<?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>IRCT20201004048923N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-12-13</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>Effect of biotin, brewer’s yeast and vitamin C supplements in patients with COVID-19</public_title>
      <acronym></acronym>
      <scientific_title>Investigation of simultaneous administration of biotin, brewer’s yeast, and vitamin C supplements on the improvement of clinical symptoms in patients with COVID-19</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-10-15</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>50</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/51442</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The stratification layer in this study is age. In order to allocate the same number of people in both groups, stratified randomization was used. Randomization of individuals into intervention and control groups was performed using a random number list created online by Random.org.This list is randomly divided between intervention and control groups from 1 to 50.</study_design>
      <phase>3</phase>
      <hc_freetext>Coronavirus disease 2019 (COVID-19).</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Patients in this group, addition to their routine treatment will receive; first day: two biotin tablets (5000 micrograms) simultaneously and after that with  at least 6 hours, one another biotin tablet (5000 micrograms), second and third days: two biotin tablets (5,000 micrograms) with at least 8 hours interval. Fourth day up to the end of intervention: one biotin tablet (5,000 micrograms) daily. In addition to biotin, one effervescent tablet of vitamin C (500 mg) and two tablets of brewer's yeast will be received, daily up to the end of intervention. Intervention 2: Control group: Control group will receive only routine COVID-19 treatment.</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 more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr Maliheh Paknejad</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Biochemistry department, Tehran university of Medical Sciences, Poursina St. Qods St. Enqelab St</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417613151</zip>
        <telephone>+98 21 6405 3295</telephone>
        <email>paknejadma@tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr Maliheh Paknejad</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Biochemistry department, Tehran university of Medical Sciences, Poursina St. Qods St. Enqelab St</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417613151</zip>
        <telephone>+98 21 6405 3295</telephone>
        <email>paknejadma@tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age between 20 to 60 years old
Male sex
COVID-19 patients with positive chest CT scan</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>60 years</agemax>
      <gender>Male</gender>
      <exclusion_criteria>Infectious diseases, cancer and autoimmune diseases
Severe heart and liver diseases
Existence of severe clinical symptoms that require hospitalization
Diabetes</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07. 1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>U07. 1</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: Patients in this group, addition to their routine treatment will receive; first day: two biotin tablets (5000 micrograms) simultaneously and after that with  at least 6 hours, one another biotin tablet (5000 micrograms), second and third days: two biotin tablets (5,000 micrograms) with at least 8 hours interval. Fourth day up to the end of intervention: one biotin tablet (5,000 micrograms) daily. In addition to biotin, one effervescent tablet of vitamin C (500 mg) and two tablets of brewer's yeast will be received, daily up to the end of intervention.</i_keyword>
      <i_keyword>Control group: Control group will receive only routine COVID-19 treatment.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Clinical symptoms improvement. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Fever. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Chills. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Fatigue. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Cough. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Shortness of breath. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Headache. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Myalgia. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Earache. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Rhinorrhea. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Sore throat. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Diarrhea. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Nausea or vomiting. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Swelling. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Skin allergy. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Paleness of the fingers and toes. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Smell or taste loss. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Chest pain or discomfort. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Loss of the ability to move or speak. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Insomnia. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Sweating. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</sec_outcome>
      <sec_outcome>Anorexia. Timepoint: At the beginning of the study (before the intervention) and after receiving supplements, daily. Method of measurement: Patient statements during the phone call and recording information according to the scoring system designed in the checklist.</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>By researcher</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-09-30</approval_date>
        <contact_name>Ethics committee of Tehran University of Medical Sciences</contact_name>
        <contact_address>Bulding No 1, Tehran university of Medical Sciences, Poursina St. Qods St. Enqelab St Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
