<?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>IRCT20210114050036N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-04-17</date_registration>
      <primary_sponsor>Yazd University of Medical Sciences</primary_sponsor>
      <public_title>Comparison of  two different doses of intrathecal ropivacaine in patients undergoing cesarean section</public_title>
      <acronym>ASA</acronym>
      <scientific_title>Comparison of  two different doses of intrathecal ropivacaine on onset and duration of sensory and motor block in patients undergoing cesarean section with spinal anesthesia</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-09-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>66</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/53719</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: This clinical trial was designed by simple randomization using a random number table.  The project partner placed participants with even random numbers in the intervention group (30 mg rupivacaine) and participants with odd random numbers in the control group (20 mg rupivacaine) in order of entry of participants, Blinding description: After obtaining informed consent, participants were placed in group 1 or 2 by a project partner using a random number table. The participant and the researcher did not know any of the assignments in the groups. Rupivacaine-containing syringes were prepared and coded by a design partner with an equal volume of 6 cc. Half of the syringes contained 30 mg of 0.5% ropivacaine with a volume of 6 cc and the other half contained 20 mg of 0.5% ropivacaine and 2 cc of normal saline with a volume of 6 cc. During the project, depending on the assignment of the participant to group 1 or 2, the project partner, as the only informed person, delivers the syringe containing rupivacaine (20 or 30 mg) to the researcher for intrathecal injection. Therefore, the specialist physician did not know the concentration of rupivacaine in the syringes and evaluated the patients during the study.</study_design>
      <phase>3</phase>
      <hc_freetext>Investigation of the onset and duration of sensory and motor blocks in the administration of two different doses of intrathecal ropivacaine.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: 30 mg rupivocaine 0.5% made by Molteni company with a volume of 6 cc was injected intrathecally in the L4-L5 space. Intervention 2: Intervention group: 20 mg rupivocaine 0.5% made by Molteni company with 2 cc of normal saline, in a syringe with a volume of 6 cc was injected intrathecally inL4-L5  space.</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>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
All data are shareable after unidentified individuals

When:
Access period starts 6 months after the publication of the results

To whom:
Data will be available to researchers working in academic and scientific institutions

Conditions:
Studied  data can be used to compare with similar researches

Where to obtain:
Refer to the e-mail, dr.m.niknafs@gmail .com

How to obtain:
After sending the reason for the request for data files and reviewing it, the documents will be sent within two weeks

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mojdeh Niknafs</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 6, Etehadieh Ave, Shahid Sadooghi Blvd</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8917697145</zip>
        <telephone>+98 35 3725 8222</telephone>
        <email>mh.yavari@shahed.ac.ir</email>
        <affiliation>Yazd University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mojdeh Niknafs</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 6, Etehadieh Ave, Shahid Sadooghi Blvd</address>
        <city>Yazd</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8917697145</zip>
        <telephone>+98 35 3725 8222</telephone>
        <email>mh.yavari@shahed.ac.ir</email>
        <affiliation>Yazd University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Term pregnancy
ASA Class 1
Candidates for non-emergency cesarean section under the spinal anesthesia</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>40 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Fetal anomalies
Heart, liver, kidney or cerebrovascular diseases
Preeclampsia and eclampsia
Weighting less than 50 kg or more than 100 kg
Sensitivity to any of the drugs used in the study
For any reason that the patient needs general anesthesia
Patient dissatisfaction for entering to the study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: 30 mg rupivocaine 0.5% made by Molteni company with a volume of 6 cc was injected intrathecally in the L4-L5 space</i_keyword>
      <i_keyword>Intervention group: 20 mg rupivocaine 0.5% made by Molteni company with 2 cc of normal saline, in a syringe with a volume of 6 cc was injected intrathecally inL4-L5  space</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Onset and duration of sensory block. Timepoint: Examine the sensory level in first  minute and then every 2 minutes to 15 minutes and then every 15 minutes to an hour,  then every 10 minutes until the sensory level returns to T10. Method of measurement: Pin-prick test using a 22 Gauge needle.</prim_outcome>
      <prim_outcome>Onset and duration of motor block. Timepoint: Investigation of the motor block in first  minute and then every 2 minutes to 15 minutes and then every 15 minutes to an hour,  then every 10 minutes until motor block return to a scale lower than the maximum movement block created. Method of measurement: Modified Bromage scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Systolic, diastolic and mean arterial pressure. Timepoint: At the beginning of study (before the intervention) and then every 3 minutes until the baby was born and then every 5 minutes until the end of  surgery. Method of measurement: Non-invasive blood pressure monitoring.</sec_outcome>
      <sec_outcome>Heart rate. Timepoint: Continuously from the beginning of the study (before the intervention) until the end of surgery. Method of measurement: Electrocardiogram monitoring.</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>Yazd University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-06-26</approval_date>
        <contact_name>Ethics Committee of Yazd Shahid Sadoughi University of Medical Sciences</contact_name>
        <contact_address>No. 6, Etehadieh Ave, Shahid Sadooghi Blvd Yazd Yazd Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
