<?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>IRCT20211031052922N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-12-01</date_registration>
      <primary_sponsor>Esfahan University of Medical Sciences</primary_sponsor>
      <public_title>Effect of Medroxy progesteron in Chronic Obstructive Pulmonary Disease (COPD) exacerbation</public_title>
      <acronym>بیماری انسدادی مزمن ریوی یاChronic Obstructive Pulmonary Disease(COPD) /تهویه غیر تهاجمی یاNon Invasive Ventilation (NIV)</acronym>
      <scientific_title>Evaluation of the effectiveness of medroxyprogesterone on blood gases and short term hospital outcomes in patients with Chronic Obstructive Pulmonary Disease (COPD) exacerbation who received Non Invasive Ventilation (NIV)</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-08-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>70</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/59681</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Single, Purpose: Treatment, Randomization description: Patients were recruited based on the mentioned criteria and 70 patients are selected.They are randomly divided into two groups based on permuted block randomization by using Random Allocation software that each group(case and control)contain of 35 participant.For assurance of participant are divided equally to case and control in consecutive interval,we  use 10 blocked randomization that each of them contain 7 participant.Odd blocks are interventional group and even blocks are control group, Blinding description: In this study participants and doctors are blind.participant after signing informed consent,accept that may recieve drug or placebo.Doctors dont know which patient may recieve medroxy progesteron or placebo.Doctors after initial visit of COPD exacerbation patients who need Non Invasive Ventilation(NIV),report the patients to study supervisior(pulmonary fellowship).Study supervisior is checking inclusion and exclusion criteria and recieved informed consent.After randomazation by study supervisor ,drugs or placebo are taken to nurse of patients (who are blind)for daily prescription.Also nurse dont know that the patient recieve placebo or drug.Study forms are completed by doctors daily.After 5th days,supervisior collect forms and drug or placebo prescription discontinue.</study_design>
      <phase>3</phase>
      <hc_freetext>Chronic Obstructive Pulmonary Disease(COPD) Exacerbation.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: prescription medroxy pogesteron acetate 15mg per 6 hour until 5days to COPD (Chronic Obstructive Pulmonary Disease)exacerbation patients who needs Non InvasiveVentilation(NIV) .Medroxy progesteron tablets 5 mg are produced by Aboreyhan company.We prescript 3tablets of medroxy progesteron  5mg(15mg) every 6 hour. Intervention 2: Control group: prescription placebo that similar to Medroxy progesteron per 6 hour to COPD exacerbation patients(every 6hour precript 3 tablet of placebo).We will produce placebo with help of faculty of pharmacy of Isfahan medical university.</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:
We decide to share our questionare forms (after unidentifiable)  and SPSS files of primary and secondary variables and data analysis of our study by other researchers

When:
6 month after article  is published

To whom:
Reshearcher in medical and pharmaceutical field that work in university or pharmacy company

Conditions:
After we study their study proposal,usage of our data will be possible.Analysis of ourdata according to their study will be possible.if usage our data help them to result in an article,we expect our name mention as colleague

Where to obtain:
Email to me
minanickpour@yahoo.com

How to obtain:
First we must study their research proposal,if our data help them,immediately we give our datas and SPSS files and other files if needed

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mina Nickpour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Khorshid hospital, Ostandari Ave, Esfahan</address>
        <city>Esfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8145831451</zip>
        <telephone>+98 31 3263 8279</telephone>
        <email>minanickpour@yahoo.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mina Nickpour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Khorshid hospital, Ostandari Ave, Esfahan</address>
        <city>Esfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174675731</zip>
        <telephone>+98 31 3263 8279</telephone>
        <email>minanickpour@yahoo.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Chronic Obstructive Pulmonary Disease (COPD) exacerbation patients who has one of this criteria(dyspnea, increased sputum volume, and a change in the nature of sputum)
COPD exacerbation patient who needs Non Invasive Ventilation (NIV)
Age between 30-80
Signing the written informed consent</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>80 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Requiring mechanical ventilation by the time of admission
Having a current or history of thromboembolic diseases like Pulmonary Thrombosis Embolie (PTE), active thrombophelebitis, Deep Vein Thrombosis (DVT)
History of cerebrovascular disease, history of myocardial infarction (MI) and stroke
Unexplained vaginal bleeding
Hepatic diseases
Pregnancy
History of breast cancer or any estrogen or progesterone dependent tumors
History of allergy to hormonal drugs containing progesterone
Stable and frequent vomiting
Decreased level of consciousness
Deformity or trauma  in face</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J44.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Chronic obstructive pulmonary disease with acute exacerbation, unspecified</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: prescription medroxy pogesteron acetate 15mg per 6 hour until 5days to COPD (Chronic Obstructive Pulmonary Disease)exacerbation patients who needs Non InvasiveVentilation(NIV) .Medroxy progesteron tablets 5 mg are produced by Aboreyhan company.We prescript 3tablets of medroxy progesteron  5mg(15mg) every 6 hour.</i_keyword>
      <i_keyword>Control group: prescription placebo that similar to Medroxy progesteron per 6 hour to COPD exacerbation patients(every 6hour precript 3 tablet of placebo).We will produce placebo with help of faculty of pharmacy of Isfahan medical university.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>ICU admission. Timepoint: Daye1;3;5. Method of measurement: doctors reports.</prim_outcome>
      <prim_outcome>Intubation. Timepoint: Days1,3,5. Method of measurement: Doctors reports.</prim_outcome>
      <prim_outcome>Venous blood gase. Timepoint: Days1,3,5. Method of measurement: ABG analysor.</prim_outcome>
      <prim_outcome>O2saturation. Timepoint: Days1,3,5. Method of measurement: Pulse oximetery.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Hospitalization days. Timepoint: In day 5 and days of discharge. Method of measurement: Days of hospitalization.</sec_outcome>
      <sec_outcome>Dyspnea score. Timepoint: Days 1,3,5. Method of measurement: Borg scale.</sec_outcome>
      <sec_outcome>Non Invasive Ventilation(NIV)  hours/day usage. Timepoint: Days 1,3,5. Method of measurement: Based on doctors reports.</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>Esfahan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-11-20</approval_date>
        <contact_name>Ethics committee of Isfahan University of Medical science</contact_name>
        <contact_address>Isfahan Medical Univesity , Hezarjarib Ave, Esfahan Esfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
