<?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>IRCT20220814055693N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-12-23</date_registration>
      <primary_sponsor>Qazvin University of Medical Sciences</primary_sponsor>
      <public_title>Effect of ketogenic diet on fatty liver</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of ketogenic diet on patients with fatty liver</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-08-31</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/65601</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients will be individually divided into two groups a (ketogenic diet) and b (common diet) using the random block method.
The size of each block is 4.
The random allocation tool is random allocation software.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Ketogenic diet.</hc_freetext>
      <i_freetext>Intervention 1: Control group: A common diet (a low-calorie diet with moderate carbohydrates in which the share of carbohydrates is 55% of the total energy) is provided to the patients for 3 months. In the first session, under the supervision of the researcher, daily meals are given to the patient for a whole week and The method of food consumption is explained, then the other diet is provided to the patients by telephone or in person. If the patients need to change the diet or cause problems in its implementation, the researcher is informed. Intervention 2: Intervention group: Ketogenic diet (a high-fat, adequate-protein, low-carbohydrate diet(less than 20%). In this diet, foods containing meat, cheese, cream, healthy oils, nuts, and seeds, etc., are consumed instead of foods containing sugar, grains and starches, fruits except berries, beans and legumes, alcohol, etc.. )  for 3 months. In the first session, under the supervision of the researcher, daily meals are given to the patient for a whole week and the method of food consumption will be explained, then the other diet will be provided to the patients by phone or in person by the researcher. If the patients need to change their diet or cause problems in its implementation, the researcher will be informed.</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:
All data can be shared after individuals are de-identified

When:
Access starts 6 months after results are published

To whom:
The data will be available to researchers working in academic and scientific institutions

Conditions:
Any kind of analysis  on the delivered data is allowed

Where to obtain:
Refer to Dr. Ebrahimi's email

How to obtain:
After publication of the article, the applicant is able to access the information by sending an email to the author

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mehran Ebrahimi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Velayat hospital,22 Bahman boulevard,Elahieh alley, Minoodar town, Qazvin</address>
        <city>Qazvin</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3471976161</zip>
        <telephone>+98 28 3379 0620</telephone>
        <email>Mehraneb.3046@gmail.com</email>
        <affiliation>Qazvin University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mehran Ebrahimi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Velayat hospital,22 Bahman boulevard,Elahieh alley, Minoodar town, Qazvin</address>
        <city>Qazvin</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>341976161</zip>
        <telephone>+98 28 3379 0620</telephone>
        <email>Mehraneb.3046@gmail.com</email>
        <affiliation>Qazvin University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with Non-alcoholic fatty liver diseases
Body mass index more than 25 kg/m2
Patient age between 20 and 60 years
Not receiving the diet and exercise program in the past year</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Suffering from chronic kidney diseases, heart diseases and other liver diseases (hepatitis, liver cirrhosis), diabetic patients treated with insulin
Pregnancy or breastfeeding among female participants
Unwillingness to participate in the study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K76.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Fatty (change of) liver, not elsewhere classified, Nonalcoholic fatty liver disease [NAFLD]</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>Control group: A common diet (a low-calorie diet with moderate carbohydrates in which the share of carbohydrates is 55% of the total energy) is provided to the patients for 3 months. In the first session, under the supervision of the researcher, daily meals are given to the patient for a whole week and The method of food consumption is explained, then the other diet is provided to the patients by telephone or in person. If the patients need to change the diet or cause problems in its implementation, the researcher is informed.</i_keyword>
      <i_keyword>Intervention group: Ketogenic diet (a high-fat, adequate-protein, low-carbohydrate diet(less than 20%). In this diet, foods containing meat, cheese, cream, healthy oils, nuts, and seeds, etc., are consumed instead of foods containing sugar, grains and starches, fruits except berries, beans and legumes, alcohol, etc.. )  for 3 months. In the first session, under the supervision of the researcher, daily meals are given to the patient for a whole week and the method of food consumption will be explained, then the other diet will be provided to the patients by phone or in person by the researcher. If the patients need to change their diet or cause problems in its implementation, the researcher will be informed.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Alanine transaminase. Timepoint: Before the intervention and 3 months after the intervention. Method of measurement: Blood test, Hitachi 912 biochemical machine.</prim_outcome>
      <prim_outcome>Aspartate aminotransferase. Timepoint: Before the intervention and 3 months after the intervention. Method of measurement: Blood test, Hitachi 912 biochemical machine.</prim_outcome>
      <prim_outcome>Low-density lipoprotein. Timepoint: Before the intervention and 3 months after the intervention. Method of measurement: Blood test, Hitachi 912 biochemical machine.</prim_outcome>
      <prim_outcome>High-density lipoprotein. Timepoint: Before the intervention and 3 months after the intervention. Method of measurement: Blood test, Hitachi 912 biochemical machine.</prim_outcome>
      <prim_outcome>Triglycerides. Timepoint: Before the intervention and 3 months after the intervention. Method of measurement: Blood test, Hitachi 912 biochemical machine.</prim_outcome>
      <prim_outcome>Blood Bilirubin. Timepoint: Before the intervention and 3 months after the intervention. Method of measurement: Laboratory sample، Malloy_evelyn method.</prim_outcome>
      <prim_outcome>Fatty liver grade. Timepoint: Before the intervention and 3 months after the intervention. Method of measurement: Ultrasonography.</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>Qazvin University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-01-20</approval_date>
        <contact_name>Ethics Committee of Qazvin University of Medical Sciences</contact_name>
        <contact_address>Research and Technology deputy, Mavaddat Alley ,Shahid Beheshti Blvd, Qazvin Town Qazvin Qazvin Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
