<?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>IRCT20221022056263N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-01-14</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>Effects of whey protein isolate consumption on patients undergoing cardiac surgery</public_title>
      <acronym></acronym>
      <scientific_title>Evaluating the effects of whey protein isolate on cardiovascular risk factors and quality of life in patients undergoing coronary artery bypass grafting</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-11-15</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>42</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/66610</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block randomization method is used to assign each participant to the intervention or control group. The participants are randomized with block sizes of 4, so that an equal number of individuals will be assigned to the whey protein or the placebo group. Six possible sequences (including AABB, ABAB, ABBA, BAAB, BABA, BBAA) can be made by this method. Each of the sequences will be randomly selected by numbering them from 1 to 6 and using dice, Blinding description: The study participants are blinded. In fact, whey protein isolate and starch powders are packaged similarly and it is not clear to which of the study groups they belong. The researchers do not also provide any information regarding this issue with the participants.</study_design>
      <phase>3</phase>
      <hc_freetext>patients undergoing coronary artery bypass grafting.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Ten grams of whey protein isolate (once a day) for a period of 14 days will be consumed orally after dissolving in water. Intervention 2: Control group: Three grams of wheat starch powder (once a day) for a period of 14 days will be consumed orally after dissolving in water.</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:
Unidentifiable data of primary outcomes will be shared.

When:
one month following publication of the article

To whom:
university researchers

Conditions:
In case of requesting the data for performing secondary studies

Where to obtain:
Mahsa Moazen, School of Nutrition and Food Sciences, Shiraz, Iran
+987137251001

How to obtain:
Approximately two weeks after the request, data will be provided.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Maryam Mohammad-Hosseini</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Al-Zahra heart hospital, Sibooye Blvd.</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7164954937</zip>
        <telephone>+98 71 3735 5041</telephone>
        <email>maryammh63@yahoo.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mahsa Moazen</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Nutrition and Food Sciences, Razi Blvd.</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7554171536</zip>
        <telephone>009837258099</telephone>
        <email>mahsa_moazen@yahoo.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>patients who are undergoing coronary artery bypass grafting
age 30-75 years</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>heart surgery for the second time
simultaneous surgeries (such as heart valve surgery)
ejection fraction lower than 30
patients with renal failure
patients with liver cirrhosis
patients with cancer
having metabolic amino acid disorders (such as phenylketonuria)
patients with malabsorptive syndrome
having celiac disease
allergy to milk and dairy products
patients with Alzheimer's disease
patients with active infection
pregnant women
lactating women
receiving levodopa or albendazole medications</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>I25.709</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Ten grams of whey protein isolate (once a day) for a period of 14 days will be consumed orally after dissolving in water.</i_keyword>
      <i_keyword>Control group: Three grams of wheat starch powder (once a day) for a period of 14 days will be consumed orally after dissolving in water.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Fasting blood glucose. Timepoint: Before the start of intervention and 14 days after it. Method of measurement: colorimetric method.</prim_outcome>
      <prim_outcome>Serum triglyceride. Timepoint: Before the start of intervention and 14 days after it. Method of measurement: colorimetric method.</prim_outcome>
      <prim_outcome>Serum total cholesterol. Timepoint: Before the start of intervention and 14 days after it. Method of measurement: colorimetric method.</prim_outcome>
      <prim_outcome>Low-density lipoprotein cholesterol (LDL-C). Timepoint: Before the start of intervention and 14 days after it. Method of measurement: colorimetric method.</prim_outcome>
      <prim_outcome>High-density lipoprotein cholesterol (HDL-C). Timepoint: Before the start of intervention and 14 days after it. Method of measurement: colorimetric method.</prim_outcome>
      <prim_outcome>Serum albumin. Timepoint: Before the start of intervention and 14 days after it. Method of measurement: colorimetric method.</prim_outcome>
      <prim_outcome>Quality of life determined by MacNew questionnaire. Timepoint: Before the start of intervention and 14 days after it. Method of measurement: MacNew Heart Disease health-related quality of life questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Atherogenic Index of plasma. Timepoint: Before the start of intervention and 14 days after it. Method of measurement: logarithm of triglyceride (mmol/l) to high-density lipoprotein cholesterol (mmol/l) ratio.</sec_outcome>
      <sec_outcome>Total cholesterol to high-density lipoprotein cholesterol (HDL-C) ratio. Timepoint: Before the start of intervention and 14 days after it. Method of measurement: total cholesterol divided by high-density lipoprotein cholesterol.</sec_outcome>
      <sec_outcome>Low-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (LDL-C/HDL-C). Timepoint: Before the start of intervention and 14 days after it. Method of measurement: low-density lipoprotein cholesterol divided by high-density lipoprotein cholesterol.</sec_outcome>
      <sec_outcome>Non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (non-HDL-C/HDL-C). Timepoint: Before the start of intervention and 14 days after it. Method of measurement: First of all, high-density lipoprotein cholesterol (HDL-C) is subtracted from total cholesterol to determine non-high-density lipoprotein cholesterol (non-HDL-C). Then, non-HDL-C is divided by HDL-C.</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>Shiraz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-08-15</approval_date>
        <contact_name>Ethics committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>School of Nutrition and Food Sciences, Razi Blvd. Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
