<?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>IRCT20100130003226N17</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-02-09</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>Effect of  omega-3 and vitamin D on  women with pre- diabetes and hypo vitaminosis D</public_title>
      <acronym></acronym>
      <scientific_title>Comparative study on the effectiveness of omega-3, vitamin D and co-supplementation on glycemic status, serum lipids and psycological distress in reproductive-aged women with pre- diabetes and hypovitaminosis D</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-02-04</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>168</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/35689</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Factorial, Purpose: Prevention, Randomization description: Randomization method:Eligible participants are randomized into treatments with either double placebo, vitamin D alone, omega-3 alone or double active (vitamin D and omega-3) groups according to the Stratified Block Randomization. 
Random unit: Block randomization is done in equal block sizes of 4 to ensure the balance between groups.
 Stratified randomization will be used to control serum vitamin D level (Vitamin D&lt;20 ng/ml, Vitamin D: 20~32 ng/ml) distribution.
Randomization Tool: Statistical software
 Randomization is carried out by an individual who is not involved in trial data collection and analysis.
Allocation concealment:The intervention allocation will be blinded to the study investigators, participants and statistical analyzer, Blinding description: Vitamin D and omega-3 supplements and placeboes were produced by Zahravi Pharmaceutical Company (Tabriz, Iran).The appearance of the placebo capsule was indistinguishable in color, shape, size, packaging, smell and taste from vitamin D and omega-3 capsules.
Packaging and Labeling of drugs for each group  is done by an individual who is not involved in trial data collection and analysis
The type of supplements in each group is blinded as A, B, C and D packages for investigators, participants and statistical analyzer.</study_design>
      <phase>3</phase>
      <hc_freetext>Condition 1: prediabetes. Condition 2: Vitamin D deficiency.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group1: 1000 mg omega-3 [each capsule containing 180 mg eicosapentaenoic acid (EPA) and 120 mg docosahexaenoic acid (DHA)] twice a day + vitamin D placebo every 2 weeks for 8 weeks.               0mega3 supplement  is produced by Zahravi Pharmaceutical Company  (IRC: 1228058530 / GTIN: 06260155920675).  Vitamin D placebo is produced by Zahravi Pharmaceutical Company. Intervention 2: Intervention group2: Capsule vitamin D (50,000 IU ) every 2 weeks + omega-3 placebo twice a day for 8 weeks.Vitamin D supplement  is produced by Zahravi Pharmaceutical Company  (IRC: 1228055799/ GTIN: 06260155960213).  0mega3 placebo is produced by Zahravi Pharmaceutical Company. Intervention 3: Intervention group3:  1000 mg omega-3 [each capsule containing 180 mg eicosapentaenoic acid (EPA) and 120 mg docosahexaenoic acid (DHA)] twice a day + Capsule vitamin D (50,000 IU ) every 2 weeks.0mega3 supplement  is produced by Zahravi Pharmaceutical Company  (IRC: 1228058530 / GTIN: 06260155920675).Vitamin D supplement  is produced by Zahravi Pharmaceutical Company  (IRC: 1228055799/ GTIN: 06260155960213). Intervention 4: Control group:4	Vitamin D placebo+ omega-3 placebo for 8 weeks.0mega3 and Vitamin D placebo is produced by Zahravi Pharmaceutical 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 There is no more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mahrokh Dolatian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Valiasr Str., intersection of Niyayesh</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985717443</zip>
        <telephone>+98 218865536671</telephone>
        <email>m_dolatian@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dolatian Mahrokh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Valiasr Str., intersection of Niyayesh</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985717443</zip>
        <telephone>+98 218865536671</telephone>
        <email>m_dolatian@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Reproductive-aged women (age15-50 years)
FBS 100-125 mg/ml
serum vitamin D level  &lt; 32 ng/mL
BMI &lt; 30</inclusion_criteria>
      <agemin>15 years</agemin>
      <agemax>50 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Diagnosed pathological conditions such as thyroid or para thyroid disorders, PCO, seizures, liver or kidney disease, neurological disorders, cancer, cardiovascular disease, type 1 or 2 diabetes, Sarcoidosis or other Granulomatous disorder
Intakes vitamin D or omega-3 during the last 6 months
Breast feeding, pregnant, and/or planning for pregnancy in the following 2 months
Intake of drugs that interact with omega-3 [including aspirin or anticoagulants (warfarin, heparin)] or with vitamin D (such as cardiac glycosides, Cholestyramine, anticonvulsant drugs or thiazides)
Taking herbal or chemical drugs that affect serum lipids or blood glucose level
In case of taking prescribed supplements different from study protocol
Unwillingness to provide blood sample during the initial or final visits or not to continue participating in research</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>R73.0</hc_code>
      <hc_code>E55.9</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Abnormal glucose tolerance test</hc_keyword>
      <hc_keyword>Vitamin D deficiency, unspecified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group1: 1000 mg omega-3 [each capsule containing 180 mg eicosapentaenoic acid (EPA) and 120 mg docosahexaenoic acid (DHA)] twice a day + vitamin D placebo every 2 weeks for 8 weeks.               0mega3 supplement  is produced by Zahravi Pharmaceutical Company  (IRC: 1228058530 / GTIN: 06260155920675).  Vitamin D placebo is produced by Zahravi Pharmaceutical Company</i_keyword>
      <i_keyword>Intervention group2: Capsule vitamin D (50,000 IU ) every 2 weeks + omega-3 placebo twice a day for 8 weeks.Vitamin D supplement  is produced by Zahravi Pharmaceutical Company  (IRC: 1228055799/ GTIN: 06260155960213).  0mega3 placebo is produced by Zahravi Pharmaceutical Company</i_keyword>
      <i_keyword>Intervention group3:  1000 mg omega-3 [each capsule containing 180 mg eicosapentaenoic acid (EPA) and 120 mg docosahexaenoic acid (DHA)] twice a day + Capsule vitamin D (50,000 IU ) every 2 weeks.0mega3 supplement  is produced by Zahravi Pharmaceutical Company  (IRC: 1228058530 / GTIN: 06260155920675).Vitamin D supplement  is produced by Zahravi Pharmaceutical Company  (IRC: 1228055799/ GTIN: 06260155960213).</i_keyword>
      <i_keyword>Control group:4	Vitamin D placebo+ omega-3 placebo for 8 weeks.0mega3 and Vitamin D placebo is produced by Zahravi Pharmaceutical Company</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Glycemic status[fasting blood sugar and insulin, homeostasis model assessment-insulin resistance (HOMA-IR), homeostasis model assessment-beta cell function (HOMA-B)]. Timepoint: at beginning and after 8 weeks intervention. Method of measurement: Blood sampling and calculating (HOMA-IR) and (HOMA-B).</prim_outcome>
      <prim_outcome>Serum lipids (triglyceride, low-density lipoprotein-cholesterol, high-density lipoprotein-cholesterol, total cholesterol). Timepoint: at beginning and after 8 weeks intervention. Method of measurement: Blood sampling.</prim_outcome>
      <prim_outcome>Scores of Depression Anxiety Stress Scale (DASS 21). Timepoint: at beginning and after 8 weeks intervention. Method of measurement: Depression Anxiety Stress Scale (DASS 21).</prim_outcome>
      <prim_outcome>Score of  Pittsburgh Sleep Quality Index (PSQI). Timepoint: at beginning and after 8 weeks intervention. Method of measurement: Pittsburgh Sleep Quality Index (PSQI).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Weight. Timepoint: At beginning and after 8 weeks intervention. Method of measurement: Digital scale.</sec_outcome>
      <sec_outcome>Body mass index (BMI). Timepoint: At beginning and after 8 weeks intervention. Method of measurement: It will be calculated using the height and weight measurements w/h2 (w: weight in kg and h: height in meters).</sec_outcome>
      <sec_outcome>Systolic and diastolic blood pressure. Timepoint: At beginning and after 8 weeks intervention. Method of measurement: Digital manometer.</sec_outcome>
      <sec_outcome>Waist circumference. Timepoint: At beginning and after 8 weeks intervention. Method of measurement: Nonelastic tape.</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>Shahid Beheshti University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-11-04</approval_date>
        <contact_name>Ethics committee of Shahid Beheshti University of Medical Sciences</contact_name>
        <contact_address>6th Floor, Bldg No.2 SBUMS,Parvaneh Str., Yemeni Ave, Shahid Chamran Highway Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
