<?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>IRCT20200825048514N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-10-10</date_registration>
      <primary_sponsor>Yazd University of Medical Sciences</primary_sponsor>
      <public_title>Effect of β-interferon and methylprednisolone in COVID-19</public_title>
      <acronym></acronym>
      <scientific_title>The assessment of therapeutic effect of β-interferon and Methylprednisolone in patients with COVID- 19: A quasi-experimental, double-blind, placebo-controlled study</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-05-04</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/50543</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Not randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Blinding description: Blinding was performed without informing the patients about the type of treatment and with the consent of each patient's family. The selected participant in an intervention group is informed about the implementation and duration of the intervention, but does not know the type of intervention and the main purpose of the study. An independent statistical researcher from the study team assigned eligible patients in a 1: 1 ratio to the interferon beta and methylprednisolone combination group or the interferon beta group. An independent pharmacist from the experimental team (from the pharmacy of Shahid Sadoughi Hospital) placed the labels with the study ID on separate numbered packages for the combined treatment of interferon beta and methylprednisolone and interferon beta based on a list (M &amp; C codes). Not all clinical and laboratory staff, and participants were aware of the type of treatment assigned to each individual, and only the pulmonologist responsible for each patient was aware of the type of treatment.</study_design>
      <phase>3</phase>
      <hc_freetext>Covid- 19.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: On the first day of hospitalization according to the national treatment protocol, Keltra received 400 mg daily (morning and night), naproxen 250 mg (morning and night) and one dose of 400 mg hydroxychloroquine. In the intervention group, 500 mg of methylprednisolone was administered weekly and 0.44 mg of β-interferon daily subcutaneously. Intervention 2: Control group: On the first day of hospitalization according to the national treatment protocol, Keltra received 400 mg daily (morning and night), naproxen 250 mg (morning and night) and a dose of 400 mg hydroxychloroquine. In the control group, 0.44 mg of β-interferon was administered subcutaneously 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>Fatemeh sadat Aghaei meybodi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahid Sadoughi hospital, Ebne- Sina Ave., Yazd, Iran</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8915887857</zip>
        <telephone>+98 35 3822 4000</telephone>
        <email>dr.meybodi@gmail.com</email>
        <affiliation>Yazd University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Fatemeh sadat Aghaei meybodi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahid Sadoughi hospital, Ebne- Sina Ave., Yazd, Iran</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8915887857</zip>
        <telephone>+98 35 3822 4000</telephone>
        <email>dr.meybodi@gmail.com</email>
        <affiliation>Yazd University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age 18- 80 years
Covid-19 infection based on high-resolution computed tomography findings
Progressive and severe hypoxia based on blood oxygen saturation level less than 88% with a reservoir bag mask and flow of 15 liters
Exacerbation of lymphopenia during hospitalization</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>80 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Cardiovascular patients
Grade 3 and more liver cirrhosis
Autoimmune diseases
Severe depression and psychosis
Organ transplantation
Kidney failure
Pregnancy</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Covid- 19</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: On the first day of hospitalization according to the national treatment protocol, Keltra received 400 mg daily (morning and night), naproxen 250 mg (morning and night) and one dose of 400 mg hydroxychloroquine. In the intervention group, 500 mg of methylprednisolone was administered weekly and 0.44 mg of β-interferon daily subcutaneously.</i_keyword>
      <i_keyword>Control group: On the first day of hospitalization according to the national treatment protocol, Keltra received 400 mg daily (morning and night), naproxen 250 mg (morning and night) and a dose of 400 mg hydroxychloroquine. In the control group, 0.44 mg of β-interferon was administered subcutaneously daily.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Body temperature. Timepoint: At the beginning of the study (before the intervention) and during the days of hospitalization on a daily basis. Method of measurement: Vital Sign Monitoring Device.</prim_outcome>
      <prim_outcome>Blood pressure. Timepoint: At the beginning of the study (before the intervention) and during the days of hospitalization on a daily basis. Method of measurement: Blood pressure cuff monitoring vital signs.</prim_outcome>
      <prim_outcome>Respiration rate. Timepoint: At the beginning of the study (before the intervention) and during the days of hospitalization on a daily basis. Method of measurement: Vital Sign Monitoring Device.</prim_outcome>
      <prim_outcome>O2 saturation. Timepoint: At the beginning of the study (before the intervention) and during the days of hospitalization on a daily basis. Method of measurement: Pulse oximeter.</prim_outcome>
      <prim_outcome>White blood cells. Timepoint: At the beginning of the study (before the intervention) and during the days of hospitalization on a daily basis. Method of measurement: Measurements are performed using an automatic blood cell counting device.</prim_outcome>
      <prim_outcome>Neutrophil. Timepoint: At the beginning of the study (before the intervention) and during the days of hospitalization on a daily basis. Method of measurement: Measurements are performed using an automatic blood cell counting device.</prim_outcome>
      <prim_outcome>Lymphocytes. Timepoint: At the beginning of the study (before the intervention) and during the days of hospitalization on a daily basis. Method of measurement: Measurements are performed using an automatic blood cell counting device.</prim_outcome>
      <prim_outcome>Platelet. Timepoint: At the beginning of the study (before the intervention) and during the days of hospitalization on a daily basis. Method of measurement: Measurements are performed using an automatic blood cell counting device.</prim_outcome>
      <prim_outcome>Erythrocyte Sedimentation Rate. Timepoint: At the beginning of the study (before the intervention) and during the days of hospitalization on a daily basis. Method of measurement: Measurement is done by centrifugation.</prim_outcome>
      <prim_outcome>C-Reactive Protein. Timepoint: At the beginning of the study (before the intervention) and during the days of hospitalization on a daily basis. Method of measurement: Measurements are performed by ELISA method.</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>Yazd University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-04-20</approval_date>
        <contact_name>Ethics committee of Shahid Sadoughi University of medical sciences</contact_name>
        <contact_address>Bahonar Sq., Shahid Sadoughi Ave., Shahid Sadoughi University of Medical Sciences, Yazd Yazd Yazd Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
