<?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>IRCT20190526043711N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-09-02</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>The effect of combination therapy of vitamin E and C supplements plus Platelet-Rich Plasma-Fibrin Glue on biochemical factors, oxidative stress markers and wound healing rate in diabetic patients</public_title>
      <acronym></acronym>
      <scientific_title>The effect of combination therapy of vitamin E and C supplements plus Platelet-Rich Plasma-Fibrin Glue on biochemical factors, oxidative stress markers and wound healing rate in diabetic patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-08-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>24</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/39839</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: N/A, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Blinding description: The data analyst will not be aware of the allocation of individuals in the groups analyzed and reviewed.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Diabetic foot ulcer.</hc_freetext>
      <i_freetext>Intervention 1: Control group:  Patients with diabetic ulcer treated with PRP-Fibrin-Glue for 8 weeks. Intervention 2: Intervention group: Patients with diabetic ulcer treated with PRP-Fibrin-Glue plus vitamin supplements (E (200 IU / 2day) and C (250 mg / 2day) ) for 8 weeks.</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 data related to the project after unidentifiable of people will be shared.

When:
Access to data are allowed 6 months after the publication of results.

To whom:
Our data will be available for university staffs and academic institutions.

Conditions:
All types of analysis for data are allowed by authorized researchers.

Where to obtain:
yarahmadiA961@mums.ac.ir

How to obtain:
Accept permission from the project implementer for the applicant

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Daryoush Hamidi Alamdari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Iman Reza Hospital, Daneshgah Ave</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9137913316</zip>
        <telephone>+98 51 3882 8574</telephone>
        <email>hamidiad@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Daryoush Hamidi Alamdari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Iman Reza Hospital, Daneshgah Ave</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9137913316</zip>
        <telephone>+98 51 3882 8574</telephone>
        <email>hamidiad@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with grade 2- 4 diabetic wounds  based on Wagner's classification
Having wounds on the legs and extremities
No smoking, alcohol or drug addiction
Non-use of drugs that may interfere with wound healing, such as corticosteroids, immunosuppressive agents, and cytotoxic agents.
Not having an illness that may cause problems in wound healing, such as cancers, vasculitis
Age between 40 and 75 years
HbA1c over 7 within last  3 months
At least 4 weeks have elapsed since the wounds occurred</inclusion_criteria>
      <agemin>40 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>The presence of ulcer with active infection and the need for intravenous antibiotics
Gangrene which needs amputation
Lack of patient referral to the center for tracking and changing dressings in more than two occasions
Previous consumption of vitamin E and C supplements
Patients with renal and hepatic failure and heart failure
Patients with advanced diabetic retinopathy
Pregnancy or breastfeeding
HbA1c more than 11
Occurrence of special medical conditions</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E10-E14</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>With peripheral circulatory complications</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group:  Patients with diabetic ulcer treated with PRP-Fibrin-Glue for 8 weeks.</i_keyword>
      <i_keyword>Intervention group: Patients with diabetic ulcer treated with PRP-Fibrin-Glue plus vitamin supplements (E (200 IU / 2day) and C (250 mg / 2day) ) for 8 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Healing rate of the ulcer. Timepoint: At the beginning of the study, and then every week for 2 months. Method of measurement: Examination by a vascular surgery physician and documentation.</prim_outcome>
      <prim_outcome>The size of the ulcer. Timepoint: At the beginning of the study, and then every week for 2 months. Method of measurement: Measuring by ruler and documentation.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Serum hs-CRP. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Fasting blood sugar. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum insulin. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum Triglyceride. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum Cholesterol. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum HDL. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum LDL. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum Urea. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum Creatinine. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum total bilirubin. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>HbA1c. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum Uric acid. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum Malondialdehyde. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum reduced Glutathione. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Total Antioxidant Capacity. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum levels of vitamins E. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</sec_outcome>
      <sec_outcome>Serum levels of vitamins C. Timepoint: At the beginning of the study and the end of the trial. Method of measurement: In a quantitative laboratory method.</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>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-05-25</approval_date>
        <contact_name>Ethics committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>Iman Reza Hospital, Daneshgah Ave Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
