<?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>IRCT20200831048569N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-10-29</date_registration>
      <primary_sponsor>Gonabad University of Medical Sciences</primary_sponsor>
      <public_title>The effect of Vitagnos tablets on the function of polycystic ovaries</public_title>
      <acronym></acronym>
      <scientific_title>The effect of Vitagnus tablets on follicle number and size, endometrial thickness and fertility in infertile women with polycystic ovary syndrome</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-11-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/51494</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: For sampling, first each of the eligible individuals is selected to enter the study and then the samples will be placed in each of the two groups (intervention) A or (control) B according to the available method based on quadruple block and random allocation. 4 blocks will be used for sampling (AABB, ABAB, BBAA, BABA, ABBA, BAAB), Blinding description: In this study, each questionnaire and medication package will be identified by the letters A (intervention group) and B (control group). The researcher, clinical caregiver (gynecologist) and the data analyst are blind to the type of intervention provided to each participant so that they do not know which questionnaire and medication package belong to which group. The only informed person is the midwife working at the sampling site. This person is fixed until the end of the study and his only role in the study is randomization. After explaining the research to the research units and obtaining informed written consent based on random allocation, they will be placed in two groups of intervention and control. 4 blocks will be used for sampling (AABB, ABAB, BBAA, BABA, ABBA, BAAB).</study_design>
      <phase>3</phase>
      <hc_freetext>polycystic ovary syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Control group: From the beginning of the monthly cycle, they take 1 mg of folic acid tablets and one empty capsule (placebo) daily. The use of this pill and placebo will continue for two months, ie until the end of the next cycle. In the second menstrual cycle, the standard 2.5 mg letrozole drug is used daily for 5 to 5 nights from the 5th menstrual period. Intervention 2: Intervention group: Intervention group: Two Vitagnos tablets produced by Dineh Pharmaceutical Company (each tablet containing 20 mg of Vitagnos plant extract) in a capsule for two months from the first day of the menstrual cycle will be taken daily. This pill is available in all pharmacies and is licensed by the Food and Drug Administration. Simultaneously with the use of Vitagnos, 1 mg of folic acid will also be used by members of this group. Also, in this group, from the fifth day of the second cycle, like the control group, they will receive the standard treatment of letrozole for five nights.</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>Vahideh Behmard</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>22 Street., Shahid Deljoo Ave., Abu Nasr Blvd</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7147681564</zip>
        <telephone>+98 71 3731 7895</telephone>
        <email>vahideh.behmard@gmail.com</email>
        <affiliation>Gonabad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Roghaieh Rahmany Bilandi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Asian roadside</address>
        <city>Gonabad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9691793718</zip>
        <telephone>+98 51 5722 3028</telephone>
        <email>roghaiehrahmany@yahoo.com</email>
        <affiliation>Gonabad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age 18 to 35 years
Having written consent to participate in the study
Infertility is known to cause polycystic ovary syndrome and rule out other causes of infertility
Ultrasound-confirmed polycystic ovaries along with another Rotterdam criteria
No other androgenic disorders such as adrenal hyperplasia or androgen-producing tumor
Manifestations of hyperandrogenism (high testosterone)
No diseases such as: hypothyroidism or hyperthyroidism, hyperprolactinemia, kidney, heart, liver, bone diseases, pituitary tumor, cancer and diabetes
Do not take infertility drugs or any other hormonal drugs in the last three months
Body mass index 18 to 35
Hypersensitivity to food and drugs such as lactose, letrozole and vitagnus</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>35 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Breastfeeding
Smoking and drugse
Stressful events in the last three months
Previous surgery on one or both ovaries
Taking haloperidol</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E28.2</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Polycystic ovarian syndrome</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Placebo</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Control group: From the beginning of the monthly cycle, they take 1 mg of folic acid tablets and one empty capsule (placebo) daily. The use of this pill and placebo will continue for two months, ie until the end of the next cycle. In the second menstrual cycle, the standard 2.5 mg letrozole drug is used daily for 5 to 5 nights from the 5th menstrual period.</i_keyword>
      <i_keyword>Intervention group: Intervention group: Two Vitagnos tablets produced by Dineh Pharmaceutical Company (each tablet containing 20 mg of Vitagnos plant extract) in a capsule for two months from the first day of the menstrual cycle will be taken daily. This pill is available in all pharmacies and is licensed by the Food and Drug Administration. Simultaneously with the use of Vitagnos, 1 mg of folic acid will also be used by members of this group. Also, in this group, from the fifth day of the second cycle, like the control group, they will receive the standard treatment of letrozole for five nights.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Number of follicles. Timepoint: Before the intervention and 1/5 month after the intervention. Method of measurement: Sonography.</prim_outcome>
      <prim_outcome>Follicle size. Timepoint: Before the intervention and 1/5 month after the intervention. Method of measurement: Sonography.</prim_outcome>
      <prim_outcome>Endometrial thickness. Timepoint: Before the intervention and 1/5 month after the intervention. Method of measurement: Sonography.</prim_outcome>
      <prim_outcome>Fertility rate. Timepoint: Before intervention and 2 months after intervention. Method of measurement: BHCG test.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Improve ovarian function. Timepoint: After the intervention. Method of measurement: sonography.</sec_outcome>
      <sec_outcome>Side effects. Timepoint: During and after the intervention. Method of measurement: check list.</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>Gonabad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-10-20</approval_date>
        <contact_name>Ethics Committee of Gonabad University of Medical Sciences</contact_name>
        <contact_address>Asian roadside Gonabad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
