<?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>IRCT20231002059591N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-11-03</date_registration>
      <primary_sponsor>Zahedan University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the effect of atorvastatin and aspirin on liver cirrhosis</public_title>
      <acronym></acronym>
      <scientific_title>Comparing the effectiveness of the combination of atorvastatin and aspirin with atorvastatin alone on the severity of liver fibrosis in cirrhotic patients referred to Ali Bin Abi Taleb Hospital in2023-2025</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-12-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>81</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/72958</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block of four will be used for each of the treatment groups. In this way, someone other than the doctor will determine the treatment block with the help of random numbers obtained from the computer.
block therapy:
AABC-ABBC-BBAC-BCCA-.........
A; The group taking atorvastatin
B: The group that takes atorvastatin and copper aspirin
C: The group that does not take medicine, Blinding description: Blinding: on the one hand, the researcher is not aware of the type of intervention performed, and on the other hand, the doctor evaluating the outcome of the study is also aware of the type of treatment used.
*Allocation concealment is done using "opaque sealed envelopes with random sequence". In this way, the random sequence is determined first, then the sequences are recorded on a card and the cards are placed in the envelopes in order. The outer surface of the envelopes is numbered and placed in the box in order. Participants will choose an envelope in order of entry and the intervention group will be determined.</study_design>
      <phase>4</phase>
      <hc_freetext>Toxic liver disease with fibrosis and cirrhosis of liver.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: patients who are given atorvastatin 40 mg and aspirin 80 mg once a day for one year. Intervention 2: Intervention group: patients who were given only atorvastatin 40 mg once a day for one year. Intervention 3: Control group: Patients who do not receive any medication.</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 published without publishing the identity of the patients

When:
Access to data is six months after printing the results

To whom:
Researchers who are in scientific and academic institutions

Conditions:
If the patient consents

Where to obtain:
bahareh mahjoubi asil
baharehmahjoubi@gmail.com

How to obtain:
Providing proof of being a researcher in academic and scientific institutions by email to
baharehmahjoubi@gmail.com

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Bahareh Mahjoubi Asil</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hasabi Square - University Blvd - Islamic Azad University - Zahra Dormitory</address>
        <city>Zahedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9816743545</zip>
        <telephone>+98 54 3341 9431</telephone>
        <email>baharehmahjoubi@gmail.com</email>
        <affiliation>Zahedan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Bahareh Mahjoubi Asil</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hasabi Square - University Blvd - Islamic Azad University - Al Zahr Dormitory</address>
        <city>Zahedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9816743545</zip>
        <telephone>+98 54 3341 9431</telephone>
        <email>baharehmahjoubi@gmail.com</email>
        <affiliation>Zahedan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>- Patients with liver cirrhosis who were diagnosed with symptoms
Age 18-75
Ultrasound based on cirrhosis</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>pregnant woman
Statin use in the last year
affected hcc
LDL &gt;70
Myopathy caused by atherostatin treatment
meld&gt;23
child pugh&gt;13
Evidence of infection in the last 4 weeks
Hepatornal syndrome in clinical and biochemical evidence in the last 14 days
High hepatic encephalopathy 2
3 times increase of aminotransferase in 3 months after starting the study
Recent use of febrate, varithromycin and others
useP450 inhibitor
Esophageal varices
Patient dissatisfaction</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K71.7</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Toxic liver disease with fibrosis and cirrhosis of liver</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: patients who are given atorvastatin 40 mg and aspirin 80 mg once a day for one year.</i_keyword>
      <i_keyword>Intervention group: patients who were given only atorvastatin 40 mg once a day for one year</i_keyword>
      <i_keyword>Control group: Patients who do not receive any medication</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>CK: One of the body's muscle enzymes. Timepoint: Every three months to a year. Method of measurement: Measurements from the patient's blood sample.</prim_outcome>
      <prim_outcome>AST  :SGOT is an enzyme from the group of transferases. In fact, it is a PLP-dependent transaminase that is mainly found in the liver. Timepoint: Every three months to a year. Method of measurement: Measurements from the patient's blood sample.</prim_outcome>
      <prim_outcome>It is an enzyme found mainly in the liver, but small amounts are also found in the kidneys, heart, muscles, and pancreas. (SGPT). Timepoint: Every three months to a year. Method of measurement: Measurements from the patient's blood sample.</prim_outcome>
      <prim_outcome>PT:Blood clotting time. Timepoint: Every three months to a year. Method of measurement: Measurements from the patient's blood sample.</prim_outcome>
      <prim_outcome>PLT:The number of platelets in the serum. Timepoint: Every three months to a year. Method of measurement: Measurements from the patient's blood sample.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Fib_4 index:Fibrosis index base on index-Non-invasive indicator of liver fibrosis. Timepoint: Every three months to a year. Method of measurement: It is calculated based on age and platelets and AST in the formula.</sec_outcome>
      <sec_outcome>Non-invasive indicator of liver fibrosis-Ast to platlet retio index. Timepoint: Every three months to a year. Method of measurement: It is calculated based on AST and PLT in the formula.</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>Zahedan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-08-20</approval_date>
        <contact_name>Ethics Committee of Zahedan Medical Sciences</contact_name>
        <contact_address>Hasabi Square - Imam Hossein Blvd - Zahedan Faculty of Medical Sciences Zahedan Sistan-va-Balouchestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
