<?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>IRCT20200826048531N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-02-10</date_registration>
      <primary_sponsor>Iran University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of the effect of microneedling and N-acetylcysteine in the treatment of vitiligo</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of Effectiveness, Morbidity, Tolerability and Satisfaction of Vitiligo Treatment with Microneedling with N-acetylcysteine Mesotherapy Compared with Microneedling alone: a Randomized Clinical Trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-12-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>20</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/58998</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: This study is performed on 20 patients and in each patient, two lesions are selected by the therapist that are approximately appropriate in terms of location and size, and one lesion is on the right side and the other on the left side of the body or face or limbs. Simple randomization method is used in such a way that for right sided lesion by selecting the letters A, B randomly from inside the envelope, the treatment method is determined and the other method will be used for the left sided lesions. The letter A indicates the main treatment method and the letter B symbolizes the placebo, Blinding description: The study is blind for the participant and the evaluator. At the beginning of the study, the procedure of treatment and receiving the drug, randomly receiving of a main drug for one lesion and a placebo for another one, is explained for all the participants, including both the intervention group and the control group.  
During the treatment process, the patients, without knowing if they are receiving the main drug (N-acetylcysteine ampoule) or placebo (visually similar to the main drug), are treated. After ending the treatment, the data is provided to a dermatologist as the evaluator. This person evaluates the outcome of the study without knowing the treatment process.</study_design>
      <phase>3</phase>
      <hc_freetext>Vitiligo.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: We use 1-2 cc of Exir Pharmaceutical Company N-acetylcysteine 5% ampoule on the lesion and microneedle with NESOYA microneedling device until occurring the pinpoint bleeding, we continue the treatment sessions every two weeks up to 6 sessions and ask the patient a daily use of the combination drug N-acetylcysteine 4.7% (a combination of N-acetylcysteine powder 4.7 g and Eucerin 95.3 g) on the lesion for 2.5 months. Intervention 2: control group: We use 1-2 cc of placebo ( 5 cc distilled water of Caspian Pharmaceutical Company ) on the lesion and microneedle it for 2 minutes with NESOYA microneedling device until occurring the pinpoint bleeding, we continue the treatment sessions every two weeks up to 6 sessions.</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>Elham Ziaeifar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Rasool-E-Akram Hospital , Maziyar Mansoori Ave, Sattar khan Ave.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1445613131</zip>
        <telephone>+98 21 6435 2390</telephone>
        <email>elhamziaeifar@gmail.com</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Elham Ziaeifar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Rasool-E-Akram Hospital , Maziyar Mansoori Ave , Sattar khan Ave.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1445613131</zip>
        <telephone>+98 21 6435 2390</telephone>
        <email>elhamziaeifar@gmail.com</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>People with vitiligo have symmetrical constants patches
They are between 15-75 years old
No progressive or new lesions for at least the past year
They have not been treated in the last two months</inclusion_criteria>
      <agemin>15 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients who have thyroid disorders
Patients with hypertrophic and keloid scars.
At the site of microneedling have pathological lesions, wounds and infections.
Patients who have allergies to N-acetylcysteine .
Patients who are pregnant or breastfeeding.
Patients who plan to become pregnant within the next six months.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>L80</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Vitiligo</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: We use 1-2 cc of Exir Pharmaceutical Company N-acetylcysteine 5% ampoule on the lesion and microneedle with NESOYA microneedling device until occurring the pinpoint bleeding, we continue the treatment sessions every two weeks up to 6 sessions and ask the patient a daily use of the combination drug N-acetylcysteine 4.7% (a combination of N-acetylcysteine powder 4.7 g and Eucerin 95.3 g) on the lesion for 2.5 months.</i_keyword>
      <i_keyword>control group: We use 1-2 cc of placebo ( 5 cc distilled water of Caspian Pharmaceutical Company ) on the lesion and microneedle it for 2 minutes with NESOYA microneedling device until occurring the pinpoint bleeding, we continue the treatment sessions every two weeks up to 6 sessions.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Tensity of  lesions. Timepoint: At the beginning of the study (before the intervention) and 2, 4, 6, 8, 10 and 14 weeks after starting treatment. Method of measurement: use of Vitiligo Extent Tensity Index (VETI) score.</prim_outcome>
      <prim_outcome>Intensity of repigmentation. Timepoint: At the beginning of the study (before the intervention) and 2, 4, 6, 8, 10 and 14 weeks after starting treatment. Method of measurement: use of Vitiligo Extent Tensity Index (VETI) score.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Treatment Tolerance. Timepoint: At the beginning of the study (before the intervention) and 2, 4, 6, 8, 10 and 14 weeks after starting treatment. Method of measurement: questionnaire (Scoring to pain from 0 to 10).</sec_outcome>
      <sec_outcome>Therapeutic satisfaction. Timepoint: At the beginning of the study (before the intervention) and 2, 4, 6, 8, 10 and 14 weeks after starting treatment. Method of measurement: questionnaire (Scoring from 0 to 10).</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>Iran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-08-08</approval_date>
        <contact_name>Ethics committee of faculty of medicine at Iran University of Medical Sciences</contact_name>
        <contact_address>Fifth Floor ,Office Center ,Iran University of Medical Sciences، next to Milad tower, Hemmat Highway Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
