<?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>IRCT20150303021315N45</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-10-08</date_registration>
      <primary_sponsor>CinnaGen Company</primary_sponsor>
      <public_title>Study to evaluate Spartina® (Tirzepatide manufactured by CinnaGen Co.) in adolescents with obesity and weight-related comorbidities</public_title>
      <acronym></acronym>
      <scientific_title>Study to evaluate the effectiveness and safety of Spartina® (Tirzepatide manufactured by CinnaGen Co.) in adolescents with obesity and weight-related comorbidities</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-10-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>65</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/93856</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Overweight and obesity.</hc_freetext>
      <i_freetext>Intervention group: Pre-filled syringes of Spartina® (Tirzepatide manufactured by CinnaGen Co.) will be prescribed and injected subcutaneously once a week with a dose starting from 2.5 mg/weekly and titrated up based on the physician’s opinion.</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>Dr. Hamidreza Kafi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 42, Attar Neyshaboori St., Vanak Sq., Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1994766411</zip>
        <telephone>+98 21 4347 3000</telephone>
        <email>Kafi.H@orchidpharmed.com</email>
        <affiliation>Orchid Pharmed</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Fahimeh Soheilipour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Tehran, Modares Highway (North), Shahid Vahid Dastgerdi Street (formerly Zafer), No. 193.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۹۱۹۸۱۶۷۶۳</zip>
        <telephone>+98 21 2304 6200</telephone>
        <email>fsoheilipour@yahoo.com</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Male or female between 12 and &lt;18 years of age
Obesity, defined as BMI ≥ 95th percentile for age and sex (on age- and gender-specific growth chart for diagnosis of obesity) ORHave overweight, as defined by BMI ≥ 85th percentile but &lt; 95th percentile for age and sex, on age- and sex-specific growth chart, with at least one weight-related comorbidity, including but not limited to: 1.Dyslipidemia 2.Prehypertension/Hypertension 3.Metabolic dysfunction-associated steatotic liver disease 4.Obstructive sleep apnea 5.Prediabetes 6.Type 2 Diabetes Mellitus (T2DM) with an HbA1C &lt; 9% 7.Polyendocrine metabolic ovarian syndrome
Capable of giving informed consent by a legal representative and assent by a study participant (when applicable)</inclusion_criteria>
      <agemin>12 years</agemin>
      <agemax>18 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Prior use of any GLP-1 agonist in the last 6 months
Having undergone or planning to undergo a weight reduction procedure, such as, but not limited to: a.Gastric bypass b.Sleeve gastrectomy c.Restrictive bariatric surgeries d.Any other procedure intended to result in weight reduction
Pregnancy or breastfeeding
Prepubertal stage (Tanner stage 1)
Personal or family history of medullary thyroid carcinoma (MTC) or patients with multiple endocrine neoplasia syndrome type 2 (MEN 2)
Have type 1 diabetes mellitus
Any condition or circumstance that, according to the investigator, might pose a risk to the subject if they are enrolled or interfere with the ability to acquire satisfactory clinical data</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E66</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Overweight and obesity</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Pre-filled syringes of Spartina® (Tirzepatide manufactured by CinnaGen Co.) will be prescribed and injected subcutaneously once a week with a dose starting from 2.5 mg/weekly and titrated up based on the physician’s opinion</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Change in body mass index (BMI) standard deviation score (Z-score) from baseline until week 24. Timepoint: BMI: Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring height with a stadiometer, rounded to the nearest centimeterMeasuring weight with a scaleBMI = weight (Kg)/ Height (m2)Z-score will be calculated based on the LMS tables provided by WHO.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>•Percentage of participants who achieve BMI reduction of ≥ 5% from baseline until week 12. Timepoint: BMI:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring height with a stadiometer and weight with a scaleBMI = weight (Kg)/ Height (m2).</sec_outcome>
      <sec_outcome>Percentage of participants who achieve BMI reduction of ≥ 5% from baseline until week 24. Timepoint: BMI:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring height with a stadiometer and weight with a scaleBMI = weight (Kg)/ Height (m2).</sec_outcome>
      <sec_outcome>Percentage of participants who achieve BMI reduction of ≥ 10% from baseline until week 12. Timepoint: BMI:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring height with a stadiometer and weight with a scaleBMI = weight (Kg)/ Height (m2).</sec_outcome>
      <sec_outcome>Percentage of participants who achieve BMI reduction of ≥ 10% from baseline until week 24. Timepoint: BMI:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring height with a stadiometer and weight with a scaleBMI = weight (Kg)/ Height (m2).</sec_outcome>
      <sec_outcome>Percentage of participants who achieve BMI reduction of ≥ 15% from baseline until week 12. Timepoint: BMI:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring height with a stadiometer and weight with a scaleBMI = weight (Kg)/ Height (m2).</sec_outcome>
      <sec_outcome>Percentage of participants who achieve BMI reduction of ≥ 15% from baseline until week 24. Timepoint: BMI:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring height with a stadiometer and weight with a scaleBMI = weight (Kg)/ Height (m2).</sec_outcome>
      <sec_outcome>Percent change in BMI from baseline until week 24. Timepoint: BMI:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring height with a stadiometer and weight with a scaleBMI = weight (Kg)/ Height (m2).</sec_outcome>
      <sec_outcome>Absolute change in BMI from baseline until week 24. Timepoint: BMI:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring height with a stadiometer and weight with a scaleBMI = weight (Kg)/ Height (m2).</sec_outcome>
      <sec_outcome>Percent change in body weight from baseline until week 12. Timepoint: Body weight:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring weight with a scale.</sec_outcome>
      <sec_outcome>Absolute change in body weight from baseline until week 12. Timepoint: Body weight:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring weight with a scale.</sec_outcome>
      <sec_outcome>Percent change in body weight from baseline until week 24. Timepoint: Body weight:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring weight with a scale.</sec_outcome>
      <sec_outcome>Absolute change in body weight from baseline until week 24. Timepoint: Body weight:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring weight with a scale.</sec_outcome>
      <sec_outcome>Percent change in waist circumference (WC) from baseline until week 24. Timepoint: WC:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring WC with a tape meter.</sec_outcome>
      <sec_outcome>Absolute change in WC from baseline until week 24. Timepoint: WC:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring WC with a tape meter.</sec_outcome>
      <sec_outcome>Percent change in WC from baseline until week 12. Timepoint: WC:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring WC with a tape meter.</sec_outcome>
      <sec_outcome>Absolute change in WC from baseline until week 12. Timepoint: WC:Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24. Method of measurement: Measuring WC with a tape meter.</sec_outcome>
      <sec_outcome>Assessment of the adverse events (including treatment-emergent adverse events) based on the investigator’s opinion during the study period. Timepoint: Screening, Week 4, Week 8, Week 12, Week 16, Week 20 &amp; Week 24. Method of measurement: Adverse events occurred during the study based on physician assessment.</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>CinnaGen Company</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2026-10-03</approval_date>
        <contact_name>Iran University of Medical Sciences Ethics Committee</contact_name>
        <contact_address>Iran University of Medical Sciences, Shahid Hemmat Highway Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
