized in the third strain of blinding.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Condition 1: Rhinitis. Condition 2: Sinusitis.</hc_freetext>
      <i_freetext>Intervention 1: Control group: Patients are treated with oral tablets (single dose of co amoxiclav 325 mg per day in bacterial rhinosinusitis and fexofenadine 180 in allergic rhinosinusitis). They also receive a solution containing normal saline isotonic as a placebo. Intervention 2: Intervention group 1: Patients are treated with a topical solution containing a micro emulsion prepared with flaxseed oil plus an oral tablet (single dose of co amoxiclav 325 mg in bacterial rhinosinusitis and fexofenadine 180 in allergic rhinosinusitis). Intervention 3: Intervention group 2: Patients are treated with a topical solution containing flax seed oil micro emulsion and placebo oral tablets.</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>Behnam Mokri Savojbolaghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahrake Gharbِ, District 2</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1111111111</zip>
        <telephone>+98 21 0000 0000</telephone>
        <email>bms1909@iran.ir</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Behnam Mokri Savojbolaghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahrake Gharb, ِDistrict 2</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1111111111</zip>
        <telephone>+98 21 0000 0000</telephone>
        <email>bms1909@iran.ir</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>All Rhinosinusitis patients over 15  years of age and under 60 years of age
Not used immunosuppressive and antibiotics drugs during the last week
Not allergic to herbal medicines and topical products
No systemic diseases involving the Nasal cavity and Sinuses</inclusion_criteria>
      <agemin>15 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J30.9</hc_code>
      <hc_code>J01.9</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Allergic rhinitis, unspecified</hc_keyword>
      <hc_keyword>Acute sinusitis, unspecified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group: Patients are treated with oral tablets (single dose of co amoxiclav 325 mg per day in bacterial rhinosinusitis and fexofenadine 180 in allergic rhinosinusitis). They also receive a solution containing normal saline isotonic as a placebo.</i_keyword>
      <i_keyword>Intervention group 1: Patients are treated with a topical solution containing a micro emulsion prepared with flaxseed oil plus an oral tablet (single dose of co amoxiclav 325 mg in bacterial rhinosinusitis and fexofenadine 180 in allergic rhinosinusitis).</i_keyword>
      <i_keyword>Intervention group 2: Patients are treated with a topical solution containing flax seed oil micro emulsion and placebo oral tablets.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Inflammation of the mucosa of the rhino sinus cavity. Timepoint: Before the intervention, after the intervention, one week after the intervention. Method of measurement: Visual Analogue Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Headache. Timepoint: Before the intervention, one week after the intervention. Method of measurement: Questionnaire (Based on patient self-expression).</sec_outcome>
      <sec_outcome>Pressure and capillaries (the nose and paranasal sinuses). Timepoint: Before the intervention, one week after the intervention. Method of measurement: Questionnaire (Based on patient self-expression).</sec_outcome>
      <sec_outcome>Sputum secretions. Timepoint: Before the intervention, one week after the intervention. Method of measurement: Questionnaire (Based on patient self-expression).</sec_outcome>
      <sec_outcome>Itching and runny nose. Timepoint: Before the intervention, one week after the intervention. Method of measurement: Questionnaire (Based on patient self-expression).</sec_outcome>
      <sec_outcome>Congestion and olfactory disorder. Timepoint: Before the intervention, one week after the intervention. Method of measurement: Questionnaire (Based on patient self-expression).</sec_outcome>
      <sec_outcome>Fever, cough and phlegm. Timepoint: Before the intervention, one week after the intervention. Method of measurement: Questionnaire (Based on patient self-expression).</sec_outcome>
      <sec_outcome>Swelling of the mucosa. Timepoint: Before the intervention, one week after the intervention. Method of measurement: Examination.</sec_outcome>
      <sec_outcome>Redness of the mucosa. Timepoint: Before the intervention, one week after the intervention. Method of measurement: Examination.</sec_outcome>
      <sec_outcome>Mucosal lesions. Timepoint: Before the intervention, one week after the intervention. Method of measurement: Examination.</sec_outcome>
      <sec_outcome>Mucosal ulcers. Timepoint: Before the intervention, one week after the intervention. Method of measurement: Examination.</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>BMS Science and Research group</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-06-19</approval_date>
        <contact_name>Ethics committee of Alborz University of Medical Sciences</contact_name>
        <contact_address>Deputy of Research and Technology, Saffarian Alley, 45 meters of Golshahr Karaj Alborz Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
