<?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>IRCT20201202049567N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-03-13</date_registration>
      <primary_sponsor>Shifa Pharmed Industrial Co.</primary_sponsor>
      <public_title>Evaluate the safety and efficacy of COVID-19 inactivated vaccine</public_title>
      <acronym></acronym>
      <scientific_title>A double-blind, randomized, placebo-controlled Phase II/III Clinical trial to evaluate the safety and efficacy of COVID-19 inactivated vaccine (Shifa-Pharmed) in a population aged 18 to 75 years</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-03-14</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>20000</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/54881</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: Phase 2: For less than 50 years participants, a randomized list with a length of 200 will be produced. Each sequence has a ratio of 4:1 vaccine to placebo and 160 participants will receive the active vaccine and 40 participants will receive a placebo. Sequences are generated using sealedenvelope.com by the block size of 5 (40 blocks) which has four interventions and one placebo in each block.
For 51 to 75 years participants, the randomization sequence will be separately generated for 80 participants (64 active intervention and 16 placeboes) in a similar way. 
Phase 3:  in this stage, stratified block randomization will be performed based on six cities and two age groups (&lt;50 years and 51-75 years).
Each stratum consists of blocks of size of 3 and a ratio of 2:1 (vaccine to placebo).

All random allocation processes will be performed by an interactive web response system (IWRS), Blinding description: Every dose of vaccine is packaged separately and has a unique identification number. Vials and boxes of vaccine and placebo have a similar shape and packaging that results in blinding for participants, investigators, and outcome assessors.</study_design>
      <phase>2-3</phase>
      <hc_freetext>COVID-19 disease.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 2: 5 micrograms of antigen protein (Shifa Pharmed Co.) on days 0 and 28, which is received intramuscularly (deltoid muscle). Intervention 2: Control group: The placebo group will receive only aluminum hydroxide adjuvant in the form of deltoid intramuscular injection on days 0 and 28. Placebo is similar to the active vaccine in shape and volume.</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 It will be decided based on the regulatory considerations</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohammadreza Hosseinpour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Soha St., Shifa St.,Mapna Blv</address>
        <city>Kordan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417993337</zip>
        <telephone>+98 21 9109 0245</telephone>
        <email>mr.hosseinpour@shifapharmed.com</email>
        <affiliation>Shifa Pharmed Industrial Co.</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Minoo Mohraz</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>AIDS research center, Tehran University of Medical Sciences</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1417993337</zip>
        <telephone>+98 21 6658 1583</telephone>
        <email>minoomohraz@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Aged 18 to 75 years
Being able to fully understand the study processes and understand the explanations of the facilitators correctly
Being able to fully understand the study processes and understand the explanations of the facilitators correctly
Being able to understand the contents of the informed consent form and sign it before entering the study
Allowing the researchers to access medical records and test results if hospitalized due to suspected, or confirmed COVID-19
Using effective methods of contraception during the study at least two months after the second dose of vaccine
Volunteers who agree not to donate blood, blood products, or bone marrow from the start of the vaccine until 21 days after receiving the last dose of the vaccine</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Confirmed, suspected, or asymptomatic COVID-19 detected by PCR at baseline
History of contact with a person with SARS-CoV-2 infection (positive PCR test) during the last 14 days
History of SARS-CoV-2 infection (Only in immunogenicity subsample
Fever or at least two of these symptoms:  Dry cough, severe fatigue, nasal congestion, runny nose, sore throat, myalgia, diarrhea, dyspnea, and shortness of breath during the 14 days prior to vaccination
History of severe allergic reaction to vaccination or allergic reactions to Inactivated vaccine components
Known case of tuberculosis, hepatitis B or hepatitis C
History of coagulopathy
History of splenectomy
Uncontrolled hypertension, uncontrolled diabetes, uncontrolled chronic cardiac, renal, neurologic, or severe pulmonary disease
Acute diseases or an exacerbation of a chronic disease in the last 7 days
Any malignancy, immunodeficiency, HIV, lymphoma, leukemia, or other autoimmune diseases
Receiving immunomodulators or immunosuppressors at least 14 days in the past 3 months or planning to use in the next year
Receiving live vaccine in one month or other vaccines in 14 days before inoculation
History of drug or alcohol abuse in the last 12 months caused medical, familial or occupational problems
Receiving immunoglobulins or blood products in 3 months before inoculation or planning to use in the next year
Receiving any other investigational drug in 6 months before inoculation
Having a plan to participate in a drug trial during the study period
Planning to receive any vaccination in on month after inoculation
History of severe mental disorders affecting the participation in the study
Pregnant or lactating women or those who intend to become pregnant during the study period
History of travel abroad in the last 14 days
Any other condition that makes a person inappropriate for participation based on the investigator opinion</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>U07.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>COVID-19, virus identified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 2: 5 micrograms of antigen protein (Shifa Pharmed Co.) on days 0 and 28, which is received intramuscularly (deltoid muscle).</i_keyword>
      <i_keyword>Control group: The placebo group will receive only aluminum hydroxide adjuvant in the form of deltoid intramuscular injection on days 0 and 28. Placebo is similar to the active vaccine in shape and volume.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Vaccine efficacy of Shifa-pharmed inactivated SARS-COV-2 vaccine. Timepoint: 14 to 180 days after the last dose of intervention. Method of measurement: Comparing confirmed COVID-19 cases.</prim_outcome>
      <prim_outcome>Neutralizing antibody (phase 2). Timepoint: Day 0 of vaccination and 14, 28, 42, 90,180 and 360 days after the second dose. Method of measurement: Virus neutralization test.</prim_outcome>
      <prim_outcome>Anti SARS-COV-2 antibody titer (IgG, IgM) (Geometric mean titer) (phase 2). Timepoint: Day 0 of vaccination and 14, 28, 42, 90,180 and 360 days after the second dose. Method of measurement: ELISA.</prim_outcome>
      <prim_outcome>Severe COVID-19 cases. Timepoint: Days 14 to 180 after second dose. Method of measurement: Comparing confirmed severe COVID-19 cases.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Vaccine efficacy of Shifa-pharmed inactivated SARS-COV-2 vaccine. Timepoint: From 181 to 360 days after receiving the last dose of intervention. Method of measurement: comparing confirmed COVID-19 case.</sec_outcome>
      <sec_outcome>Severe COVID-19 cases. Timepoint: 181 to 360 days after second dose. Method of measurement: Comparing confirmed severe COVID-19 cases.</sec_outcome>
      <sec_outcome>Any immediate reaction after inoculation. Timepoint: 0-30 minute after inoculation. Method of measurement: Close observation.</sec_outcome>
      <sec_outcome>Local reactions (pain, redness, swelling, ....) in injection site. Timepoint: Days 0 to 28 after each inoculation. Method of measurement: Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System.</sec_outcome>
      <sec_outcome>Systemic events (fever, headache, chills, vomiting, diarrhea, fatigues, muscle pain, joint pain, ....). Timepoint: Days 0 to 28 after each inoculation. Method of measurement: Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System.</sec_outcome>
      <sec_outcome>Occurrence of any serious adverse event. Timepoint: Days 0 to day 360 after second dose. Method of measurement: Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System.</sec_outcome>
      <sec_outcome>Single dose efficacy of Shifa-pharmed inactivated SARS-COV-2 vaccine. Timepoint: day 1 after first doe to second dose. Method of measurement: Confirmed COVID-19 cases.</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>Shifa Pharmed Industrial Co.</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-03-10</approval_date>
        <contact_name>National research ethics committee</contact_name>
        <contact_address>13th floor, Block A, Ministry of health, Simaye Iran street, Shahrake ghods Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
