<?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>IRCT20210630051751N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-10-11</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of the effect of vitamin D supplementation on insulin resistance, lipid profile, thyroid function indices and body composition in overweight and obese patients with hypothyroidism and glucose intolerance</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effect of vitamin D supplementation on insulin resistance, lipid profile, thyroid function indices and body composition in overweight and obese patients with hypothyroidism and glucose intolerance</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-10-12</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/57768</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 the block randomization method (1: 1 ratio for intervention and control groups). In this method, blocks of two with a rotation will be created. Then one of these blocks is randomly selected to determine the allocated group for the first and second participants. After that, this random block selection process is repeated to determine the sequence of random allocation until the end of the desired sample size. After determining the randomized sequence, these sequences will be placed in sealed envelopes. The process will be done by an out-of-study person familiar with randomization. Then, when a participant enters the study, an envelope will be opened according to the order and the participant's group will be identified, Blinding description: The capsules for the intervention and control group are the same in terms of appearance characteristics such as color, shape, and size. Capsules are named according to the intervention groups with the same names as A and B by someone outside the study who is not aware of the objectives and method of study. Therefore, both the research team and the participant are blinded to receiving the supplement or placebo.</study_design>
      <phase>3</phase>
      <hc_freetext>Condition 1: Hypothyroidism. Condition 2: Impaired glucose tolerance. Condition 3: Overweight and obesity.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: For 12 weeks, receive vitamin D3 supplement daily (containing 4000 IU of vitamin D3, produced by Zahravi Pharmaceutical Company). Intervention 2: For 12 weeks, they receive a placebo (produced by Zahravi Pharmaceutical Company, which is similar in appearance characteristics to the supplement used in the intervention 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 There is no more information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Mohammad Hassan Eftekhari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Nutrition and Food Sciences, Zahra Alley, Shiraz</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>111 - 71645</zip>
        <telephone>00988-7251001 3- 071</telephone>
        <email>H_eftehkari@yahoo.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Mohammad Hassan Eftekhari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Nutrition and Food Sciences, Zahra Alley, Shiraz</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>111 - 71645</zip>
        <telephone>00988-7251001 3- 071</telephone>
        <email>H_eftehkari@yahoo.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Individuals between 20 and 75 years old.
Overweight or obese individuals with a body mass index above 25.
Individuals Suffering from hypothyroidism with TSH levels higher than 7 microIU/ml.
Individuals with impaired glucose tolerance with fasting plasma glucose levels above 100 mg/dL or 2-hour plasma glucose above 140 mg / dL.
Individuals with serum 25-hydroxyvitamin D3 concentration is less than 30 ng/ml.</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Individuals with cancer, kidney, liver, cardiovascular, bone, and endocrine diseases other than hypothyroidism and glucose intolerance disorders.
Individuals taking drugs related to diseases such as cancer, kidney, liver, heart, and drugs that affect bone metabolism (estrogen, selective estrogen receptor modulator, bisphosphonate, vitamin D, or calcium).
Individuals consuming multivitamins-minerals.
Pregnant and lactating women.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E03</hc_code>
      <hc_code>R73.02</hc_code>
      <hc_code>E66</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other hypothyroidism</hc_keyword>
      <hc_keyword>Impaired glucose tolerance (oral)</hc_keyword>
      <hc_keyword>Overweight and obesity</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: For 12 weeks, receive vitamin D3 supplement daily (containing 4000 IU of vitamin D3, produced by Zahravi Pharmaceutical Company).</i_keyword>
      <i_keyword>For 12 weeks, they receive a placebo (produced by Zahravi Pharmaceutical Company, which is similar in appearance characteristics to the supplement used in the intervention group).</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Insulin resistance: A disorder of glucose homeostasis that is defined as a decrease in the sensitivity of adipose tissue, liver, liver, and other body tissues to insulin, despite normal or elevated levels of insulin in the blood. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Using the formula  HOMA-IR: [Fasting insulin(mIU/L) × fasting glucose(mg/dL)]/405.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Weight: Weight of a person with light minimum possible clothes and without shoes with an accuracy of 100 grams. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Scales.</sec_outcome>
      <sec_outcome>BMI: [Weight(kg)]/[height (cm) * height (cm)]. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Formula.</sec_outcome>
      <sec_outcome>Waist Circumference: the smallest circumference  of waist in centimeters. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Tape measure.</sec_outcome>
      <sec_outcome>Serum TSH. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Serum T3. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Serum T4. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Eliza.</sec_outcome>
      <sec_outcome>Fasting serum insulin. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Spectrophotometer.</sec_outcome>
      <sec_outcome>Fasting serum glucose. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Spectrophotometer.</sec_outcome>
      <sec_outcome>HbA1c. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Spectrophotometer.</sec_outcome>
      <sec_outcome>Serum LDL-c. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Spectrophotometer.</sec_outcome>
      <sec_outcome>Serum HDL-c. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Spectrophotometer.</sec_outcome>
      <sec_outcome>Serum total cholestrol. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Spectrophotometer.</sec_outcome>
      <sec_outcome>Serum triglycerides. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Spectrophotometer.</sec_outcome>
      <sec_outcome>Body Fat. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Body Analyzer.</sec_outcome>
      <sec_outcome>P.B.F (Percent Body Fat). Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Body Analyzer.</sec_outcome>
      <sec_outcome>Visceral fat. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Body Analyzer.</sec_outcome>
      <sec_outcome>Subcutaneous fat. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Body Analyzer.</sec_outcome>
      <sec_outcome>Waist to Hip Ratio. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Body Analyzer.</sec_outcome>
      <sec_outcome>T.E.E (Total Energy Expenditure). Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: Body Analyzer.</sec_outcome>
      <sec_outcome>Serum 25- Hydroxy vitamin D. Timepoint: At the beginning of the study (before the intervention) and 12 weeks later at the end of the intervention. Method of measurement: ELISA.</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>Shiraz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-06-19</approval_date>
        <contact_name>Ethics Committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>Shiraz - Zand Alley - Central building of Fars University of Medical Sciences and Health Services Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
