<?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>IRCT201206099979N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2013-03-09</date_registration>
      <primary_sponsor>Vice chancellor for research,, Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>Alpha ointment (Henna) and hydrocortisone in radiation-induced dermatitis</public_title>
      <acronym></acronym>
      <scientific_title>The efficacy and safety of topical Alpha ointment (containing natural Henna) compared to topical hydrocortisone 1% on healing of radiation-induced dermatitis in breast cancer patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2012-01-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/10485</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment.</study_design>
      <phase>2</phase>
      <hc_freetext>severity of radiation - induced skin reaction.</hc_freetext>
      <i_freetext>Intervention 1: Study group: &#13;
Just before starting intervention, the patients were examined carefully; and patients’ data including age, stage, area of dermatitis grade 2 and 3, and severity of patients’ complaints were recorded. The area of dermatitis grade 2 and 3, and severity of patients’ complaints then was evaluated and registered weekly.In control group, topical Alpha ointment (produced by Alpha Development Company) was used with daily washing the chest wall area. Detailed instructions on topical Alpha were given to each patient as follows. Patients were instructed to apply a thin (1 millimeter) layer of the topical Alpha two times a day over chest wall field and to wash daily dermatitis area with water and mild soap. Treatment was started from the day of the last session of radiotherapy and continuing every day for 3 weeks. Each patient was examined weekly for 4 weeks. Intervention 2: Control group&#13;
Just before starting intervention, the patients were examined carefully; and patients’ data including age, stage, area of dermatitis grade 2 and 3, and severity of patients’ complaints were recorded. The area of dermatitis grade 2 and 3, and severity of patients’ complaints then was evaluated and registered weekly.In control group, topical hydrocortisone 1% cream was used with daily washing the chest wall area. Detailed instructions on topical hydrocortisone 1% were given to each patient as follows. Patients were instructed to apply a thin (1 millimeter) layer of the topical hydrocortisone 1% two times a day over chest wall field and to wash daily dermatitis area with water and mild soap. Treatment was started from the day of the last session of radiotherapy and continuing every day for 3 weeks. Each patient was examined weekly for 4 weeks.</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></results_IPD_plan>
      <results_IPD_description></results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohammad Mohammadianpanah</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Namazi Hospital</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip></zip>
        <telephone>+98 71 1612 5168</telephone>
        <email>mohpanah@gmail.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mohammad Mohammadianpanah</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Namazi Hospital</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip></zip>
        <telephone>+98 71 1612 5168</telephone>
        <email>mohpanah@gmail.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Inclusion criteria:&#13;
Eligible patients had to have newly pathologically proven diagnosed locally advanced breast cancer treated with modified radical mastectomy followed by sequential adjuvant chemotherapy and chest wall radiotherapy (45-50.4 Gy), and developed grade 2 and/or 3 radiation-induced dermatitis.  &#13;
Exclusion criteria:&#13;
1. Any history of collagen vascular diseases, or diabetes mellitus, &#13;
2. Taking any drugs interacting wound healing process, like systemic steroids, &#13;
3. Previous history of chest wall radiotherapy and &#13;
4. Concurrent use of chemotherapy. &#13;
All patients had to sign a consent form approved by the local research ethics committee before participating in the study.</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>90 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>L58.0, L58</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Radiodermatitis</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>Study group: &#13;
Just before starting intervention, the patients were examined carefully; and patients’ data including age, stage, area of dermatitis grade 2 and 3, and severity of patients’ complaints were recorded. The area of dermatitis grade 2 and 3, and severity of patients’ complaints then was evaluated and registered weekly.In control group, topical Alpha ointment (produced by Alpha Development Company) was used with daily washing the chest wall area. Detailed instructions on topical Alpha were given to each patient as follows. Patients were instructed to apply a thin (1 millimeter) layer of the topical Alpha two times a day over chest wall field and to wash daily dermatitis area with water and mild soap. Treatment was started from the day of the last session of radiotherapy and continuing every day for 3 weeks. Each patient was examined weekly for 4 weeks.</i_keyword>
      <i_keyword>Control group&#13;
Just before starting intervention, the patients were examined carefully; and patients’ data including age, stage, area of dermatitis grade 2 and 3, and severity of patients’ complaints were recorded. The area of dermatitis grade 2 and 3, and severity of patients’ complaints then was evaluated and registered weekly.In control group, topical hydrocortisone 1% cream was used with daily washing the chest wall area. Detailed instructions on topical hydrocortisone 1% were given to each patient as follows. Patients were instructed to apply a thin (1 millimeter) layer of the topical hydrocortisone 1% two times a day over chest wall field and to wash daily dermatitis area with water and mild soap. Treatment was started from the day of the last session of radiotherapy and continuing every day for 3 weeks. Each patient was examined weekly for 4 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Severity of radiation-induced skin reaction. Timepoint: Just before intervention and then weekly for 4 weeks. Method of measurement: Dermatitis area (cm2) were measured (by grid paper) and estimated.</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>ACTRN12612000837820</sec_id>
        <issuing_authority>ثبت کارآزمائي هاي باليني  استراليا و نيوزيلند</issuing_authority>
      </secondary_id>
      <secondary_id>
        <sec_id>ACTRN12612000837820</sec_id>
        <issuing_authority>The Australian New Zealand Clinical Trials Registry</issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Vice chancellor for research,, Shiraz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2011-07-05</approval_date>
        <contact_name>Medical Research Ethic Committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>Medical Research Ethic Committee of Shiraz University of Medical Sciences Shiraz  Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
