<?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>IRCT20171122037571N4</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-02-26</date_registration>
      <primary_sponsor>SHIFAPHARMED Industrial Group Co</primary_sponsor>
      <public_title>A Clinical trial of Omicron-Based CovIran Barkat vaccine as a third injection dose in vaccinated population over 18 years of age</public_title>
      <acronym></acronym>
      <scientific_title>A Clinical trial to evaluate the immunogenicity and safety of Omicron-Based CovIran Barkat vaccine as a third injection dose in vaccinated population over 18 years of age</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-02-26</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>210</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/62022</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention.</study_design>
      <phase>3</phase>
      <hc_freetext>COVID-19 disease.</hc_freetext>
      <i_freetext>Intervention 1: Group of recipients of the third injection of CovIran Barkat vaccine of Wuhan strain, with a history of receiving two doses of CovIran Barkat vaccine. Intervention 2: Group of recipients of the third injection of CovIran Barkat vaccine of Omicron strain, with a history of receiving two doses of CovIran Barkat vaccine. Intervention 3: Group of recipients of the third injection of CovIran Barkat vaccine of Omicron strain, with a history of receiving two doses of Sinopharm vaccine.</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:
De-identified, individual participant data will be made available upon requests directed to the corresponding author; after the approval of a proposal, data can be shared through a secure online platform.

When:
Access will be granted after publishing the results

To whom:
Anyone who requests

Conditions:
Categorization and reanalysis of data is permitted. The publication of analysis results is possible only with the permission of the corresponding author of the article.

Where to obtain:
Requests directed to the corresponding author

How to obtain:
Request from the corresponding author, granting access to anonymized data in one month

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Hasan Jalili</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Soha St., Shifa St., Mapna Blv</address>
        <city>kordan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417993337</zip>
        <telephone>+98 21 9109 0245</telephone>
        <email>hjalili@ut.ac.ir</email>
        <affiliation>SHIFAPHARMED Industrial Group Co</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Minoo Mohraz</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>AIDS research center, Tehran University of Medical Sciences</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417993337</zip>
        <telephone>+98 21 6658 1583</telephone>
        <email>minoomohraz@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Aged over 18 years old
In the volunteer’s vaccination history, the interval between the first and second dose is between 4 to 8 weeks and at least 3 months and at most 5 months have passed since the injection of the second dose of the volunteer's vaccination.
The volunteer must be able and willing to cooperate with the researchers throughout the study period.
The volunteer must be able to fully understand the executive processes of the study and to understand the explanations of the facilitators correctly.
The volunteer would be able to understand the contents of the informed consent form and sign the informed consent before recruitment.
Access to the medical records and test results if hospitalised for any reason including due to the suspected or confirmed COVID-19 should be allowed.
The volunteer has been in a medically stable condition for the past three months (he/she has not been hospitalized, his / her chronic illness has not recurred). His / her chronic illness medication instructions have not changed due to lack of control over clinical symptoms, etc.)</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Confirmed, suspected, or asymptomatic COVID-19 case
Candidate with a history of SARS-CoV-2 infection (documented rtPCR) after receiving the second dose of COVID-19 vaccine.
During the period of home quarantine due to Covid-19 (suspicion of exposure or suspicious symptoms).
In the 14 days prior to vaccination: fever or presence of at least two symptoms from Dry cough, severe fatigue, nasal congestion, runny nose, sore throat, myalgia, diarrhoea, dyspnea, and shortness of breath
History of severe allergic reaction, urticaria or allergic reactions to COVID-19 Inactivated vaccine ingredients (allergic to Aluminium).
Personal or family history of seizure, epilepsy, encephalopathy or psychiatric disorders
Presence of congenital malformations or any genetic disorder
Presence of any malignancy
Known case of immunodeficiency, HIV, lymphoma, leukemia, or other autoimmune diseases.
Receiving immunosuppressive drugs or corticosteroids in the last 6 months
Splenectomy or history of any organ removal
History of coagulation disorders
History of hereditary and acquired angioedema over the past year
Receiving Anti-TB treatment
Positive HBsAg/ Positive HCV antibody
Receiving immunomodulators or immunosuppressors at least for14 days in the past 3 months
Receiving live vaccine in one month or other vaccines in 14 days before inoculation
Receiving immunoglobulins or blood products in 3 months before inoculation
History of severe mental disorders affecting the participation in the study
Women with a positive pregnancy test (Beta HCG in a blood sample) or breastfeeding or those who intend to become pregnant during the study period.
Any other circumstances are other than the above-mentioned ones that the researcher deems inappropriate for a person participating in a clinical trial. These cases are recorded as the reason for not entering.</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>Prevention</i_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Group of recipients of the third injection of CovIran Barkat vaccine of Wuhan strain, with a history of receiving two doses of CovIran Barkat vaccine</i_keyword>
      <i_keyword>Group of recipients of the third injection of CovIran Barkat vaccine of Omicron strain, with a history of receiving two doses of CovIran Barkat vaccine</i_keyword>
      <i_keyword>Group of recipients of the third injection of CovIran Barkat vaccine of Omicron strain, with a history of receiving two doses of Sinopharm vaccine</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Total IgG titers against Wuhan and Omicron variants (with GMT, GMI). Timepoint: Days 0,14, 90, 180. Method of measurement: ELISA assay.</prim_outcome>
      <prim_outcome>The neutralization capacity of booster doses against Wuhan and Omicron variants. Timepoint: Days 0,14, 90, 180. Method of measurement: Conventional Virus Neutralization Test (cVNT).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Any immediate reaction after inoculation. Timepoint: 0-30 minutes after inoculation. Method of measurement: Close observation.</sec_outcome>
      <sec_outcome>Percentage of local reactions (pain, redness, swelling, ....in injection site). Timepoint: Days 0 to 7 after each inoculation. Method of measurement: Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System.</sec_outcome>
      <sec_outcome>Percentage of systemic events (fever, headache, chills, nausea, vomiting, diarrhoea, fatigue, muscle pain, arthralgia, ....). Timepoint: Days 0 to 7 after inoculation. Method of measurement: Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System.</sec_outcome>
      <sec_outcome>Occurrence of any adverse event (serious or non-serious). Timepoint: Days 0 to 7 after inoculation. Method of measurement: Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System.</sec_outcome>
      <sec_outcome>Occurrence of any systemic events. Timepoint: Days 0 to 180 after inoculation. Method of measurement: Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System.</sec_outcome>
      <sec_outcome>Occurrence of any adverse event (serious or non-serious). Timepoint: Days 0 to 180 after inoculation. Method of measurement: Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System.</sec_outcome>
      <sec_outcome>Occurrence and the severity of SARS-COV-2 infection. Timepoint: Till 180 days after inoculation. Method of measurement: Comparing confirmed COVID-19 cases, severity status is categorised as non-severe, severe, and critical based on the WHO diagnosis scheme.</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>SHIFAPHARMED Industrial Group Co</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-02-22</approval_date>
        <contact_name>National research ethics committee</contact_name>
        <contact_address>13th floor, Block A, Ministry of health, Simaye Iran street, Shahrake ghods(qarb) Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
