<?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>IRCT20160813029327N18</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-10-07</date_registration>
      <primary_sponsor>Islamic Azad University of Pharmaceutical Science</primary_sponsor>
      <public_title>Evaluation of the Clinical Signs and symptoms of Pneumonia Following Metoclopramide administration in unconscious patients with nasogastric tube in the intensive care unit.</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the Clinical Signs and symptoms of Pneumonia Following Metoclopramide administration in unconscious patients with nasogastric tube in the intensive care unit.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-03-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>32</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/30725</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: participants will be recruited to one of  the two groups randomly by Balanced block randomization method ,and will receive especial intervention.</study_design>
      <phase>3</phase>
      <hc_freetext>pneumonia.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: patient receives metoclopramide 10 milligram -three times a day for 5 days.first dose prescribe in form of ampul and should be used from intravenous route.the other doses prescribe in form of tablet and should be used in route of gavage. Intervention 2: Control group: patients in this group dont receive any drug or interventio n and we just monitor them .</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:
Information about the primary outcome will be shared after  Deidentification of Individual Participant Data

When:
after publication of paper,for two years

To whom:
Academic persons

Conditions:
Academic or clinical use. users should cite the primary document

Where to obtain:
via email to corresponding author

How to obtain:
Submition of valid and formal documentation of affiliation to the Academic Center, Explaination about how to use the information and the purpose of request

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mehdi Rajabi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Yakhchal street, Shariati street</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1941933111</zip>
        <telephone>+98 21 2264 0051</telephone>
        <email>mehdirj@aol.co.uk</email>
        <affiliation>Islamic Azad University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mehdi Rajabi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shariati street , Yakhchak street</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1941933111</zip>
        <telephone>+98 21 2264 0051</telephone>
        <email>mehdirj@aol.co.uk</email>
        <affiliation>Islamic Azad University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>dysphagia following the loss of consciousness,in ICU patients.
Nasogastric tube requirement, more than 24 hours.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>oesophageal disorder
signs and symptoms of pneumonia
pregnancy and lactation
histoy of Parkinson disease
contraindication of metoclopramide
drug interaction with metoclopramide
gastrointestinal disorders like:GI bleeding ,obstruction ,cancer and perforation .
gastrointestinal surgery.
presence of pheochromocytoma</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J69.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Pneumonia due to inhalation of  vomit and gastric secretions</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: patient receives metoclopramide 10 milligram -three times a day for 5 days.first dose prescribe in form of ampul and should be used from intravenous route.the other doses prescribe in form of tablet and should be used in route of gavage.</i_keyword>
      <i_keyword>Control group: patients in this group dont receive any drug or interventio n and we just monitor them .</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Cough incidence. Timepoint: before intervention, day 1,3 and5. Method of measurement: observational information and nursing records.</prim_outcome>
      <prim_outcome>Tachypnoea (respiratory rate &gt;25 per minute). Timepoint: before intervention, day 1,3 and5. Method of measurement: assessment of vital signs and nursing records.</prim_outcome>
      <prim_outcome>- Sputum production or oropharyngeal secretions. Timepoint: before intervention, day 1,3 and5. Method of measurement: assessment of clinical situation and nursing records.</prim_outcome>
      <prim_outcome>-Hypoxia (oxygen saturation ≤90% ). Timepoint: before intervention, day 1,3 and5. Method of measurement: puls oximeter.</prim_outcome>
      <prim_outcome>-New abnormal breathing sounds in chest examination. Timepoint: before intervention, day 1,3 and5. Method of measurement: chest physical examination by stethoscope.</prim_outcome>
      <prim_outcome>Fever &gt;38 degree celsius. Timepoint: before intervention, day 1,3 and5. Method of measurement: termometer.</prim_outcome>
      <prim_outcome>Leucocytosis (WBC &gt;11 000 per Mililiter). Timepoint: before intervention, day 1,3 and5. Method of measurement: complete blood count.</prim_outcome>
      <prim_outcome>Abnormal elevation of erythrocyte sedimentation rate. Timepoint: before intervention, day 1and5. Method of measurement: erythrocyte sedimentation rate test.</prim_outcome>
      <prim_outcome>New chest Radiological shadowing. Timepoint: before intervention, day 3 and 5. Method of measurement: chest x ray radiography.</prim_outcome>
      <prim_outcome>Leucopoenia (WBC &lt; 3000 per Mililiter). Timepoint: before intervention, day 1,3 and5. Method of measurement: complete blood count.</prim_outcome>
      <prim_outcome>Abnormal elevation of c reactive protein. Timepoint: before intervention, day 1 and 5. Method of measurement: c reactive protein test.</prim_outcome>
      <prim_outcome>Symptom complex of sweating, rigors, fever, and aches and pains. Timepoint: before intervention, day 1,3 and5. Method of measurement: observational information,thermometer and critical care pain observation tool.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Counting the days that paitient stays in intensive care unit. Timepoint: from the first day of study to last day of staying patient in the  intensive care unit. Method of measurement: assessment  of the patients medical records.</sec_outcome>
      <sec_outcome>Number of antibiotic therapy days. Timepoint: from the first day of study to last day of staying patient in the intensive care unit. Method of measurement: assessment  of the patients medical records.</sec_outcome>
      <sec_outcome>Highest  white blood cells  count in millimeter cube. Timepoint: daily from the first day to 5th day. Method of measurement: complete blood count.</sec_outcome>
      <sec_outcome>Highest C reactive protein( milligram per deciliter). Timepoint: first day and 5th day of study. Method of measurement: c reactive protein assessment test.</sec_outcome>
      <sec_outcome>Lowest oxygen saturation percent. Timepoint: daily from the first day to 5th day of study. Method of measurement: puls oxymeter.</sec_outcome>
      <sec_outcome>Mortality at 30 days. Timepoint: from the first day of study to 30th day. Method of measurement: assessment of medical records.</sec_outcome>
      <sec_outcome>Regurgitation through Nasogastric tube. Timepoint: daily from the first day to 5th day of study. Method of measurement: observational assessment of patients situation.</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>Islamic Azad University of Pharmaceutical Science</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2017-12-20</approval_date>
        <contact_name>Ethics committee of Islamic Azad University of Pharmaceutical Sciences</contact_name>
        <contact_address>ُShahid Khaghani street(Zargandeh), Dr Shariati street Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
