<?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>IRCT20210920052524N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-09-22</date_registration>
      <primary_sponsor>Rasht University of Medical Sciences</primary_sponsor>
      <public_title>Study of safety and efficacy of transplantation of platelet extracted mitochondria in heart ischemic stroke, Clinical trial phase 1 and 2</public_title>
      <acronym></acronym>
      <scientific_title>Study of safety and efficacy of transplantation of platelet extracted mitochondria in heart ischemic stroke, Clinical trial phase 1 and 2</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-10-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>34</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/58820</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In order to assign patients into intervention and control groups, the restricted randomization  using  block randomization will be used in this study. In order to conceal the last allocated blocks under study, the size of blocks will be consider 4 or 6.  To create random numbers, various packages available in R software  will be used. Of noted, before the allocation of patients/individuals in the study groups, the allocated group would not be clarified. In order to  conceal and confounding factors, allocation concealment will be used. This method will be used for randomization participants in the study. In this study using sealed envelopes in which created randomized sequensces will be recorded on cards, and the cards will be put inside the envelopes respectively. the allocation would be 1:1 ratio, Blinding description: In this study, the participants (patients)  would be blinded by sealed envelopes. It should be noted that each   created randomized sequences will be recorded on a card, and the cards will be put inside the envelopes respectively. 
In order to blind researcher, similar syringes,  the same color injection solutions for the control and intervention groups will be used.
The analyzer will also be blinded according to coding of envelope  and syringes .</study_design>
      <phase>1-2</phase>
      <hc_freetext>Heart Ischemia.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In the intervention group, platelets derived mitochondrial is transplanted. After preparing the patient, the extracted mitochondria are injected into the coronary artery using a catheter. This group receives all routine interventions similar to control group. Intervention 2: Control group:  This group receives routine medications and treatments such as angioplasty.</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:
Age, sex, cancer incidence, bleeding and side effects

When:
After publishing the results in the article

To whom:
Universities

Conditions:
Only for study

Where to obtain:
Dr.Mehryar Habibi Roudkenar
Email: roudkenar@gums.ac.ir

How to obtain:
The request must be written to the Vice Chancellor for Research of Guilan University of Medical Sciences. The request is sent to the principal investigator and the researcher will send the documents to the deputy. The applicant can receive the documents from the deputy.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mehryar Habibi Roudkenar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>3th floor, Burn and Regenerative Research Medicine Center, Velayat Hospital, Namjo street, Rasht, Guilan</address>
        <city>Rasht</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4193713194</zip>
        <telephone>+98 13 3336 8540</telephone>
        <email>Roudkenar@gums.ac.ir</email>
        <affiliation>Rasht University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mehryar Habibi Roudkenar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>3th floor, Burn and Regenerative Research Medicine Center, Velayat Hospital, Namjo street, Rasht, Guilan</address>
        <city>Rasht</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4193713194</zip>
        <telephone>+98 13 3336 8540</telephone>
        <email>Roudkenar@gums.ac.ir</email>
        <affiliation>Rasht University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Participants, their close relatives or lawyers are able to sign a consent form;
Patients with recent myocardial ischemia within 24 hours
Candidate for interventional treatment.
Ejection fraction less than or equal to 41% (EF ≤ 41%). 
The age range is between 45-70 years
Both Genders</inclusion_criteria>
      <agemin>45 years</agemin>
      <agemax>70 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients with mitochondrial disorders.
Patients with diabetes
Patients with renal failure.
Pregnant women
Patients with cancer are not included in the study.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>I24.9</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Acute ischemic heart disease, unspecified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: In the intervention group, platelets derived mitochondrial is transplanted. After preparing the patient, the extracted mitochondria are injected into the coronary artery using a catheter. This group receives all routine interventions similar to control group.</i_keyword>
      <i_keyword>Control group:  This group receives routine medications and treatments such as angioplasty.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Cardiac arrhythmia. Timepoint: 24 hours and one week after mitochondrial transplantation. Method of measurement: Based on diagnostic tests and physician reports.</prim_outcome>
      <prim_outcome>Non-fatal heart ischemia. Timepoint: 24 hours and one week after mitochondrial transplantation. Method of measurement: Based on diagnostic tests and physician reports.</prim_outcome>
      <prim_outcome>Fever  and shivering. Timepoint: 24 hours and one week after mitochondrial transplantation. Method of measurement: Thermometer.</prim_outcome>
      <prim_outcome>Vital signs change. Timepoint: 24 hours and one week after mitochondrial transplantation. Method of measurement: Barometer and diagnostic tests.</prim_outcome>
      <prim_outcome>Death. Timepoint: 24 hours and one week after mitochondrial transplantation. Method of measurement: Patients records.</prim_outcome>
      <prim_outcome>Cardiac enzymes Creatine kinase MB, cardiac troponin I. Timepoint: 24 hours and one week after mitochondrial transplantation. Method of measurement: laboratory kits.</prim_outcome>
      <prim_outcome>Re-hospitalization. Timepoint: 24 hours and one week after mitochondrial transplantation. Method of measurement: According to patient file.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Left Ventricular Ejection Fraction (LVEF). Timepoint: 3 and 6 months after mitochondrial transplantation. Method of measurement: Echocardiography.</sec_outcome>
      <sec_outcome>Left Ventricular End Diastolic Volume Index (LVEDVI). Timepoint: 3 and 6 months after mitochondrial transplantation. Method of measurement: Echocardiography.</sec_outcome>
      <sec_outcome>Left Ventricular End Systolic Volume Index (LVESVI). Timepoint: 3 and 6 months after mitochondrial transplantation. Method of measurement: Echocardiography.</sec_outcome>
      <sec_outcome>Patient physical activity. Timepoint: 3 and 6 months after mitochondrial transplantation. Method of measurement: The Tests such as six-minute walk test and a treadmill test.</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>Rasht University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-08-31</approval_date>
        <contact_name>Ethics Committee of Guilan University of Medical Sciences</contact_name>
        <contact_address>3th floor, Burn and Regenerative Research Medicine Center, Velayat Hospital, Namjo street, Rasht, Guilan Rasht Guilan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
