<?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>IRCT20210726051988N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-09-14</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Effects of pomegranate peel dry extract supplementation on non-alcoholic fatty liver</public_title>
      <acronym></acronym>
      <scientific_title>Effects of pomegranate peel dry extract supplementation on lipid profile, inflammatory and oxidative stress factors and nutritional status in patients with non-alcoholic fatty liver: A randomized clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-10-07</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>54</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/58506</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: stratified randomization by sealed envelops:
Randomization of samples to the intervention or control group is done based on blocks classified according to the degree of disease and sex. In this way, for example: man-grade one, woman-grade one, man-grade two, woman-grade two, man-grade three, woman-grade three, with sealed envelopes.
An attempt is made to assign an equal number from each class to the intervention and control group, Blinding description: participants, investigator and data collectors, outcome assessors will be blinded.</study_design>
      <phase>3</phase>
      <hc_freetext>non alcoholic fatty liver- hepatic steatosis and fibrosis- pomegranate peel.</hc_freetext>
      <i_freetext>Intervention 1: In the intervention group, in addition to lifestyle interventions (diet therapy + physical activity), supplementation of dry extract of pomegranate peel with a dose of 1500 mg is performed for 8 weeks. Each capsule containing 750 mg of dry pomegranate peel extract is given daily with two main meals (breakfast and dinner) for 8 weeks. Intervention 2: In the control group, in addition to lifestyle interventions (diet + physical activity), patients received two capsules containing 750 mg placebo every day for 8 weeks with the same characteristics in terms of shape, smell, color, etc., along with two main meals (breakfast and Dinner) for 8 weeks.</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:
I will inform at the end of the study.

When:
I will inform at the end of the study.

To whom:
I will inform at the end of the study.

Conditions:
I will inform at the end of the study.

Where to obtain:
I will inform at the end of the study.

How to obtain:
I will inform at the end of the study.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Hanieh Barghchi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Mashhad University of Medical Science,Azadi Square, Mashhad City, Iran</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177948564</zip>
        <telephone>+98 51 3800 2000</telephone>
        <email>barghchihn981@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Hanieh Barghchi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Mashhad University of Medical Science,Azadi Square, Mashhad City, Iran</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177948564</zip>
        <telephone>+98 51 3800 2000</telephone>
        <email>barghchihn981@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>18-60 years old
Detection of hepatic steatosis by two-dimensional elastography device
Filling out the informed consent form by the patient</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Pregnancy and lactation
Morbid obesity (BMI &gt; 40)
Alcohol consumption history (more than 20 grams per day for women and more than 30 grams per day for men),
Having any type of immunodeficiency disorder, including: autoimmune disorders, cancer, human immunodeficiency virus (HIV)
Hepatic or renal insufficiency, other liver diseases such as hepatitis, alcoholic fatty liver
consumption of hepatotoxic drugs such as sodium valproate
History of food allergy to pomegranate and herbal supplements
History of bariatric surgery</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K76.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Fatty (Chang of) liver, not elsewhere classified, Nonalcoholic fatty liver disease</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>In the intervention group, in addition to lifestyle interventions (diet therapy + physical activity), supplementation of dry extract of pomegranate peel with a dose of 1500 mg is performed for 8 weeks. Each capsule containing 750 mg of dry pomegranate peel extract is given daily with two main meals (breakfast and dinner) for 8 weeks.</i_keyword>
      <i_keyword>In the control group, in addition to lifestyle interventions (diet + physical activity), patients received two capsules containing 750 mg placebo every day for 8 weeks with the same characteristics in terms of shape, smell, color, etc., along with two main meals (breakfast and Dinner) for 8 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Hepatic steatosis and fibrosis. Timepoint: before and at the end of the study. Method of measurement: Two-dimensional elastography device.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Measurement of anthropometric indices (height, weight, body mass index). Timepoint: Before, in the middle and at the end of the study. Method of measurement: Scales with an accuracy of 100 grams, meters,.</sec_outcome>
      <sec_outcome>Measurement of body composition (percentage of adipose and lean tissue) by BIA device. Timepoint: Before, in the middle and at the end of the study. Method of measurement: BIA.</sec_outcome>
      <sec_outcome>Measurement of serum concentrations of oxidative stress indicators including malondialdehyde, superoxide dismutase, glutathione peroxidase,. Timepoint: Before and at the end of the study. Method of measurement: Laboratory methods.</sec_outcome>
      <sec_outcome>Evaluation of IPAQ physical activity questionnaire and three-day food recall. Timepoint: Before, in the middle and at the end of the study. Method of measurement: statistical methods.</sec_outcome>
      <sec_outcome>Measurement of serum concentrations of lipid profiles including TC, HDL-C, LDL-C and TG,. Timepoint: Before and at the end of the study. Method of measurement: Laboratory methods.</sec_outcome>
      <sec_outcome>Measurement of serum concentrations of fasting blood glucose and insulin,. Timepoint: Before and at the end of the study. Method of measurement: Laboratory methods.</sec_outcome>
      <sec_outcome>Measurement of serum concentrations of hepatic profiles including ALT, ALP and AST,. Timepoint: Before and at the end of the study. Method of measurement: Laboratory methods.</sec_outcome>
      <sec_outcome>Measurement of serum concentrations of inflammatory markers including interleukin 6 and reactive protein C. Timepoint: Before and at the end of the study. Method of measurement: Laboratory methods.</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>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-08-28</approval_date>
        <contact_name>Ethics committee of Mashhad university of medical science</contact_name>
        <contact_address>Nutrition department, Faculty of medicine Mashhad University of Medical Sciences (MUMS), Azadi square, Mashhad, Iran Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
