<?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>IRCT201206099982N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2012-08-09</date_registration>
      <primary_sponsor>Private</primary_sponsor>
      <public_title>Efficacy of pregabalin in  control of seizures  in children and adolescents</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of efficacy of pregabalin in the treatment of refractory partial seizures in children and adolescents under 18 years</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2011-07-02</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>26</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/10489</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>Refractory epilepsy.</hc_freetext>
      <i_freetext>This 12-week, Open-labeled, before-after study comprised three main phases; after selecting the patients and before the onset of the treatment period, in a period of 6 weeks (baseline phase), Average daily and weekly seizure of the patients were recorded by the patient, a trained observer or a legal guardian. After that, during a period of 2 weeks (dose-optimization phase), drug was started with a flexible dose of 25-75 mg/d TID or BID and then reached to maximum dose of 450 mg/d based on clinical response of the patient.In the next12 weeks (observation phase) the patients were given the drug and the average daily and weekly patient's seizures were recorded again. Desired outcome of the study to decrease the seizure frequency of the patient by 50% compared to baseline period..</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>Dr  Alireza tavasoli</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Pediatric neurology ward, Children medical center, Gharib Avenue, Keshavarz blvd</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1419733151</zip>
        <telephone>+98 21 6693 5848</telephone>
        <email>dralit73@yahoo.com</email>
        <affiliation>Children Medical Center</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr Gholamreza zamani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Pediatric neurology ward, Children medical center, Gharib Avenue, Keshavarz blvd</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1419733151</zip>
        <telephone>+98 21 6693 5848</telephone>
        <email>ghrzamani@yahoo.com</email>
        <affiliation>Children Medical Center</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>This study is performed on children and adolescents under 18 years old. Sexuality of the patient is not important for entrance to this study. Inclusion criteria are included: Patients aged under 18 years with a diagnosis of refractory partial seizures (namely if the seizure was not adequately controlled by one to three AEDs administered as monotherapy or in combination before entering the study); All patients with a minimum of 4-6 partial seizures in the baseline phase of the study; patient never had a maximum of 28 free seizure days in the baseline phase of the study.Exclusion criteria are included: current treatment with Vigabatrin or Felbamate; patients that having absence seizure, status epilepticus, Lennox syndrome and myoclonic seizure; renal failure; patients who suffering from neurometabolic or progressive neurologic disorders.</inclusion_criteria>
      <agemin>1 year</agemin>
      <agemax>18 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>G40.O,G40.</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Episodic and paroxysmal disorders</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>This 12-week, Open-labeled, before-after study comprised three main phases; after selecting the patients and before the onset of the treatment period, in a period of 6 weeks (baseline phase), Average daily and weekly seizure of the patients were recorded by the patient, a trained observer or a legal guardian. After that, during a period of 2 weeks (dose-optimization phase), drug was started with a flexible dose of 25-75 mg/d TID or BID and then reached to maximum dose of 450 mg/d based on clinical response of the patient.In the next12 weeks (observation phase) the patients were given the drug and the average daily and weekly patient's seizures were recorded again. Desired outcome of the study to decrease the seizure frequency of the patient by 50% compared to baseline period.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Evaluation of efficacy of pregabalin in the treatment of refractory partial seizures in children and adolescents. Timepoint: At baseline period- At the end of treatment period. Method of measurement: RRatio(The mean seizure frequency in a 28 days period at the onset and end of the treatment period).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>The percentage of patients who have not had a good clinical response; the percentage of the known complications of pregabalin among patients and determine the percentage of each side effects separately; determine the percentage of drug discontinuation among patients duo to side effects or ineffectiveness separately; the retention rate or number of patients who are still being received Pregabalin for part or all of the treatment period ; classification of seizure type in patients based on two groups: idiopathic and symptomatic. Timepoint: at the end of weeks:2,4,8,12 during treatment period. Method of measurement: weasured based on percentage.</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>Private</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2012-07-14</approval_date>
        <contact_name>Tehran University of Medical Science, Research deputy, Ethics Committee</contact_name>
        <contact_address>Keshavarz blvd, next the ghods street, Tehran Tehran  Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
