<?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>IRCT201507226135N5</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2015-07-24</date_registration>
      <primary_sponsor>Medaria Company</primary_sponsor>
      <public_title>To evaluate the safety and efficacy of M3D Fractional - Made By Medaria in reducing facial aging</public_title>
      <acronym></acronym>
      <scientific_title>To evaluate the safety and efficacy of M3D Fractional - Made By Medaria in reducing facial aging: A single arm phase III clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2015-07-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>15</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/6571</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: N/A, Blinding: Single blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Facial aging.</hc_freetext>
      <i_freetext>Each patient will receive six sessions of m3D Fractional treatment to the whole face. The face will be thoroughly cleaned and dried before treatment. Treatment will be conducted by trained and experienced technician according to the instructions in m3D Fractional user manual. All subjects will be asked to use sunscreen with SPF 30 after each treatment session and to visit 1-week, 3- and 6-month after the last treatment session..</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></results_IPD_plan>
      <results_IPD_description></results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname></firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address></address>
        <city></city>
        <country1></country1>
        <zip></zip>
        <telephone></telephone>
        <email></email>
        <affiliation></affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Alireza Firooz</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 415, Taleqani Ave.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip></zip>
        <telephone>+98 21 8897 2220</telephone>
        <email>firozali@tums.ac.ir</email>
        <affiliation>Center for Research &amp; Training in Skin Diseases &amp; Leprosy, Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Inclusion criteria:&#13;
•	Aged between 30 to 60 years.&#13;
•	Mild to moderate (Glogaue Score)&#13;
•	Skin Type (II-IV)&#13;
•	Signed informed consent voluntarily and knowingly&#13;
&#13;
Exclusion criteria&#13;
&#13;
•	History of any implant in face area&#13;
•	History of any cosmetic surgery during last 3 years in face area&#13;
•	History of RF during last year&#13;
•	History of any Botulinum, laser, or intense pulsed light during last 6 month&#13;
•	History of Isotretinoin during last 6 month&#13;
•	Collagen vascular disease&#13;
•	Diabetes&#13;
•	Severe cardiac disease&#13;
•	Malignant tumor&#13;
•	Bleeding disorders, Coagulopathy, any drugs affect bleeding time&#13;
•	Any active, chronic and recurrent infection&#13;
•	Any history of anaphylaxis&#13;
•	Susceptibility to keloids&#13;
•	Any active or recurrent herpes&#13;
•	Any immune-compromised conditions&#13;
•	Skin atrophy&#13;
•	Active smoker ( last 2 years)&#13;
•	Pregnancy/ breast feeding&#13;
•	Vascular disease&#13;
•	Cardiac pace maker&#13;
•	Vertigo, labyrinthitis&#13;
•	Dyslipidemia</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Each patient will receive six sessions of m3D Fractional treatment to the whole face. The face will be thoroughly cleaned and dried before treatment. Treatment will be conducted by trained and experienced technician according to the instructions in m3D Fractional user manual. All subjects will be asked to use sunscreen with SPF 30 after each treatment session and to visit 1-week, 3- and 6-month after the last treatment session.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Wrinkle. Timepoint: At baseline- 1 week, 3 months and 6 months after the last treatment session. Method of measurement: Two board-certified dermatologists will perform  clinical assessments in a blinded fashion by scoring every photograph according to the Fitzpatrick wrinkle scale.</prim_outcome>
      <prim_outcome>Laxity. Timepoint: At baseline- 1 week, 3 months and 6 months after the last treatment session. Method of measurement: Two board-certified dermatologists will perform  clinical assessments in a blinded fashion by scoring every photograph according to the Alexiades-Armenakas laxity scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Patient's overall satisfaction. Timepoint: At the final treatment session and at 1-week, 3- month and 6- month after their final treatment session. Method of measurement: based on a 6-point Likert scale (0-No satisfaction, 1- very little satisfaction, 2-little satisfaction, 3-moderate satisfaction, 4-much satisfaction, 5- very much satisfaction).</sec_outcome>
      <sec_outcome>Skin elasticity. Timepoint: At baseline and 1-week, 3- month and 6-month after the final treatment session. Method of measurement: Cutometer.</sec_outcome>
      <sec_outcome>Water content. Timepoint: At baseline and 1-week, 3- month and 6-month after the final treatment session. Method of measurement: Corneometer.</sec_outcome>
      <sec_outcome>Transepidermal water loss. Timepoint: At baseline and 1-week, 3- month and 6-month after the final treatment session. Method of measurement: TEWAmeter.</sec_outcome>
      <sec_outcome>Skin pigmentation. Timepoint: At baseline and 1-week, 3- month and 6-month after the final treatment session. Method of measurement: Mexameter.</sec_outcome>
      <sec_outcome>Ultrasonographic measurements ( skin thickness and  density). Timepoint: At baseline and 1-week, 3- month and 6-month after the final treatment session. Method of measurement: Skin ultrasonography.</sec_outcome>
      <sec_outcome>Wrinkles and colour differences. Timepoint: At baseline and 1-week, 3- month and 6-month after the final treatment session. Method of measurement: VisioFace.</sec_outcome>
      <sec_outcome>Side-effects including erythema, edema, pain, hyperpigmentation and scarring). Timepoint: All visits. Method of measurement: By physician.</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>Medaria Company</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2015-07-04</approval_date>
        <contact_name>Tehran University of Medical Sciences</contact_name>
        <contact_address>Qods St, Keshavarz Blvd,  Tehran Tehran  Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
