<?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>IRCT20201108049306N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-01-29</date_registration>
      <primary_sponsor>Hamedan University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of ginger as an adjunct therapy in Generalized Anxiety Disorder</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effect of ginger as an adjunct therapy along with SSRIs to reduce anxiety inpatients with Generalized Anxiety Disorder (GAD)</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-03-05</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>80</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/53072</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: The method of block randomization with individual units by preparing four sheets of paper. On the two sheets we write the letter "I" meaning "Intervention" and on the other two sheets we write the letter "P" meaning "Placebo". Mix the sheets together and place them in the desk drawer. With the referral of each eligible patient, one of the sheets is randomly pulled out and based on this sheet whether it is "I" or "P", they will be assigned to one of the two intervention or control groups, Blinding description: Patients are blinded that they are taking ginger or starch capsules and all of them are told they are taking ginger capsules along with the prescribed SSRI. The researcher is also blind to whether patients are receiving ginger or not (Only the doctor or clinical caregiver is not blinded). The method of blinding is that the doctor who has four sheets in his desk drawer (two "i" sheets that means "Intervention" and two "p" sheets that means "Placebo") by referring to each of the eligible patients, one of the sheets Randomly taken out and based on this sheet, I or P, will be assigned to one of the two intervention or control groups, and the doctor will record that each patient belongs to intervention group or placebo group. It should be noted that the pulled out sheets will not be returned to the drawer until all four sheets have been pulled out. After accidentally pulling out all four sheets, all the sheets are returned to the drawer and the above procedure will be continued for the next four patients until the desired sample size is reached.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Generalized Anxiety Disorder (GAD).</hc_freetext>
      <i_freetext>Intervention 1: Forty people in intervention group: Patients under treatment with SSRI at a specific dose (Sertraline oral tablets at the dose of 25 mg once daily and may be increased to 100 mg daily, or Citalopram 10 mg oral tablets once daily and may be increased to 40 mg daily) for 12 weeks + two 500 mg ginger capsules per day for 12 weeks                                                                            Patients' visits may last from 20 minutes to an hour long of doctor's visit and questions and answers (filling out questionnaires) by the researcher. These visits will occur at the time of diagnosis, two weeks later, and also 4, 8, and 12 weeks after the first visit and diagnosis of GAD. Intervention 2: Control group: Patients under treatment with SSRI at a specific dose (Sertraline oral tablets at the dose of 25 mg once daily and may be increased to 100 mg daily, or Citalopram oral tablets 10 mg once daily and may be increased to 40 mg daily) for 12 weeks + two starch capsules per day (placebo) for 12 weeks                         Patients' visits may last from 20 minutes to an hour long of doctor's visit and questions and answers (filling out questionnaires) by the researcher. These visits will occur at the time of diagnosis, two weeks later, and also 4, 8, and 12 weeks after the first visit and diagnosis of GAD.</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 I need to talk more about this with my professors, there is no more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Sara Ataei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Pharmacy, Hamadan University of Medical Science, Shahid Fahmideh Blvd., Hamadan</address>
        <city>Hamedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6517838678</zip>
        <telephone>+98 81 3838 1591</telephone>
        <email>s.ataei@umsha.ac.ir</email>
        <affiliation>Hamedan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Sara Ataei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Pharmacy, Hamadan University of Medical Science, Shahid Fahmideh Blvd., Hamadan</address>
        <city>Hamedan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6517838678</zip>
        <telephone>+98 81 3838 1591</telephone>
        <email>s.ataei@umsha.ac.ir</email>
        <affiliation>Hamedan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Diagnosis of Generalized Anxiety Disorder by a physician based on the Hamilton Anxiety Rating Scale
The patient has filled in the consent form and consciously enters the study and cooperates
Age group 18 to 65 years old</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>The patient is pregnant or breastfeeding
The patient has a major co-morbid psychological disorder (including depressive disorder, bipolar disorder, psychosis, and drug use)
The patient has taken any antioxidant medication or supplement in the past month
Taking medicine that has interaction with ginger
The patient has co-morbid disease (other than neurological diseases)</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F41.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Generalized anxiety disorder</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Forty people in intervention group: Patients under treatment with SSRI at a specific dose (Sertraline oral tablets at the dose of 25 mg once daily and may be increased to 100 mg daily, or Citalopram 10 mg oral tablets once daily and may be increased to 40 mg daily) for 12 weeks + two 500 mg ginger capsules per day for 12 weeks                                                                            Patients' visits may last from 20 minutes to an hour long of doctor's visit and questions and answers (filling out questionnaires) by the researcher. These visits will occur at the time of diagnosis, two weeks later, and also 4, 8, and 12 weeks after the first visit and diagnosis of GAD.</i_keyword>
      <i_keyword>Control group: Patients under treatment with SSRI at a specific dose (Sertraline oral tablets at the dose of 25 mg once daily and may be increased to 100 mg daily, or Citalopram oral tablets 10 mg once daily and may be increased to 40 mg daily) for 12 weeks + two starch capsules per day (placebo) for 12 weeks                         Patients' visits may last from 20 minutes to an hour long of doctor's visit and questions and answers (filling out questionnaires) by the researcher. These visits will occur at the time of diagnosis, two weeks later, and also 4, 8, and 12 weeks after the first visit and diagnosis of GAD.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Score of anxiety based on the Hamilton Anxiety Rating Scale. Timepoint: Measurement of severity and extent of improvement of anxiety at the beginning of the study (before the intervention) and 14, 28, 56 and 84 days after the start of use. Method of measurement: Hamilton Anxiety Rating Scale.</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>Hamedan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-11-07</approval_date>
        <contact_name>Ethics committee of Hamedan University of Medical Sciences</contact_name>
        <contact_address>Research Ethics Committees, Vice Chancellor for Research and Technology, Hamedan University of Medical Sciences Hamedan Hamadan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
