<?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>IRCT20180603039959N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-10-05</date_registration>
      <primary_sponsor>Ahvaz University of Medical Sciences</primary_sponsor>
      <public_title>Effects of grape seed extract on thalassemia major</public_title>
      <acronym></acronym>
      <scientific_title>Study of the synergistic effects of grape seed extract with deferasirox on oxidative stress, hemoglobin levels, blood coagulation, serum ferritin levels and inflammatory biomarkers in children with major thalassemia</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-08-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/49361</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: Randomization is simple. Randomization unit is individual. Randomization tool is sealed envelope. Concealment is performed through similar capsules containing drug and placebo. Random sequence generation is made by envelops shuffling, Blinding description: In this double blind study, participants and the major researcher are kept blind to the study groups. Randomization tool is sealed envelope so that the major researcher is unaware of the envelope content delivered to the patients. Concealment is performed through similar capsules containing drug and placebo so that the participants are unaware of the prescribed drug .</study_design>
      <phase>2</phase>
      <hc_freetext>Thalassemia major.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group:  Patients are treated for 4 weeks with grape seed extract (made in Shari Pharmaceutical Industrial Company) 100 mg  PO daily in combination with Deferasirox  (made in Exir Pharmaceutical Industrial Company) 30 mg/Kg PO daily. Intervention 2: Control group: Patients are treated for 4 weeks with Deferasirox  (made in Exir Pharmaceutical Industrial Company) 30 mg/Kg PO daily.</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 There is no further information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Bijan Keikhaei dehdezi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>golestan Ave,. Shahid Baghaee sq., Shahid Baghaee 2 hospital</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6138933333</zip>
        <telephone>00980166173271</telephone>
        <email>keikhaeib@yahoo.com</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Bijan Keikhaei dehdezi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Golestan Ave., Shahid Baghaee sq., Shahid baghaee 2 hospital</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6138933333</zip>
        <telephone>+98 916 617 3271</telephone>
        <email>keikhaeib@yahoo.com</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients affected by major thalassemia
Iron chelators consumption for at least 2 years
A history of iron chelator steady dose for the last 3 months
Having serum ferritin level more than 1000 μg/L
Patients with age limitation of 2 to 18 years old</inclusion_criteria>
      <agemin>2 years</agemin>
      <agemax>18 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Change in iron chelator therapy during the study (6 months)</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>D56.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Beta thalassemia</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group:  Patients are treated for 4 weeks with grape seed extract (made in Shari Pharmaceutical Industrial Company) 100 mg  PO daily in combination with Deferasirox  (made in Exir Pharmaceutical Industrial Company) 30 mg/Kg PO daily.</i_keyword>
      <i_keyword>Control group: Patients are treated for 4 weeks with Deferasirox  (made in Exir Pharmaceutical Industrial Company) 30 mg/Kg PO daily.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Glutathion peroxidase enzyme activity. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: For measurement of glutathion peroxidase enzyme activity ZellBio kits are used.</prim_outcome>
      <prim_outcome>Superoxide dismutase enzyme activity. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: For measurement of Superoxide dismutase enzyme activity ZellBio kits are used.</prim_outcome>
      <prim_outcome>Catalase enzyme activity. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: For measurement of Catalase enzyme activity ZellBio kits are used.</prim_outcome>
      <prim_outcome>TNF-alpha level. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: For measurement of TNF-alpha level IBL kit is used.</prim_outcome>
      <prim_outcome>Malon dyaldehyde level. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: For measurement of malon dyaldehyde the Satho method is used.</prim_outcome>
      <prim_outcome>Hemoglobin level. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: Hemoglobin level is measured by Complete blood count test.</prim_outcome>
      <prim_outcome>Red blood cell count. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: Red blood cell count is measured by Complete blood count test.</prim_outcome>
      <prim_outcome>Serum ferritin level. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: Serum ferritin level is measured by serum ferritin level.</prim_outcome>
      <prim_outcome>Serum aminotransferase. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: Serum aminotransferase is measured by aspartate aminotransferase (AST) test and  alanine aminotransferase (ALT) test.</prim_outcome>
      <prim_outcome>Blood urea nitrogen level. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: Serum blood urea nitrogen level is measured by Blood urea nitrogen (BUN) test.</prim_outcome>
      <prim_outcome>Serum creatinine. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: Serum creatinine level is measured by creatinine test.</prim_outcome>
      <prim_outcome>Prothrombin time. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: Prothrombin time is measured by Prothrombin time (PT) test.</prim_outcome>
      <prim_outcome>Partial thromboplastin time. Timepoint: At the beginning of the study, after 2 weeks of treatment, after 4 weeks of treatment. Method of measurement: Partial thromboplastin time is measured by Partial thromboplastin time (PTT) test.</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>Ahvaz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-06-29</approval_date>
        <contact_name>Ethics committee of Ahvaz Jundishapur University of Medical Sciences</contact_name>
        <contact_address>Golestan Ave., Shahid Baghaee sq., Shahid Baghaee 2 hospital. Ahvaz Khouzestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
