<?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>IRCT20191220045830N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-02-08</date_registration>
      <primary_sponsor>Semnan University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of probiotic effect on asthma</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of therapeutic effect of probiotic supplement to improvement of signs and immunomodulation in patients with asthma</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-04-20</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/44375</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: The simple randomization using cards shuffling will be performed. Briefly, 40 cards will be numbered and each card is representative of each envelope contain probiotic supplement or placebo. 
Allocation concealment will be done via sealed and opaque envelopes. Briefly, 20 envelopes contain probiotic supplement and another 20 envelopes have placebo with their own specific codes that will be prescribed using cards shuffling method, Blinding description: Blinding of patients will be obtained by use of same shape capsules the contain either probiotic supplement or placebo.
Blinding of researcher and physician will be done using sealed and opaque envelopes.</study_design>
      <phase>3</phase>
      <hc_freetext>Asthma.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group will receive one probiotic supplement capsule include 1 billion colony forming unit (CFU) from Zisttakhmir company called Lactocare every day after the meal for 60 days. Intervention 2: Control group will receive one placebo capsule include starch from Zisttakhmir company every day after the meal for 60 days.</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:
The clinical and laboratory data on patients with asthma that treated with drug and placebo can be shared

When:
6 month after result publication

To whom:
It will be accessible to university, scintific and production sections

Conditions:
Data can be analysed and usable by clinical institutes

Where to obtain:
Department of Internal Medicine, Kosar hospital, Semnan University of Medical Sciences
Department of Immunology, School of Medicine, Semnan University of Medical Sciences
1- Dr Rasoul Baharlou email: baharlour@gmail.com
2- Dr Farhad Malek email: farhadmalek42@yahoo.com

How to obtain:
The applicant can ask researchers to consider their request after article publication via formal letter- university or scientific institute and prodution section using email to recieve files

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Rasoul Baharlou</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Department of Immunology., Semnan University of Medical Sciences., Damghan Road, Semnan</address>
        <city>Semnan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3514799442</zip>
        <telephone>+98 21 6526 4249</telephone>
        <email>baharlour@gmail.com</email>
        <affiliation>Semnan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Rasoul Baharlou‏</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Department of Immunology., Semnan University of Medical Sciences., Damghan Road, Semnan</address>
        <city>Semnan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3514799442</zip>
        <telephone>+98 21 6526 4249</telephone>
        <email>baharlour@gmail.com</email>
        <affiliation>Semnan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>All patients with asthma who have dry- or with slight sputum cough sign.
All patients with asthma who have wheezing sign.
All patients with asthma who have dyspnea sign.
All patients with asthma who sometimes have the chest tightness or pain symptom.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>The patients who have lung infectious diseases such as pneumonia.
The patients who have coronary heart disease.
The patients who have lung cancer.
The patients who have primary immunodeficiency.
The patients who have secondary munodeficiency such as HIV.
The patients who smoke.
The patients who take antibiotics.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J45</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Asthma</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 will receive one probiotic supplement capsule include 1 billion colony forming unit (CFU) from Zisttakhmir company called Lactocare every day after the meal for 60 days.</i_keyword>
      <i_keyword>Control group will receive one placebo capsule include starch from Zisttakhmir company every day after the meal for 60 days.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Gene expression changes of T-bet, GATA3, Rorγt and FoxP3 transcription factors in peripheral blood mononuclear cells. Timepoint: Before and 60 days after beginning of intervention. Method of measurement: Using real-time PCR method.</prim_outcome>
      <prim_outcome>Frequency changes of Treg cells in peripheral blood. Timepoint: Before and 60 days after beginning of intervention. Method of measurement: Using a flow cytometry.</prim_outcome>
      <prim_outcome>Gene expression changes of miR 21, miR 155, miR146a, miR 126, miR 16 and miR133b in serum. Timepoint: Before and 60 days after beginning of intervention. Method of measurement: Using real-time PCR method.</prim_outcome>
      <prim_outcome>Changes in serum level of IL-4 and IFN-γ. Timepoint: Before and 60 days after beginning of intervention. Method of measurement: Using ELISA method.</prim_outcome>
      <prim_outcome>Gene expression changes of IL-6, IL-17, IL-21 and TGF-β in peripheral blood mononuclear cells. Timepoint: Before and 60 days after beginning of intervention. Method of measurement: Using real-time PCR method.</prim_outcome>
      <prim_outcome>Change rates of Forced Expiratory Volume in first second (FEV1). Timepoint: Before and 60 days after beginning of intervention. Method of measurement: Using Spirometery.</prim_outcome>
      <prim_outcome>Change rates of Forced Vital Capacity (FVC). Timepoint: Before and 60 days after beginning of intervention. Method of measurement: Using Spirometery.</prim_outcome>
      <prim_outcome>Change rates of Forced Expiratory Volume in first second (FEV1)/Forced Vital Capacity (FVC). Timepoint: Before and 60 days after beginning of intervention. Method of measurement: Using Spirometery.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></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>Semnan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-12-17</approval_date>
        <contact_name>Ethics committee of Semnan University of Medical Sciences</contact_name>
        <contact_address>Semnan University of Medical Sciences and Health Services, Basij Boulevard, Semnan Semnan Semnan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
