<?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>IRCT20180412039284N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2018-07-19</date_registration>
      <primary_sponsor>Ahvaz University of Medical Sciences</primary_sponsor>
      <public_title>The effect of chitosan supplementation in patients with nonalcoholic fatty liver disease</public_title>
      <acronym></acronym>
      <scientific_title>The effect of chitosan supplementation on changes of weight, glycemic risk factors, lipid profile, serum inflammatory factors, adipokines and total antioxidant capacity in patients with nonalcoholic fatty liver disease (NAFLD)</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-09-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/31974</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: First, a nonrandom sample is chosen among the individuals ,who has the inclusion criteria, using a simple sampling method. Then, the randomization is performed between study groups. One of the hospital nurses ,who has not been blinded in the study, will change the names of chitosan and placebo on their packages to A and B (for example). Then, the researcher will distribute A and B packages among patients, who are referring to Golestan Hospital, using a randomized block method (ABAB, BABA, AABB, BBAA, ABBA, BAAB; A, first person; B, Second person; A, third person; B,fourth person B etc.). Finally, choosing the blocks will be continued until reaching the sample size, Blinding description: Study participants, the main researcher, the specialist, the person who collects the data and analyzes the outcomes are blinded. Supplement and placebo are the same in shape and color, so study participants will not be aware of supplements’ content. 
One of the nurses in hospital will change the names of chitosan and placebo on their packages to A and B, so the main researcher will not be aware of supplements’ content that are given to the patients.
The specialist, the person who collects the data (the main researcher) and analyzes the outcomes (the main researcher) will not be aware of supplements’ content.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Nonalcoholic fatty liver.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Consumption of chitosan (dose of supplements: 500 miligram) twice a day (one  before lunch and one before dinner) for 12 weeks. Chitosan supplements are provided by Karen company. Intervention 2: Control group: Consumption of placebo (dose of placebo: 500 miligram) twice a day (one before lunch and one before dinner) for 12 weeks. Placebo is provided by Karen company.</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 Since the functional phase of this study has not started yet, there are no decisions for these information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Hedieh Rahmani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ahvaz Jundishapur University Of Medical Sciences, Golestan Ave, Ahvaz, Khuzestan, Iran</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>61357-15794</zip>
        <telephone>+98 61 3373 8317</telephone>
        <email>rahmani.he@ajums.ac.ir</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Bizhan Helli</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ahvaz Jundishapur University Of Medical Sciences, Golestan Ave, Ahvaz, Khuzestan</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>61357-15794</zip>
        <telephone>+98 61 3373 8317</telephone>
        <email>bizhanhelli@yahoo.com</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Aged between 18-65 years (both genders)
Diagnosis of nonalcoholic fatty liver disease by ultrasound
Willingness to participate
No allergies to seafood</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Suffering from viral hepatitis, liver cirrhosis, Wilson's disease, acute fatty liver, hepatocellular carcinoma, hypothyroidism, lipodystrophy, diseases that involves bile ducts
History of chronic liver disease
History of significant weight loss (more than 10% of body weight during 6 months ago) or weight loss surgery
History of antioxidant supplementation, omega 3 and milk thistle during 6 months ago
History of liver damaging drugs
History of cardiovascular
History of  renal disease
Alcohol consumption more than 20 gram per day
Pregnancy
Lactation
Menopause
Energy consumption less than 800 or more than 4200 kilocalorie per day</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K76.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Fatty (change of) liver, not elsewhere classified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Consumption of chitosan (dose of supplements: 500 miligram) twice a day (one  before lunch and one before dinner) for 12 weeks. Chitosan supplements are provided by Karen company</i_keyword>
      <i_keyword>Control group: Consumption of placebo (dose of placebo: 500 miligram) twice a day (one before lunch and one before dinner) for 12 weeks. Placebo is provided by Karen company</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Glycated hemoglobin A1c. Timepoint: Before the intervention and twelve weeks after. Method of measurement: Spectrophotometry.</prim_outcome>
      <prim_outcome>Fasting blood glucose. Timepoint: Before the intervention and twelve weeks after. Method of measurement: Enzymatic method.</prim_outcome>
      <prim_outcome>Plasma insulin. Timepoint: Before the intervention and twelve weeks after. Method of measurement: Calorimetry.</prim_outcome>
      <prim_outcome>Serum adiponectin. Timepoint: Before the intervention and twelve weeks after. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>Serum leptin. Timepoint: Before the intervention and twelve weeks after. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>Interleukin-6. Timepoint: Before the intervention and twelve weeks after. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>TNF-alpha. Timepoint: Before the intervention and twelve weeks after. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>Serum total antioxidant capacity (TAC). Timepoint: Before the intervention and twelve weeks after. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>High Density Lipoprotein (HDL). Timepoint: Before the intervention and twelve weeks after. Method of measurement: Enzymatic method.</prim_outcome>
      <prim_outcome>Low Density Lipoprotein (LDL). Timepoint: Before the intervention and twelve weeks after. Method of measurement: Enzymatic method.</prim_outcome>
      <prim_outcome>Total cholesterol. Timepoint: Before the intervention and twelve weeks after. Method of measurement: Enzymatic method.</prim_outcome>
      <prim_outcome>Triglyceride. Timepoint: Before the intervention and twelve weeks after. Method of measurement: Enzymatic method.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Weight. Timepoint: Before the intervention and twelve weeks after. Method of measurement: Scale (seca).</sec_outcome>
      <sec_outcome>Body Mass Index (BMI). Timepoint: Before the intervention and twelve weeks after. Method of measurement: Weight (kg) divided to height square.</sec_outcome>
      <sec_outcome>Visceral Adiposity Index. Timepoint: Before the intervention and twelve weeks after. Method of measurement: Formula based on these variables: BMI, waist circumference, HDL-C and triglyceride (TG).</sec_outcome>
      <sec_outcome>Aspartate aminotransferase (AST). Timepoint: Before the intervention and twelve weeks after. Method of measurement: Enzymatic method.</sec_outcome>
      <sec_outcome>Alanine aminotransferase (ALT). Timepoint: Before the intervention and twelve weeks after. Method of measurement: Enzymatic method.</sec_outcome>
      <sec_outcome>Model-insulin resistance index (HOMA-IR). Timepoint: Before the intervention and twelve weeks after. Method of measurement: HOMA= fasting serum insulin (μU/ml)× fasting plasma glucose (mM/L)/22.5.</sec_outcome>
      <sec_outcome>Body fat percentage. Timepoint: Before the intervention and twelve weeks after. Method of measurement: Bioelectrical Impedance Analysis (BIA).</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>Ahvaz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-05-12</approval_date>
        <contact_name>Ahvaz Jundishapur University Of Medical Sciences</contact_name>
        <contact_address>Ahvaz Jundishapur University Of Medical Sciences, Golestan Ave, Ahvaz Ahvaz Khouzestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
