<?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>IRCT20150303021315N12</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-04-07</date_registration>
      <primary_sponsor>CinnaGen company</primary_sponsor>
      <public_title>Comparing CinnaTropin® with Norditropin® NordiLet® in pre-pubertal children with growth hormone deficiency</public_title>
      <acronym></acronym>
      <scientific_title>A randomized, two-armed, parallel, active-controlled clinical trial to compare equivalent efficacy along with safety, and immunogenicity of CinnaTropin® (CinnaGen, Iran) to Norditropin® NordiLet® (Novo Nordisk, Denmark) in pre-pubertal children with growth hormone deficiency (GHD)</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-12-14</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>102</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/34400</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The randomization plan of the patients will be carried out centrally using an R-CRAN software version 3.2.3. Blocks (with the size 2 or 4) will be made using permuted block randomization for a total of 102 patients (1:1 allocation ratio). After the randomization procedure, a code will be allocated to each patient that will be used as a patient-identifier throughout the study. The assigned code will be denoted by 4 initials (corresponding to the first two letters of the first name, first two letters of surname) and 3 numbers (center code). Moreover, the code described is followed by the study unique identification code consisting of first three letters of the name of the investigational product (which is CIN-) and three numbers (corresponding to the randomization number), e.g. ABCD001CIN-001. The randomization number will be assigned in a consecutive way.</study_design>
      <phase>3</phase>
      <hc_freetext>Isolated idiopathic growth hormone deficiency.</hc_freetext>
      <i_freetext>Intervention 1: Control group: CinnaTropin® pen-injector (5 mg/1.5 mL, CinnaGen, Iran), SC injection of 0.03 mg/kg for one year. Intervention 2: Control group: Norditropin® NordiLet® pen (5 mg/1.5 mL, Novo Nordisk, Denmark), SC injection of 0.03 mg/kg for one year.</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 Sharing policy is still unknown</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Nasim Anjidani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 2, Derakhti St., Shahrak-e-Gharb, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1465884171</zip>
        <telephone>+98 21 8808 8821</telephone>
        <email>anjidani.N@orchidpharmed.com</email>
        <affiliation>Orchid Pharmed Company</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Somayeh Amini</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 2,  Derakhti St, Dadman Blvd, shahrake Gharb</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1468813112</zip>
        <telephone>+98 21 4347 3210</telephone>
        <email>amini.s@orchidpharmed.com</email>
        <affiliation>Orchid Pharmed Company</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>
      <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>
      <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>
      <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>
      <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>
      <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>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>GH-naïve
Prepubertal (Tanner stage I)
3 to 10 years of age for male children and 3 to 8 years of age for female children
Isolated idiopathic growth hormone deficiency diagnosed
Peak growth hormone value of &lt;10.0 µg/l following two recommended growth hormone stimulation tests
Height Standard Deviation Score (HSDS) ≤ -2.0 and Height Velocity Standard Deviation Score  (HVSDS) ≤-1.0; or HSDS ≤ -3.0
The ratio of bone age to chronological age &lt; 0.9
Full-term birth weight above 2500 g
Euthyroid state</inclusion_criteria>
      <agemin>3 years</agemin>
      <agemax>10 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Chronic systemic disease, such as diabetes mellitus or renal disease
Evidence of active tumor
Chromosomal or skeletal abnormalities
Signs of idiopathic intracranial hypertension
Closed epiphyses
Chronic use of oral or parenteral glucocorticoid in the past three months
Using methylphenidate in the last 14 days</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E23.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Hypopituitarism</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>Control group: CinnaTropin® pen-injector (5 mg/1.5 mL, CinnaGen, Iran), SC injection of 0.03 mg/kg for one year</i_keyword>
      <i_keyword>Control group: Norditropin® NordiLet® pen (5 mg/1.5 mL, Novo Nordisk, Denmark), SC injection of 0.03 mg/kg for one year</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Change in height velocity. Timepoint: Prior to intervention and 12 months after the first intervention. Method of measurement: wall-mounted stadiometer.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Change in height. Timepoint: Prior to intervention and 12 months after the first intervention. Method of measurement: wall-mounted stadiometer.</sec_outcome>
      <sec_outcome>Change in weight. Timepoint: Prior to intervention and 12 months after the first intervention. Method of measurement: Weight measuring device.</sec_outcome>
      <sec_outcome>Change in Height Standard Deviation Score (HSDS). Timepoint: Prior to intervention and 12 months after the first intervention. Method of measurement: Centers for Disease Control and Prevention clinical growth data.</sec_outcome>
      <sec_outcome>Safety. Timepoint: At screening visit, first intervention, and 3, 6, 9, and 12 months after the first intervention. Method of measurement: Patient’s history, physical examination, and laboratory data.</sec_outcome>
      <sec_outcome>Immunogenicity. Timepoint: Prior to first intervention and at 3, 6, 9, and 12 months after the first intervention. Method of measurement: Evaluation of the presence and titre of anti-drug antibody in the blood sample.</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>CinnaGen company</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-08-25</approval_date>
        <contact_name>Research Ethics Committee of Tehran University of Medical Sciences</contact_name>
        <contact_address>Sixth floor, Research Deputy of Tehran University of Medical Sciences, Ghods Street, Keshavarz Boulvard Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
