<?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>IRCT20210216050373N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-12-19</date_registration>
      <primary_sponsor>Imam Khomeini Hospital, Tehran</primary_sponsor>
      <public_title>Effectiveness of HMD 99 capsule (St. John’s wort and Lemon Balm extract along with DDW water) in the treatment of patients with COVID-19 disease</public_title>
      <acronym></acronym>
      <scientific_title>Effectiveness of HMD 99 capsule (St. John’s wort and Lemon Balm extract along with DDW water) in the treatment of patients with COVID-19 disease referred to Imam Khomeini Hospital in Tehran: a randomized double blind  clinical trial study.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-01-04</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>110</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/60660</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: A table of randomized numbers (with a number for each patient) shall be used for randomization of treatment in the study. In this table, half the numbers are coded for HMD 99 capsule and the other half for placebo without the administrators prior knowledge. Prescription of HMD 99 capsule or placebo for each patient shall be done by picking numbers from the table and matching them to the code for the medication or placebo, Blinding description: This is double-blind study in which neither the patients nor the medical care staff/physicians will have information regarding treatment (capsule or placebo) each patient is receiving. The double-blind set up of the study will use coded packages for capsules and placebo which look identical.</study_design>
      <phase>3</phase>
      <hc_freetext>Covid-19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: This group shall receive 3 HMD 99 capsules per day, each containing 400 mg of Hypericum p. and Melissa o. formulation prepared with deuterium depleted water, for 90 days. Intervention 2: Control group: This group shall receive and take 3 placebo capsules (containing commonly used excipients in pharmaceuticals for producing placebo) for 90 days.</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 Work in progress</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Seyed Ahmad Alinaghi, M.D.</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>End of Keshavarz Blvd.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1419733141</zip>
        <telephone>+98 21 6658 1583</telephone>
        <email>a_alinaghi@sina.tums.ac.ir</email>
        <affiliation>Imam Khomeini Hospital, Tehran</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Seyed Ahmad Alinaghi, M.D.</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>End of Keshavarz Blvd.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1419733141</zip>
        <telephone>+98 21 6658 1583</telephone>
        <email>a_alinaghi@sina.tums.ac.ir</email>
        <affiliation>Imam Khomeini Hospital, Tehran</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>To participate in the study, patients, or their legal guardian must give their knowing and voluntary consent in writing and orally
The PCR test for SARS-CoV-2 virus must be positive with one of the following conditions: signs indicating covid-19 disease such as fever, dry cough and shortness of breath
CT scan (HRCT or Spiral CT) to show coronavirus involvement, specifically in the ground glass view in the peripheral or basal portions of the lungs and physician's confirmation
Patients who have signs of medical conditions secondary to covid-19 infection such as Acute Respiratory Distress Syndrome (ARDS) or myocarditis
Patients should not have taken antiretroviral or boosters of immune system up to 3 months prior to the start of the study</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients will not participate in this study during pregnancy or lactation
Patients whose covid-19 infection has not been confirmed but have cold or flu-like symptoms.
Current use of stimulants or depressant drugs or alcohol
Use of growth hormone, testosterone or anabolic steroids up to 30 days prior to the start of the study
Long-term treatment with immunosuppressant medications except topical steroids
Patients undergoing chemotherapy, radiotherapy (up to 3 weeks prior to the start of the experiment) or patients who have been prescribed interferon</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>COVID 19, virus identified</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: This group shall receive 3 HMD 99 capsules per day, each containing 400 mg of Hypericum p. and Melissa o. formulation prepared with deuterium depleted water, for 90 days.</i_keyword>
      <i_keyword>Control group: This group shall receive and take 3 placebo capsules (containing commonly used excipients in pharmaceuticals for producing placebo) for 90 days</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Blood test (CBC, Diff-ESR-CRP-Ast-Alt-Cr-D Dimer). Timepoint: At the beginning, and after 14 days at the end of the study. Method of measurement: Blood Test CBC, (Diff-ESR-CRP-Ast-Alt-Cr-D Dimer).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Clinical manifestations: Respiratory symptoms or common acute and non-respiratory symptoms such as lethargy, fever, myalgia, dry cough, phlegm, diarrhea, shortness of breath, rhinitis, vomiting, headaches, chills. Timepoint: daily for 14 days. Method of measurement: Physician's examination, patients answers, information recorded in patient files.</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>Imam Khomeini Hospital, Tehran</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-12-15</approval_date>
        <contact_name>Research Ethics Committee Of Islamic Azad University, Tehran</contact_name>
        <contact_address>Shariati St., Khaghani St. Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
