<?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>IRCT20231031059919N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-01-08</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the effect of magnesium sulfate nebulization in children with cystic fibrosis</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of magnesium sulfate nebulization in children with cystic fibrosis</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-12-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>34</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/73778</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: In the current study, sampling will be done using the available method. Allocation of research units to control and intervention groups is done by randomization and block method. The purpose of adopting this method is to avoid significant imbalances in the number of participants assigned to each group. Block randomization guarantees that there is no significant imbalance between the groups at any time during the randomization, and at certain points the number of participants in each group is equal. . Then the list of possible blocks is written including AABB(1)- ABAB(2)-ABBA(3)-BBAA(4)- BABA(5)- BAAB(6)) and includes 6 possible blocks. At the time of sampling, between the numbers 1 to 6, which are the numbers of the blocks, a simple lottery will be done by chance, and 4 random samplings will be done based on the block numbers obtained from the lottery. This method will be repeated until the sample volume is completed. Randomization will be done using https://www.randomizer.org/, Blinding description: In order to comply with the principle of blinding, the study of the control group was carried out with a placebo (normal saline, which is provided to the parents of the control group in packages with the same shape as the vial of magnesium sulfate or the same drug with a different label A or B) in the same order as in the case of the control group. It was said that the intervention will be implemented.</study_design>
      <phase>3</phase>
      <hc_freetext>Cystic fibrosis.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Cystic fibrosis patients who meet the inclusion criteria. During the sampling, first stage data will be collected from the patients. which includes performing a basic spirometry and completing the Shuvak Man form. Then the desired intervention including medicine will be carried out. The intervention includes the drug magnesium sulfate in the amount of 0.75 cc. The intervention will continue for 4 weeks and after 4 weeks, spirometry will be done again and the completion of the Shavach Man tool. Then the findings in the two groups will be compared before and after. Before and at the end of the intervention (one month after the start of the intervention), the magnesium blood level of children in the intervention and control groups will be measured. During the daily intervention period, children are followed up in terms of cardio-respiratory symptoms, nerve reflexes, vital signs and any symptoms of drug allergy or poisoning. Intervention 2: Control group: patients with cystic fibrosis who meet the inclusion criteria. During the sampling from each of the intervention and control groups, first stage data will be collected from the patients. which includes performing a basic spirometry and completing the Shuvak Man form. Then the desired intervention will be carried out including medication. The placebo intervention is normal saline in the amount of 0.75 cc, and after 4 weeks, spirometry will be done again and the completion of the Shuvach instrument. Then the findings in the two groups will be compared before and after. Before and at the end of the intervention. The magnesium blood level of children in two intervention and control groups is measured. In case of any problem, the drug will be stopped immediately and the patient's safety protocol will be followed.</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 There is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mitra Zibaei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Qurashi Building, next to Hoize Cinema,University St</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9138813944</zip>
        <telephone>+98 51 3841 1538</telephone>
        <email>mitrazibaei@gmail.com</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mitra Zibaei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Qurashi Building, next to Hoize Cinema, Daneshgah St.</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9138813944</zip>
        <telephone>+98 51 3841 1538</telephone>
        <email>mitrazibaei@gmail.com</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Suffering from cystic fibrosis
Over 6 years old
Ability to perform spirometry
FEV1 above 60%</inclusion_criteria>
      <agemin>6 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Nnon-cooperation in the continuation of the intervention
Drug intolerance
Nebulizer intolerance
The patient's entry into the exacerbation phase
Inability to perform spirometry</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E84.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Cystic fibrosis with pulmonary manifestations</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Cystic fibrosis patients who meet the inclusion criteria. During the sampling, first stage data will be collected from the patients. which includes performing a basic spirometry and completing the Shuvak Man form. Then the desired intervention including medicine will be carried out. The intervention includes the drug magnesium sulfate in the amount of 0.75 cc. The intervention will continue for 4 weeks and after 4 weeks, spirometry will be done again and the completion of the Shavach Man tool. Then the findings in the two groups will be compared before and after. Before and at the end of the intervention (one month after the start of the intervention), the magnesium blood level of children in the intervention and control groups will be measured. During the daily intervention period, children are followed up in terms of cardio-respiratory symptoms, nerve reflexes, vital signs and any symptoms of drug allergy or poisoning.</i_keyword>
      <i_keyword>Control group: patients with cystic fibrosis who meet the inclusion criteria. During the sampling from each of the intervention and control groups, first stage data will be collected from the patients. which includes performing a basic spirometry and completing the Shuvak Man form. Then the desired intervention will be carried out including medication. The placebo intervention is normal saline in the amount of 0.75 cc, and after 4 weeks, spirometry will be done again and the completion of the Shuvach instrument. Then the findings in the two groups will be compared before and after. Before and at the end of the intervention. The magnesium blood level of children in two intervention and control groups is measured. In case of any problem, the drug will be stopped immediately and the patient's safety protocol will be followed.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>FEV1 index of spirometry in children with cystic fibrosis. Timepoint: At the beginning of the intervention and after 4 weeks at the end of the intervention. Method of measurement: Spirometry.</prim_outcome>
      <prim_outcome>Spirometric FVC index in children with cystic fibrosis. Timepoint: At the beginning of the intervention and after 4 weeks at the end of the intervention. Method of measurement: Spirometry.</prim_outcome>
      <prim_outcome>Spirometric FEV1/FVC index in children with cystic fibrosis. Timepoint: At the beginning of the intervention and after 4 weeks at the end of the intervention. Method of measurement: Spirometry.</prim_outcome>
      <prim_outcome>Spirometric FEF25-75 index in children with cystic fibrosis. Timepoint: At the beginning of the intervention and after 4 weeks at the end of the intervention. Method of measurement: Spirometry.</prim_outcome>
      <prim_outcome>The score obtained from the Schwach-Man instrument in children with cystic fibrosis. Timepoint: At the beginning of the intervention and after 4 weeks at the end of the intervention. Method of measurement: Spirometry.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>. Timepoint: . Method of measurement: .</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>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-10-08</approval_date>
        <contact_name>Mashhad University of Medical Sciences Ethics Committee</contact_name>
        <contact_address>Mashhad University of Medical Sciences, Daneshgah St. Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
