<?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>IRCT20110109005579N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-09-17</date_registration>
      <primary_sponsor>Ardabil University of Medical Sciences</primary_sponsor>
      <public_title>Saffron effect in Chronic Obstructive Pulmonary Disease (COPD).</public_title>
      <acronym></acronym>
      <scientific_title>The effect of saffron on pulmonary function and serum levels of Interleukin-6  and Tumor Necrosis Factor-α in patients with Chronic Obstructive Pulmonary Disease</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-09-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>90</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/41998</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: The participants will be recruited from patients that referred to the pulmonary clinic of Ardabil Imam Khomeini Hospital. Patients will be evaluated and in the case of satisfying inclusion criteria, they will be referred to the clinics nurse. A per-defined list will be utilized for subject's enrollment. The list consists two groups of trial and placebo (each 45 subjects) which was prepared by Excel using Randbetween function. Patients will be allocated in two groups by simple randomization.  45 "A" labeled and 45 "B" labeled sealed envelopes will be used by nurse to provide medicine and placebo to patients, Blinding description: Participants, patient care student and outcome evaluator, person responsible for data collection don't aware from pocket contents.</study_design>
      <phase>3</phase>
      <hc_freetext>Chronic obstructive pulmonary disease.</hc_freetext>
      <i_freetext>Intervention 1: "Intervention group:" Patients with Chronic Obstructive Pulmonary Disease will be receive standard treatments based on Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guideline and 30mg/day Saffron Tablets for 12 weeks (Produced by: BuAli Institute of Pharmaceutical Sciences, Pharmaceutical Product Development Center, Sina Pharmaceutical Company, Reg. No. 48674). Intervention 2: "Control group:" Patients with Chronic Obstructive Pulmonary Disease will be receive standard treatments based on Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guideline and 30mg/day Saffron Placebo Tablets for 12 weeks (Produced by: BuAli Institute of Pharmaceutical Sciences, Pharmaceutical Product Development Center, Sina Pharmaceutical Company, Reg. No. 48674).</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:
Data of outcome can be shared.

When:
Result access after paper publication

To whom:
Academic researcher

Conditions:
As a scientific paper

Where to obtain:
Corresponding author, Hassan Ghobadi

How to obtain:
via email address: h.ghobadi@arums.ac.ir

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Hassan Ghobadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shhid Noe-Aghdam Street</address>
        <city>Ardabil</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>5619647531</zip>
        <telephone>009833251410</telephone>
        <email>h.ghobadi@arums.ac.ir</email>
        <affiliation>Ardabil University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Hassan Ghobadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ardabil, Emam Khomeini Hospital, Noei-Aghdam Street</address>
        <city>Ardabil</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>56196-47531</zip>
        <telephone>+98 45 3325 1401</telephone>
        <email>h.ghobadi@arums.ac.ir</email>
        <affiliation>Ardabil University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Chronic Obstructive Pulmonary Disease
Age between 40-85
Clinically stable disease in previous 8 weeks
Acceptance of study design by patients</inclusion_criteria>
      <agemin>40 years</agemin>
      <agemax>85 years</agemax>
      <gender>Male</gender>
      <exclusion_criteria>Active infectious disease
Bronchiectasis
Chronic inflammatory diseases
Active liver and kidney diseases
Cancer patients
Cardiac disease (myocardial infarction and unstable angina in previous 6 months)
Sensitivity to saffron</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J44.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other specified Chronic Obstructive Pulmonary Disease</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>"Intervention group:" Patients with Chronic Obstructive Pulmonary Disease will be receive standard treatments based on Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guideline and 30mg/day Saffron Tablets for 12 weeks (Produced by: BuAli Institute of Pharmaceutical Sciences, Pharmaceutical Product Development Center, Sina Pharmaceutical Company, Reg. No. 48674).</i_keyword>
      <i_keyword>"Control group:" Patients with Chronic Obstructive Pulmonary Disease will be receive standard treatments based on Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guideline and 30mg/day Saffron Placebo Tablets for 12 weeks (Produced by: BuAli Institute of Pharmaceutical Sciences, Pharmaceutical Product Development Center, Sina Pharmaceutical Company, Reg. No. 48674).</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Serum Level of IL-6. Timepoint: Beginning of study and 12 weeks after intervention. Method of measurement: Laboratory.</prim_outcome>
      <prim_outcome>Tumor Necrosis factor alpha (TNF-α). Timepoint: Beginning of study and 12 weeks after intervention. Method of measurement: Laboratory.</prim_outcome>
      <prim_outcome>Pulmonary Function Test. Timepoint: beginning of study and 12 weeks after intervention. Method of measurement: Laboratory (Spirometry Device).</prim_outcome>
      <prim_outcome>Total oxidant status (TOS). Timepoint: Beginning of study and 12 weeks after intervention. Method of measurement: Laboratory.</prim_outcome>
      <prim_outcome>Total antioxidant capacity (TAC). Timepoint: Beginning of study and 12 weeks after intervention. Method of measurement: Laboratory.</prim_outcome>
      <prim_outcome>Nuclear factor kappa B (NF-κB). Timepoint: Beginning of study and 12 weeks after intervention. Method of measurement: Laboratory.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>COPD Assessment Test (CAT). Timepoint: Beginning of study and 12 weeks after intervention. Method of measurement: CAT Questionnaire, accessible at: https://www.catestonline.org.</sec_outcome>
      <sec_outcome>Dyspnea scale: Modified Medical Research Council (MMRC) questionnaire. Timepoint: Beginning of study and 12 weeks after intervention. Method of measurement: Modified Medical Research Council (MMRC) questionnaire.</sec_outcome>
      <sec_outcome>Exercise scale: Six Minute Walk Distance (6MWD). Timepoint: Beginning of study and 12 weeks after intervention. Method of measurement: Six Minute Walk Distance (6MWD) questionnaire.</sec_outcome>
      <sec_outcome>Oxygen saturation of arterial blood. Timepoint: Beginning of study and 12 weeks after intervention. Method of measurement: Pulse oximetry.</sec_outcome>
      <sec_outcome>Saffron side effects. Timepoint: 4 weeks and 12 weeks after intervention. Method of measurement: Record of adverse effect in checklist.</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>Ardabil University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-03-03</approval_date>
        <contact_name>Ardabil University of Medical Sciences Ethic Committe</contact_name>
        <contact_address>Internal Medicine Department, Emam Khomeini Hospital, Shahid Noe-Aghdam Street, Ardabil Ardabil Ardabil Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-11-03</approval_date>
        <contact_name>Ardabil University of Medical Sciences Ethic Committe</contact_name>
        <contact_address>Internal Medicine Department, Emam Khomeini Hospital, Shahid Noe-Aghdam Street, Ardabil Ardabil Ardabil Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
