<?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>IRCT20190406043177N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-08-21</date_registration>
      <primary_sponsor>Royan Institute</primary_sponsor>
      <public_title>Effect of alpha lipoic acid on male infertility</public_title>
      <acronym></acronym>
      <scientific_title>The effect of alpha lipoic acid on sperm parameters, DNA integrity and oxidative stress in infertile men with increased level of sperm DNA damage</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-06-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>80</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/39346</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block Randomization, Blinding description: The drug and placebo package was similar and  was given to patients  by the pharmacist according to the numbers in randomization. The patient himself did not have any information on the use of the medicine or the placebo. The laboratory expert and researcher only analyzed the samples by the numbers.</study_design>
      <phase>3</phase>
      <hc_freetext>Male Infertility.</hc_freetext>
      <i_freetext>Intervention 1: Control group: 3 month usage of placebo. Intervention 2: Intervention group: 3 month usage of 2 Cap. 300 mg alpha lipoic acid Bd before Breakfast and Lunch.</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 based on the idea of Ethic in Medicine Committee</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Prof. Mohammad Hossein Nasr Esfahani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.371, Allikhani Aleey, Mehr St., Salman Farsi Ave., Isfahan, Iran</address>
        <city>esfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8158968433</zip>
        <telephone>+98 31 9501 5682</telephone>
        <email>mh.nasr-esfahani@royaninstitute.org</email>
        <affiliation>Royan Institute</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Prof. Mohammad Hossein Nasr Esfahani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No.371, Allikhani Aleey, Mehr St., Salman Farsi Ave., Isfahan, Iran</address>
        <city>Esfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8158968433</zip>
        <telephone>+98 31 9501 5687</telephone>
        <email>mh.nasr-esfahani@royaninstitute.org</email>
        <affiliation>Royan Institute</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Infertile men with normal sperm parameters and high levels of DNA fragmentation (SCSA&gt;30 , TUNEL&gt;15)
Infertile men with abnormal sperm parameters and high levels of DNA fragmentation (SCSA&gt;30 , TUNEL&gt;15)</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Male</gender>
      <exclusion_criteria>Varicocele
Leukocytospermia
cancer and chemotherapy
cytotoxic medicine usage</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>N46</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Male infertility</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Placebo</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group: 3 month usage of placebo</i_keyword>
      <i_keyword>Intervention group: 3 month usage of 2 Cap. 300 mg alpha lipoic acid Bd before Breakfast and Lunch</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>DNA Damage. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: Flow cytometry device. Fluorescence and optic microscope.</prim_outcome>
      <prim_outcome>Sperm motility. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: CASA Device.</prim_outcome>
      <prim_outcome>Sperm morphology. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: microscope.</prim_outcome>
      <prim_outcome>Sperm count. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: neobar lam.</prim_outcome>
      <prim_outcome>Sperm vitality. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: microscope.</prim_outcome>
      <prim_outcome>Lipid peroxidation (MDA level). Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: spectrophotometer.</prim_outcome>
      <prim_outcome>Mitochondrial membrane potential. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: Flow Cytometry device.</prim_outcome>
      <prim_outcome>TAC. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: ELISA Reader.</prim_outcome>
      <prim_outcome>SOD. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: ELISA Reader.</prim_outcome>
      <prim_outcome>GPX. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: ELISA Reader.</prim_outcome>
      <prim_outcome>ROS. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: Flow Cytometry device.</prim_outcome>
      <prim_outcome>Chromatin evaluation. Timepoint: Before starting the intervention - after 3 month use of medicine or placebo. Method of measurement: Flow Cytometry device.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Fertilization Rate. Timepoint: After Treatment. Method of measurement: Patient Flow up and Fertility Tests.</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>Royan Institute</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-01-16</approval_date>
        <contact_name>Ethics committee of Royan Institute</contact_name>
        <contact_address>Royan Institute, Hafez St., Banihashem St, Tehran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
