<?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>IRCT20241219064101N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-03-11</date_registration>
      <primary_sponsor>Nooshin Shahd Urmia Company</primary_sponsor>
      <public_title>The evaluation of  four plants extract effectiveness on renal stone passage</public_title>
      <acronym></acronym>
      <scientific_title>The evaluation of  four plants extract effectiveness on renal stone passage in patients whom underwent extracorporeal shockwave lithotripsy, A double blind randomized clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-03-10</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>62</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/81244</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Crossover, Purpose: Treatment, Randomization description: They are randomly divided into two groups using the envelope method, which is provided to the patients by the secretary of the stone crusher department of Meybod Hospital. In order to randomly allocate eligible patients into two groups, we consider patients numbered 1 to 62 in the order of their referral, and then, using the Random Allocation Version 2 software, a random sequence is generated and individuals are placed in two intervention or control groups (A, B). The method of generating random codes is simple random. In order to blind the random allocation, the random allocation list is provided to another person who is outside the study, and the type of intervention is asked from this person based on the list by text message or phone, Blinding description: Those who have been kept blind include: 1) the participants who are the same patients with kidney stones who are candidates for extra-organ stone crushing in the Stone Crushing Center of Imam Jafar Sadegh Meybod Hospital were included in the study under the conditions of entry and with consent.
2) The evaluator is an experienced and single radiologist who subjects all participants to kidney ultrasound after 40 days.</study_design>
      <phase>3</phase>
      <hc_freetext>A study of patients with kidney stones who are candidates for extracorporeal lithotripsy.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: this group, which includes 31 eligible patients, will be given antibiotics, painkillers, and extracts of four plants (nettle, thistle, horsetail, celery), and patients are advised to take the prescribed medications according to the instructions of the Urmia Farteb Company for forty days (10 cc, three times a day). Intervention 2: Control group: This group, which includes 31 eligible patients, will be given a placebo, which is also prepared by Urmia Farteb Company, which is mint extract, and is given to 31 patients with exactly the same packaging, and patients are advised to take the prescribed medications according to the instructions of the Urmia Farteb Company for forty days (10 cc, three times a day).</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:
A part of the data such as the information related to the main outcome or the like can be shared.

When:
Access to study documentation after results are published

To whom:
It will be available for researchers working in academic and scientific institutions, and also people who are working in the industry can apply for them.

Conditions:
For secondary studies

Where to obtain:
Traditional Medicine Research Center, Yazd Shahid Sadoughi University of Medical Sciences

How to obtain:
The request sent will be reviewed by the members of the center. If the members agree, they will be notified.

Comments:
There is no further information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Amirhossein Rahavian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Enghelab avenue</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8918815484</zip>
        <telephone>+98 35 3525 0480</telephone>
        <email>amirrahavian@yahoo.com</email>
        <affiliation>Yazd Shahid Sadoughi University of Medical Sciences Campus</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Amirhossein Rahavian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Enghelab Avenue</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8918815484</zip>
        <telephone>+98 35 3525 0480</telephone>
        <email>amirrahavian@yahoo.com</email>
        <affiliation>Yazd Shahid Sadoughi University of Medical Sciences Campus</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with kidney stones and candidates for extracorporeal shockwave lithotripsy
The Hounsfield unit of the stone&lt; 1000
The age&gt;18 years
The distance between the stone and the skin surface&lt; 10 cm
The stone size is between 1-2 cm</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Febrile patients or active UTI
History of renal lithotripsy and DJ insertion
Not consenting to participate in the study
Any complications during or after ESWL
Failure to comply their post-lithotripsy follow-up.
Any anatomical abnormalities in the kidney undergoing lithotripsy
History of CT Scan for any reason in the past year
Pregnant women and children.
Consumption of antiplatelet and anticoagulant drugs
Consumption of other drugs due to any underlying disease.
History of allergy to the ingredients of the four-herb extract drug</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>N20.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Calculus of kidney</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: this group, which includes 31 eligible patients, will be given antibiotics, painkillers, and extracts of four plants (nettle, thistle, horsetail, celery), and patients are advised to take the prescribed medications according to the instructions of the Urmia Farteb Company for forty days (10 cc, three times a day).</i_keyword>
      <i_keyword>Control group: This group, which includes 31 eligible patients, will be given a placebo, which is also prepared by Urmia Farteb Company, which is mint extract, and is given to 31 patients with exactly the same packaging, and patients are advised to take the prescribed medications according to the instructions of the Urmia Farteb Company for forty days (10 cc, three times a day).</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Percentage of people who completely passed kidney stones after ESWL. Timepoint: forty days after lithotripsy and drug consumption. Method of measurement: Before stone crushing, we subject all patients to a CT scan of the abdomen and pelvis without injection to obtain accurate information about the stone, and we request a urine culture test for all patients to detect a possible urinary tract infection. Then the patients are subjected to stone crushing by an experienced personnel in the field of extracorporeal stone crushing and by a single device.40 days after stone crushing, patients are subjected to kidney ultrasound by an experienced radiologist and the presence or absence of stones and the size of stone remains are checked.</prim_outcome>
      <prim_outcome>Stone location. Timepoint: Before lithotripsy and forty days after lithotripsy and drug consumption. Method of measurement: Before lithotripsy, we subject all patients to a CT scan of the abdomen and pelvis without injection to obtain accurate information about the stone, and we request a urine culture test for all patients to detect a possible urinary tract infection. Then the patients are subjected to stone crushing by an experienced personnel in the field of extracorporeal stone crushing and by a single device.40 days after stone crushing, patients are subjected to kidney ultrasound by an experienced radiologist and the presence or absence of stones and the size of stone remains are checked.</prim_outcome>
      <prim_outcome>Stone size. Timepoint: Before lithotripsy and forty days after lithotripsy and drug consumption. Method of measurement: We perform a non-injection CT scan of the abdomen and pelvis before lithotripsy to obtain accurate information about the stone, and we request a urine culture test for all patients to detect possible urinary tract infection. Then, patients undergo lithotripsy by an experienced staff in the field of extracorporeal lithotripsy using a single device. Patients undergo renal ultrasound 40 days after lithotripsy by an experienced radiologist and the unit, and the presence or absence of stones and the size of the stone remnants are examined.</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>Nooshin Shahd Urmia Company</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-10-14</approval_date>
        <contact_name>Research Ethics Working Group/Committee of Shahid Dr. Rahmanmun Hospital, Shahid Sadoughi University</contact_name>
        <contact_address>Enghelab Avenue Yazd Yazd Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
