<?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>IRCT20080901001165N65</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-11-10</date_registration>
      <primary_sponsor>Tabib daru pharmaceutical company</primary_sponsor>
      <public_title>Effectiveness of Detoxil capsules in metabolic syndrome</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of effectiveness and safety of Detoxil capsules in controlling metabolic syndrome: A phase 3, randomized, placebo-controlled, double blind study</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-08-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>100</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/55199</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Block Randomization method is used to randomized the patients.
For randomization, we visited the www.sealedenvelope.com, then randomization tab and make a list option were selected, the number of intervention groups, sample size, block size (which was selected due to the small sample size, 4 )were entered the intended locations, then a random list containing the pattern of patient allocation was obtained in two intervention, Blinding description: The appearance of drug and placebo capsules will be identical in the study. Only the DSMB and data statistician will be aware of the contents of the capsules. Therefore, other involved people including the researcher, clinical assessor and the participants are not informed of the type of intervention.</study_design>
      <phase>3</phase>
      <hc_freetext>Metabolic syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Detoxil capsule three times daily for 12 weeks. Detoxil capsules were manufactured in Tabib Darou company and contain the hydroalcoholic extracts of milk thistle, artichoke, dandelion and burdock. 60% of the capsule is comprised of artichoke extract and the rest is divided between other three extracts equivalently. Intervention 2: Control group: placebo capsules three times daily for 12 weeks.</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 The data release schedule is still unclear.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Ali Ahmadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Baqiyatallah university of medical science, south Sheikh-Bahaei St., Mollasadra St., Vanak Sq., Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1435916471</zip>
        <telephone>+98 21 8245 5393</telephone>
        <email>aliahmadi1313@gmail.com</email>
        <affiliation>Bagheiat-allah University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Yunes Panahi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Mollasadra St. Vanak Sq. Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1435916471</zip>
        <telephone>+98 21 8821 1524</telephone>
        <email>yunespanahi@bmsu.ac.ir</email>
        <affiliation>Baqiyatallah University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patient should have read and signed the informed consent form
Patient should fulfill the criteria of NCEP ATP III for metabolic syndrome by having at least three items out of the following: 1- Fasting blood glucose higher than 100 mg/dL; 2- triglyceride level higher that 150 mg/dL; 3- HDL level lower than 40 mg/dL for men and 50 mg/dL for women; 4- systolic blood pressure higher than 130 mmHg or diastolic blood pressure higher than 85 mmHg; 5- waist circumference bigger than 102 cm for men and 94 cm for women</inclusion_criteria>
      <agemin>25 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Pregnancy
Lactation
Participation at a concurrent clinical trial
History of allergic reaction to any of the ingredients of drug
Active malignancy
Severe hepatic or renal disease</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E88.81</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Metabolic syndrome</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Detoxil capsule three times daily for 12 weeks. Detoxil capsules were manufactured in Tabib Darou company and contain the hydroalcoholic extracts of milk thistle, artichoke, dandelion and burdock. 60% of the capsule is comprised of artichoke extract and the rest is divided between other three extracts equivalently.</i_keyword>
      <i_keyword>Control group: placebo capsules three times daily for 12 weeks</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Blood pressure. Timepoint: Before and after intervention (12 weeks). Method of measurement: mmHg.</prim_outcome>
      <prim_outcome>Triglyceride. Timepoint: Before and after intervention (12 weeks). Method of measurement: mg/dL.</prim_outcome>
      <prim_outcome>LDL. Timepoint: Before and after intervention (12 weeks). Method of measurement: mg/dL.</prim_outcome>
      <prim_outcome>HDL. Timepoint: Before and after intervention (12 weeks). Method of measurement: mg/dL.</prim_outcome>
      <prim_outcome>Total cholestrol. Timepoint: Before and after intervention (12 weeks). Method of measurement: mg/dL.</prim_outcome>
      <prim_outcome>FBS. Timepoint: Before and after intervention (12 weeks). Method of measurement: mg/dL.</prim_outcome>
      <prim_outcome>HbA1c. Timepoint: Before and after intervention (12 weeks). Method of measurement: serum levels.</prim_outcome>
      <prim_outcome>Weight. Timepoint: Before and after intervention (12 weeks). Method of measurement: kg.</prim_outcome>
      <prim_outcome>Waist circumference. Timepoint: Before and after intervention (12 weeks). Method of measurement: cm.</prim_outcome>
      <prim_outcome>Fatty liver disease stage. Timepoint: Before and after intervention (12 weeks). Method of measurement: Ultrasonography.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>BMI. Timepoint: Before and after intervention (12 weeks). Method of measurement: kg/m2.</sec_outcome>
      <sec_outcome>ALT. Timepoint: Before and after intervention (12 weeks). Method of measurement: U/L.</sec_outcome>
      <sec_outcome>AST. Timepoint: Before and after intervention (12 weeks). Method of measurement: U/L.</sec_outcome>
      <sec_outcome>ALP. Timepoint: Before and after intervention (12 weeks). Method of measurement: U/L.</sec_outcome>
      <sec_outcome>Total bilirubin. Timepoint: Before and after intervention (12 weeks). Method of measurement: mg/dL.</sec_outcome>
      <sec_outcome>Direct bilirubin. Timepoint: Before and after intervention (12 weeks). Method of measurement: mg/dL.</sec_outcome>
      <sec_outcome>MDA. Timepoint: Before and after intervention (12 weeks). Method of measurement: nmole/mL.</sec_outcome>
      <sec_outcome>SOD. Timepoint: Before and after intervention (12 weeks). Method of measurement: IU/mL.</sec_outcome>
      <sec_outcome>Leptin. Timepoint: Before and after intervention (12 weeks). Method of measurement: ng/mL.</sec_outcome>
      <sec_outcome>Adiponectin. Timepoint: Before and after intervention (12 weeks). Method of measurement: μg/mL.</sec_outcome>
      <sec_outcome>IL-6. Timepoint: Before and after intervention (12 weeks). Method of measurement: serum levels.</sec_outcome>
      <sec_outcome>IL-8. Timepoint: Before and after intervention (12 weeks). Method of measurement: serum levels.</sec_outcome>
      <sec_outcome>CRP. Timepoint: Before and after intervention (12 weeks). Method of measurement: mg/L.</sec_outcome>
      <sec_outcome>TNF-α. Timepoint: Before and after intervention (12 weeks). Method of measurement: serum levels.</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>Tabib daru pharmaceutical company</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-06-26</approval_date>
        <contact_name>Baqiyatallah Hospital</contact_name>
        <contact_address>Baqiyatallah Hospital, Sheykh-e-Baha'ee, Sare Mollasadra Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
