<?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>IRCT20170201032346N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-03-14</date_registration>
      <primary_sponsor>Ramsar Campus, Mazandaran University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of Bifidobacterium Animalis Spp. Lactis oral suspension effect on crying/fussing time and changes of gut microbiota in formula-fed infants with colic</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of Bifidobacterium Animalis Spp. Lactis oral suspension effect on crying/fussing time and changes of gut microbiota  in formula-fed infants with colic: A Double blind randomized clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-04-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/38224</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: participant are randomized with Distance randomization method. two groups of 25 patients are assigned to treatment or placebo group. each patient is assigned to a unique code provided by Distance randomization service from www.sealedenvelope.com, Blinding description: Placebo are provided by the company producing the product. in terms of appearance drug and placebo are identical. caregivers prescribe the drug. the research technician is assigned to lead two arms of study based on patient's assigned group.</study_design>
      <phase>3</phase>
      <hc_freetext>Infantile colic, probiotic, intestinal dysbiosis, microbiota, bifidobacterium lactis.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: the product which is used in this study is BB Care (Zist takhmir, Iran) oral suspension which contain 1x 10⁸ CFU per milliliter. patients are advised to take 5 drops, four times daily for 28 days. Intervention 2: Control group: purchased placebo from the probiotic producing company (Zist Takhmir, Iran) is used for 28 days. 5 drops are given four times daily.</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:
all collected deidentified data for primary and secondary outcome measures are going to be shared

When:
after publishing the study, data are going to be available

To whom:
data are going to be available to all researchers and clinician irrespective to their employment sector

Conditions:
permission are granted upon request for secondary and meta-analysis

Where to obtain:
requests are gathered through principle researcher's e-mail address

How to obtain:
upon verification of request and reason data are given in three month.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Firouzi Hossein</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.20 ,Taleghani Ave., Ramsar.</address>
        <city>Ramsar</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4691786953</zip>
        <telephone>+1 155230181</telephone>
        <email>firoozihosein@mazums.ac.ir</email>
        <affiliation>Ramsar Campus, Mazandaran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Firouzi Hossein</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.20 ,Taleghani Ave., Ramsar.</address>
        <city>Ramsar</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4691786953</zip>
        <telephone>+1 155230181</telephone>
        <email>firoozihosein@mazums.ac.ir</email>
        <affiliation>Ramsar Campus, Mazandaran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>exclusive formula feeding
less than 7 weeks of age
diagnosis of colic based on ROME IV criteria
accepting informed consent</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>49 days</agemax>
      <gender>Both</gender>
      <exclusion_criteria>birth weight lower than 2500grams
preterm birth (Gestational age&lt;37 weeks)
five minute Apgar score &lt;7
breast feeding
Central venous catheter
severe medical condition
valvular heart disease
prematurity
reduction in growth or weight reduction of more than 100gram from birth to the last measurement
neurological disease
known of suspected food allergy
gastroesophageal reflux disease
Probiotic, prebiotic, antibiotic or acid suppressing agents in the past two weeks
history of fever or infectious disease in the past two weeks
progressive systemic infection
congenital infection
chronic bowel disease, e.g. cystic fibrosis and primary pancreatic insufficiency
primary or secondary digestive tract malformations, e.g. esophageal atresia, intestinal atresia, short bowel syndrome, malrotation
metabolic disease
genetic and chromosomal disease
primary or secondary immunodeficiency syndrome
suspecting noncompliance or caregiver's inability to act in accordance to the given protocol
previous participation in medical research</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>R10.4</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>R10.4</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: the product which is used in this study is BB Care (Zist takhmir, Iran) oral suspension which contain 1x 10⁸ CFU per milliliter. patients are advised to take 5 drops, four times daily for 28 days</i_keyword>
      <i_keyword>Control group: purchased placebo from the probiotic producing company (Zist Takhmir, Iran) is used for 28 days. 5 drops are given four times daily.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Amount of infant Crying/fussing expressed in minutes. Timepoint: before and at 7, 14, 21 and 28 days after initiation of intervention. Method of measurement: according to Barr diaries.</prim_outcome>
      <prim_outcome>Fecal microbiota of infants. Timepoint: before and 28 days after the initiation of the intervention. Method of measurement: 16s rRNA qPCR and Pyrosequencing.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Weight gain. Timepoint: before and 28 days after the intervention. Method of measurement: scale.</sec_outcome>
      <sec_outcome>Defecation, times per day. Timepoint: prior and 0, 7, 14, 21 and 28 days after the initiation of intervention. Method of measurement: questionnaire.</sec_outcome>
      <sec_outcome>Length growth. Timepoint: before and 28 days after the intervention. Method of measurement: متر.</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>Ramsar Campus, Mazandaran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-03-12</approval_date>
        <contact_name>Ethics committee of Ramsar Campus, Mazandaran University of Medical Sciences</contact_name>
        <contact_address>No.20, Taleghani Ave, Ramsar Ramsar Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-03-12</approval_date>
        <contact_name>Ethics committee of Ramsar Campus, Mazandaran University of Medical Sciences</contact_name>
        <contact_address>No.20, Taleghani Ave, Ramsar Ramsar Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
