<?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>IRCT20220727055565N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-09-28</date_registration>
      <primary_sponsor>Universiti Teknologi MARA</primary_sponsor>
      <public_title>Efficacy of Topical Silicone 5% Hydrogel versus Topical Hydrocortisone 1% Ointment in Keloid Treatment measured using POSAS Score. A Randomized, Double-Blind Study</public_title>
      <acronym></acronym>
      <scientific_title>Efficacy of Topical Silicone 5% Hydrogel versus Topical Hydrocortisone 1% Ointment in Keloid Treatment  measured using POSAS Score. A Randomized, Double-Blind Study</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-11-13</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>32</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/65103</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomization. The patients was allocated to Silicone 5% Hydrogel or Topical Hydrocortisone 1% Ointment group by simple randomization using computer generated sequence. The total number of patients needed in this study was entered to the EpiInfo6 software. Then, the software generated a list of number to which group the patients will be, Blinding description: Double blinding was applied in this study. The investigator and participants were blinded. Only the manufacturer (third party) has  the information on the type of treatment received by participants (whether intervention and placebo). The third party provided the Silicone 5% Hydrogel and the Topical Hydrocortisone 1% Ointment. Both Silicone 5% Hydrogel and hydrocortisone 1% ointment were prepared in the same colour and appearance.</study_design>
      <phase>1</phase>
      <hc_freetext>Keloid Scar.</hc_freetext>
      <i_freetext>Intervention 1: "Intervention group": The patients were given SILHYD. SILHYD was prepared by the manufacturer as a cream contain of silicone 5% hydrogel, The cream was applied 0.5mg, once daily at the keloid scar pigmentation topically on the keloid scar pigmentation for 12 weeks duration. Intervention 2: "Control group": The patients were given hydrocortisone 1% ointment . hydrocortisone 1% ointment  was prepared by the manufacturer as a cream contain of hydrocortisone 1%. The cream was applied 0.5mg, once daily at the keloid scar pigmentation topically on the keloid scar pigmentation for 12 weeks duration.</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:
Efficacy of Topical Silicone 5% Hydrogel versus Topical Hydrocortisone 1% Ointment in Keloid Treatment measured using POSAS Score. A Randomized, Double-Blind Study will be kept for research purpose only

When:
Will be kept for 7 years until after completion of study

To whom:
Only for members of the research

Conditions:
Research only

Where to obtain:
Principal Investigator

How to obtain:
Official letter of request will be needed to state reason(s) for request

Comments:
No</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Liyana Dhamirah Aminuddin</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Universiti Teknologi MARA Sungai Buloh Campus, Jalan Hospital</address>
        <city>Sungai Buloh</city>
        <country1>Malaysia</country1>
        <zip>47000</zip>
        <telephone>0061265000</telephone>
        <email>liyanadhamirah@uitm.edu.my</email>
        <affiliation>Universiti Teknologi MARA</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>LIYANA DHAMIRAH AMINUDDIN</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Universiti Teknologi MARA, Sungai Buloh Campus</address>
        <city>Sungai Buloh</city>
        <country1>Malaysia</country1>
        <zip>47000</zip>
        <telephone>+60 3-6126 5000</telephone>
        <email>liyanadhamirah@uitm.edu.my</email>
        <affiliation>Universiti Teknologi MARA</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Malaysia</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age 18 or above
Educationally competence able to participate in the study for 12 weeks
At least two keloid scars on the same anatomical site or having one large keloid scar exceeding 5cm</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>History of allergy or hypersensitivity responses to any component of the medications or dressing used in the study
Active primary or secondary dermatoses superimposed on the keloid
Active skin infection, connective tissue disorders and diabetes mellitus.
Patients who were educationally incompetence and were not able to understand the Patient and Observer Scar Assessment Scale (POSAS)
Had a history of keloid treatment (shorter than eight weeks)
Pregnant
Lactating
Keloid less than 8 weeks</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>L91.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Keloid scar</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>"Intervention group": The patients were given SILHYD. SILHYD was prepared by the manufacturer as a cream contain of silicone 5% hydrogel, The cream was applied 0.5mg, once daily at the keloid scar pigmentation topically on the keloid scar pigmentation for 12 weeks duration.</i_keyword>
      <i_keyword>"Control group": The patients were given hydrocortisone 1% ointment . hydrocortisone 1% ointment  was prepared by the manufacturer as a cream contain of hydrocortisone 1%. The cream was applied 0.5mg, once daily at the keloid scar pigmentation topically on the keloid scar pigmentation for 12 weeks duration.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>To compare the effects of "keloid scar condition". Timepoint: at baseline (before intervention), at week-4, at week-8 and week-12 (4 weeks interval) after completion of the intervention. Method of measurement: Validate scoring tool Patient and Observer Scar Assessment Scale (POSAS).</prim_outcome>
      <prim_outcome>To compare the effects of "pigmentation keloid scar". Timepoint: at baseline (before intervention), at week-4, at week-8 and week-12 (4 weeks interval) after completion of the intervention. Method of measurement: Mexameter.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></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>Universiti Teknologi MARA</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-11-13</approval_date>
        <contact_name>Research Ethic Committee, Universiti Technologi MARA</contact_name>
        <contact_address>Research Management Centre, Universiti Teknologi MARA Shah Alam Selangor Darul Ehsan Malaysia</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
