<?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>IRCT20210709051824N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-12-08</date_registration>
      <primary_sponsor>Men's Health and Reproductive Health Research Center(MHRHRC)</primary_sponsor>
      <public_title>Assessment of utility of Remdesivir in Patients with Acute Kidney Injury or Cronic Kidney Disease in admitted COVID-19 patients</public_title>
      <acronym></acronym>
      <scientific_title>Assessment of utility of Remdesivir in Patients with Acute Kidney Injury or Cronic Kidney Disease in admitted COVID-19 patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-12-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>100</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/57516</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: The blocking method (with unequal quadratic sizes) is used for random allocation, Blinding description: Participants in this study were kept blind (unilaterally blind) after obtaining informed consent to receive the drug or placebo. Medical staff and researchers are aware of this.</study_design>
      <phase>3</phase>
      <hc_freetext>Condition 1: COVID-19. Condition 2: Acute Kidney Injury. Condition 3: Chronic Kidney Disease.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: This group receives 200 mg Remdesivir on the first day as an intravenous infusion and then 100 mg daily up to 5 doses. Intervention 2: Control group: In this group, patients receive placebo with the same dose and number of times as the control group.</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 We have not yet reached a conclusion with the other partners involved in the project for publication.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mahboobeh Freidoon</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Tajrish</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1989934148</zip>
        <telephone>25719</telephone>
        <email>m.fereidoon@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mahboobeh Freidoon</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Tajrish</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1989934148</zip>
        <telephone>25719</telephone>
        <email>m.fereidoon@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with acute or chronic renal failure, with a definitive diagnosis of Covid 19, over the age of 18 years, and lung involvement above 20% or hypoxia (oxygen saturation less than or equal to 93%)
Definitive diagnosis of Covid 19
Over the age of 18 years
Pulmonary involvement caused by Covid 19</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Previous history of COVID-19 infection  and heart disease and receiving Remdesivir
History of lung disease
History of liver disease (such as hepatitis, cirrhosis)
History of underlying diseases other than renal impairment that contribute to poor prognosis and increased mortality following coronary heart disease (eg, heart failure, active cancer, advanced diabetes with severe macrovascular and microvascular complications, previous stroke)
Immunosuppressive use except in the field of kidney transplantation
Prohibition of Ramdesivir (except low GFR)</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>B34.2</hc_code>
      <hc_code>N17</hc_code>
      <hc_code>N18</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Coronavirus infection, unspecified</hc_keyword>
      <hc_keyword>Acute kidney failure</hc_keyword>
      <hc_keyword>Chronic kidney disease (CKD)</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: This group receives 200 mg Remdesivir on the first day as an intravenous infusion and then 100 mg daily up to 5 doses.</i_keyword>
      <i_keyword>Control group: In this group, patients receive placebo with the same dose and number of times as the control group.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Red blood cell count. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Cell counter.</prim_outcome>
      <prim_outcome>Platelet count. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Cell counter.</prim_outcome>
      <prim_outcome>White blood cell count. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Cell counter.</prim_outcome>
      <prim_outcome>Medium platelet volume. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Cell counter.</prim_outcome>
      <prim_outcome>Erythrocyte Sedimentation Rate. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Laboratory Kit.</prim_outcome>
      <prim_outcome>CRP. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Laboratory Kit.</prim_outcome>
      <prim_outcome>AST. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Laboratory Kit.</prim_outcome>
      <prim_outcome>ALT. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Laboratory Kit.</prim_outcome>
      <prim_outcome>International Normalized Ratio(INR). Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Laboratory Kit.</prim_outcome>
      <prim_outcome>Bilirubin. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Laboratory Kit.</prim_outcome>
      <prim_outcome>Alkaline phosphatase. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Laboratory Kit.</prim_outcome>
      <prim_outcome>Cratinin. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Laboratory Kit.</prim_outcome>
      <prim_outcome>O2 Saturation. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Laboratory Kit.</prim_outcome>
      <prim_outcome>Lymphocyte count. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Cell counter.</prim_outcome>
      <prim_outcome>Neutrophil count. Timepoint: The beginning of the visit, While receiving Remdesivir, after received Remdesivir. Method of measurement: Cell counter.</prim_outcome>
      <prim_outcome>Duration of hospitalization. Timepoint: End of hospitalization. Method of measurement: Hospitalization file.</prim_outcome>
      <prim_outcome>Result of hospitalization(Death or discharge). Timepoint: End of hospitalization. Method of measurement: Hospitalization file.</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>Men's Health and Reproductive Health Research Center(MHRHRC)</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-09-19</approval_date>
        <contact_name>Research Ethics Committees of Vice-Chancellor in Research Affairs-Shahid Beheshti University of Medi</contact_name>
        <contact_address>Velenjak Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
