<?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>IRCT20250802066731N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-08-09</date_registration>
      <primary_sponsor>Zahedan University of Medical Sciences</primary_sponsor>
      <public_title>The Effect of Piloshot Capsule on Symptoms and Emotional Status in Patients with Chronic Fatigue Syndrome: A Randomized Double-Blind Clinical Trial</public_title>
      <acronym>PSC</acronym>
      <scientific_title>The Effect of Piloshot Capsule on Symptom Severity and Emotional Status in Patients with Chronic Fatigue Syndrome: A Randomized Double-Blind Placebo-Controlled Clinical Trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-08-31</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/85335</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: n this study, the random sequence will be generated using R software version 4.2.2 with block randomization (block sizes of 4 and 6). Participants will be randomly allocated using sequentially numbered sealed envelopes to either the intervention group (receiving Piloshot capsule) or control group (receiving placebo). Outcome assessments will be conducted in a double-blind manner by both researchers and participants, with allocation codes maintained by an independent statistics unit.", Blinding description: In this study, both participants and assessing researchers will remain unaware of the assigned treatment (Piloshot or placebo).The intervention and placebo capsules will be designed to be identical in appearance, color, odor, and packaging.allocation information will be accessible only to the independent statistician who will not participate in treatment or evaluation procedures.Allocation codes will remain concealed until completion of final data analysis.</study_design>
      <phase>3</phase>
      <hc_freetext>Chronic Fatigue Syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Treatment Group :     Receives: 2 Piloshot capsules (500 mg each, produced by BSK Pharmaceutical Company) daily        Dosage: 1 capsule in morning + 1 capsule in evening        Duration: 8 weeks of continuous treatment . Intervention 2: Control group:   Receives: Placebo (manufactured by Mashhad University of Medical Sciences School of Pharmacy)   Matching: Identical in shape, color, and packaging to active drug  Schedule: Same dosing regimen as treatment groupStudy Procedures Randomization &amp; Blinding:Treatment assignment by independent head nurse  Secure coding system implementation Double-blind maintenance (participants &amp; investigators).</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:
Participants will be coded to facilitate data access and management; however, only primary outcomes will be published, and no individual participant data will be disclosed under any circumstances."

When:
6 months after publication of the results

To whom:
General Use

Conditions:
Here are professional ways to reference ethical compliance in your manuscript:

Where to obtain:
Electronic mail

How to obtain:
The requester must first send an email message explaining the purpose of data usage. Within one week, the information will be sent to the applicant with applicable terms and restrictions.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Ali Vahidi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Baharan Psychiatric Teaching Hospital, Imam Khomeini Ave., Across from Grain Storage Facility</address>
        <city>Zahedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9819713955</zip>
        <telephone>+98 54 3351 3778</telephone>
        <email>a.vahidi@zaums.ac.ir</email>
        <affiliation>Zahedan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Ali Vahidi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Baharan Medical Center, Imam Khomeini Ave., Across from Grain Storage Facility</address>
        <city>Zahedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9819713955</zip>
        <telephone>+98 54 3351 3778</telephone>
        <email>a.vahidi@zaums.ac.ir</email>
        <affiliation>Zahedan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Definitive diagnosis of Chronic Fatigue Syndrome based on the Chronic Fatigue Syndrome Questionnaire
Age above 18 years and below 65 years</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Active medical conditions that could explain chronic fatigue    (e.g., untreated hypothyroidism, sleep apnea, narcolepsy, drug side effects)
Unresolved prior medical diagnoses    (e.g., chronic hepatitis, malignancies)
Current or history of psychiatric disorders    (e.g., major depressive disorder with psychotic/melancholic features, bipolar disorder, schizophrenia, anxiety disorders, dementia, eating disorders)
Use of medications that may interfere with study results or cannot be safely discontinued
Pregnancy or lactation
Non-compliance with study follow-up
Tobacco use, alcohol consumption, or substance abuse</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Treatment Group :     Receives: 2 Piloshot capsules (500 mg each, produced by BSK Pharmaceutical Company) daily        Dosage: 1 capsule in morning + 1 capsule in evening        Duration: 8 weeks of continuous treatment .</i_keyword>
      <i_keyword>Control group:   Receives: Placebo (manufactured by Mashhad University of Medical Sciences School of Pharmacy)   Matching: Identical in shape, color, and packaging to active drug  Schedule: Same dosing regimen as treatment groupStudy Procedures Randomization &amp; Blinding:Treatment assignment by independent head nurse  Secure coding system implementation Double-blind maintenance (participants &amp; investigators)</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Severity of chronic fatigue syndrome symptoms. Timepoint: Baseline (pre-intervention) -   Week 4 post-treatment - Week 8 post-treatment   - Week 12 post-treatment. Method of measurement: Standardized fatigue severity questionnaire.</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>Zahedan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-07-18</approval_date>
        <contact_name>Ethics Committee of Zahedan University of Medical Sciences</contact_name>
        <contact_address>Medical Sciences Campus, Zahedan University of Medical Sciences, "Professor Habibollah Hosseini Square Zahedan Sistan-va-Balouchestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
