<?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>IRCT20210519051348N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-10-31</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of safety and efficacy of Desferal + Zinc nasal spray</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of safety and efficacy of Desferal + Zinc nasal spray to improve clinical and pulmonary symptoms in patients with COVID-19</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-10-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/58922</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block randomization method will be performed (each block includes 6 patients).
Dedicated sequences and hidden codes using www.sealedenvelope.com
  are produced.
  The closed envelope method will be used to hide the allocation sequence, Blinding description: In this study, the patients participating in the study as well as the clinician evaluating the patient and the person analyzing the data were kept blind and the researcher was aware of the drug and placebo recipients.               To perform blinding during randomization using the site www.sealedenvelope.com, by activating the generate uniqe ramdimization code option, each patient will be given a special code that will be written on the medicine containers and all the containers will be exactly the same. And these codes remain confidential with the researcher until the end of the study.</study_design>
      <phase>2-3</phase>
      <hc_freetext>covid19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: Nasal spray Desferal + Zinc,chemical ingredients: desferrioxamine (500mg) plus Zinc acetate (200 mg) in a volume of 10 cc.Dosing: 2 Puffs in the nose every eight hours for a week. Intervention 2: Intervention group2: Nasal spray Zinc,chemical ingredients: Zinc acetate (200 mg) in a volume of 10 cc Dosing: 2 Puffs in the nose every eight hours for a week. Intervention 3: Control group: Distilled water spray in a volume of 10 cc Dosing: 2 Puffs in the nose every eight hours for a week.</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:
Information on the main outcomes studied can be shared.

When:
The data will be available after the publication of all the obtained results.

To whom:
Only for researchers working in academic and scientific institutions

Conditions:
The study or proposal protocol must be approved by the Ethics Committee of the institution or university. The rights of authors and their sponsors must be protected.

Where to obtain:
Shiraz School of Pharmacy to the email address pharmacyfaculty@sums.ac.ir and contact number 00987132424128
Dr. Laleh Mahmoudi to the email address mahmoudi_l@sums.ac.ir and the contact number 00989126135992

How to obtain:
Requests should be addressed to the Technology and Research Vice-chancellery of Shiraz University of Medical Sciences and the project executor should informed.After submitting the application, a maximum of one week will be answered .

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Navid Esmaeilzadeh Shahri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ferdowsi Ave.</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۷۱۳۵۷۶۵۷۴۸</zip>
        <telephone>+98 71 3231 5156</telephone>
        <email>esmaeilzadeh_n@sums.ac.ir</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>laleh mahmoudi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Akbarabad Ave.</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۷۱۴۶۸۶۴۶۸۵</zip>
        <telephone>+98 71 3242 4127</telephone>
        <email>mahmoudi_l@sums.ac.ir</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Informed and written consent of patient with Coronavirus                                     Confirmation  disease by clinical  and laboratory signs                             Serum creatinine less than two Milligram per Deciliter                     Absence of  heart problems( myocarditis- heart failure ) Hemoglobin above 8 Gram per Deciliter                                Patients admitted to the ward with moderate symptoms              18 to 65 years</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Ferritin lower than 100 milligram per deciliter                                   Diabetes                                                                                       History of blood coagulation problems                                     Pregnancy and Breastfeeding                                                          History of neurologic problems                                                History of vision and hearing problems                                           concomitant use of vitamin C                                                                        Intubated patient                                                                                   History of Desferal or Zinc allergy</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>COVID19, virus identified</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>Intervention group 1: Nasal spray Desferal + Zinc,chemical ingredients: desferrioxamine (500mg) plus Zinc acetate (200 mg) in a volume of 10 cc.Dosing: 2 Puffs in the nose every eight hours for a week</i_keyword>
      <i_keyword>Intervention group2: Nasal spray Zinc,chemical ingredients: Zinc acetate (200 mg) in a volume of 10 cc Dosing: 2 Puffs in the nose every eight hours for a week</i_keyword>
      <i_keyword>Control group: Distilled water spray in a volume of 10 cc Dosing: 2 Puffs in the nose every eight hours for a week</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Interleukin6. Timepoint: Before and after the intervention. Method of measurement: ELISA KIT.</prim_outcome>
      <prim_outcome>Body temperature. Timepoint: Before the intervention and every day during the study. Method of measurement: Thermometer.</prim_outcome>
      <prim_outcome>Oxygen saturation. Timepoint: Before the intervention and every day during the study. Method of measurement: Pulse oximeter.</prim_outcome>
      <prim_outcome>Cough. Timepoint: Before the intervention and every day during the study. Method of measurement: questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Duration of hospitalization. Timepoint: Admission period until hospital discharge. Method of measurement: Patient file.</sec_outcome>
      <sec_outcome>Incidence of serious adverse events. Timepoint: Before intervention and daily during the study. Method of measurement: Questionnaire.</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>2021-09-12</approval_date>
        <contact_name>Ethics Committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>Karimkhanzand Ave. Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
