<?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>IRCT20170207032435N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2018-07-23</date_registration>
      <primary_sponsor>Tehran University of Medical sciences</primary_sponsor>
      <public_title>Acetaminophen plus caffeine in electroconvulsive therapy induced headache</public_title>
      <acronym></acronym>
      <scientific_title>comparison of the effectiveness of acetaminophen and acetaminophen plus caffeine in treatment of electroconvulsive therapy induced  headache in psychiatric patients.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2017-06-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>72</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/25270</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: we used block randomization by means of online tool on sealedenvelope.com. we made a sequence of 18 blocks. Every block consists of 2 A characters and 2 B characters, Blinding description: The investigator is blinded. The pills are located in packets  named A and B. Investigator does not know which pill is in the packet.</study_design>
      <phase>3</phase>
      <hc_freetext>Headache.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: After electroconvulsive therapy session, the investigator asks patient about headache . If patient confirms that he has headache, investigator will explain the pain scale requesting from patient to determine the degree of headache intensity by a number from 1 to 10. Then acetaminophen is randomly administered to  the patient. 30 minutes, one hour and two hours after drug administration, investigator interviews patient again about his headache intensity due to pain scale. Intervention 2: Intervention group: After electroconvulsive therapy session, the investigator asks patient about headache . If patient confirms that he has headache, investigator will explain the pain scale requesting from patient to determine the degree of headache intensity by a number from 1 to 10. Then acetaminophen caffeine is randomly administered to the patient. 30 minutes, one hour and two hours after drug administration, investigator interviews patient again about his headache intensity due to pain scale.</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:
Our data include age and gender of the patients, technical aspects of each therapeutic session ( electrical pulse energy and seizure duration) and headache intensity in determined times.

When:
From the end of 2019 to 2021.

To whom:
Indivisuals who need the data in the field of academic and health researches, health care profesionals and interested students.

Conditions:
To use in medical decision making by health care professionals, researchers in related fields, limited to people who request data by institution email.

Where to obtain:
Email
Mahboube Bonyadi: m72bonyadi@gmail.com
Padide Ghaeli: pghaeli63@gmail.com

How to obtain:
2 to 4 weeks after request delivery

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Padide Ghaeli</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>16 Azar Street, Enghelab street, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۴۱۷۶۱۴۴۱۱</zip>
        <telephone>+98 21 6552 1835</telephone>
        <email>pghaeli63@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Padide Ghaeli</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ruzbeh Hospital, South Karegar street, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>۱۴۱۷۶۱۴۴۱۱</zip>
        <telephone>+98 21 6552 1835</telephone>
        <email>pghaeli63@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age: 18 to 65 years old
Patients who have been candidate for electroconvulsive therapy by a psychiatrist
Patients who answer yes to the question "Do you have headache?" asked by investigator after the therapeutic session
Signing the voluntary informed consent by patient or his legal guardian</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Intellectual disability
Pregnancy or breast feeding
History of allergic reaction to acetaminophen or caffeine
Active gastrointestinal ulcer
Active renal or hepatic disease, renal or hepatic failure
History of cardiovascular disease, history of hypertension</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>G44.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Vascular headache, not elsewhere classified</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>Intervention group: After electroconvulsive therapy session, the investigator asks patient about headache . If patient confirms that he has headache, investigator will explain the pain scale requesting from patient to determine the degree of headache intensity by a number from 1 to 10. Then acetaminophen is randomly administered to  the patient. 30 minutes, one hour and two hours after drug administration, investigator interviews patient again about his headache intensity due to pain scale.</i_keyword>
      <i_keyword>Intervention group: After electroconvulsive therapy session, the investigator asks patient about headache . If patient confirms that he has headache, investigator will explain the pain scale requesting from patient to determine the degree of headache intensity by a number from 1 to 10. Then acetaminophen caffeine is randomly administered to the patient. 30 minutes, one hour and two hours after drug administration, investigator interviews patient again about his headache intensity due to pain scale.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Headache intensity. Timepoint: 30 mins, 1 hour &amp; 2 hour after ECT therapy session. Method of measurement: Visual analogue scale.</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>Tehran University of Medical sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2017-08-07</approval_date>
        <contact_name>research.tums.ac.ir</contact_name>
        <contact_address>Pharmacy faculty, Tehran university of medical sciences, 16 Azar street, Enghelab street, Tehran city, Iran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
