<?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>IRCT20210217050393N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-05-16</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of the effect of red beet in patients with chronic coronary heart disease</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effect of red beetroot tablet alone or in combination with vitamin C on cardiovascular function in patients with chronic coronary heart disease. Double blind Randomized clinical trial.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-04-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>90</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/55234</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: To apply randomization, the permuted block randomization method with quadruple blocks will be used. According to the sample size of 90 that has been determined, 18 blocks of 5 will be produced using the online site (www.sealedenvelope.com). In order to apply concealment in the randomization process, unique codes will be used on the medicine boxes, and the desired code will also be generated by the online site.
Concealed allocation is done using opaque envelopes, in packages, sealed and sequentially, Blinding description: In order to apply blinding in the randomization process, unique codes will be used on the medicine boxes, and the desired code will also be produced by the online site. In the present study,  participants, principle investigator , healthcare providers, outcome assessors will be blinded.</study_design>
      <phase>3</phase>
      <hc_freetext>coronary heart disease.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: Three 1000 mg tablets of concentrated red beet daily (containing 22 mg of nitrate as active ingredient and other compounds including betalines, carotenoids, phenolic acids and flavonoids, which in the initial phase of the present project were Prepared  beetroot powder with freeze drier method  and produced in the form of tablets), will intervene for 6 weeks. Intervention 2: Intervention group 2: Three 1000 mg contain beetroot and 100 mg vitamin C tablets daily for 6 weeks. Intervention 3: Control group: Three 1000 mg placebo tablets (Starch with edible color of red beets) daily for 6 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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is There is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Reza Rezvani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Mashhad university of medical sciences, Azadi squre</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>99191-91778</zip>
        <telephone>+98 51 3841 2081</telephone>
        <email>rezvanir@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Reza Rezvani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Mashhad university of medical sciences, Azadi squre</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>99191-91778</zip>
        <telephone>+98 51 3841 2081</telephone>
        <email>rezvanir@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age 30 to 65 years
male and female with chronic coronary artery disease
Willingness to participate in research</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Body Mass Index more than 30 kg / m2
Disease (diabetes, kidney stones, gallstones, cancer and other chronic diseases)
Acute heart accident in the past year
Taking any medicine outside the treatment protocol
Using oral and injectable nutritional supplements for at least the last 4 months (vitamins D, C, E, calcium, magnesium, potassium and multivitamin-mineral, omega 3)
Consumption of any herbal medicines
Allergy to red beet
Pregnancy and breastfeeding
Smoking and drugs
Alcohol consumption
Nitrate-containing drugs (such as nitroglycerin, isosorbide)
The occurrence of any accident that affects a person's health
Having any acute illness during the study
Reluctance to continue cooperation in research
Do not take more than 10% of tablets</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>I25.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Atherosclerotic heart disease of native coronary artery</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1: Three 1000 mg tablets of concentrated red beet daily (containing 22 mg of nitrate as active ingredient and other compounds including betalines, carotenoids, phenolic acids and flavonoids, which in the initial phase of the present project were Prepared  beetroot powder with freeze drier method  and produced in the form of tablets), will intervene for 6 weeks</i_keyword>
      <i_keyword>Intervention group 2: Three 1000 mg contain beetroot and 100 mg vitamin C tablets daily for 6 weeks</i_keyword>
      <i_keyword>Control group: Three 1000 mg placebo tablets (Starch with edible color of red beets) daily for 6 weeks</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pulse Wave Velocity. Timepoint: before and after intervention. Method of measurement: with pulse velocimetry.</prim_outcome>
      <prim_outcome>Augmentation index. Timepoint: before and after intervention. Method of measurement: with pulse velocimetry.</prim_outcome>
      <prim_outcome>Flow mediate dilation. Timepoint: before and after intervention. Method of measurement: with pulse velocimetry.</prim_outcome>
      <prim_outcome>VO2max. Timepoint: before and after intervention. Method of measurement: CPET device.</prim_outcome>
      <prim_outcome>Lipid profile. Timepoint: before and after intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>Interleukin 6. Timepoint: before and after intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>High sensitive-C Reactive Protein. Timepoint: before and after intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>Intercellular-adhesion molecule (I-CAM). Timepoint: before and after intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>Vascular cell adhesion molecule (VCAM). Timepoint: before and after intervention. Method of measurement: blood test.</prim_outcome>
      <prim_outcome>Systolic blood pressure. Timepoint: before and after intervention. Method of measurement: Sphygmomanometer.</prim_outcome>
      <prim_outcome>Diastolic blood pressure. Timepoint: before and after intervention. Method of measurement: Sphygmomanometer.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Weight. Timepoint: before and after intervention. Method of measurement: digital scale.</sec_outcome>
      <sec_outcome>Waist circumference. Timepoint: Before and after the intervention. Method of measurement: Non-elastic meters.</sec_outcome>
      <sec_outcome>Neck circumference. Timepoint: Before and after the intervention. Method of measurement: Non-elastic meters.</sec_outcome>
      <sec_outcome>Waist to hip ratio. Timepoint: Before and after the intervention. Method of measurement: Waist to hip ratio.</sec_outcome>
      <sec_outcome>Body Shape Index. Timepoint: Before and after the intervention. Method of measurement: waist circumference/ body mass index 2/3* height 1/2.</sec_outcome>
      <sec_outcome>Body mass index. Timepoint: Before and after the intervention. Method of measurement: weight/(height)2.</sec_outcome>
      <sec_outcome>Quality of life and health. Timepoint: Before and after the intervention. Method of measurement: SF36 questionnaire.</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>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2020-09-22</approval_date>
        <contact_name>Ethics committee of Mashhad university of medical sciences</contact_name>
        <contact_address>Mashhad university of medical sciences, Azadi squre Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
