<?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>IRCT20110510006431N5</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-09-14</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>effect of Spirulina in nonalcoholic fatty liver disease</public_title>
      <acronym></acronym>
      <scientific_title>The effect of Spirulina supplementation on anthropometric index, blood glucose, lipid profile, liver enzymes and cardiometabolic risk factors in nonalcoholic fatty liver disease patients: A randomized double-blinded clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-09-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/65320</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, patients are divided into 2 intervention groups: intervention (as Spirulina supplement group) and control group (as placebo group) (named groups A and B), to randomly assign patients to two groups of methods. Stratified blocked randomization is used. The division of branches is based on gender, so patients are first classified into two groups based on gender: male and female (as 2 to Strata). After specifying the quadruple blocks in different arrangements (AABB, ABAB, ABBA, etc.), the lottery method with placement is used to determine the treatment allocation list. It is also necessary to explain that in order to observe the concealment in the mentioned plan, the randomization operation is performed by a person other than the main researcher, and the codes specified in the packets in the package after randomization are provided to the researchers for random sampling and assignment. Placed in the intervention or control group, Blinding description: The study is double-blind. A person other than the researcher who has no information about how to perform and the purpose of the study will use a list of random numbers to encode the Spirulina supplement and placebo and will be numbered according to the list so that the researcher does not know The type of supplements should be observed by each group. Participants will also have no information about the contents of the package.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Nonalcoholic Fatty Liver Disease.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group:  for 12 weeks, 3-gram Spirulina per day from the Drotat high-tech and pharmaceutical science company in Iran. Intervention 2: Control group: for 12 weeks, 3-gram maltodextrin per day from the Drotat high-tech and pharmaceutical science company in Iran.</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 Because the participant’s informations should remain confidental.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mahdi Shadnoush</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hafezi Ave, Shahid Farahzadi Blvd, Shahrak Qarb</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985717443</zip>
        <telephone>+98 21 2237 6480</telephone>
        <email>mshadnoush@gmail.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mahdi Shadnoush</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hafezi Ave, Shahid Farahzadi Blvd, Shahrak Qarb</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985717443</zip>
        <telephone>+98 21 2237 6480</telephone>
        <email>mshadnoush@gmail.com</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age ≥18 years old,                                                                                                                                                                                                                                                                                                                                                               AST &gt; 38, ALT &gt; 40,                                                                                                                                                                                                                                                                                                                                                        Steatohepatitis grade 1,2 or 3 according to Ultrasound report,                                                                            Having a history of alcohol consumption of less than 10 gram per day in women and less than 20 gram per day in men,                                                                                                                       Absence of other acute and chronic diseases and liver disorders (hepatitis B, C, etc.), biliary disease, known autoimmune diseases, cancer and inherited disorders affecting liver condition (storage disease of iron, and copper. ..), Hypertension, cardiovascular diseases, lung disease and kidney disease, cirrhosis, and celiac disease,                                                                                                                                                                                                                                                                                           Absence of pregnancy or lactation, Athletes or hospitalization,                                                                                                          No consumption medications such as metformin, vitamin E and Ursodeoxycholic Acid (UDCA),                                                                                                                                                                                                            No consumption hepatotoxic drugs such as phenytoin, tamoxifen and lithium, and corticosteroids and methotrexate,                                                                                                                                          No consumption medications or antibiotics over a week during the study period or before entering it,                                                                                                                                                                                                                         No history of weight loss surgery in during year during, weight loss program during past 3-month,                                                                                                                                                                                                                                                                                                                                                                                     No history of hypothyroidism, Cushing's syndrome, and diabetes, Lack of gall bladder disease</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K75.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other specified inflammatory liver diseases</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group:  for 12 weeks, 3-gram Spirulina per day from the Drotat high-tech and pharmaceutical science company in Iran.</i_keyword>
      <i_keyword>Control group: for 12 weeks, 3-gram maltodextrin per day from the Drotat high-tech and pharmaceutical science company in Iran.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>LDL-C. Timepoint: Beginning and end of the study. Method of measurement: Enzymatic method using a kit.</prim_outcome>
      <prim_outcome>HDL-C. Timepoint: Beginning and end of the study. Method of measurement: Enzymatic method using a kit.</prim_outcome>
      <prim_outcome>TG. Timepoint: Beginning and end of the study. Method of measurement: Enzymatic method using a kit.</prim_outcome>
      <prim_outcome>Total Cholestrol. Timepoint: Beginning and end of the study. Method of measurement: Enzymatic method using a kit.</prim_outcome>
      <prim_outcome>AST. Timepoint: Beginning and end of the study. Method of measurement: Enzymatic method using a kit.</prim_outcome>
      <prim_outcome>ALT. Timepoint: Beginning and end of the study. Method of measurement: Enzymatic method using a kit.</prim_outcome>
      <prim_outcome>Hepatic Steatosis. Timepoint: Beginning and end of the study. Method of measurement: Ultrasound.</prim_outcome>
      <prim_outcome>Hs-CRP. Timepoint: Beginning and end of the study. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>GSH. Timepoint: Beginning and end of the study. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>Total antioxidant capacity. Timepoint: Beginning and end of the study. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>FBS. Timepoint: Beginning and end of the study. Method of measurement: Enzymatic method using a kit.</prim_outcome>
      <prim_outcome>HOMA-IR. Timepoint: Beginning and end of the study. Method of measurement: Calculation.</prim_outcome>
      <prim_outcome>Weight. Timepoint: Beginning and end of the study. Method of measurement: Balance.</prim_outcome>
      <prim_outcome>Body mass index. Timepoint: Begining and end of the study. Method of measurement: Calculation.</prim_outcome>
      <prim_outcome>Leptin. Timepoint: Beginning and end of the study. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>Lipopolysaccharides. Timepoint: Beginning and end of the study. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>Waist circumstance. Timepoint: Beginning and end of the study. Method of measurement: tape.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Total Calorie Intake. Timepoint: Beginning and end of the study. Method of measurement: 3- days Recall Questionnaire.</sec_outcome>
      <sec_outcome>Total Carbohydrate Intake. Timepoint: Beginning and end of the study. Method of measurement: 3- days Recall Questionnaire.</sec_outcome>
      <sec_outcome>Total Protein Intake. Timepoint: Beginning and end of the study. Method of measurement: 3- days Recall Questionnaire.</sec_outcome>
      <sec_outcome>Total Fat Intake. Timepoint: Beginning and end of the study. Method of measurement: 3- days Recall Questionnaire.</sec_outcome>
      <sec_outcome>Total Fiber Intake. Timepoint: Beginning and end of the study. Method of measurement: 3- days Recall Questionnaire.</sec_outcome>
      <sec_outcome>Total MUFA Intake. Timepoint: Beginning and end of the study. Method of measurement: 3- days Recall Questionnaire.</sec_outcome>
      <sec_outcome>Total PUFA Intake. Timepoint: Beginning and end of the study. Method of measurement: 3- days Recall Questionnaire.</sec_outcome>
      <sec_outcome>Total SFA Intake. Timepoint: Beginning and end of the study. Method of measurement: 3- days Recall Questionnaire.</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>Shahid Beheshti University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-05-28</approval_date>
        <contact_name>Ethics committee of Shahid Beheshti University of Medical Sciences</contact_name>
        <contact_address>Arabi Ave, Daneshjoo Blvd, Velenjak Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
