<?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>IRCT20250430065534N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-05-13</date_registration>
      <primary_sponsor>King Edward Medical University</primary_sponsor>
      <public_title>Efficacy and Safety of Empagliflozin in patients with fatty liver</public_title>
      <acronym></acronym>
      <scientific_title>Efficacy and Safety of Empagliflozin in patients with Metabolic Associated Steatotic Liver Disease: a randomized controlled trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-06-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>78</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/83371</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: 1. Method of randomization:
Simple randomization.

2. Unit of randomization:
Individual patient.

3. Randomization strata in stratified randomization:
Not applicable (no stratification used).

4. Tools used in randomization:
Computer-generated random numbers and sealed opaque envelopes.

5. How the random sequence was built:
Using a computer software to generate a random sequence.

6. Whether or not allocation concealment was carried out:
Yes, through sealed, sequentially numbered opaque envelopes, Blinding description: Participant will be blind and blinding will be ensured through a rigorous placebo-controlled design. Identical placebo tablets matching empagliflozin 10 mg in size, shape, color, and packaging will be used to maintain blinding integrity. All medications will be dispensed in coded, identical blister packs labeled without revealing treatment allocation. Participants will receive standardized instructions for medication intake to avoid differentiating between groups. They will also be informed that mild side effects may occur in all participants, regardless of group, to minimize perception bias. Follow-up assessments will be conducted using neutral, standardized language to prevent unblinding.</study_design>
      <phase>2</phase>
      <hc_freetext>MASLD/Metabolic Associated Steatotic Liver Disease.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Patients who will be randomly administered with empagliflozin 10 mg once daily orally for six months without modifying existing treatment for MASLD. Intervention 2: Control group: Patients will be randomly administered with placebo tablet once daily orally for six months without modifying existing treatment for MASLD.</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:
Deidentified Individual Participant Data (IPD): Includes demographic data (age, sex, socioeconomic status), baseline clinical data (stage of cirrhosis, CLDQ scores), and follow-up outcome data (monthly CLDQ scores for 6 months).
Analytic Code: Statistical analysis scripts used to compare outcomes, likely in SPSS or Excel.
Study Protocol: Full protocol including objectives, methodology, inclusion/exclusion criteria, interventions, and outcome measures.
Consent Form: Template of the informed consent document used in local languages.
Data Dictionary: Variable definitions, coding instructions, units, and value ranges.
Clinical Study Report (CSR): A structured report summarizing methodology, participant flow, statistical analysis, and results.

When:
All data and documents will become available within 6 months after publication of the main study results in a peer-reviewed journal. They will remain available for a minimum of 5 years after the date of publication.
Start date (approx.): January 2026 (assuming publication by mid-2025)
End date: January 2031
Extensions may be granted upon request, subject to ethical approval and institutional guidelines.

To whom:
Data and supporting documents will be shared with qualified researchers, healthcare professionals, and academics affiliated with recognized institutions, including universities, hospitals, and nonprofit research organizations.
Access for commercial entities (e.g., pharma/biotech companies) may also be considered on a case-by-case basis, provided the intended use is ethically justified and approved by the principal investigator and institutional ethics committee.
All requestors will be required to submit a data use agreement, outlining terms for privacy, data security, and non-commercial use unless explicitly approved.

Conditions:
Access to deidentified IPD and supporting documents will be granted for scientific research purposes only, such as:

Secondary analysis to verify study results

Meta-analyses or systematic reviews

Methodological research or development of new analysis tools

Academic research or graduate thesis work

Requests must include a brief proposal outlining the research objective, intended use, methodology, and institutional affiliation.
All requests will be reviewed by the Principal Investigator (PI) in consultation with the Institutional Ethics Committee.
Approval will be based on the scientific merit, ethical soundness, and alignment with patient confidentiality protections.

Where to obtain:
All data and related documents can be requested from:

Contact Person: Dr. Muhammad Umer Sheikh
Institution: Department of Gastroenterology, Mayo Hospital, Lahore, Pakistan
Email: dr.usheikh@gmail.com
The data will be shared electronically through secure channels such as institutional file-sharing platforms or password-protected email attachments.

How to obtain:
Initial Contact: Interested researchers should email a formal request to the Principal Investigator with:

A brief research proposal

Intended use of the data

Institutional affiliation

Ethical approval or justification (if available)

Review Process: The request will be reviewed within 2–4 weeks by the Principal Investigator in collaboration with the institutional ethics committee.

Data Use Agreement: If approved, the requester must sign a Data Use Agreement (DUA) that outlines confidentiality, non-commercial use, and data protection obligations.

Data Sharing: Once the DUA is signed, data/documents will be sent electronically within 7–10 working days.

This process ensures transparency, patient privacy, and ethical data use, while promoting scientific collaboration.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Muhammad Umer Sheikh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>H897+X5V Chowk, Nila Gumbad Rd, Neela Gumbad</address>
        <city>Lahore</city>
        <country1>Pakistan</country1>
        <zip>54000</zip>
        <telephone>+92 321 9994005</telephone>
        <email>dr.usheikh@gmail.com</email>
        <affiliation>King Edward Medical University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Muhammad Umer Sheikh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>H897+X5V Chowk, Nila Gumbad Rd, Neela Gumbad</address>
        <city>Lahore</city>
        <country1>Pakistan</country1>
        <zip>54000</zip>
        <telephone>+92 321 9994005</telephone>
        <email>dr.usheikh@gmail.com</email>
        <affiliation>King Edward Medical University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients having age between 30-65 years
Both male and female
Patients having -MASLD receiving Empagliflozin therapy after giving consent, along with standard therapy</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients having HCV, HBV, those having tumor of liver
Patients that are unable to understand local languages
Non cooperative patients
Critical cases (ICU admitted, mechanical ventilation, coma patient, GCS score less than 10)</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K76.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Fatty (change of) liver, not elsewhere classified</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: Patients who will be randomly administered with empagliflozin 10 mg once daily orally for six months without modifying existing treatment for MASLD</i_keyword>
      <i_keyword>Control group: Patients will be randomly administered with placebo tablet once daily orally for six months without modifying existing treatment for MASLD</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Change in liver fibrosis as measured by the FIB-4 Index. Timepoint: After completion of 6 months of treatment. Method of measurement: Pre- and post-intervention FIB-4 scores were used to assess the efficacy of empagliflozin.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Safety and health-related quality of life as measured by the SF-36 Health Survey. Timepoint: After completion of 6 months of treatment. Method of measurement: SF-36 was used to assess both physical and mental health status of participants.</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>King Edward Medical University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-02-25</approval_date>
        <contact_name>Institutional review board</contact_name>
        <contact_address>H897+X5V Chowk, Nila Gumbad Rd, Neela Gumbad Lahore Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
