<?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>IRCT20200915048727N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-10-16</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>Effect of probiotic in irritable bowel syndrome</public_title>
      <acronym></acronym>
      <scientific_title>Effects of supplementation with a multi-species probiotic formulation (BioIBS®) on severity of symptoms and quality of life in patients with irritable bowel syndrome</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-10-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/50947</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will occur centrally using an phone randomization system by an independent researcher. There are two treatment arms.Randomization in the mentioned groups will be conducted according to permuted block randomization based on  basis of 4  and 6 blocks, Blinding description: Probiotic and placebo capsules will be provided by Tak Gene Zist. Probiotic and placebo capsules in boxes numbered according to randomization sequence for each group of patients will be provided by Tak Gene Zist. Probiotic and placebos capsules will be packed in similar boxes, and researchers and patients will not know the contents of the packages until the end of the study.</study_design>
      <phase>3</phase>
      <hc_freetext>Irritable bowel syndrome (IBS).</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: : probiotic capsule (Bio IBS®, Takgene zist , Iran) containing L. rhamnosus, L. casei, L. acidophilus. Each capsule containing 5×109 cfu ⁄capsule. 2 capsules per day, Duration 2 months. Intervention 2: Control group: placebo capsule (Takgene zist, Iran). 2 capsules per day, Duration 2 months.</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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is Patient information is kept confidential and will not be published</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Abbas Yadegar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Taleghani Hospital, Shahid Arabi St.,Velenjak, Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985711151</zip>
        <telephone>+98 21 2243 2518</telephone>
        <email>a.yadegar@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Abbas Yadega</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Taleghani Hospital, Shahid Arabi St.,Velenjak, Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>198511151</zip>
        <telephone>+98 21 2243 2518</telephone>
        <email>a.yadegar@sbmu.ac.ir</email>
        <affiliation>Shahre-kord University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Presence of Rome IV diagnostic criteria for IBS
male and female subjects in age range of 18-75 years.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Anemic subjects with Hb &lt; 10 g/dl.
Subjects with organic disease (to be ruled out by physician based on prior history and physical examination).
Subjects with a history of surgical resection of the stomach, small intestine or large intestine.
Subjects with a history of or complications from inflammatory bowel disease (Crohn's disease or ulcerative colitis) and ischemic colitis.
Subjects with complications from infectious enteritis, hyperthyroidism or hypothyroidism.
Subjects with a history of any diet-based intolerance (gluten or lactose intolerance).
Subjects who are pregnant or planning on becoming pregnant throughout the course of the study.
Subjects with uncontrolled Type II diabetes mellitus.
Subjects who are immuno-compromised
Subjects who have used an over-the-counter or prescription laxative medication or any other herbal agents affecting GI motility within 2 weeks prior to screening.
Subjects who have used probiotic or fiber supplements (or probiotic/fiber enriched foods) or an antibiotic within 4 weeks prior to screening.
Subjects who have used IBS specific treatments within 4 weeks prior to screening.
Subjects who have participated in a clinical research trial within 30 days prior to randomization.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K58</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Irritable bowel syndrome</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: : probiotic capsule (Bio IBS®, Takgene zist , Iran) containing L. rhamnosus, L. casei, L. acidophilus. Each capsule containing 5×109 cfu ⁄capsule. 2 capsules per day, Duration 2 months.</i_keyword>
      <i_keyword>Control group: placebo capsule (Takgene zist, Iran). 2 capsules per day, Duration 2 months.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Changes in severity of IBS symptoms (IBS-SSS). Timepoint: At baseline, 4 and the 8 weeks after the intervention. Method of measurement: Questionnaire (IBS, Symptom Severity Scoring).</prim_outcome>
      <prim_outcome>Quality of life. Timepoint: At baseline,4 and the 8 weeks after the intervention. Method of measurement: IBS-QOL-34.</prim_outcome>
      <prim_outcome>Adequate Relief. Timepoint: At baseline,4 and the 8 weeks after the intervention. Method of measurement: IBS, Adequate Relief (IBS, AR).</prim_outcome>
      <prim_outcome>Improvement or worsening of IBS global symptoms  (IBS-GIS). Timepoint: At baseline, 4 and the 8 weeks after the intervention. Method of measurement: Global Improvement Scale (IBS-GIS).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Malondialdehyde (MDA). Timepoint: At baseline, and the 8 weeks after the intervention. Method of measurement: Thiobarbituric Acid assay.</sec_outcome>
      <sec_outcome>Total antioxidant capacity (TAC). Timepoint: At baseline, and the 8 weeks after the intervention. Method of measurement: Colorimetric method.</sec_outcome>
      <sec_outcome>IL-6. Timepoint: At baseline, and the 8 weeks after the intervention. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>INF-ɣ. Timepoint: At baseline, and the 8 weeks after the intervention. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>IL-10. Timepoint: At baseline, and the 8 weeks after the intervention. Method of measurement: ELISA.</sec_outcome>
      <sec_outcome>Gut microbiom. Timepoint: At baseline, and the 8 weeks after the intervention. Method of measurement: Real-time PCR (qPCR) assay.</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>Takgene zist</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-10-05</approval_date>
        <contact_name>Ethics Committee of Shahid Beheshti University of Medical Sciences</contact_name>
        <contact_address>Velenjak Ave,Taleghani Hospital,Tehran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
