<?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>IRCT20091114002709N56</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-05-05</date_registration>
      <primary_sponsor>Iran University of Medical Sciences</primary_sponsor>
      <public_title>The Effects of synbiotic supplementation in reducing of Chemotherapy-induced side effects in women with Breast Cancer</public_title>
      <acronym></acronym>
      <scientific_title>The Effects of synbiotic supplementation in reducing of Chemotherapy-induced side effects in women with Breast Cancer</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-05-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>72</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/54559</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: Randomization will be done by the restricted randomization method: first people in terms of age (18 to 40 years and 40 to 70 years) and body mass index (18.5 to 24.9 and 25 to 29.9) in quadratic blocks (A, B, C and D) will be placed. Then, random allocation of people in each block to intervention and control groups will be done. random allocation of individuals to intervention and control groups, will be performed by means of software, Blinding description: This study will be triple-blinded, so that information analysts, researchers and all participants are unaware of intervention and control groups. While one of the classmates unrelated to the project is aware of the study groups.</study_design>
      <phase>3</phase>
      <hc_freetext>chemotherapy-induced side effects.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Patients will be given two capsules of lactocare synbiotic daily for 6 weeks. Lactocare Synbiotic Capsules are manufactured by Zist Takhmir Company .Lactocare is an oral capsule containing high levels of beneficial bacteria (Lactobacilli, Bifidobacteria and Streptococcus) with prebiotic fructo-oligosaccharide (contributing to growth and probiotic activity). Intervention 2: Control group: Patients consume two placebo capsules twice a day for 6 weeks. Placebo capsules Are produced by Zist Takhmir company.</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:
Some of the data will be shared, such as information about the main consequences and etc.

When:
The access period will be 6 months after publication of the results

To whom:
The obtained data from current study will be available only for researchers working in academic and scientific institutions

Conditions:
Six months after the publication of the papers from this study, the data obtained will be available to the applicant researchers for further analysis

Where to obtain:
Applicants can be contacted with correspond author by e-mail or postal address to receive the requested data. Postal address: Nutrition department, School of health, Iran University of Medical Sciences, Hemmat expressway, Tehran Phon number:0098 21 8862 2755 E-mail: Farzadshidfar@yahoo.com

How to obtain:
Applicants will be able to access the obtained data from current study by sending an email to the corresponding author, after a maximum of one week

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Farzad SHidfar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Health, Iran University of Medical Science, Shahid Hemmat highway</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1449614535</zip>
        <telephone>+98 21 8862 2755</telephone>
        <email>Shidfar.f@iums.ac.ir</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Farzad SHidfar</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Health, Iran University of Medical Sciences, Shahid Hemmat highway</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1449614535</zip>
        <telephone>+98 21 8862 2755</telephone>
        <email>shidfar.f@iums.ac.ir</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Definitive diagnosis of breast cancer by oncologist and pathologist
Receiving one-day chemotherapy courses
Stage 1 to 3 of breast cancer (pre-metastatic stages)
History of complications following previous chemotherapy sessions
no history of gastrointestinal problems before breast cancer
at least one and at last two previous sessions of chemotherapy
Do not consuming probiotic dairy products or any foods containing probiotic or prebiotic compounds, or their supplements in the past two weeks.
Age 18 years and older
Willingness to cooperation</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Chronic diseases such as hypertension, coronary heart disease, history of stroke, liver failure (ALT and AST levels &gt; 100 IU / L), renal failure (serum creatinine levels &gt; 1.7 mg / dl), impaired cell count (WBC &gt; 20,000 U / L, hemoglobin less than 10 mg / dl, platelets  &lt;15,000 / mcL or &gt;400,000 / mcL) and gastrointestinal problems
Body mass index &gt;30 kg / m2
History of tumor  in other organs or metastasis to other organs
taking medicines or other treatments to reduce nausea (Except for the usual anti-nausea and vomiting medicines)
Severe gastrointestinal problems and complications during the study
Neutropenic patients
Consumption of probiotic dairy products or any foods containing probiotic or prebiotic compounds, or their supplements during the study
Recent infection or recent use of antibiotics in the past three months
Receiving radiation therapy  and chemotherapy simultaneously
Not willing to continue cooperation</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>Rehabilitation</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Patients will be given two capsules of lactocare synbiotic daily for 6 weeks. Lactocare Synbiotic Capsules are manufactured by Zist Takhmir Company .Lactocare is an oral capsule containing high levels of beneficial bacteria (Lactobacilli, Bifidobacteria and Streptococcus) with prebiotic fructo-oligosaccharide (contributing to growth and probiotic activity)</i_keyword>
      <i_keyword>Control group: Patients consume two placebo capsules twice a day for 6 weeks. Placebo capsules Are produced by Zist Takhmir company</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Experience and severity of nausea. Timepoint: One hour before receiving chemotherapy drugs in the first, second and third visit. Method of measurement: McGill Nausea and Vomiting Questionnaire.</prim_outcome>
      <prim_outcome>Experience and severity of vomiting. Timepoint: One hour before receiving chemotherapy drugs in the first, second and third visit. Method of measurement: McGill Nausea and Vomiting Questionnaire.</prim_outcome>
      <prim_outcome>Experience and severity of diarrhea. Timepoint: One hour before receiving chemotherapy drugs in the first, second and third visit. Method of measurement: Bristol Diarrhea and Constipation Scale.</prim_outcome>
      <prim_outcome>Experience and severity of constipation. Timepoint: One hour before receiving chemotherapy drugs in the first, second and third visit. Method of measurement: Bristol Diarrhea and Constipation Scale.</prim_outcome>
      <prim_outcome>Experience and severity of fatigue. Timepoint: One hour before receiving chemotherapy drugs in the first, second and third visit. Method of measurement: CFS questionnaire.</prim_outcome>
      <prim_outcome>Experience and severity of chemotherapy-induced pain. Timepoint: One hour before receiving chemotherapy drugs in the first, second and third visit. Method of measurement: McGill Pain Questionnaire.</prim_outcome>
      <prim_outcome>Sleep quality. Timepoint: One hour before receiving chemotherapy drugs in the first, second and third visit. Method of measurement: PSQL questionnaire.</prim_outcome>
      <prim_outcome>Experience and severity of anorexia. Timepoint: One hour before receiving chemotherapy drugs in the first, second and third visit. Method of measurement: FAACT questionnaire.</prim_outcome>
      <prim_outcome>Psycho-emotional status. Timepoint: One hour before receiving chemotherapy drugs in the first, second and third visit. Method of measurement: PHQ-9 questionnaire.</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>Iran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-04-18</approval_date>
        <contact_name>Ethics committee of Iran University of Medical Sciences</contact_name>
        <contact_address>Hemat Express way, Iran University of Medical Sciences Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
