<?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>IRCT20200516047465N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-08-09</date_registration>
      <primary_sponsor>Mazandaran University of Medical Sciences</primary_sponsor>
      <public_title>The effect of sweet almond on chronic renal failure</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effect of sweet almond capsule on function of kidney and quality of life in patients with chronic renal failure</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-08-05</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/48318</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: For randomization, a quadruple block randomization method is used. In this method, all permutations obtained from 2 groups are calculated as follows:
1) AABB 2) ABAB 3) ABBA 4) BABA 5) BAAB 6) BBAA
Among them, using random number table, we will select samples in the following order.
The selected permutation:
3, 1, 4, 5, 2, 6, 3, 1, 2, 5, 6, 4, 1, 6, 3
A is the intervention group and B is the control group. The advantage of this method is that the groups are equal, Blinding description: For blinding, the patient and attending physician responsible for evaluating patients and also the researcher will be unaware of the type of treatment for each group (drug or placebo). For this purpose, after randomization and division of patients into two groups, the drug and placebo are separated by code A or B, and then they are labled by the statistical consultant. In this way, the patient, the attending physician, and the researcher will not be aware of the type of treatment.
Drug and placebo are similar in appearance, color and smell.</study_design>
      <phase>3</phase>
      <hc_freetext>Condition 1: Chronic kidney disease, stage 2. Condition 2: Chronic kidney disease, stage 3.</hc_freetext>
      <i_freetext>Intervention 1: The drug is made in faculty of pharmacy, Shahid Beheshti University of Medical Sciences. Intervention group will receive capsules, containing 350 mg of almond, twice a day; 30minutes before breakfast and 30 minutes before dinner. Both groups are treated for 8 weeks. Intervention 2: The placebo is made in faculty of pharmacy, Shahid Beheshti University of Medical Sciences. Control group will receive placebo capsules exactly according to the original medication, twice a day; 30minutes before breakfast and 30 minutes before dinner. Both groups are treated 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:
Laboratory information

When:
Four months after printing the results

To whom:
Researchers working in academic and scientific institutions

Conditions:
Researchers working in academic and scientific institutions

Where to obtain:
s.meghdadi@mazums.ac.ir

How to obtain:
Email to the researcher

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Sedighe Meghdadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Iranian Medicine, next to Baghban Special Clinic, Khazar Boulevard</address>
        <city>Sari</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4816895475</zip>
        <telephone>+98 11 3325 5545</telephone>
        <email>sedighe.meghdadi@yahoo.com</email>
        <affiliation>Mazandaran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mohammad Yousofpour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Iranian Medicine, next to Baghban Clinic, Khazar Boulevard</address>
        <city>Sari</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4816895475</zip>
        <telephone>+98 11 3324 3117</telephone>
        <email>m.yousofpoor@yahoo.com</email>
        <affiliation>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>Patients with chronic kidney disease stage 2 and 3
Age range 18 to 75 years</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Clinically unstable
Malignancy
Heart Failure
Previous diagnosis of primary hyperoxaluria
History of calcium oxalate kidney stone
Known allergy to almond
Liver failure
Pregnancy
Inability to communicate
Polycystic kidney disease
Acute infectious disease</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>N18.2</hc_code>
      <hc_code>N18.3</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Chronic kidney disease, stage 2</hc_keyword>
      <hc_keyword>Chronic kidney disease, stage 3</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>The drug is made in faculty of pharmacy, Shahid Beheshti University of Medical Sciences. Intervention group will receive capsules, containing 350 mg of almond, twice a day; 30minutes before breakfast and 30 minutes before dinner. Both groups are treated for 8 weeks.</i_keyword>
      <i_keyword>The placebo is made in faculty of pharmacy, Shahid Beheshti University of Medical Sciences. Control group will receive placebo capsules exactly according to the original medication, twice a day; 30minutes before breakfast and 30 minutes before dinner. Both groups are treated for 8 weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Glomerular filtration rate. Timepoint: Before and after the intervention. Method of measurement: Modification of Diet in Renal Disease (MDRD) formula.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Serum creatinine. Timepoint: before and after the intervention. Method of measurement: Laboratory blood test.</sec_outcome>
      <sec_outcome>Blood Urea Nitrogen. Timepoint: before and after the intervention. Method of measurement: Laboratory blood test.</sec_outcome>
      <sec_outcome>24-hour urine protein. Timepoint: before and after the intervention. Method of measurement: 24-hour urine evaluation.</sec_outcome>
      <sec_outcome>Serum Albumin. Timepoint: before and after the intervention. Method of measurement: Laboratory blood test.</sec_outcome>
      <sec_outcome>Serum uric acid. Timepoint: before and after the intervention. Method of measurement: Laboratory blood test.</sec_outcome>
      <sec_outcome>Serum potassium. Timepoint: before and after the intervention. Method of measurement: Laboratory blood test.</sec_outcome>
      <sec_outcome>Blood pressure. Timepoint: before and after the intervention. Method of measurement: Sphygmomanometer.</sec_outcome>
      <sec_outcome>Hemoglobin. Timepoint: before and after the intervention. Method of measurement: Laboratory blood test.</sec_outcome>
      <sec_outcome>Serum C-Reactive Protein (CRP). Timepoint: before and after the intervention. Method of measurement: Laboratory blood test.</sec_outcome>
      <sec_outcome>Lipid profile. Timepoint: before and after the intervention. Method of measurement: Laboratory blood test.</sec_outcome>
      <sec_outcome>Fasting blood sugar. Timepoint: before and after the intervention. Method of measurement: Laboratory blood test.</sec_outcome>
      <sec_outcome>Quality of Life. Timepoint: before and after the intervention. Method of measurement: The Short Form (36) Health Survey (SF-36).</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>Mazandaran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-04-27</approval_date>
        <contact_name>Ethics committee of Mazandaran University of Medical Sciences</contact_name>
        <contact_address>Faculty of Iranian Medicine, next to Baghban Special Clinic, Khazar Boulevard Sari Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
