<?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>IRCT20201112049371N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-12-21</date_registration>
      <primary_sponsor>Ahvaz University of Medical Sciences</primary_sponsor>
      <public_title>Comparison of cefixime and the combination of cefixime and clindamycin in the treatment of patients with acute and chronic sinusitis</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of Cefixime and Cefixime and Clindamycin Combination with Cefixime in the Treatment of Acute and Chronic Sinusitis patients in Imam Khomeini Hospital of Ahwaz</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-06-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>120</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/52304</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Random function of Excel software based on patient file number will be used for randomization. Patients with acute and chronic sinusitis were included in the Excel program based on the file number. Based on the random button, patients with acute sinusitis were divided into case and control groups, and patients with chronic sinusitis were divided into case and control groups. A total of four groups of 30 people were divided between 4 groups. By entering the file number in Excel program, then the random number is selected from the data analysis command. This study has 4 groups that can be numbered from 1 to 4, respectively. We also want 30 people in each group. As a result, sequences 1 to 4 should be repeated 10 times each time.It is clear that the repetition of each number occurs once in each group, so select 1 for repeating each number and 30 for repeating the sequence. In this way, 120 units will be produced.</study_design>
      <phase>3</phase>
      <hc_freetext>Condition 1: Acute sinusitis. Condition 2: Chronic sinusitis.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: includes patients with acute sinusitis who receive cefixime tablets (Kowsar company) 400 mg daily and clindamycin capsules (Saha Daroo company) 300 mg three times a day for 21 days. Intervention 2: Control group: includes patients with acute sinusitis who receive only 400 mg daily tablets of Cefexime (Kosar Company) for 21 days. Intervention 3: Intervention group: includes patients with chronic sinusitis who receive cefixime tablets (Kosar company) 400 mg daily and clindamycin capsules (Saha Daroo company) 300 mg three times a day for 21 days. Intervention 4: Control group: includes patients with chronic sinusitis who receive only 400 mg daily tablets of Cefexime (Kosar Company) for 21 days.</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. Azam Fazlipour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ahvaz Jundishapur University of Medical Sciences, Esfand St., Shahr-e-Daneshgahi,  Golestan Blvd.,</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6193673111</zip>
        <telephone>+98 61 3311 0000</telephone>
        <email>info@ajums.ac.ir</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr Azam Fazlipour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ahvaz Jundishapur University of Medical SciencesEsfand St.,Shahr-e-Daneshgahi,Golestan Blvd.,</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6193673111</zip>
        <telephone>009861133110000</telephone>
        <email>info@ajums.ac.ir</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Initial positive opinion by the ENT specialist on CT scan of the patient's sinuses
Patient consent to enter the study</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Hypersensitivity to the antibiotic Cefixime
Hypersensitivity to the antibiotic clindamycin
Recent use of other antibiotics
Patients with cystic fibrosis
Immune Deficiency Patients</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J01</hc_code>
      <hc_code>J32</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Acute sinusitis</hc_keyword>
      <hc_keyword>Chronic sinusitis</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: includes patients with acute sinusitis who receive cefixime tablets (Kowsar company) 400 mg daily and clindamycin capsules (Saha Daroo company) 300 mg three times a day for 21 days.</i_keyword>
      <i_keyword>Control group: includes patients with acute sinusitis who receive only 400 mg daily tablets of Cefexime (Kosar Company) for 21 days.</i_keyword>
      <i_keyword>Intervention group: includes patients with chronic sinusitis who receive cefixime tablets (Kosar company) 400 mg daily and clindamycin capsules (Saha Daroo company) 300 mg three times a day for 21 days.</i_keyword>
      <i_keyword>Control group: includes patients with chronic sinusitis who receive only 400 mg daily tablets of Cefexime (Kosar Company) for 21 days.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Headache. Timepoint: At the beginning of the study and 21 days after the study. Method of measurement: No effect (1 point), partial effect (2 points), partial effect (3 points) or full effect (4 points).</prim_outcome>
      <prim_outcome>Nasal discharge. Timepoint: At the beginning of the study and 21 days after the study. Method of measurement: No effect (1 point), partial effect (2 points), partial effect (3 points) or full effect (4 points).</prim_outcome>
      <prim_outcome>Cough. Timepoint: At the beginning of the study and 21 days after the study. Method of measurement: No effect (1 point), partial effect (2 points), partial effect (3 points) or full effect (4 points).</prim_outcome>
      <prim_outcome>Nasal obstruction. Timepoint: At the beginning of the study and 21 days after the study. Method of measurement: No effect (1 point), partial effect (2 points), partial effect (3 points) or full effect (4 points).</prim_outcome>
      <prim_outcome>Feeling full in the face. Timepoint: At the beginning of the study and 21 days after the study. Method of measurement: No effect (1 point), partial effect (2 points), partial effect (3 points) or full effect (4 points).</prim_outcome>
      <prim_outcome>Discharge from the back of the throat. Timepoint: At the beginning of the study and 21 days after the study. Method of measurement: No effect (1 point), partial effect (2 points), partial effect (3 points) or full effect (4 points).</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>2018-05-19</approval_date>
        <contact_name>Ethics committee of Ahvaz University of Medical Sciences</contact_name>
        <contact_address>Ahvaz Jundishapur University of Medical Sciences, Esfand St.,Shahr-e-Daneshgahi, Golestan Blvd., Ahvaz Khouzestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
