<?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>IRCT20170628034786N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-04-26</date_registration>
      <primary_sponsor>Esfahan University of Medical Sciences</primary_sponsor>
      <public_title>The effect of astaxanthin supplementation on cytokeratin 18 levels</public_title>
      <acronym></acronym>
      <scientific_title>The effect of astaxanthin supplementation on cytokeratin 18 levels in children and adolescents with non-alcoholic fatty liver</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-07-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>58</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/55079</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: During random allocation, patients will be divided into two groups of interventional and placebo by permutation block method with blocks of volume 4. (Possible permutations are: AABB, ABAB, ABBA, BBAA, BABA, BAAB). Using the random permutation block method, the samples will be assigned to two groups. Random sequences are generated using R software and a randomizeR software package, Blinding description: In this research, patient, researcher and data analyser not know which patient receives the drug and which one receives a placebo.</study_design>
      <phase>3</phase>
      <hc_freetext>Non alcoholic fatty liver.</hc_freetext>
      <i_freetext>Intervention 1: Control group: The placebo will be taken once a day with lunch, which is quite similar in color and size to the main medicine. Intervention 2: Intervention group: Patients in the astaxanthin group will receive one 8 mg tablet containing astaxanthin daily with lunch for 8 weeks. Astaxanthin supplement is provided by Nature Vision company in USA. This supplement was made from the alga Haematococcus pluvialis.</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:
After the implementation of the research, the results will be available to the scientific community.

When:
One Year after publication

To whom:
Professional Researchers in this field

Conditions:
After communication with the corresponding author of the project, the researchers in this field can access some statistical analysis file information

Where to obtain:
Principal Investigator Dr. Majid Khademian Isfahan University of Medical Sciences, Faculty of Medicine, Pediatric Department of Gastroenterology, khademian51@yahoo.com

How to obtain:
After E-Mail to the corresponding author of the project, they will be able to provide the documentation to them. khademian51@yahoo.com

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Majid Khademian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hezar Jerib street</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174673461</zip>
        <telephone>+98 31 3386 8247</telephone>
        <email>khademian51@yahoo.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Majid Khademian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hezar Jerib street</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8174673461</zip>
        <telephone>+98 31 3386 8247</telephone>
        <email>khademian51@yahoo.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Children with non- alcoholic fatty liver disease
Age between 8-18 years old
Elevation of liver enzyme more than 40 Unit/Litre
Evidence of fatty liver in sonography</inclusion_criteria>
      <agemin>8 years</agemin>
      <agemax>18 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Diagnosis of liver disease other than NAFLD such as : Viral hepatitis,Autoimmune hepatitis, Diabetes, Hemochromatosis, Cirrhosis, Infectious disease, Hypothyroidism
Consumption of drugs that effect on liver enzyme during last two months
Alcohol consumption
Discontinuing the study by the  patient or his/her family</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K76.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Fatty (change of) liver, not elsewhere classified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Placebo</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group: The placebo will be taken once a day with lunch, which is quite similar in color and size to the main medicine</i_keyword>
      <i_keyword>Intervention group: Patients in the astaxanthin group will receive one 8 mg tablet containing astaxanthin daily with lunch for 8 weeks. Astaxanthin supplement is provided by Nature Vision company in USA. This supplement was made from the alga Haematococcus pluvialis.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Serum level of Alanine aminotransferase. Timepoint: Eight weeks after treatment initiation with placebo and astaxanthin. Method of measurement: Quantitative measurement of liver transaminase.</prim_outcome>
      <prim_outcome>Serum level of Aspartate aminotransferase. Timepoint: Eight weeks after treatment initiation with placebo and astaxanthin. Method of measurement: Quantitative measurement of liver transaminase.</prim_outcome>
      <prim_outcome>Serum levels of cytokeratin 18. Timepoint: Eight weeks after treatment initiation with placebo and astaxanthin. Method of measurement: Eliza method.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Body fat mass. Timepoint: Eight weeks after treatment initiation with placebo and astaxanthin. Method of measurement: Inbody 270 body composition measuring device.</sec_outcome>
      <sec_outcome>Lean body mass. Timepoint: Eight weeks after treatment initiation with placebo and astaxanthin. Method of measurement: Inbody 270 body composition measuring device.</sec_outcome>
      <sec_outcome>Body mass index. Timepoint: Eight weeks after treatment initiation with placebo and astaxanthin. Method of measurement: Measurement of height and weight and ratio of weight to square of height.</sec_outcome>
      <sec_outcome>Waist circumference. Timepoint: Eight weeks after treatment initiation with placebo and astaxanthin. Method of measurement: Measurement with meters.</sec_outcome>
      <sec_outcome>Hip circumference. Timepoint: Eight weeks after treatment initiation with placebo and astaxanthin. Method of measurement: Measurement with meters.</sec_outcome>
      <sec_outcome>Weight. Timepoint: Eight weeks after treatment initiation with placebo and astaxanthin. Method of measurement: Measurement with scales.</sec_outcome>
      <sec_outcome>Height. Timepoint: Eight weeks after treatment initiation with placebo and astaxanthin. Method of measurement: Measurement with meters.</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>Esfahan University of Medical science</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-04-06</approval_date>
        <contact_name>Ethics committee ofIsfahan medical university</contact_name>
        <contact_address>Hezar Jerib street Isfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
